The State of the Chapters

Chapter Executive Directors Conference

March 11, 2010

Overview What do AAP Chapters look like

today? What’s on Chapters’ Minds? What’s the Value Proposition of

Chapters to AAP?

What do AAP Chapters Look Like

Today?

Tax Status of U.S. Chapters

501(C)(6)41%

501(C)(4)2%

501(C)(3)57%

34

Chapters

24

Chapters

1 Chapter

Chapter Foundation

37%

63%

Yes No

37 Chapters

22 Chapters

Strategic Plan on File

84%

16%

Yes No

9 Chapters

46 Chapters

Elements of Chapter Success1. Trained staff2. Sufficient resources3. Prepared leaders4. Involved members

1. Trained Staff

Chapter Staff 96% of US Chapters have EDs 50% have more than 1 staff 31% of Chapters EDs are masters

prepared 18% of EDs also serve as lobbyists 3 EDs are attorneys 2 EDs have PhDs

Staff Resources Chapter Manual AAP Publication for Chapters ED Conference ED Teleconferences Welcome Wagon for new EDs

2. Sufficient Resources

Chapter Finances

Chapter budgets have grown; less dependence on members dues

Reserves 75% of Chapters manage grants

Chapter Sources of Revenue

Total Revenue = $16,777,000Sources of non-dues revenues include:● Registration Fees/Event Income/Exhibit

Income● Grants/Contracts/Contributions● Income from Publications (publication sales,

product sales, ad revenue, etc.)● Miscellaneous

73%

Non-dues

Revenue

27%

Membership Dues

Reserves As a Percentage of Expenses

14

8

57

16

2

4

6

8

10

12

14

16

18

20

0-25% 26-50% 51-75% 75-100% >100%

50 Chapters Reporting

2009 AAP Chapter Grants 9 Chapter grant programs $281,000 distributed 31 Chapter received grants 10 Chapters received 2 or 3 grants

2009 AAP Chapter Grant Programs Healthy People 2010 ($20,000) CPTI Advocacy Training ($1,000) CQN – Asthma Pilot ($10,000) Medical Student ($1,000) Resident ($1,000) Young Physician ($1,000) Adolescent Health Education

($8,000) Immunization ($10,000) Be Our Voice –Obesity ($15,000)

2010 AAPChapter Grant Programs Healthy People 2010 – Tobacco

NEW!!! Conference Support (Mead Johnson) Patient Advocacy Leadership Summit

(GlaxoSmithKline) Healthy Active Living (MetLife)

TOTAL: $450,000

3. Prepared Leaders

Top Factors Contributing to Achievement of Chapter Goals

Q. Please indicate the top three factors that you believe help your chapter to achieve its goals.

17%

27%

15%

49%

44%

95%

51%

17%

19%

29%

44%

46%

64%

74%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Membercommunications

Organizational planningand structure

Continuing MedicalEducation

Collaboration with otherorganizations

Member participationand commitment

Chapter leadership

Chapter staff

Chapter Officers

Executive Directors

Leadership Growth and Development Activities

42%

61%

65%

67%

77%

91%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Membership in professionalorganizations

Implementation of PediatricLeadership Alliance principles

Professional educationalseminars/teleconferences

Mentor program

Succession plan

AAP national leadershipconferences

Adequacy of New Officer Orientation

0%

0%

8%

63%

30%

2%

7%

16%

59%

17%

0% 10% 20% 30% 40% 50% 60% 70%

Inadequate

Somewhat inadequate

Somewhat adequate

Adequate

Very adequate

Chapter Officers

Executive Directors

Resources for Preparing Chapter Leaders District meetings Annual Leadership Forum New officer welcome calls Chapter Manual Chapter Connections Information Packets Chapter self-assessment instrument Chapter outreach visits

4. Member Involvement

Chapter Leadership Areas Requiring Additional Assistance

Q. Please indicate the areas of chapter leadership/management in which you need additional help.

20%

43%

30%

20%

30%

43%

33%

28%

38%

78%

29%

29%

32%

32%

34%

39%

39%

41%

51%

68%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

Successionplanning/implementation

Strategic planning andimplementation

Improving membercommunication

Grants management

Chapter goals management

Membership (general)

Balanced scorecardimplementation

Health informationtechnology issues

Fundraising

Member involvement

Chapter Officers

Executive Directors

Member Involvement Chapter Member Involvement Action

Kit Still hard to do New resources on

Chapter Web page Member Value

What’s on Chapters’ Minds?

Time Spent on Chapter Activities

Q. Please select the top three activities on which your chapter spends the most time.

34%

24%

51%

49%

88%

27%

31%

53%

59%

93%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Member communication

Public health initiatives

Professional education

Advocacy forpediatricians

Advocacy for children

Chapter Officers

Executive Directors

Chapter Management2008 Most Common Chapter Activities (By Percentage of

Chapters)

71%

76%

76%

91%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Increase chaptervisibility/profile/expert

recognition

Non-dues revenuegeneration

Improvingcommunications

Professionaleducation/CME

0%

20%

40%

60%

80%

100%

1997 2000 2003 2006 2009

Advocacy

Professional education

Member communication

Practice management

Public healthinitiatives/education

Q. Please select the top three activities on which your chapter spends the most time. (Chapter Officer Totals for 1997, 2000, 2003, and 2006 Chapter Needs Assessment installments.)

Time Spent on Chapter Activities (Chapter Officers – Over Time)

Child Health Priorities 2008 Most Common Chapter Activities (By Percentage of

Chapters)

71%

72%

72%

74%

78%

79%

79%

81%

91%

0% 20% 40% 60% 80% 100%

Managed care/Medicaid

Medical home

Adolescent health

Access

Children with special health careneeds/foster care

Oral health

Obesity

Mental health

Immunizations

Factors Contributing to Child Health Advocacy Effectiveness

0%

8%

10%

15%

28%

28%

33%

69%

46%

51%

2%

14%

17%

19%

21%

31%

45%

47%

48%

53%

0% 10% 20% 30% 40% 50% 60% 70% 80%

Frequent contact with governor

Well-informed staff

Persistence

Name recognition

Chapter leadership

Member participation

Active legislative committee

Collaboration with other advocates

Active lobbyist/government affairs/public policy

Good relationship with legislators/public officials

Chapter Officers

Executive Directors

Q. Please select the top three factors you believe makes your chapter effective in its advocacy for children.

Factors Contributing to Pediatric Practice Advocacy Effectiveness

15%

5%

21%

13%

31%

39%

46%

39%

44%

33%

5%

16%

19%

28%

30%

35%

35%

37%

39%

42%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Support from national

Well-informed staff

Name recognition

Persistence

Active legislative committee

Active lobbyist/government affairs/public policy

Good relationship with legislators/public officials

Collaboration with other advocates

Chapter leadership

Member participation

Chapter Officers

Executive Directors

Q. Please select the top three factors you believe makes your chapter effective in its advocacy for pediatricians.

Q. How would you rate your chapter’s effectiveness in membership recruitment?

5%

13%

60%

23%

0%

3%

16%

53%

22%

5%

0% 10% 20% 30% 40% 50% 60% 70%

Ineffective

Somewhat ineffective

Somewhat effective

Effective

Very effective

Chapter Officers

Executive Directors

Membership Recruitment

Chapter Communication With Medical Subspecialists and Surgical Specialists

5%

27%

42%

18%

8%

14%

28%

21%

34%

3%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

Poor

Fair

Neutral

Good

Excellent

Chapter Officers

Executive Directors

Q. How would you rate your chapter’s communications with medical subspecialists and surgical specialists?

Chapter Efforts to Involve Medical Subspecialists and Surgical Specialists

Q. Does your chapter engage in special efforts to involve pediatric medical subspecialists and surgical specialists in your chapter activities?

62%

69%

38%

31%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Yes No

Chapter Officers Executive Directors

Medical Subspecialists and Surgical Specialists - Chapter Involvement Activities

Q. If yes to the previous question, please indicate the chapter activities in which medical subspecialists and surgical specialists are involved.

52%

62%

69%

50%

78%

86%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Involvement inadvocacy activities

Serving on the chapterExecutive Committee

Involvement in chaptereducational programs

Chapter Officers

Executive Directors

Maintenance of Certification is a process that ensures physicians’ engagement with their profession by lifelong learning, applying what is learned in practice, improving the quality of health care, and ensuring that pediatricians have a useful bank of medical knowledge.

The Accreditation Council for the Graduate Medical Education (ACGME) and the 24 American Board of Medical Specialties (ABMS) certifying Boards agree that a physician must demonstrate six core competencies.

These core competencies are the foundation of MOC and are addressed during medical training and throughout a physician’s career.

MOC consists of four separate parts:

)Professional Standing)Knowledge Assessment)Cognitive Expertise)Performance in Practice

What is Maintenance of Certification?Quality

Improvement For

Practices MOC Part 4

Interest in Using New Communication Technologies

Q. Please indicate which of the following communication technologies your chapter is interested in using to communicate with members.

85%

64%

70%

100%

77%

100%

87%

75%

86%

91%

94%

94%

96%

97%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Discussion/bulletinboards

Facebook

Twitter

Podcasts

Blogs

Videocasts

Video conferences

Chapter Officers

Executive Directors

Willingness to Pay for Chapter Services

Q. Would your chapter be willing/able to pay a fee for certain chapter services?

65%

60%

35%

40%

0%

10%

20%

30%

40%

50%

60%

70%

Yes No

Chapter Officers Executive Directors

What is the Value Proposition of

Chapters to AAP?

Realizing the True Value of Chapters

Value Proposition of Chapters

Value ofChapters to = Benefits - CostNational

Benefits of Chapters to National Membership Public relations Talent pool Connection to young members Carry out mission Contribution to AAP prominence Policy implementation Deliver testimony Laboratories of innovation

Monetizing the Benefits Direct Revenue - revenue from

members retained by Chapters Indirect Revenue – cost savings

Indirect Revenue Cost Savings to AAP Hiring a PR firm to promote AAP in

Chapter newsletters, emails and at meetings

Executive recruiter to identify leaders Membership recruiter to identify and

mentor young members Executive Director in each Chapter to

carry out mission and promote AAP Part time lobbyist to implement policy

at the state level Cost of innovations – priceless!

Value Proposition of Chapters

Benefits $11,434,113* Cost - $ 3,353,026 = Value $ 8,081,087

Value of Chapters is significant !!!

*Current expenditures on chapter staff, estimated cost for independent lobbyists for 25 chapters, and grant indirects.

Optimal value is obtained when Chapters and national work in

partnership for members.