RCMA-2016-Annual-Report

Annual Report
2016

A Message From The Presidents . . .
As we look back on the accomplishments of RCMA
during 2016 and moving ahead into 2017, I hope you
will agree we have a dynamic organization that is
looking out for its members on many levels, whether it
is legislative, economic or legal advocacy, or the myriad
of issues and projects RCMA undertakes to educate,
protect and represent physicians in Riverside County
along side the CMA and AMA.
We are proud of the increase in members we have seen
over the past several years. As physicians we continue to recognize the need to join together
in a collective voice to represent medicine and the patients we serve. Following you will
see a sampling of what RCMA provides to its members. This is but a small fraction of the
services and benefits for members. You can see more at www.rcmanet.org.
Thank you for your membership and support. You should be proud of your organization
and together we will continue looking out for the best interest of our patients as health reform
continues to unfold.
813,205
505,012
Melanie S. Crane, M.D.
2016 President
In the Last
5 Years RCMA’s
Regular Active
Membership
Increased 10%
727,499
Together We Are Stronger!
1200
1000
800
600
400
200
0
1038
Active
RCMA Financial Overview
959,071
647,020
793,933
866,911
550,129
830,740
1019
873,920
1048
RCMA Membership
Affiliate
308,193 312,051 316,682 314,619 334,801
944,087
629,468
1074
14
979,554
2012 2013 2014 2015 2016
Expenses Dues Non-Dues
644,753
1140
11
7
854,151
+10%
45
Resident
1,000,000
900,000
800,000
700,000
600,000
500,000
400,000
300,000
200,000
100,000
-
+447%
-57% 201
+433%
6
156
7 127
87
108
36
Student
74
Joseph E. Scherger, M.D.
2017 President
134
93 118
120
112
Retired
2012
119
2013
2014
-7%
112
2015
2016
RCMA Non-Dues
Revenue Keeps
Your Membership
Dues Among
the Lowest in
California
RCMA At A Glance

Educating
Your Staff and
Preparing For
The Future
2016 Education & Activities
RCMA provided education to 621 member physicians
and staff during 20 “live” workshops throughout
Riverside County
RCMA Physician Advocate
2016 Overview
Touching our Members by Physician Advocate:
15 Doctor office visits
12 Practice assessments
196 calls representing 117 different practices
Economic Advocacy
CES recouped $127,588 from payors on behalf of RCMA physicians
Education Programs by Physician Advocate:
11 seminars for RCMA members
4 Medicare seminars
7 Business Management Seminars
Mitzi Young
Physician Advocate
RCMA’s 28 th Annual PWB
Conference was attended by 135
physician & providers from 4
states
RCMA awarded $39,000 in scholarship to 11
medical students from Riverside County
Providing
Hands-On
Practice
Management
Support To
You And
Your Staff
RCMA Member Benefits
Did You Know?
RCMA’s Project
K.I.N.D. provides free
health care to children
with acute illnesses
who have no health
insurance
Project K.I.N.D. (Kids In Need of Doctors)
• Currently serving 7 School Districts with
187,000 kids ages 5-18
– Riverside, Jurupa Valley, Corona-Norco, Alvord,
Moreno Valley, Beaumont and Perris
• 125 volunteer medical, dental and vision providers
• Received over $200,000 in grants to support the
program.
• Increased the number of services provided to
uninsured children
– 654 services with a cost equivalency of $129,541.21

RCMA Strategic Plan Priorities
Physician Workforce
Helping
Members
Recruit New
Associates
Sonya Jackson
Physician Recruitment Development Director
sjackson@rcmanet.org
951-686-3342
Easing the EMR Burden
FOCUS: Ease the EMR Burden by identifying tools and assistance programs to improve efficiencies
ACTIVITIES & RESOURCES:
• MA Scribe Program
• Bootcamp to develop MA Scribes
• Cell phone/tablet App
• www.PeacefulPractice.org
• EMR Super User videos
• Pearls and Pitfalls Resources
• Providing “best practices” for workflow
• YouTube tutorials
• “How To” videos
• Quizlets
• Navigating the HIE (Manifest MedEx)
• Dragon Dictation workshops/webinars being developed
• Needs Assessment to determine Physicians’ Office Staff
educational needs to improve efficiencies
ACCOMPLISHMENTS & RESOURCES TO DATE
(Sept. 2016 – present)
‣ Job Postings on SoCalDocJobs.com
‣ 41 current positions posted
‣ Career Fairs
‣ 2016: 2 fairs attend = 93 CV’s
‣ 2017: 6 fairs scheduled
‣ Local Residency Program Presentations – 2 completed to date
‣ Information on Loan Repayment Programs and Scholarships
‣ Collaboration with IEHP’s Provider Network Enhancement Fund
‣ Physician & Resident Meet and Greets
‣ Recruitment Firms – 3 Business Partners offering discounts to
RCMA members
‣ Sample Physician Compensation Models
‣ Sample Employment Contract
‣ Sample Job Posting template
Developing
Tools &
Resources To
Ease the EMR
Burden
Strategic Objectives
Developing key tools to help physicians prepare for MACRA
Preparing
Member
Offices to
Succeed Under
MACRA-MIPS
RCMA MACRA/MIPS
MEMBER Education
• Presentations Scheduled
Throughout Riverside
County
MACRA 101 Walkthrough
MIPS Scoring Strategies
Importance of HIE
participation
Next Steps
Recommendations for
Practices

Inland Empire Foundation for Medical Care
FACN® Accountable Care Organization
Helping Physicians Transition to the New Models of Care & Value Based Pricing
Providing
On-Call
Panel of
Pediatricians
to Hospitals
$3,152,458
Physician-Driven ACO, 3-Year Contract. Began 1/1/2017
• 1,195 providers representing = 16,000 attributed Medicare Fee For Service Lives
• Triple Aim
• Improve the health of the population
• Enhance the experience and outcomes of the patient
• Reduce per capita cost of care for the benefit of communities.
• Comprehensive data-driven program utilizing data analytics through the HIE for data sharing,
monitoring, quality assessment, risk stratification, care coordination and population health
management
IEFMC Community Care Network (CCN)
• Interdisciplinary team focusing on at-risk patients with challenging chronic conditions and
co-morbidities
• Health Coach Program - drives patient engagement and adherence utilizing volunteer
Pre-Med and Science students
Maddy EMS Fund
$3,079,911
$2,541,345 $2,629,738
$2,506,756
PATPRO
Pediatric Admitter Team Program
•Collaboration between practicing pediatricians and
local area hospitals, IPAs, medical groups and health
plans.
•Provides an on-call panel of Pediatricians to
improve patient access to hospital admission, care
management, consultation, evaluation & hospital
discharge
•Inception date:
2012: Riverside Hospitals
2017: High Desert Hospitals
$2,396,731
2011 2012 2013 2014 2015 2016
Helping
Physicians
Transition to
New Models
of Care
Facilitating
payments to
physicians
who see uninsured
patients in the
emergency room
Affiliated Organizions Benefiting RCMA Members

Advancing
Access to
Electronic
Healthcare
Information
CFMC
Statewide PPO Network
• A network of 12 local Foundations
(including IEFMC) affiliated with
over:
– 250 Hospitals
– 30,000 physicians
– 6,000 ancillary providers.
New Statewide HIE: Manifest MedEx
IEHIE/Cal INDEX MERGER
• OVERVIEW
– March 1, 2017 merger creating one of the nation’s
most comprehensive nonprofit health information
exchange
– Claudia Williams, former White House technology
senior advisor – named as CEO
• IEHIE PROS
– Strengthen financial resources
– Insure viability to continue serving the HIE needs of
the Inland Empire
– Provides resources to continue to grow outside of
the Inland Empire
– Provides resources to continue to develop, align and
integrate Population Health Management analytics
for participants
– Provides resources for potential investment in new IT
Platform
• Cal INDEX merges into IEHIE’s 501(c)
• Two offices: Riverside & Emeryville
HIE Evolutionary Trajectory –
Where we’ve been, where we’re going
PHASE I
Information
Exchange
PHASE II
Coordination
PHASE III
Population
Health
Management
What’s happening to my patient? Can we eliminate duplication Can we work together to optimize the
and close care gaps?
health of our community?
Providing
Patients to
Physician
Offices
How Does IEHIE/CalINDEX stack up?
Top five healthcare information exchanges based on number of medical records
(in millions)
16
Affiliated Organizions Benefiting RCMA Members