Ohio Psychiatric Physicians Association Strategic Plan 2016-2019 Approved by Council on June 26, 2016 A strategic plan serves as a roadmap for an organization. It provides direction, clarity, priorities and a framework for volunteer leadership and committees, as well as staff. It should guide the Council and committees in achieving goals and allocating resources to best serve member interests. Mission The Ohio Psychiatric Physicians Association is dedicated to promoting the highest quality care for people with mental disorders and to serving the professional needs of Ohio’s psychiatric physicians. Vision All Ohioans will have universal access to quality psychiatric care and prevention as a result of OPPA’s successful advocacy as the voice of Ohio’s psychiatric physicians. Tagline Psychiatrists United for Best Care Values Access Advocacy Diversity Evidence-based/Highest standards Inclusiveness Integrated/Collaborative Care Integrity/Ethical Leadership Learning Patient focus Transparency Strategic Goals Goal 1 ADVOCATE Advocate for our patients and the profession. Goal 2 ACCESS Improve access to psychiatric services in private practice and in the public mental health system. Goal 3 ALLIANCES Strengthen relationships with other physician specialties, family/consumer groups, and other mental health organizations. Goal 4 AWARENESS Educate members, other health professionals and the public regarding prevention and treatment of mental illness. OPPA Strategic Plan 2016-2019 Page 1 SWOT Analysis (from 2009) Strengths Weaknesses Opportunities Threats Committed leadership and staff Small organization relative to population Greater advocacy Psychology prescribing Collaboration with nonpsychiatrists Economy Patient advocacy Membership apathy Well-regarded DB Lack of knowledge about OPPA Increasing collaborations Existing relationships Often opposed/negative when it comes to the legislator’s perception Viewed as having integrity Lack of prioritization Treatment works/recovery/resiliency Good lobbyists Cross-fertilization of other organizations by OPPA members and staff Limited staff Identify/public perception as MDs and DOs Difficult to engage patients in advocacy To educate the public about psychology prescribing Ongoing Stigma: Within the profession Within the legislature With patients/families Rally and empower members to increase mental health awareness with the legislature and the public Insurance companies/managed care Integrate MH with other physical health Perception that psychiatrists only prescribe medications Turf war perceptions Healthcare reform movement Stigma Insurance company barriers Passed parity legislation (although limited) Lack of respect from other MDs Limited OPPA resources Economy (more cost effective treatments) Involving medical students Using media “face of mental illness” Membership recruitment Make parity legislation meaningful – expand definition to match federal Broaden constituency Focus on recovery/publicize successes Personalized statistics Prevention OPPA Committees: Addiction & Pain Control (ahc) Membership (sc) Child & Adolescent (cc) Nominating (sc) Depression in Medical Trainees (ahc) Practice Issues (cc) Early Career Psychiatrists (sc) Program & Continuing Education (sc) Ethics (sc) Public Information & Liaison (cc) Executive Committee (sc) Public Mental Health (cc) Forensics (ahc) Resident-Fellow (sc) Government Relations (sc) Telepsychiatry (ahc) Integrated Care Committee (ahc) Veterans & Military (ahc) sc = standing committee cc = council created committee ahc = ad-hoc committee Every committee should have specific action steps to achieve one or more objectives/strategies of the strategic plan; otherwise the President and Council must determine the continued value of the ad hoc and/or council created committees. OPPA Strategic Plan 2016-2019 Page 2 Key Principles of Implementing a Strategic Plan The following key principles must be made a priority if the strategic planning process and implementation of the strategic plan are to be successful: Goals = broad outcomes … these should inform all of our operations, provide a bit of a moral compass if you will, and in essence reflect and define our “mission,” our purpose for existence; and our “vision,” that future which we seek to create. Strategic goals must be translated into objectives, strategies and action steps! Objectives (what do we want to achieve?) Objectives must be SMART= specific, measurable, attainable, realistic and timely Strategies (how will we go about achieving the Objectives?) Action Steps (what specific tactics will be taken and by whom?) Every official action of the organization should be considered relative to our strategic goals. Each Committee should define its strategies and action steps in relation to the strategic goals. Every Report for Information and Action Paper considered by Council should identify which strategic goal it addresses. Translating Strategic Goals into Objectives, Strategies and Specific Action Steps EXAMPLE Objectives: 1. Improving Communications * Strategies: a. Increase social media presence b. Post updates to FB and Twitter on a regular basis c. Consider setting up closed FB groups for member interaction Action Steps: 1. Identify articles included on the website and/or newsletter than can also be pushed out to the membership via FB posts and tweets (beginning July 1); 2. Review APA presentation on utilizing Social Media that was presented at the May executive directors’ meeting; and 3. Remind members to like the OPPA FB Page and follow the OPPA on Twitter OPPA Strategic Plan 2016-2019 Page 3 GOAL 1 ADVOCATE – ADVOCATE FOR OUR PATIENTS AND THE PROFESSION. Objective 1: Monitor and make recommendations for OPPA positions on mental health related legislation Strategies a. Take position on 100% of bills monitored by OPPA and work to advance the position within the state legislature Action Steps Committee or Person Responsible? By When? 1. Review all bills introduced to decide if OPPA will take a position Lobbyist, ED and GR Chair with input from the following committees (when relevant): A&PCI, C&A, ECP, F, IC, GR, PI, PMH, RFM, T and V&M Ongoing 2. Decide OPPA position GR Committee makes recommendation to Council or EC Ongoing 3. Advance OPPA position (when appropriate) through letters, legislative visits, testimony, etc. In addition to lobbyist and ED, OPPA Council to identify appropriate means and people Ongoing 4. Coordinate with other interested advocates as appropriate ED and/or Lobbyist to meet with others as needed to identify mutual positions Ongoing Objective 2: Increase participation of OPPA members in contacting legislators (e.g., Advocacy Day, letters, e-mails, calls, local visits, etc.) a. Maintain and expand upon OPPA’s Grassroots Network (OPPA members willing to be proactive with advocating on behalf of the OPPA for the profession and their patients) 1. Identify key legislators Lobbyist Ongoing 2. Make personal calls and contacts as needed to key legislators EC, ED, GR Chair Ongoing 3. Conduct special advocacy training for RFMs ED and OPPA leadership and members (who know the physician, if possible) Ongoing 4. Encourage and assist local chapters in hosting legislative visits with local legislators ED, Lobbyist Ongoing b. Improve communication with members so that they can develop and/or strengthen their relationship with their legislators 1. Utilize communication vehicles to further expand upon and educate OPPA’s Grassroots Advocacy Network EC, ED, and Lobbyist Ongoing 2. Quarterly (at a minimum) remind Grassroots Advocates to contact their legislators about something (a key issue, a recently passed piece of legislation to thank them, etc.) ED, EC, and Lobbyist Ongoing 3. Encourage OPPA members to meet with legislators in their home offices whenever the General Assembly is on break ED, EC, and Lobbyist Ongoing OPPA Strategic Plan 2016-2019 Page 4 Objective 3: Increase OPPAC participation a. Increase contributions by members to 10% of membership b. Increase total contributions to greater than $7,000 per year c. Obtain contribution by 100% of OPPA Council and Government Relations Committee Members 1. Identify for membership the specific issues that affect their career and practice ED and the PAC board, other committees as appropriate Ongoing 2. Communicate those issues in straightforward terms and with likely consequences Newsletter editor, committee chairs, Council and ED Ongoing 3. Clearly ID for membership what money is used for and purpose Newsletter editor, committee chairs, Council and ED Ongoing 1. Examine electronic contributions ED Ongoing 2. Increase OPPAC board activity PAC Chair and ED Ongoing 3. Target Life Members for contribution as they no longer pay membership dues Membership Committee, ED and AA Ongoing 1. Regularly remind Council and GR members to contribute OPPAC Chair Ongoing Objective 4: Foster membership development through both recruitment and retention Strategies a. Achieve and maintain membership total at greater than 1,000 b. Maintain RFM membership at 75%+ and increase ECP membership to 125 (currently at 94) Action Steps Committee or Person Responsible? By When? 1. Aggressively respond to the “call to action” to “Save a member campaign” to keep members from dropping their membership ED/AA to work with membership committee members, EC members, Chapter presidents) Jan of each year 2. Identify and aggressively reach out to former members who qualify for amnesty ED and AA Ongoing 3. Contact chairs of psychiatry departments and encourage them to create a culture that supports OPPA membership M Committee and Council members working with department chairs and training directors Ongoing 4. Aggressively recruit psychiatrists in Ohio who have never been members of the OPPA (or who were once members but are no longer) to become members M Committee, EC, Chapter Councilors and presidents 1. Identify incentives for RFMs and ECPs to join OPPA Council, EC, Membership Committee, RFM Committee and ECP Committee Ongoing 2. Assure that RFMs and ECPs have an active role in the association (encourage membership on committees and attendance with member activities) President, RFM Committee Chair and ECP Committee Chair Ongoing OPPA Strategic Plan 2016-2019 Ongoing Page 5 Objective 5: Encourage the enforcement of mental health parity in Ohio a. Encourage the enforcement of mental health parity 1. Discuss with state agencies (ODI) ways to enforce mental health parity – working with APA, when appropriate – as this is a top priority at the national level also ED, Lobbyist, President, Chair of GRC Ongoing Objective 6: Proactively oppose psychology prescribing efforts a. Oppose psychology prescribing efforts 1. Follow activity in other states and report to GR Committee and Council regularly Chair of GR, APA Reps and ED Ongoing 2. Meet with key legislators to discuss the dangers of unsafe prescribing Lobbyist, ED, Chair of GR, President Ongoing 3. Develop alliances with other organizations that oppose psychology prescribing ED, President and Lobbyist Ongoing 4. Communicate reasons for opposition with media when appropriate President, ED Ongoing Objective 7: Eliminate practices/policies within the State Medical Board of Ohio that discriminate against physicians with mental Illness and/or addiction disorders a. Encourage SMBO to eliminate questions from medical licensure application that are discriminatory b. Ensure that the SMBO doesn’t make changes to the “one-bite” policy that would keep physicians from seeking treatment 1. Continue to work as a member of MAC (Medical Associations Coalition) to advocate on both of these issues ED Ongoing 2. Continue to meet with SMBO when appropriate ED, President, Chair of GR Ongoing 3. Work through physician members of the SMBO to advocate on these issues ED, President Ongoing 1. Continue to work as a member of MAC (Medical Associations Coalition) to advocate on both of these issues ED Ongoing 2. Continue to meet with SMBO when appropriate ED, President, Chairs of A&PC, and GR Ongoing 3. Work through physician members of the SMBO to advocate on these issues ED, President Ongoing OPPA Strategic Plan 2016-2019 Page 6 GOAL 2 ACCESS: IMPROVE ACCESS TO PSYCHIATRIC SERVICES IN THE PRIVATE AND PUBLIC MENTAL HEALTH SYSTEMS Objective 1: Improve access to treatment in the PRIVATE mental health system Strategies a. Facilitate the availability of tele-psychiatry Action Steps Committee or Person Responsible? By When? 1. Work with the State Medical Board of Ohio on rules for telemedicine to facilitate the expansion of tele-psychiatry ED, Lobbyist, President Ongoing 2. Continue to work with other physician specialty organizations to further expand upon the use of telemedicine/tele-psychiatry for patients with mental illness and/or addiction disorders ED, President, IC, C&A and T Committees Ongoing 3. Meet with third-party payors to encourage them to reimburse for tele-psychiatry ED, President July ‘17 Ongoing 4. Encourage members to utilize tele-psychiatry ED, President, Council Aug ‘17 Ongoing b. Improve HICs (Health Insurance Companies) network adequacy and accuracy 1. Work with ODI to: - Determine network adequacy of psychiatrists - Develop a formula to determine network adequacy - Ensure accuracy of panel directories ED, President, EC Aug ‘17 c. Improve coordination of care between inpatient and outpatient psychiatrists 1. Work with the Ohio Hospital Association, medical directors of inpatient units, mental health boards, etc. to identify ways to improve the communication in both directions Practice Committee Aug ‘17 d. Work toward greater oversight of HIC’s policies and procedures regarding coverage determinations of health care services (Council action 10/08) 1. Communicate with ODI about enforcing policies, ensuring parity in coverage determinations and improving oversight ED, EC Ongoing 2. Work with other specialty organizations to address accountability of HICs ED, EC, Practice Committee members Ongoing 3. Begin dialogue with key business organizations (about enforcement of existing parity laws) ED, Lobbyist, President Aug ‘17 OPPA Strategic Plan 2016-2019 Page 7 Objective 2: Foster integrative/collaborative care a. Inform members about collaborative care models b. Work with others to implement models of collaboration 1. Host speakers/workshops on collaborative care (consider APA’s CMS Transforming Clinical Practice Initiative (TCPI) ED with input IC Committee chair and members 2. Support the IC Committee’s efforts to gather and disseminate information about existing integrated care models in Ohio Chair of IC Committee, ED, Council 1. Work with other physician specialty groups to further telemedicine/tele-psychiatry ED, President 2. Work with OHA to inform PCPs and implement models of collaboration ED, President Ongoing Ongoing Sept ‘17 Objective 3: Improve access to treatment in the public mental health system a. Facilitate the availability of tele-psychiatry 1. Work to ensure that SMBO policies facilitate (and don’t create barriers) for tele-psychiatry ED, Lobbyist, President, Chair of T Committee Ongoing 2. Encourage payors to reimburse for telepsychiatry ED, President, Chair of T Committee Aug ‘17 Ongoing 3. Encourage members to utilize tele-psychiatry ED and leaders who utilize telepsychiatry Ongoing b. Improve coordination of care between inpatient and outpatient psychiatrists 1. Work with OHA, medical directors of inpatient units, mental health board and others to identify ways to improve communications in both directions ED, President Ongoing c. Monitor and provide feedback on Medicaid’s Behavioral Health Redesign 1. Ensure member participation on appropriate BH workgroups ED, EC, Chair of PMH, Chair of IC Committee Ongoing d. Monitor and provide feedback on the Office of Health Transformation’s Value Based Payment Models as it relates to BH episodes 1. Ensure members participation on appropriate VBP workgroups ED, EC, Council ‘Jun 17 Ongoing OPPA Strategic Plan 2016-2019 Page 8 GOAL 3 ALLIANCES: STRENGTHEN RELATIONSHIPS WITH OTHER PHYSICIAN SPECIALTIES, FAMILY/CONSUMER GROUPS AND OTHER MENTAL HEALTH ORGANIZATIONS Objective 1: Strengthen relationships with other physician specialty groups Strategies a. Continue to strengthen relationship with other medical specialty groups b. Develop closer relationship with OSMA Action Steps Committee or Person Responsible? By When? 1. Meet regularly with primary care groups ED, President Ongoing 2. Meet, when appropriate, with other specialty groups ED, President Ongoing 3. Develop cross-specialty working groups to explore integrated care, depression in physicians, and other initiatives that are timely and relevant ED, President, Chair of IC Committee Ongoing 4. Encourage PCP participation in our annual meeting ED, President, Council, Chairs of OPPA Committees Ongoing 1. Encourage OPPA members to become OSMA members OPPA Members who are Members of OSMA Ongoing 2. Encourage OPPA members to serve as delegates to OSMA House of Delegates OPPA Members who are Members of OSMA Ongoing 3. Encourage at least one member to serve on the OSMA Focused Task Force on State Legislation OPPA Members who are Members of OSMA Ongoing 4. Explore co-advocacy of telemedicine in legislature President, Chair of GR Ongoing Objective 2: Find common ground in advocating with other professional, family and consumer organizations Strategies Action Steps Committee or Person Responsible? By When? a. Work with the Ohio Psychological Association on Issues of Concern to both organizations 1. Develop an agenda of issues EC, ED, PIC, PMHC Jun ‘17 2. Meet regularly to provide united front EC and President Ongoing b. Continue to strengthen relationship with NAMI and its local affiliates 1. Encourage each OPPA Chapter to identify someone interested in serving on the State and local NAMI Boards Council and EC Ongoing c. Participate on Boards and work groups of other multi-organization groups 1. Continue participation in the following groups, including CHC, Medicaid BH Redesign, CourtOrdered Outpatient Treatment Law Workgroup, ODH BEACON, Ohio Minds Matter, OMHAS MH Steering Committee, OAG TF on CJ and MI, OMHAS NH Antipsychotic Workgroup ED and/or identified OPPA members Ongoing 2. Continue to identify additional groups with whom the OPPA can work as appropriate ED, Lobbyist, Council Ongoing OPPA Strategic Plan 2016-2019 Page 9 GOAL 4 AWARENESS: EDUCATE MEMBERS, OTHER HEALTH PROFESSIONALS AND THE PUBLIC REGARDING PREVENTION AND TREATMENT OF MENTAL ILLNESS, ALCOHOLISM AND ADDICTION Objective 1: Design and implement CME Annual meeting to increase psychiatrists’ knowledge Strategies a. Design and implement CME Annual meeting to increase psychiatrists’ knowledge Action Steps 1. Identify speakers and program by Sept. 30 Committee or Person Responsible? Program Committee, ED and Foundation By When? Ongoing 2. Inform members monthly 3. Consider topics that count toward re-certification 4. Obtain minimal attendance of 100 members 5. Encourage greater participation of PCPs Objective 2: Design and implement programs to educate health care professionals 1. Identify committee members President May ‘16 2. Begin holding regular committee meetings Chair of D&T Committee June ‘16 3. Report to members at annual meeting D&T Committee May ‘17 b. Explore depression in physicians 1. Develop a multi-specialty work group President Mar ‘17 c. Collaborate with other specialty groups on mental health topics for their meetings 1. Collaborate with OSMA and other specialty groups President, ED Ongoing 2. Encourage OPPA members to speak at low or no cost President, Council Ongoing 3. Encourage OPPA members to speak at other specialty grand rounds ED, P Committee, Council Ongoing a. Develop an ad-hoc committee to examine depression in trainees Objective 3: Design and implement programs to educate OPPA members a. Explore alternative ways to communicate b. Explore possible workshops to enhance members’ knowledge 1. Consider refining quarterly newsletter Insight Update and periodic electronic updates to members, e-Insight Update ED, Newsletter Editor Oct ‘17 Ongoing 2. Identify members interested in developing a social network presence and online communication tools EC and Newsletter Editor, RFM and ECP Sept ‘17 1. Consider integrated care workshops EC, Council, IC Committee June ‘17 2. Identify an EC member to attend a meeting of each chapter EC Ongoing 3. Explore additional workshops based on needs and request ED, Council Ongoing OPPA Strategic Plan 2016-2019 Page 10 Objective 4: Increase Public Mental Health Awareness Strategies a. Identify a member in each chapter area interested in being available to the media b. Encourage each chapter to host a depression screening event in October Action Steps Committee or Person Responsible? By When? 1. Appoint interested members to serve on the Public Information & Liaison Committee President and PI&L Chair Aug ‘17 2. Encourage members to write letters to the editor when appropriate President, Council, Members of PI&L Committee Ongoing 3. Encourage members to communicate with the media in their chapter area and alert them as to their availability President, Council, Members of PI&L Committee Ongoing 1. Include articles in electronic and quarterly newsletter (as well as social media) encouraging chapter presidents/members to do so ED, Newsletter Editor Ongoing Key to Committee or Person Responsible: AA = Administrative Assistant A&PCI = Addiction & Pain Control Issues Committee C&A = Child & Adolescent Committee DMT = Depression in Trainees Committee ECP = Early Career Psychiatrists Committee F = Forensics Committee IC – Integrated Care Committee ED = Executive Director GR = Government Relations Committee M = Membership Committee NE = Newsletter Editor PI = Practice Issues Committee PCE = Program & Continuing Education Committee PI&L = Public Information & Liaison Committee PMH = Public Mental Health Committee RFM = Resident-Fellow Member Committee T = Tele-psychiatry Committee V&M = Veterans & Military Committee OPPA Strategic Plan 2016-2019 Page 11
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