Tuesday, April 02, 2019

What Do Working Cardiologists Really Think About the ACC's CMP Pathway?

What do US cardiologists and electrophysiologists REALLY think about the American College of Cardiology's (ACC) heavily-promoted collaboration with the American Board of Internal Medicine (ABIM) to create their "Continuous Maintenance Pathway" (CMP) for continually maintaining their ABIM board certification?

That's a question I wanted to know, so I helped create a quick 5-minute survey on the matter open to US cardiac electrophysiologists, cardiologists, and heart failure specialists.

I hope to have the results compiled by the Heart Rhythm Society in May, 2019.

I look forward to your responses and thoughts. Additional comments regarding the CMP program not covered in the survey can be left in the comments on this blog post.

Thanks-

-Wes

15 comments:

  1. Not to influence anyone . . . but the jury is out on the American College of Cardiology.
    A.C.C. ProPublica Non-profit explorer.

    Self-wheeling/dealing
    College
    After
    Money

    ReplyDelete
  2. ACC has a wealthy foundation with accelerating profits/revenues annually.
    ACCF has a related (for profit) LLC involved in property management.
    There are two related (for-profit) C corporations, which are consultancies, one in DC and the other in Shanghai's free trade zone. ACC also makes policy/influences policy in DC and elsewhere.

    FISCAL YEAR ENDING DEC. 2016 PDF

    990 Total Revenue $113,934,622
    Total Functional Expenses $116,418,365
    Net income -$2,483,743
    Notable sources of revenue Percent of total revenue
    Contributions $16,131,836 14.2%
    Program services $83,416,332 73.2%
    Investment income $632,759 0.6%
    Bond proceeds $0
    Royalties $12,301,628 10.8%
    Rental property income -$135,655
    Net fundraising $0
    Sales of assets $1,587,722 1.4%
    Net inventory sales $0
    Other revenue $0
    Notable expenses Percent of total expenses
    Executive compensation $6,154,091 5.3%
    Professional fundraising fees $0
    Other salaries and wages $33,213,437 28.5%
    Other
    Total Assets $231,442,569
    Total Liabilities $134,655,015
    Net Assets $96,787,554

    https://projects.propublica.org/nonprofits/organizations/135641985

    Schedule R ACC Foundation
    https://projects.propublica.org/nonprofits/organizations/135641985

    (1)American College of Cardiology 2400 n st nw washington,DC20037
    31-1781555 SEE VI DC 501(C)(6) ACCF
    Yes
    (a) Name of related organization
    (b)Transaction
    type (a-s) (c)
    Amount involved (d)
    Method of determining amount involved
    (1) American College of Cardiology
    C 692,686 ACC net income
    (2) American College of Cardiology
    E 15,937,411 Cost
    (3) American College of Cardiology
    N Cost
    (4) American College of Cardiology
    P Cost

    PART I, COLUMN (B) ACC LLC 1 PRIMARY ACTIVITY: PROPERTY MANAGEMENT
    PART II, COLUMN (B) American College of Cardiology PRIMARY ACTIVITY: Advocate and influence policy for quality cardiovascular care SCAI/ACC Scientific Meeting Corporation PRIMARY ACTIVITY: Conduct interventional science & education meeting
    PART IV, COLUMN (B) ACC Services Inc PRIMARY ACTIVITY: Consultancy for medical education

    https://projects.propublica.org/nonprofits/organizations/135641985/201732839349301758/IRS990ScheduleR

    ReplyDelete
  3. What's up with ACC's Consultancy/C Corporation in Shanghai, China? Where does the membership money go for this "member-driven" society?

    Department of Consumer and Regulatory Affairs, DC Government
    7005225 AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION, expires 8/31/2019
    Charitable Solicitation 2400 N ST NW 102, WASHINGTON, DC 20037

    https://www.china-briefing.com/news/shanghai-business-registration-online-platform-foreign-invested-enterprises-launched/

    And how about that ACC Foundation C Corporation soliciting business/creating policy out of offices in Washingston, DC?

    ReplyDelete
  4. The American College of Cardiology [ACC] should consider changing its name to reflect reality. Maybe at one time ACC used to be a "college" comprised of academic and clinical physicians, but now it is plain to see that it is a "corporation" of executives consulting in business deals, mergers and acquisitions, political affairs and medical policy.

    The American College of Physicians [ACP] might consider its outdated humoresque billboard masquerading as a "College" as well.

    Both societies make a mockery of medicine, but primarily make fools out of themselves with their enamored embrace of MOC money and creating markets for themselves and their cronies.

    MOC is the kiss of death for docs working in the trenches. But for the corporate executives/professional medical politicians at ABMS medical specialty boards it brings increased revenues. MOC lines their pockets and fills their investment accounts quickly, beyond an internist's wildest dreams.

    ReplyDelete
  5. FIGMD and ABMS/ACC Corporate CC/Data Partners

    (MOC® and their New CLONE CERTLINK® - FigMD)

    https://www.abms.org/media/119899/abms-selects-figmd-to-develop-certlink-platform.pdf

    From ACC Tax Filings - reveals collusion with ABMS on a global scale and opaque tax-enhanced business relationships with ACC and FigMD. Sweet deal for the executive millionaires to upcode their casg payout and bennies each year. How much tax do these non-profit charities/I mean companies pay? Illinois-based companies that should be scrutinized by federal, state district, and municipal tax authorities.


    ACC Independent Contractors (expenses)

    Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

    (A)Name and business address (B)Description of services (C)Compensation

    -Freeman Audio Visual Solutions,
    4545 West David Street
    DALLAS,TX75211
    Annual Meeting A/V 1,540,084

    -CIGNITI TECHNOLOGIES,
    433 LAS COLINAS BLVD 1300
    IRVING, TX 75309
    NCDR REGISTRY 2,382,393

    -FIGMD INC,
    6952 ROTE ROAD STE 400
    ROCKFORD,IL 61107
    PINNACLE REGISTRY 1,773,545

    -QUALITY INSIGHTS INC,
    3001 CHESTERFIELD PLACE
    CHARLESTON, WV 25304
    DATA ANALYSIS 1,278,708

    -THE CHOICE INC,
    PO BOX 62408
    BALTIMORE, MD 21264
    TEMPORARY STAFFING 939,979

    2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization - 109
    Form 990 (2017)

    ReplyDelete
  6. Schedule J (Form 990) 2017 Page 2 Part II Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
    (A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
    benefits (E) Total of columns
    (B)(i)-(D) (F) Compensation in column (B) reported as deferred on prior Form 990
    (i) Base
    compensation (ii) Bonus & incentive
    compensation (iii) Other reportable compensation

    ReplyDelete
  7. 1 Shalom Jacobovitz
    CEO (i)

    (ii) 724,200
    -------------
    0 193,617
    -------------
    0 59,110
    -------------
    0 45,500
    -------------
    0 30,681
    -------------
    0 1,053,108
    -------------
    0 44,710
    -------------
    0


    2 Cathleen C Gates
    EVP, Chief Operating Officer (i)

    (ii) 142,657
    -------------
    332,866 34,839
    -------------
    81,291 0
    -------------
    0 15,525
    -------------
    36,225 7,214
    -------------
    16,832 200,235
    -------------
    467,214 0
    -------------
    0


    3 William Oetgen MD MBA FACC
    EVP (i)

    (ii) 461,035
    -------------
    0 108,377
    -------------
    0 0
    -------------
    0 45,000
    -------------
    0 4,207
    -------------
    0 618,619
    -------------
    0 0
    -------------
    0


    4 John Rumsfeld MD PhD FACC
    Chief Innovation Officer (i)

    (ii) 375,000
    -------------
    0 67,125
    -------------
    0 0
    -------------
    0 27,000
    -------------
    0 28,245
    -------------
    0 497,370
    -------------
    0 0
    -------------
    0



    5 Michael A Votaw
    CFO/DVP- FIN/IT & OPS (i)

    (ii) 343,523
    -------------
    0 48,358
    -------------
    0 0
    -------------
    0 33,750
    -------------
    0 28,133
    -------------
    0 453,764
    -------------
    0 0
    -------------
    0


    6 John Brendan Mullen
    EVP (i)

    (ii) 331,895
    -------------
    0 44,147
    -------------
    0 0
    -------------
    0 35,000
    -------------
    0 28,092
    -------------
    0 439,134
    -------------
    0 0
    -------------
    0


    7 Julia Chang
    DVP, Science & Quality (i)

    (ii) 297,485
    -------------
    0 42,372
    -------------
    0 0
    -------------
    0 27,000
    -------------
    0 27,970
    -------------
    0 394,827
    -------------
    0 0
    -------------
    0


    8 Lisa M Hix Esq
    General Councel (i)

    (ii) 268,462
    -------------
    67,115 0
    -------------
    0 0
    -------------
    0 2,492
    -------------
    623 18,840
    -------------
    4,710 289,794
    -------------
    72,448 0
    -------------
    0


    9 Thomas E Arend Jr Esq CAE
    COO & General Counsel (i)

    (ii) 125,715
    -------------
    0 146,033
    -------------
    0 29,011
    -------------
    0 13,497
    -------------
    0 9,082
    -------------
    0 323,338
    -------------
    0 0
    -------------
    0


    10 Janice Sibley
    DVP, Education (i)

    (ii) 271,185
    -------------
    0 19,390
    -------------
    0 0
    -------------
    0 27,118
    -------------
    0 2,242
    -------------
    0 319,935
    -------------
    0 0
    -------------
    0

    11 Abraham Joseph
    DVP, Accreditation (i)

    (ii) 225,000
    -------------
    0 25,275
    -------------
    0 0
    -------------
    0 22,500
    -------------
    0 2,078
    -------------
    0 274,853
    -------------
    0 0
    -------------
    0


    12 Henry Solomon
    Bus.Dev Med Advisor associate (i)

    (ii) 225,000
    -------------
    0 17,100
    -------------
    0 0
    -------------
    0 22,500
    -------------
    0 22,555
    -------------
    0 287,155
    -------------
    0 0
    -------------
    0


    13 Kathleen M Hewitt
    Team Ldr,S&Q Strat & innov. (i)

    (ii) 218,600
    -------------
    0 22,483
    -------------
    0 0
    -------------
    0 27,325
    -------------
    0 16,342
    -------------
    0 284,750
    -------------
    0 0
    -------------
    0


    14 Sharman T Kahn
    Team Leader, HR, & Org. Dev. (i)

    (ii) 214,500
    -------------
    0 25,735
    -------------
    0 0
    -------------
    0 4,281
    -------------
    0 26,813
    -------------
    0 271,329
    -------------
    0 0
    -------------
    0


    15 Susan A Sears Hamilton
    Team Leader, Annual Mtg & Prog (i)

    (ii) 217,831
    -------------
    0 22,206
    -------------
    0 0
    -------------
    0 27,229
    -------------
    0 12,077
    -------------
    0 279,343
    -------------
    0 0
    -------------
    0


    16 Lara E Slattery
    Team Leader, NCDR (i)

    (ii) 213,938
    -------------
    0 24,200
    -------------
    0 0
    -------------
    0 26,742
    -------------
    0 27,675
    -------------
    0 292,555
    -------------
    0 0
    -------------
    0


    17 Joyce Donnellan
    Team Ldr,digital/Live dev grp (i)

    (ii) 215,432
    -------------
    0 21,898
    -------------
    0 0
    -------------
    0 21,543
    -------------
    0 22,974
    -------------
    0 281,847
    -------------
    0 0
    -------------
    0


    18 Barbara Christensen
    Team Leader, Registry Services (i)

    (ii) 188,536
    -------------
    0 23,127
    -------------
    0 0
    -------------
    0 23,567
    -------------
    0 9,112
    -------------
    0 244,342
    -------------
    0 0
    -------------
    0

    ReplyDelete


  8. Schedule J (Form 990) 2017 Page 3

    PART I, LINE 1A BUSINESS CLASS TRAVEL PERMITTED FOR INTERNATIONAL TRAVEL TO THE PRESIDENTIAL -TEAM AND THE CEO.
    THIS TRAVEL IS NECESSARY TO CARRY ON THE BUSINESS OF THE COLLEGE.

    How about corporate charters/private jets for executivies
    http://voices.washingtonpost.com/economy-watch/2008/11/gm_gets_message_to_sell_two_co.html

    15 Royalties .. 379,121 379,121
    16 Occupancy ........... 1,093,953 348,032 742,025 3,896
    17 Travel ............ 5,839,722 5,375,189 464,031 502
    18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0
    19 Conferences, conventions, and meetings .... 4,515,860 4,383,745 132,115
    20

    Schedule J (Form 990)

    From 990 Part VII
    2. Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization - 235
    (235 additional employees on top of the creamers making over 100K per year.)

    https://cvquality.acc.org/NCDR-Home/reports/physician-dashboard

    ReplyDelete
  9. MOC is a big hoax. The ACC cunningly invested in a fake product/story invented by the ABMS and their associates -- along with the NCQA and their combined corporate stakeholders.

    ReplyDelete
  10. 30 Thousand Million Dollars Down the HoleThu Apr 04, 02:20:00 AM CDT

    It seems like the ACC still has a large body of highly intelligent free-thinking cardiologists paying dues, but not enough of them are in leadership roles. Mostly we see corporate yes men.
    In going after MOC money the ACC has unfortunately betrayed its membership. The ABMS may have pressured leadership in the wrong direction, targeting cardiologists politically, in fact, which is a low moral point for the executives in charge. Betrayal sits in the throat like a lump.
    The ABMS lost any moral authority it had years ago. That was its only real currency. They lost trust by abusing its captive clients in mandating MOC and doing it with a bribe to older successful and more well off specialists. The ACC runs the risk of losing its support base, big time. That is certain. What good are all those award ceremonies when there is a bad taste left in the mouth over the way ACC's executives are cozying up with the ABMS -- the bad choice people. The mostly silent ones waiting it out, the ones who got it wrong in more ways than they will ever admit.
    Let's hope the civil cases lead to some Federal investigation along with some individual indictments to bring the sensibilities and moral compass back into the medical societies to get back to the business of serving their membership, not ripping them off or turning a blind eye.

    ReplyDelete
  11. A complete and utter money grab, pure and simple. Thank you for all that you are doing. Recently multiple physicians "lost" their board certification at our hospital and we are scrambling to figure out what to do because our bylaws require board certification by ABIM to maintain privileges. Do we just kick everyone out because of this MOC scam? So we are taking up the idea of allowing NBPAS as an alternate path - but it will be an uphill battle I am sure. People are already saying if we don't require ABIM, we are watering down standards, our malpractice premiums will go up and we won't get reimbursed by certain insurance companies. We shall fight regardless. THANK YOU for all that you do. You certainly don't do it for yourself and as a practicing cardiologist six years out of fellowship, it is refreshing seeing somone in your shows fight for the greater good. THANK YOU, Dr Fisher!

    ReplyDelete
  12. Dr. Fisher has made extraordinary efforts to enlighten the community about the evils of MOC along with many others such as Charles Kroll, Kurt Eichenwald, NBPAS leadership/grassroots movements who understand the issue in depth. The quality issues are bogus, fraudulent. Made up by the ABMS and member boards along with an archipelago of NGOs such as the ACGME and NCQA.

    ReplyDelete
  13. It is telling that the real life stories of how MOC harms physicians and patients has had little airtime in the mainstream media.
    Why the blackout and blackballing? Because billions of dollars are at stake in the healthcare industry associated with the MOC Ponzi scheme.
    It is a revealing/damning statement about the ABMS when we see millions of MOC dollars are spent on aggressive PR campaigns to suppress the real facts and dispense disinformation (paid for by captive physicians/clients). The ABIM alone (the ABMS flagship) spends millions every year suppressing vital information that the public needs to know. Their inhouse studies are pseudo science. A throwback to the days of "snake charmers" and "street vendors."

    ReplyDelete
  14. Who'd have thought that the ABMS/ABIM and all the other 23 medical specialty boards would come full circle in support of a bogus tonic (MOC) that is poured down patients'/physicians throats by authority of who? An unaccountable archipelago of NGO scammers/industry stakeholders and special interests involved in the largest educational Ponzi scheme in the history of the United States.

    ReplyDelete
  15. It is unreal that we have to wake up to this devastating reality every day.

    ReplyDelete

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