LAAAP: Louisiana Chapter American Academy of Pediatrics

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AAP LOUISIANA CHAPTER
STRATEGIC PLAN-Final
2002-2005


Mission

The mission of the Louisiana Chapter of the American Academy of Pediatrics is to unite the pediatric community, and community at large, around innovative solutions to the most critical challenges facing the children of Louisiana, their families, and the pediatricians who care for them. The Chapter will accomplish this mission through 1) An aggressive advocacy agenda, 2) Providing quality education and service, and 3) By reaching out to and serving as a resource for, the pediatric community and community at large.


Top Priorities

Each of the objectives listed in the strategic plan are considered priorities for the Chapter. Recognizing that certain issues will require the Chapter to pull together as a whole to succeed, and that resources are finite, the objectives are ranked to determine top priorities should decisions need to be made regarding resource allocation. The top three relate to advocacy programs and are considered the top priorities within the strategic plan as well as the advocacy agenda for the Chapter. The next three relate to various education or operations issues. The Chapter has made a commitment to "pulling together as a whole" to ensure that these 6 priorities are accomplished. Progress on the remaining objectives may be made by the Chapter as a whole or individuals within the Chapter.

Highest Ranking Objectives-Program

  • Achieve fair compensation to ensure access (Advocacy)
  • Achieve access to comprehensive quality healthcare for all LA children (Advocacy)
  • Establish children as a priority for decision makers (Advocacy)

Highest Ranking Objectives-Service/Operations

  • Increase membership involvement (Service)
  • Increase resident involvement/mentoring (Service)
  • Improve value/participation of annual CME meeting (Education)

Objectives

The objectives of the strategic plan have been developed within two major focus areas of activity: Advocacy and Education. Each objective identifies a single issue to be addressed, a measurable desired outcome, and the timeframe to achieve that measure or milestone. The objectives within each strategic focus area are listed in rank-order priority. Each objective statement includes current thinking with regard to actions that must be taken to achieve the objective.


ADVOCACY OBJECTIVES

1. Achieve Medicaid reimbursement for pediatric services that accurately reflects the time, skill, and cost to deliver those services, i.e. 90-100% of Medicare rates for all services and holding private insurance rates to 133% of Medicare rates (2004)

Actions:
1- Establish LAAP as a credible participant with Medicaid
2- Survey membership to identify priority issues about managed care plans and current rates, current pediatrician involvement in plans; hassle elements
3- Educate patients about standards of care and insurance hassle
4- Compile state data to use in negotiations
5- Identify and build key coalitions
6- Link reimbursement n to improving child health


2. Increase the number pediatricians accessible and available to deliver pediatric care in underserved populations in Louisiana

Actions
1- Establish baseline data
2- Develop a system for matching pediatricians to areas of need
3- Implement system
4- Provide periodic updates in data
5- Speaker's bureau for recruitment of students, etc.
6- Achieve 95-100% enrollment of eligible children in Community CARE-Medical Home Project (2004)

3. Achieve 75% of all eligible children enrolled in Medicaid / LACHIP

Actions:
1- Ensure the enrollment forms are in all pediatrics' offices
2- Work with pediatric offices to ensure an understanding of Medicaid eligibility requirements

4. At least 10 new legislators/decision makers will make children a priority as demonstrated by their actions. (2004)

Actions:
1- Survey members for key contacts
2- Identify mentors/mentees
3- Identify priority agenda
4- Educate constituents
5- Educate legislators

5. Increase Pediatric participation in Community CARE (2003)

Actions:
1- Meet with all local Pediatric Society Members to promote the Community CARE program
2- Work with State to remove impediments to pediatrician participation

6. Chapter members will be fully informed about available DHH programs (2002)

Actions:
1- Utilize Chapter newsletters
2- Utilize meetings
3- Utilize fax/email/mail
4- Target office managers

7. Children with special health care needs will have access to the quality care required to maximize their health (2004)

Actions:
1- Continue to mentor local leaders
2- Improve public relations
3- 100% of state major cities will have presentation

8. Achieve 100% core constituency participation in the LINKS program. (2002)

Actions:
1- Disseminate Information

EDUCATION OBJECTIVES

1. The annual statewide CME Meeting will attract at least 10% more attendees from the prior year and achieve a more diverse mix of physician attendance. (2002)

Actions:
1- Appoint committee with representation from all 3 medical schools and community pediatricians
2- Convert to an annual CME meeting
3- Increase and secure funding/sponsorship
4- Enhance CME meeting quality
5- Increase involvement in pediatric educational activities for family practice, emergency room and surgery colleagues by providing meeting information to appropriate state professional societies
6- Obtain input from Louisiana local pediatric societies as to topics of interest

2. Improve frequency and quality of communication with membership on urgent issues through newsletters, website and regional meetings (2003)

Actions:
1- Produce 3 quality newsletters
2- Enhance and promote website as a vital resource
3- Improve database of members with current e-mail addresses
4- Revitalize regional chapter CLASP presidents' meetings and ensure Executive Board members attend

3. Increase resident involvement with Chapter committees, CME, governance, and mentoring (2003)

Actions
1- Develop orientation program- AAP and chapter information
2- Develop lists of mentors/mentees
3- Develop working relationship with med schools
4- Appoint residents to committees


4. A public relations/public education initiative will be conceived, developed, and implemented. (2004)

ACTIONS:
1- Form a functioning committee to include representation from membership, media, and public relations
2- Make the standing committees accountable with list of members and feedback of their activities
3- Develop dissemination plan around 1-2 critical issues at a time
4- Launch plan to appropriate entities including DHH/OPH, media, elected officials
5- Provide talking points to members at key contact positions around the state
6- Create an information bureau (major metropolitan area TV/print)

Implementation Strategies-Next Steps

Several implementation strategies require a commitment for immediate action. Outreach to the membership is considered absolutely essential. The strategic planning document is an excellent tool to gather member input, and an excellent reason to call local or regional meetings. To be successful in implementation, the local societies must be organized and functional once again. Each board member has committed to work with one or more local societies to present the strategic plan, obtain input, and seek support for implementation. In addition, the Chapter membership will be surveyed to find out: A) Key political contacts they may have; B) Activities in which they are engaged or interested; and C) Interest level in serving on a Chapter Committee.

The structure and function of Chapter Committees have been consolidated and focused in the direction of the priorities of the strategic plan. The following committees are considered essential for the successful plan plementation:

  • Executive Committee
  • State Government Affairs
  • CME
  • Membership (to include the following:)
    • Local Society Revitalization
    • Resident Issues
    • Senior Issues
    • Member Communications/Public Relations


    There is also agreement that certain individual policy or educational efforts on child health issues should continue provided they are in alignment with, and do not run counter to, the mission or objectives of the strategic plan. Further, each of these initiatives will have a "champion" or "liaison" who will develop concrete objectives for the initiative to be approved by the Executive Committee. The resources allocated to these initiatives will be monitored, and progress evaluated. These initiatives include, but are not limited to:

  • CATCH
  • Children With Special Health Care Needs (medical home)
  • Day Care
  • Child abuse
  • Hearing Screening
  • Injury Prevention/Violence
  • Perinatal Health/Fetus and Newborn

Structure/Function of Executive Board Meetings

To ensure that the objectives of the strategic plan remain a primary focus of the Executive Board, each agenda will include sufficient time to review progress on the top priorities and priority objectives. It is recommended that one or more Board members be given oversight responsibility for the two strategic focus areas: Advocacy and Education. Oversight responsibilities include contacting members working on initiatives or objectives to assess progress toward achieving identified measures or milestones, identification of barriers, and required assistance in removing barriers.

Sufficient time should be allocated for the Board to entertain any new ideas on the horizon. Should a new initiative be perceived by the Board as sufficiently important to be added to the Chapter strategic plan, objectives should be written for the idea and the existing objectives, along with the new objectives, should be re-prioritized to assist with resource allocation and decision-making. The Board should avoid adding new objectives and initiatives without giving consideration to retiring others, or re-prioritizing, to assist with resource allocation.

 

 
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