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This presentation was given at FMCC on April 7, 2014. This presentation taught where to find resources to support legislative and regulatory recommendations and helped to understand a legislator's …

This presentation was given at FMCC on April 7, 2014. This presentation taught where to find resources to support legislative and regulatory recommendations and helped to understand a legislator's record.

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  • 1. 1 Family Medicine Congressional Conference Individual Physician Advocacy Matthew Burke, MD Faculty, Dept. of Family Medicine April 7th, 2014
  • 2. Introduction • As much a 80% of health comes from social determinants • Gains in quality and cost control must come from policy that unites clinical expertise and public resources – Upstream vs. Downstream causation • Primary care has a central role to play 2
  • 3. Objectives • Know your worth – You are the expert! • Showcase efficient strategies for – Planning your visit while keeping your day job – Advocacy etiquette – Follow up strategies April 8, 2014 3
  • 4. Know your Worth! • Changing healthcare landscape presents great opportunities and challenges • The ACA is largely an insurance vehicle, cost and quality mechanisms are more opaque • Centralizing primary care would best promote positive changes • Advocating for Family Medicine is advocating for patients • YOU are the expert! April 8, 2014 4
  • 5. Time Constraints April 8, 2014 5 • We are all busy! • Advocacy comes in many forms, some are not labor intensive • Organized resources are readily available • Advocacy is about relationships, which take time. This means no one contact is make or break! • Develop coalitions and friendships (colleagues, state academies, paramedical organizations)
  • 6. One Pagers April 8, 2014 6 • Reinforces the message • Quick, to the point • Has several key points – Your contact – Key message/problem – Background of problem – Policy ask/rationale • Brief is good • Liked as well as face to face interactions • Graphs convey information quickly!
  • 7. Advocacy Etiquette • Be prepared to meet with legislative assistants, they’re often as/more knowledgeable • Punctuality and preparedness go far • Always make introductions, remember the AAFP is America’s largest single-specialty medical membership organization (useful for state visits too) • Avoid over politicizing conversations, make asks directly and politely • Be sure to follow up and close the loop April 8, 2014 7
  • 8. Anecdote vs. Fact April 8, 2014 8 “There are lies, damned lies, and statistics.” • Stories are powerful – (e.g., Shep Glazer in 1971) • However, policy needs to be evidentiary • The trick is to select stories that underpin what the evidence tells us – Primary care controls cost/promotes quality – Social determinants drive health inequality – Access issues lead to poor outcomes for our patients
  • 9. Follow Through April 8, 2014 9 • Expresses commitment and professionalism • Any format will do, however traditional norms still play a role (letters over calls, calls over emails, emails over tweets) • Can create a door to pass through in future for other asks
  • 10. State Level Advocacy • Many state chapters run lobby days • Often issues sync with national issues • Chance to influence legislation • Barriers to regular communication are often lessened April 8, 2014 10
  • 11. Have a Great Time! • Questions? April 8, 2014 11