Carolinas Center for Medical Excellence Seeks Input on Changes

The North Carolina Medical Society (NCMS) Board of Directors agreed at their meeting on September 6 to help the Carolinas Center for Medical Excellence (CCME) gather feedback on proposed plans to restructure its organization. Dr. John Mangum, former NCMS President and current CCME President presented the Board an overview of the changes and asked if these changes would represent a disservice to North Carolina physicians.

CCME is a non-profit organization started with the support of the NCMS in the 1980s as Medical Review of NC. The organization began as a peer review organization and invited all North Carolina physicians to be members.  In the 1990s, CCME became a Quality Improvement Organization (QIO) under Medicare, and also expanded into state Medicaid contract work for North Carolina and other southeastern states, providing external quality review. The Centers for Medicare and Medicaid Services (CMS) has dictated many changes in the QIO work over the years and has made the bid process highly competitive, based largely on price. As of August 1, 2014, CCME no longer has the Medicare QIO contract for North Carolina, though it still does that work for South Carolina.

With the changing environment in which CCME does its work, the organization is looking to make some fundamental changes, including altering its Articles of Incorporation to move from the cumbersome membership model to a more flexible Board governance model. It will remain a nonprofit under a self-perpetuating Board of Directors. At its November 2, 2014 Board meeting the changes will be presented to its members for a vote.

The NCMS Board will cooperate with CCME on the following:

•             The NCMS will publicize the CCME’s November 2 meeting and the proposed changes.

•             CCME will cite the NCMS Board’s support for the proposed changes in its communications to its members.

•             CCME will provide the NCMS with copies of CCME’s proposed new Articles of Incorporation and its Bylaws so that NCMS leadership and staff can respond to any potential inquiries.

Watch the Bulletin for further details on the restructuring and how to provide feedback.



Share this Post



  • John Mangum

    The proposed new bylaws specify that physician membership on the CCME Board be between 25 and 49 percent. CMS already dictates that QIO Boards cannot exceed 50% physicians. In response to Dr. Davant, I am absolutely NOT comfortable with or seeking to remove physician influence on CCME. We simply have to position CCME as strongly as possible for the modern world of contracting with government entities for health care quality improvement, a very different type work than the peer review work of the 1980’s. The CCME Board, including the majority of its physician members, feel the proposed changes will help do that.

  • Charles Davant

    You should note that the proposed changes reduce the number of board physicians from nine to five–none of whom need to be from North Carolina–and nothing in the proposed bylaws precludes future boards from eliminating any requirement for even one physician serving on the board. John is comfortable with removing any influence North Carolina physicians have on what was “our” PRO board. I am not so trusting.