Your Board in Action

The BOC gathered at AMCLC to review the year's activities and chart a course for the coming year.your board in action august

The ACR Board of Chancellors (BOC) held its spring meeting at AMCLC in May. The meeting focused on multiple initiatives that the College had undertaken in the previous six to twelve months and included a strategic planning exercise in forecasting environmental trends and future assumptions.

At my final meeting as chair of the BOC, I highlighted accomplishments within both the legislative and decision-support areas. Of particular note were the ACR-backed policies and the provisions for imaging clinical decision support that are now incorporated into federal law. The board heard updates on the growing use of ACR Select™ and the transition to electronic health records, emphasizing that although there will be continued challenges ahead, clinical decision support will be an integral diagnostic imaging tool to assist our members and patients in the changing health care system. Patient safety remains an important part of everything we do, particularly in the use of ACR Appropriateness Criteria® for determining appropriate imaging services.

your board in actionI also reported on the United States Preventative Services Task Force (USPSTF) positive grading of CT lung cancer screening, which provides coverage under the Affordable Care Act for high-risk patients aged 55–80 covered by private payers. The College continues to work to have Medicare provide coverage for high-risk enrollees as well. I then reported on the launch and growing recognition of Imaging 3.0™. In closing, I thanked my wife, Macki, members of the BOC and College Steering Committee, and ACR staff for their ongoing support. I look forward to serving the College in my new role as ACR president.

William T. Thorwarth Jr., MD, FACR, presented the CEO report, thanking the Search Committee, BOC, and ACR staff for a smooth transition into his role as CEO. A special thank you was extended to Harvey L. Neiman, MD, FACR, for his vision and leadership. Thorwarth described ACR program areas, highlighting the significant legislative success in getting our highest priorities enacted into law despite the ongoing challenges presented by significant changes in health care payment and delivery systems. Thorwarth reported that the College's investments, membership, and net assets continue to grow. Clinical research restructuring continues.

In addition, Thorwarth reported that the ACR's Education Center received a generous in-kind gift of hardware and software from General Electric. He further noted that IT and informatics continue to focus on a common Imaging 3.0 informatics framework by meeting with key industry partners. ACR Select continues to grow and is currently implemented in 30 sites in 17 states. The Head Injury Institute™ is collaborating with the Department of Defense on defining several significant funding opportunities. Thorwarth thanked the ACR staff, who continue to work tirelessly on these and other endeavors in support of the membership and the patients they serve.

Anne C. Roberts, MD, FACR, ACR secretary-treasurer, provided a financial report and proposed budge for the upcoming fiscal year, from July 1, 2014, through June 30, 2015. The College remains financially strong, and the proposed College budgets for fiscal year 2015 were approved as submitted.

Bibb Allen Jr., MD, FACR, vice chair of the BOC, provided an update on the strategic planning process, introducing Paul Meyer of Tecker International. Meyer reviewed the strategic planning process and timeline of activities for the College. He then facilitated a planned "Environmental Scan" exercise. The BOC, CSC, and staff members were divided into eight small groups, each tasked with brainstorming, documenting, and reporting the most significant assumptions about the future of radiology. The five categories of discussion included professional competition and structure; economic factors and global business; legislation and regulations; demographics and social values; and technology and science. Next steps will include collecting research with primary groups followed by strategic planning sessions this summer. Results will be presented at the fall board meeting.

Kimberly E. Applegate, MD, FACR, ACR Council speaker, highlighted upcoming activities at the 2014 ACR AMCLC. Applegate reported that the council considered 19 policy resolutions for ten-year renewal, four new policy resolutions, two bylaws resolutions, and 29 practice guidelines and technical standards. An additional late resolution was determined as emergent and co-sponsored by the BOC and CSC for council consideration. Four ASTRO collaborative guidelines were reviewed and approved by the BOC and CSC.

Patient safety remains an important part of everything we do.

Cynthia S. Sherry, MD, FACR, chair of the ACR Commission on Leadership and Practice Development, provided an update on achievements of the Radiology Leadership Institute® (RLI). To date there have been 1,700 enrollees in the RLI, with more than 125 online courses. Several resident programs have also expressed interest in incorporating RLI content into their non-clinical training. The 2014 RLI Leadership Summit will take place August 7–10, 2014, at Babson College, in Wellesley, Mass. The RLI campaign has exceeded its first-phase goal of $5 million in pledges. Soliciting and stewarding the support of key campaign donors, creating ongoing publicity, and reviewing campaign effectiveness are all key next steps.

Debra L. Monticciolo, MD, FACR, reported on the ACR Commission on Quality & Safety, providing updates on lung cancer screening activities. The changes in practice guidelines criteria, established by the Institute of Medicine, were reviewed. To ensure compliance, a late resolution seeking BOC sponsorship to change the name "practice guidelines" to "practice parameters" was approved by the board.

A newly enhanced online ACR Fellowship application process was demonstrated by M. Elizabeth Oates, MD, FACR, and staff. Programs, trends, and final survey data on the adoption of the 16-month accelerated pathway to dual board certification in diagnostic radiology and nuclear radiology were reviewed.

The latest work force survey results were reviewed by Edward I. Bluth, MD, FACR. This was the thrid annual survey illustrating trends in hiring and anticipated hiring practices. The survey results are to be published in the JACR®.

Katarzyna J. Macura, MD, PhD, FACR, provided an update on the ACR Commission for Women and General Diversity, highlighting the commission's vision, mission, and three-year plan. Utilizing a variety of communications strategies, the commission will continue to increase awareness of value created by increased diversity. Macura reviewed the latest statistics for both women and minorities and made recommendations for improving institutional performance.

At the end of the Saturday meeting, outgoing members of the BOC and officers were recognized and thanked for their outstanding service.

On Tuesday afternoon, the newly installed officers of the BOC and CSC held a short meeting. Allen welcomed newly elected and appointed members to the BOC and CSC. Allen shared his vision for the board, emphasizing collective teamwork and the importance of thinking and acting strategically.

The BOC and CSC will next meet in September 2014. The proceedings will be reported to the membership in the ACR Bulletin.

By Paul H. Ellenbogen, MD, FACR

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