NCMS Morning Rounds 5-31-19

It’s already Friday!

Enjoy your NCMS Morning Rounds

May 31, 2019

Unique Pilot Program Nurtures Future Clinical Leaders

The NCMS Foundation’s Kanof Institute for Physician Leadership (KIPL) under the direction of Roy Strowd, MD, who recently received an Alpha Omega Alpha (AΩA) Fellow in Leadership grant, and NCMS Foundation Vice President for Leadership Development Kristina Natt och Dag, Ph.D. will launch a unique statewide pilot program this fall to nurture future clinical health care team leaders.

This statewide initiative builds on a 2-year-old program, ‘Wake Forest Emerging Leaders,’ which adapted the KIPL curriculum to address the specific needs of medical students, Physician Assistant students, nursing, nurse anesthesia and pharmacy students. These Wake Forest students will graduate from the program in June, and new students from professional training programs throughout the state will start the year-long ‘Future KIPL Clinician Leaders Program’ in September. Different training programs at institutions such as Wake Forest School of Medicine, East Carolina University, Duke University, Gardner-Webb University, and Campbell University have already shown interest in participating.

The current cohorts of students say the program has helped them learn about their leadership style and given them effective team building tools. They have gained the necessary skills “to lead at the bedside or in the clinic, but also to use these tools to engage inter-professional teams in tackling some of the major challenges facing health care in North Carolina,” said Dr. Strowd.

Dr. Strowd sought the AΩA grant in order to expand the existing program to include students from six professional training programs across the state. The program is unique, in part, because it not only provides a uniform curriculum in leadership, advocacy, teamwork and communication across various institutions, it also involves all future members of the health care team creating a philosophy of teamwork from the very beginning of participants’ careers.

If you are interested in learning more, please contact Kristina Natt och Dag at or 919-833-3836 x158.

Our Legislative Priorities – Bill by Bill

To help you understand which legislative proposals directly relate to the NCMS’ priorities for this session, the NCMS Government Affairs staff has prepared a one-page document that categorizes specific bills by our priority areas of focus. The document also shows whether the NCMS supports or opposes the proposed legislation or if we’re working to amend or change it. The list represents only a fraction of the hundreds of bills NCMS staff monitors each legislative session, but offers you a glimpse into what your elected representatives are proposing and how we are working on your behalf.

Review the 2019 Legislative Priority document.

If you are looking for even more information on ALL the bills that could impact your practice – including a summary of the recently released NC Senate Budget — be sure to regularly check our Legislative blog as it is frequently updated with the latest action at the General Assembly.

ACO Council Examines Palliative Care Challenges and Opportunities

The NC ACO Council, which brings together representatives of Medicare Shared Savings Plan (MSSP) Accountable Care Organizations (ACO) from throughout the state to share best practices and information, discussed efforts to engage patients, families and health care teams around palliative care and end-of-life decisions yesterday.

Robert Eberle, MD, an ACO Executive with Novant Health and Adam Koontz, Novant’s Director of Advance Care Planning shared how they have gone about ‘normalizing’ advance care planning as part of the system’s culture. When they began the process in 2015, they gave 8,000 health care team members copies of Being Mortal, the best-selling book by Atul Gawande, MD, who also came to speak to employees about end-of-life care. Another example is the question every Novant patient hears when they check in for an appointment: “who is your health care champion?” In other words, has the person identified someone who they trust to speak for them if they are unable to speak for themselves? The majority of patients now have such champions, or at least know what it means to have one.

Council members also heard a panel discussion moderated by Lori Taylor, Blue Cross and Blue Shield of North Carolina senior strategic advisor. The panel included two nurses, a physician and a licensed social worker who shared their experiences in how palliative care fits into a patient’s health care journey. Melanie Kelly, RN and director of UNC’s Palliative Care Program, noted that palliative care is all about aligning patients’ values with their care goals. Challenges occur when these goals may clash with physicians or other care providers who are trained to focus on ‘curing and treating disease.

The NC ACO Council, which was initiated about six years ago by the NCMS in support of ACOs, meets twice a year. Learn more about the Council. In alternating quarters, the NC Population Health Collaborative, a larger group encompassing existing and aspiring ACOs in the state, meets. Learn more about the Collaborative.

In the News

Problem: Lack of Rural Health Care. Solution: Educating More Doctors, WRAL, 5-26-19

Learning Opportunity

10th Biennial Childhood Obesity Conference will be held July 15 – 18 in Anaheim, CA. This conference is the nation’s largest, most influential collaboration of professionals dedicated to combating pediatric obesity/overweight. Nearly 2,000 attendees from across the country are expected to attend in 2019.
Learn more and register.


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