California Chapter of the American College of Cardiology District Councilor Orientation Handbook Table of Contents Page Introduction 1 Mission of the ACC 1 ACC Core Values 2 ACC Long term Strategic Goals, ACC Chapters 2 California Chapter, Purpose, About the Chapter, Officers 3 Chapter Administrative Staff and Legislative Advocate 4 Responsibilities of District Councilors 5 Committees Annual Business Meeting Budget and Finance Bylaws CCAs Communications Fellows in Training Government Relations Guidelines Heart Disease in Women Long Range Planning Membership Nominations Pediatric Cardiology Third Party Relations Political Action Committee (PAC) 6 6 6 6 6 7 7 8 8 8 8 8 9 9 10 Introduction Congratulations on your election to the Council of the California Chapter of the American College of Cardiology. Never before have cardiovascular specialists had such potent weapons to diagnose, treat, and prevent heart disease. Yet as we celebrate these revolutionary medical advances, we find our profession confronting growing social, organizational, and economic challenges. Amid this shifting and, at times, treacherous milieu, the American College of Cardiology has emerged as the major voice advocating for cardiovascular medicine at both the national and state levels. As a district councilor, you have an opportunity to contribute to this effort, to benefit your profession, and to promote the best cardiovascular care for the people of California. This booklet is designed to introduce you to the ACC and the Chapter, so that you can become engaged and effective as quickly as possible. Pages 3 and 4 list the mission, core values and long term strategic goals of the ACC. Page 5 explains the purpose of the California Chapter and lists some key contacts. Page 6 enumerates the responsibilities of District Councilors. You will be asked to sign a similar document, acknowledging these responsibilities. Much of the work of the Chapter is done at the committee level. Pages 7 through 13 describe the current committees and provide contact information for the committee chairs. You are encouraged to join any committee that interests you by informing the President who makes the committee appointments. Your term as a district councilor is two years, with the opportunity to serve for one additional, consecutive, two year term. This time passes quickly, so it is good to become active on a committee as early as possible. At the annual meeting you are welcome to attend any of the committee meetings. One of your most important roles as a District Councilor is to promote awareness of, and enthusiasm for, the work of the ACC and the Chapter among the cardiovascular specialists in your district. The stronger our grassroots support, the more effectively the ACC can advocate for the interests of our profession and our patients. Discuss the accomplishments of the ACC and the Chapter with your colleagues in conferences and in casual conversations. Encourage them to support the chapter and to become involved. As with any organization, the growth of the Chapter depends on the hard work and creativity of its members. If you have new ideas, bring them forward. Our Chapter is privileged to have an outstanding Executive Office that can answer any questions and help bring your ideas to fruition. American College of Cardiology Mission of the American College of Cardiology The mission of the American College of Cardiology is to advocate for quality cardiovascular care – through education, research promotion, development and application of standards and guidelines- and to influence health care policy. 1 ACC Core Values Professionalism: The interests of patients are primary. Knowledge: The College must promote growth, dissemination and knowledge about cardiovascular medicine. Value of the Cardiovascular Specialist: The cardiovascular specialist makes a distinct contribution to medical care that should be recognized and enhanced. Integrity: Honesty, compliance with legal requirements and ethical behavior are essential in all activities. Member driven: The College and its major activities must be led by active members and must promote volunteerism. Inclusiveness: The College involves a broad range of volunteers that reflects the composition of its membership. ACC Long Term Strategic Goals Maintain position as the recognized leaded to emphasize, synthesize, summarize and disseminate cardiovascular science, knowledge, and best practices. Accelerate the application of cardiovascular science, knowledge, and measurement into practice. Increase value to members through programs and services that most effectively meet their needs. Improve overall financial and operational performance. ACC CHAPTERS Article IX of the ACC bylaws, which provides for the establishment of local chapters, is reprinted below. The complete bylaws of the ACC can be found at: http://www.acc.org/about/overview/c6.html 2 ARTICLE IX - Chapters Section 1 Chapters of the College may be organized under guidelines established by the Board of Trustees for the purpose of furthering the objectives of the College. Section 2 Chapters may be formed in a state, province or region where there is a Governor of the College. Section 3 Each Chapter shall be a not-for-profit corporation, with its Articles or Certification of Incorporation and Bylaws approved by the Board of Trustees of the College. Section 4 The College may terminate Chapter status if the Board of Trustees finds that the Chapter has engaged in activities detrimental to the best interests of the College. The Chapter shall be afforded an opportunity to be heard pursuant to such reasonable procedures as the Board of Trustees shall provide. California Chapter Our mission: To be an advocate for accessible, highest quality, cost effective cardiovascular care for the people of California and to actively support the cardiac care team in their efforts to achieve these goals. Purpose of the Chapter The purpose of the Chapter shall be to contribute to the prevention of cardiovascular diseases, to ensure optimal quality care for the individuals with such diseases, and to foster the highest professional ethical standards. In carrying out these purposes the chapter shall function, in consultation with the leadership of the College, as an advisor to local and state governmental and professional organizations concerning issues related to cardiovascular disease. The Chapter shall, in the interests of physicians, and the public in general, maintain a high level of social consciousness and involvement with socioeconomic issues which may influence access to high quality cardiovascular health care for all individuals. 3 About the Chapter The Chapter has been formed as a 501(c) (6) not-for-profit corporation under the federal and California state tax codes. The Chapter has a subsidiary as a 501 (c) (3) under the federal and California state tax code. “The Foundation for the Prevention of Cardiovascular Disease and Stroke”. The Foundation has its own Board of Directors. The Chapter operates a Political Action Committee (CARDIO PAC) under the federal and California state tax code. CARDIOPAC has its own Board of Directors. The Chapter maintains an Executive Office with a full time CEO, Assistant Executive Director, and support staff. The Chapter also maintains a full time lobbyist and staff in Sacramento. The Chapter shall hold an annual business meeting, open only to members of the Chapter and invited guests of the Council, at a time and place designated by the Council. The Council is described in Article V of these Bylaws. The purpose of the meeting shall be to transact any business that may come before the Chapter. Officers/ Executive Committee: President and Northern Governor – Gordon Fung, MD, FACC Immediate Past President and Southern Governor – John G. Harold, MD, FACC Governor Elect – Northern – George Smith, MD, FACC Governor Elect – Southern – Dipti Itchhaporia, MD, FACC Secretary Treasurer – Richard Wong, MD, FACC CEO Lianna S. Collinge, CAE CMA Delegates - James MacMillan, MD, FACC Richard Podolin, MD, FACC Chapter Administrative Staff: www.caacc.org Lianna@caacc.org 1731 Howe Ave. #247 Sacramento CA 95825 Toll Free 1-877-460-5880 Fax: 253-265-3043 Legislative Advocate: Tim Madden and James Randlett, Randlett Nelson Associates jrandlett@randlettnelson.com tmadden@randlettnelson.com 1110 Second Street, Sacramento, CA 95814 PH: (916) 446-1111 Fax: (916) 446-4455 Ex-Officio Myrvin Ellestad, MD, FACC 4 Rita Redberg, MD, FACC Arnold Seto, MD Responsibilities of District Councilors 1. Membership: Serve as a Member of the Chapter Membership Committee and attend Membership Committee meetings. Membership Committee meetings are held at the Chapter annual meeting in the fall and from time to time on telephone conference calls. The Membership Committee serves to encourage payment of chapter dues, in addition to National membership dues, and recruitment of qualified new members to the State and National association. 2. Government Relations: Serve as a Key Contact in your District and assist members in contacting legislators and responding to “legislative alerts.” Enlist support for state legislative issues, which may affect cardiovascular practices. Contact Legislators with the Chapter’s position on legislation. (At least one Councilor from each District will also serve on the Government Relations Committee). 3. Identify local third party payers or oversight organizations and assist in identifying ACC members who can assist in medical review and reimbursement issues. 4. Serve as a Communications Center by contacting members in your District when an urgent response is needed. 5. Name an Alternate upon assuming office. (This Alternate must be approved by the Executive Committee and the Council). 6. Attend Council Meetings twice yearly or assure representation to the meetings by the designated Alternate. 7. Attend Chapter Annual Meetings and encourage members in your District to attend. Any Councilor who misses two consecutive Council Meetings without being formally excused by the President and sending an Alternate will automatically be removed from the Council. Vacancies shall be filled by the process as set forth in the Chapter Bylaws, Article V, Section 5. Vacancies. These bylaws may be found on the Chapter website www.caacc.org. 5 Committees Budget and Finance Chair: Richard Wong, MD, FACC Phone: (818) 345-5580 Fax: (818) 774-0458 Email: richwong@aya.yale.edu The Budget and Finance Committee prepares an annual cash flow budget and monitors the results of Chapter operations against the budget. Assisted by the CEO, the Committee prepares and presents reports on the financial condition of the chapter. Bylaws Chair: Nora Goldschlager, M.D. Phone: (415) 206-8331 Fax: (415) 206-5100 Email: ngoldschlager@medsfgh.ucsf.edu The Bylaws Committee is responsible for periodic review of the bylaws of the California Chapter of the ACC, and for recommending and presenting proposed changes to the bylaws as necessary. Cardiac Care Associates Chair: Margo Minissian, ACNP,MSN,APRN-BC Email: Margo.Minissian@cshs.org Communications/Publications Chair: Timothy Denton, MD, FACC Email: tim@thedentons.us The Communications Committee is charged with the task of increasing awareness of Chapter activities and pertinent issues among all members of the chapter and the general public. They publish a newsletter and assist in maintenance of the chapter website. The committee actively seeks new ideas and new opportunities to generate awareness of, and interest in, the chapter. They continue to solicit industry support, and have developed a web link section of the CAACC website for corporate sponsors. 6 Fellows in Training Chair: Howard Allen, M.D., FACC Phone: (310) 278-3400 Fax: (310) 278-1240 Email: allen@cvmg.com FIT Representative: Howard Broder, MD Phone: (310) 497-6277 Fax: (310) 423-0499 Email: broderh@cshs.org The Fellows in Training Section produces an annual symposium dedicated to giving cardiology fellows the information they need to start in cardiology practice. Fellows are afforded unique insights into both academic and non-academic careers. The program introduces Fellows to some of the activities of the Chapter, and has helped Fellows find practice opportunities in the state. Fundraising Chair: Asher Kimchi, MD, FACC Phone: (310) 659-5000 Fax: (310) 275-8922 Email: klimedco@ucla.edu The Fundraising Committee constantly seeks new ways to finance the chapter’s projects and works with members to do so. Industry support is integral to this Committee, but due to the changing Pharma regulations and funding, this is becoming increasingly difficult to do. This committee needs industry contact names from all leaders in the college on a regular basis. Geriatric Chair: OPEN Government Relations Co-Chairs: Lawrence Laslett, MD, FACC Phone: (916) 734-3764 Fax: (916) 734-8394 Email: ljlaslett@ucdavis.edu William R. Lewis, MD Phone: 916-734-3762 Fax: 916-734-8394 Email: William.lewis@ucdmc.ucdavis.edu 7 The Government Relations Committee monitors all legislation and pursues legislative programs at every possible stage of the legislative process. The Committee actively lobbies to defeat those bills which are considered adverse to the health interest of the people of California and supports those bills which are in their best health interests. The Government Relations Committee often works in partnership with other groups, such as the CMA, to ensure that the views of the Chapter are represented in Sacramento. An annual “Sacramento Day” began being held in 2006. Councilors, and particularly members of the Government Relations Committee, are encouraged to become involved in the political process to promote the interests of the College. They are encouraged to develop a relationship with their local representatives and to make phone calls and write letters in support of the Chapter’s position on specific legislation. Councilors can help keep members of the College in their district abreast of pertinent legislative issues, and can encourage them to express their views to their legislators. Guidelines Chair: Nora Goldschlager, M.D. Phone: (415) 206-8315 Fax: (415) 206-5100 Email: ngoldschlager@medsfgh.ucsf.edu The Guidelines Committee only works every few years to review and revise as needed. Membership Chair: OPEN Committee Members: All District Councilors All district councilors are members of the membership committee. The primary focus of the membership committee is to encourage members of the College who have not joined the California Chapter, and paid chapter dues, to do so. Councilors can help by keeping their colleagues informed about Chapter activities and aware of the vital role of the Chapter in protecting their ability to practice the best possible medicine. Councilors may develop retention and recruitment programs and encourage cardiovascular specialists who qualify for membership to join the ACC and the State Chapter. Nominations Chair: Robert M. Davidson, M.D. Phone: (310) 855-1971 Fax: (310) 659-4389 Email: davidsonr@cshs.org 8 The Nominations Committee recommends nominees for District Council positions. Pediatric Cardiology Chair: OPEN The Pediatric Cardiology Committee provides input from pediatric cardiology to the Chapter’s Committees and Council. Issues of recent concern for the Chapter have included the epidemic of childhood obesity and type 2 diabetes in children. Quality Co-Chairs: Southern - Joseph Ruggio Phone: (714) 445-0220 Fax: (714) 445-0245 Email: pca@pcacardiology.com Northern- Lars Laslett (See Government Relations for contact data) The Quality Committee is dedicated to encouraging and assisting chapter-wide integration and completion of all National Quality Initiatives, as well as any additional initiatives that local leadership select. Third Party Relations / Carrier Advisory Committee (CAC) Co-Chairs: William Nyitray, MD Phone: 661-323-8384 Fax: 661-323-7218 Email: wnyitray@cox.net Richard F. Wright, MD, FACC Phone: (310) 829-7678 Email: rwright@pacificheart.com The Third Party Relations / CA Committee monitors all issues dealing with quality of patient care and third party reimbursement and keeps the membership informed on these issues. The Committee sends a delegate to the Medicare Carrier Advisory Committee for California. Through the Third Party Relations Committee, the California ACC has had a crucial “early voice” in the development of many policies for Medicare reimbursement for cardiac care in California. Delegates also testify at public meetings of the California Technology Assessment Forum on Quality and Technology regarding reimbursement policies for new technologies. The committee has also monitored possibly inappropriate actions of insurance companies against cardiovascular physicians. 9 Political Action Committee (CardioPAC) Chair: George L. Smith, Jr., MD Phone: 707-573-6166 Fax: 707-573-6165 Email: doyleandsmith@earthlink.net The Political Action Committee (PAC) raises money and contributes to the election of candidates whose political philosophies and values reflect those of cardiovascular specialists and who are in a position to further our goals of optimizing cardiovascular care for our patients. Membership in the PAC is voluntary Task Forces Winter 2008: Cardiac STEMI System Task Force Chair: Ivan Rokos, M.D., FACEP. FACC CT Workgroup Chair Gregory Thomas, MD, FACC Media Relations: Chair: Ramin Manshadi, MD, FACC Standards of Evidence Co-Chairs: Sanjay Kaul, MD, FACC George Diamond, MD, FACC 10