Legislative Issue Update Advocacy Endeavors

1. Legislative Issue Update Advocacy Endeavors ADFM 2011 Winter Meeting

2. ACA: Primary Care Residency Expansion Surprise Initiative – Not specifically Included in ACA • Creative Use of Prevention Trust Fund - $250 M • Expansion of Residency Positions – 82 residents • $80,000 Direct GME ONLY • Controversial Program

5. 2011 Teaching Health Center Awards

6. Primary Care Extension ProgramEffective Date, FY2011 Establishes a Primary Care Extension program Purpose: support and assist primary care providers with the incorporation of techniques to improve community health. State Hubs and local extension programs may be created. $120 million is authorized for FY 2011 and FY 2012 and as much as necessary in FY 2013 and FY 2014.

7. AHRQ’s General Spending Authority NEW Grant Announcement: Deadline February 15: Infrastructure for Maintaining Primary Care Transformation (IMPaCT) – Support for Models of Multi-sector, State-level Excellence (U18) • 3 Awards – total $1.5 million in FY2011 • No grant over $500,000 per year or $1,000,000 over two years

8. National Healthcare Workforce Commission National Commission Independent like MedPAC Appointed by Comptroller General Conduct studies and make recommendations to Congress Consult with HRSA and State workforce grant program Receive and Assess reports from the National Center for Health Workforce Analysis Majority of members NOT directly involved in health professions education or practice 15 members Only 1 Family Physician Appointed

9. H.R. 1 – House Continuing Resolution Title VII and VIII cuts -- brought to FY2008 levels – a 29% cut GME is on the table for cuts and transformation (Heritage Foundation, President’s Deficit Reduction Commission) Use health care reform funding to pay for other cost items (eg. Repeal of 1099 form; malpractice, SGR) Government Shutdown?? $61 billion in cuts FY2008 levels – 29% cut Down to the “Empirical Level” – cuts of approx. $3 billion Continuous Attacks Mar 4? 2 week extension Deficit Reduction

13. ADVOCACY 101 Tools to Help You: • STFM.ORG/advocacy – one pagers, talking points, etc. • Family Medicine Congressional Conference • NEW online Advocacy course • Advocacy videos – new media

15. Family Medicine Congressional ConferenceMay 9-10, 2011Grand Hyatt WashingtonWashington, D.C. Health care reform caught the attention of Washington. What now? Help put primary care and your patients at the center of the new health care system. In two days, learn about the legislative process and how you can influence health care legislation. Day 1: Learn how to lobby. Day 2: Go do it. Get your message heard in D.C. and at home. Learn how you can strengthen and develop relationships with legislators and staff. Beginning tracks and advanced tracks available. Sponsored by AAFP and the Council on Academic Family Medicine (composed of the Association of Departments of Family Medicine, the Association of Family Medicine  Residency Directors, the North American Primary Care Research Group, and the Society of Teachers of Family Medicine).

16. Course Demo

17. With deep thanks to all who spent their time, energy and expertise on this project: STFM Staff: Joseph Cody, Government Relations Assistant Jill Haught, Membership Specialist Angela Broderick, Deputy Executive Director STFM Leaders: Terry Steyer, MD, for his concept and leadership which set this in motion Jerry Kruse, MD, for his enthusiastic support for advocacy in all forms, and his oversight of the project.

18. What will you learn? At the end of this course participants will be able to: • Articulate why advocacy is important in general and why academic family medicine faculty should be involved in advocacy • Set up a meeting with a congressional office (legislator or staff) • Describe how the legislative process is important to developing an advocacy strategy

19. Learning Objectives, cont. Craft a “one-pager” Utilize resources available to advance the learner’s advocacy agenda Apply what they’ve learned to execute one or more of their own meetings with legislator Maintain and cultivate a relationship with legislators and their staff

20. ADVOCACY 101 Tools to Help You: • STFM.ORG/advocacy – one pagers, talking points, etc. • Family Medicine Congressional Conference • NEW online Advocacy course • Advocacy videos – new media

21. Student/Resident Videos • 90 seconds • Issue content • Importance of Primary care • Title VII impact • GME issues – ambulatory training sites • Family practice center, etc. • The Sky is the Limit!!

26. Boston University FaMeS Predoc Grant

28. Syllabus • Introductory Video • Four Modules of Learning • Practicum to Achieve Certificate

29. Video Introduction • Why advocacy is important in general • Why members should be involved • How STFM/ADFM offers this course as a member benefit.

30. First Course Module I. Learning the Process • Understanding who to contact • Best practices for contacting a Congressional office (and what not to do) • How to set up a meeting (local office and DC Office)

31. Second Course Module II. Substantive information on content prior to meeting • A primer on how Congress works, including explanations and definitions of key legislative terms.

32. Third Course Module, part “a” III. a) What a meeting “looks like” • Power point-like presentation discusses the basic etiquette of a meeting, and includes tips on how to conduct a meeting. • How to craft a one-pager, or background piece, and • Resources available to help you craft your advocacy message.

33. Third Course Module, part “b” III b) Four types of Meetings • A video showcases four different scenarios of what one might expect during a visit with a legislator.

34. Fourth Course Module IV. Tangible recommendations for cultivating a relationship and how to become a resource: • "Words that work“ • What follow up is useful – and what is not. • Sample follow up emails with do's and don'ts

35. Practicum A certificate of achievement will be awarded following the completion of this part of the curriculum. • Supervised practical application of previously studied theory or techniques included in this course, accomplished by: • Attending FMCC, or • Attending a state legislative conference