The North Carolina Obstetrical and Gynecological Society

1
The North Carolina Obstetricaland Gynecological
Society
The voice of Ob/Gyn physicians their patients
in North Carolina
2
The North Carolina Obstetricaland Gynecological
Society

• Who we are
• What we do
• Where you come in

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
3
The North Carolina Obstetricaland Gynecological
Society
Who we are..
The North Carolina Obstetrical and Gynecological
Society (NCOGS) is a statewide, dues-supported
membership organization dedicated to the
advancement of women's health through advocacy,
education and public relations. The NCOGS is
committed to representing the best interests of
Ob/Gyn physicians and their patients.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
4
The North Carolina Obstetricaland Gynecological
Society

• Who we are Organizationally
• Leadership
• ? Executive Committee
• ? Legislative Liaison
• ? ACOG / NC Section Liaison
• Management
• ? Executive
• ? Administrative / Clerical
• ? Legislative / Legal

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
5
The North Carolina Obstetricaland Gynecological
Society
Who we are Organizationally
2008-2009 NCOGS Executive Committee PRESIDENT
Edward R. Newton, MD /
Greenville PRESIDENT-ELECT John Allbert,
MD / Charlotte SECRETARY-TREASURER Lindsay
Stevenson, MD / Elizabeth City IMMEDIATE PAST
PRESIDENT Ellen C. Wells, MD / Chapel
Hill PAST PRESIDENT William E. Brown, MD
/ Greenville MEETING PROGRAM CHAIR Haywood
L. Brown, MD / Durham MEETING ARRANGEMENTS CHAIR
Paige Fisher, MD / Greenville MEMBER AT
LARGE Keith Nelson, MD /
Greenville LEGISLATIVE LIAISON Harold
Pollard, MD / Winston-Salem ACOG SECTION CHAIR
Frank N. H. Harrison, Jr., MD / Charlotte
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
6
The North Carolina Obstetricaland Gynecological
Society
Who we are Operationally The NC Ob/Gyn Society
is managed through an arrangement with the North
Carolina Medical Society. Services provided
include

• Financial Management
• Meeting Management
• Legislative Guidance / Lobbyist Coordination
• Managed Care Resources
• Regulatory Interaction
• Membership Management
• Organizational Interaction / Professional
  Relations
• Communications Management

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
7
The North Carolina Obstetricaland Gynecological
Society
Who we are Organizationally and Operationally
What differentiates the NC Ob/Gyn
Society from the NC Section of ACOG
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
8
The North Carolina Obstetricaland Gynecological
Society
ACOG works primarily in four areas

• Serving as a strong advocate for quality health
  care
• for women.
• Maintaining the highest standards of clinical
• practice and continuing education for its
  members.
• Promoting patient education and stimulating
  patient
• understanding of and involvement in medical
  care.
• Increasing awareness among its members and the
• public of the changing issues facing women's
  health
• care.

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
9
The North Carolina Obstetricaland Gynecological
Society
What we do

• Legislative Political Advocacy at the State
  Level
• Interaction with Womens Health Agencies in
  N.C.
• Collaboration to Broaden Influence
• Attention to Managed Care Reimbursement
  Issues
• Continuing Medical Education

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
10
The North Carolina Obstetricaland Gynecological
Society
What we do

• Advocacy
• Legislative
• Regulatory

__________________________________________________
_______________ The voice of Ob/Gyn physicians
their patients in North Carolina
11
The North Carolina Obstetricaland Gynecological
Society
Advocacy The Balance
Political Advocacy Legislative Advocacy
__________________________________________________
_______________ The voice of Ob/Gyn physicians
their patients in North Carolina
12
The North Carolina Obstetricaland Gynecological
Society
Advocacy The Balance
Political Advocacy Legislative Advocacy
__________________________________________________
_______________ The voice of Ob/Gyn physicians
their patients in North Carolina
13
The North Carolina Obstetricaland Gynecological
Society
What we do ? Political Advocacy

• GOPAC
• Relationships
• Relationships
• Relationships

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
14
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Direct Access Legislation - 1995 The bill
required health benefit plans issued, renewed or
amended on or after that date to allow each
female plan participant or beneficiary age 13 or
older to have direct access within the health
benefit plan, without prior referral, to an
obstetrician-gynecologist practicing within the
health benefit plan for most healthcare services.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
15
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Post-partum Care Legislation - 1995 Requires
that a health benefit plan providing maternity
coverage must provide inpatient care for mother
and baby for a minimum of 48 hours after vaginal
delivery and a minimum of 96 hours after delivery
by caesarian section .
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
16
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Tort Reform Legislation - 1995 Created minimum
qualifications for experts testifying in medical
malpractice lawsuits and established a stringent
pre-screening procedure for malpractice
complaints. The bill also capped punitive
damages at 250,000 or three times compensatory
damages, whichever is greater. Punitive damages
can be awarded only if the patient can prove that
the defendant is liable for compensatory damages.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
17
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Tort Reform / Expert Witness
Legislation - 1995 Allowed up to ten written
interrogatories to review the identity and/or
qualifications of an expert.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
18
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Contraceptive Coverage Legislation -
1999 Mandates that insurance companies and
others who provide coverage of prescription drugs
and devices to also include coverage of
prescription contraceptive drugs and devices, and
for outpatient contraceptive services.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
19
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Bone Mass/Osteoporosis Legislation -
1999 Requires health plan and insurance coverage
for bone mass measurement and evaluation of
osteoporosis.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
20
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Prompt Pay Legislation - 2000 Requires payment
or full disclosure as to claim problems within 30
days.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
21
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Lay Midwifery Legislation - 2001 Bill to certify
professional midwives was defeated .
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
22
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Patients Bill of Rights - 2001 The bill sets up
independent external review of a HMOs denials if
a patient disagrees, allows patients to sue HMOs
after review of the health plan and an external
independent council, allows patients to receive
necessary prescriptions even if the drug is not
on the companys approved list, and allows people
with serious, chronic diseases to choose
specialists as their primary care physician .
__________________________________________________
______________The voice of Ob/Gyn physicians
their patients in North Carolina
23
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Medicaid Budget - 2001 Medicaid reimbursement at
95 of Medicare secured.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
24
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Medicaid Budget - 2003 Medicaid reimbursement at
95 of Medicare secured.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
25
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
State Budget - 2003 300,000 appropriation the
State Folic Acid Campaign.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
26
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
State Budget - 2003 100,000 appropriation in
2003 for the continuation of activities performed
by the Heart Disease and Stroke Prevention Task
Force.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
27
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Medicaid Budget - 2005 Medicaid reimbursement at
95 of Medicare secured.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
28
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Billing for Pathology Services - 2005 Requires
disclosure of any mark-up in lab charges.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
29
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Medical Liability Reform - 2007 Establishes
arbitration as an option.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
30
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Medicaid Budget - 2007 Medicaid reimbursement at
95 of Medicare secured.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
31
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Medicaid Budget - 2008 Medicaid reimbursement at
95 of Medicare secured.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
32
The North Carolina Obstetricaland Gynecological
Society
What we do ? Legislative Advocacy
Medical Liability Reform
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
33
The North Carolina Obstetricaland Gynecological
Society
Legislative Outlook - 2009

• Factors
• New Administration
• New Faces in the Legislature
• Issues
• Licensure of Certified Professional
• Midwives
• State Budget Medicaid
• Reimbursement
• Retail Medicine
• Physician Profiling by Medical Board

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
34
The North Carolina Obstetricaland Gynecological
Society
What we do ? Regulatory Advocacy

• NC Medical Board
• NC Dept of Health
• Human Services

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
35
The North Carolina Obstetricaland Gynecological
Society
What we do ? Regulatory Advocacy
NC Medical Board Physician Profiling Rules -
2008
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
36
The North Carolina Obstetricaland Gynecological
Society
What we do ? Regulatory Advocacy
NC Dept of Health Human Services Rules
for Testing Pregnant Women for STDs - 2008
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
37
The North Carolina Obstetricaland Gynecological
Society
What we do ? Advocacy
Advocacy is not a spectator sport. Get in the
game. Become a Key Contact, support GOPAC, become
locally active.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
38
The North Carolina Obstetricaland Gynecological
Society
What we do ? Advocacy

• Opportunities to get involved
• Legislative Key Contact
• White Coat Wednesday (Feb. 18, 2009)
• Doctor of the Day
• PAC Support (GOPAC MEDPAC)
• Local Meetings w/ Legislators
• At a minimum Be a member

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
39
The North Carolina Obstetricaland Gynecological
Society
What we do Practice Support
Managed Care and Health Plan Relations through
the resources of the North Carolina Medical
Society
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
40
The North Carolina Obstetricaland Gynecological
Society
What we do
Education

• 2009 NCOGS
• Annual Meeting
• April 24-26
• Grove Park Inn / Asheville

Mark your calendar !
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
41
The North Carolina Obstetricaland Gynecological
Society
What we do

• Communications /
• Public Relations
• Newsletter
• Legislative Alerts
• Media Relations / Press Releases

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
42
The North Carolina Obstetricaland Gynecological
Society
What we do

• Professional Relations
• Collaboration with
• North Carolina Medical Society
• ACOG
• State Specialty Societies
• Womens Health Agencies

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
43
The North Carolina Obstetricaland Gynecological
Society
What we do
Take initiative !

• Expert Witness Review Panel
• Womens Health Advisory Panel
• Womens Health Report Card
• Midwifery Collaborative Project

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
44
The North Carolina Obstetricaland Gynecological
Society
Where you come in . . .
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
45
The North Carolina Obstetricaland Gynecological
Society
The NCOGS needs every Ob/Gyn physician in North
Carolina as a member.
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
46
The North Carolina Obstetricaland Gynecological
Society

• Including
• Private Practice
• Academia
• Retired
• Residents

__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
47
The North Carolina Obstetricaland Gynecological
Society
As our membership grows, our voice grows!
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
48
The North Carolina Obstetricaland Gynecological
Society
As our voice grows our chances of success grow!
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
49
The North Carolina Obstetricaland Gynecological
Society
Not a member? Join today!
Already a member? Be sure to renew!
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina
50
The North Carolina Obstetricaland Gynecological
Society
Questions? Contact the NC Ob/Gyn
Society ncobgyn_at_ncmedsoc.org
__________________________________________________
_______________The voice of Ob/Gyn physicians
their patients in North Carolina