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2009 Annual Report

Table of Contents


David W. Kennedy, MD
AAO-HNS/F President 2008-2009


From my perspective:

It has been a true honor to represent the AAO-HNS/F this past year. Although it has been a year of challenges worldwide, the organization, with the help of its members, has proven expansive in vision and action, and steadfast in responsibility and resolve for better patient care. The Academy and the Foundation have strengthened the specialty.

This report captures some of those activities. Harder to quantify are the relationships that have been enhanced by the generosity of members, supporters, and staff that are the source of this organizations success.

As the AAO-HNS/F works for the future of the specialty, collaborative efforts shape the path. This past year, the establishment of the Subspecialty Advisory Council (SSAC) models the standard for future intra-specialty effectiveness. Efforts to expand quality patient care drive multi-disciplined collaboration with other organizations such as ACS, SQA, NQF, AMA PCPI, ARO, and AOA.

Without collaboration, no legislation or regulation delivers its promise. The Academy is at the table. It has excelled at bringing about the discussion of hard topics among disparate positions. Such activity is methodical and intense. Member volunteers in these realms are the hardest working of us all. Our debt to these members is enormous, especially when public debate has centered on our professional activity and the future of healthcare in this nation.

The specialty needs its members. Now more than ever, when medicine faces economic issues and concerns about physician conflict of interest, member support is essential. While our new Corporate Support programs to build unfettered financial strength ensure transparency in corporate relationships within ethical guidelines, our value in all transactions derives from our member base. For more information on these initiatives, and to add your help, please contact the headquarters offices at 1-703-836-4444.

Boards of Directors

2008-2009 Academy and Foundation Boards of Directors

  • David W. Kennedy, MD

    President

  • Ronald B. Kuppersmith, MD, MBA

    President-Elect

  • John W. House, MD

    Secretary/Treasurer

  • David R. Nielsen, MD

    Executive Vice President and CEO

  • James C. Denneny, III, MD

    Immediate Past President

  • Thomas B. Logan, MD

    Director At-Large

  • Ernest A. Weymuller, Jr., MD

    Director At-Large

  • Stephen J. Chadwick, MD

    Director At-Large

  • Donald C. Lanza, MD, MS

    Director At-Large

  • Terry A. Day, MD

    Director At-Large

  • James L. Netterville, MD

    Director At-Large

  • Michael G. Glenn, MD

    Director At-Large

  • Debara L. Tucci, MD

    Director At-Large

  • Jerry M. Schreibstein, MD

    Chair, Board of Governors

  • Gavin Setzen, MD

    Chair-Elect, Board of Governors

  • J. Pablo Stolovitzky, MD

    Immediate Past Chair, Board of Governors

  • Eduardo M. Diaz, Jr., MD

    Coordinator, Instruction Course Program

  • John H. Krouse, MD, PhD Coordinator, Scientific Program

  • KJ Lee, MD

    Coordinator, International Affairs

  • Richard M. Rosenfeld, MD, MPH

    Journal Editor

  • Mark K. Wax, MD

    Coordinator, Education

  • David L. Witsell, MD, MHS

    Coordinator, Research

    Lee D. Eisenberg, MD, MPH

    Coordinator, Governmental Relations

  • Charles F. Koopmann Jr., MD, MHSA

    Coordinator, Practice Affairs

  • Rodney P. Lusk, MD

    Coordinator, Internet and Information Technology

  • Richard W. Waguespack, MD

    Coordinator, Socioeconomic Affairs

Building a Bias toward Solution: Mission, Vision, Strategy, and Accountability

In his first column to the membership after the 2008 annual meeting, AAO-HNS/F President David W. Kennedy, MD, said, 'It is important that we represent the specialty nationally, both with government organizations and with third-party payers.' The Academy anticipated a year of intense engagement centered on shifting legislative and regulatory priorities. This past year, Dr. Kennedy would admit, surpassed expectations in both challenges and opportunities. The current debate and outcome about healthcare delivery will impact the U.S. for generations to come. Few people predicted either the depth of the economic challenge that first upstaged the healthcare discussion, or how it later refocused, as Americans recognized how healthcare costs contribute to financial problems.

Academy leaders had the foresight to prepare the organization for shifting environments. Dr. Kennedy, the AAO-HNS/F Boards of Directors, and the Board of Governors have been able to maintain a strategy that reaffirmed its mission and vision. For the specialty, this has translated to insistence on a culture of scrutiny, assessment, and accountability to build a bias for solution. Thanks to its leadership and member loyalty, the Academy, a proverbial small giant, subsequently wields an influence that belies its size.

Members initiated this move, mandating through the Boards that its leaders exercise the ability to broker ideas. A significant idea born of this leadership is exemplified by the formation of a new representative council, the Specialty Society Advisory Council (SSAC). SSACs goal is to combine shared resources and talent to decrease duplicative, competitive activities among the specialty groups, and to reinforce a strong, useful product, creating a strong flexible organization that speaks to broad needs.

Meeting challenges

This 2008-2009 Annual Report will allow members to read about the extensive value that has been delivered in all areas of our endeavors, especially in Advocacy, Education, Research, and the Business of Medicine.

For the specialty, this has translated to insistence on a culture of scrutiny, assessment, and accountability to build a bias for solution.

In the Advocacy section, you will read about the Academys access to legislators and stakeholders on healthcare reform issues such as:

  • The need to replace the sustainable growth rate (SGR) to avert a serious access crisis from payment cuts,

  • New Federal policy regulating tobacco products, and

  • The AAO-HNS continued opposition against unlimited direct access to audiologists.

Educations activities have been combined with Foundation annual meeting events that support robust CME access, resulting in a restructure of the meeting. It now highlights an integrated program of subspecialty, clinical basics, and translational science, with additional special tracks like Quality also available across programs. AcademyU has become even more accessible, now including Mac and Firefox users to its platform.

In Quality, our multi-disciplinary evidence-based guidelines have received a lot of attention. The dedication and rigor of all involved have resulted in constructive dialogue as well as recognition, such as the AMAs request for the AAO-HNSF to co-lead the development of the Adult Sinusitis measure set. Successes in Research included the coalescence of the Research Advisory Board, among whose strategic priorities included collaborating with the Duke Clinical Research Institute (DCRI) on several projects within their NIDCD R33 grant, CHEER - a community-based research network.

The AAO-HNS strategy to support members in Health Policy and the Business of Medicine issues delivered regulatory results in imaging, coding, and reimbursement. It successfully worked with CMS and NCCI for removal of three code pair edits. It engineered the overturn of a bilateral designation on CPT code 69200 (Removal foreign body from external auditory canal; without general anesthesia). Such representation, coupled with coding resources and staff coding training, have kept Academy membership as the best all-round value for your practice needs.

In Fundraising and Corporate Relations, in order to eliminate and minimize occasions for conflict of interest, the Academy launched a new program, resulting in two avenues for partnerships with industry. Both the Industry Round Table (IRT) and the Academy Advantage (AA) programs offer unrestricted support for AAO-HNS and AAO-HNSF programs.

Communications serves member needs by communicating specialty information to both our members and the public. In July, staff arranged a live interview for President-Elect Ronald Kupper-smith, MD, MBA, on FOX News to set the record straight on physician integrity in healthcare delivery. The publications you rely on, the journal Otolaryngology Head and Neck Surgery, the Bulletin and The News, rate as the most valued member benefits. The member website has been made easier. There are also new patient information products, survey data about the public perception of the specialty, and social media platforms to encourage dialogue, and more.

Daily, the AAO-HNS/F builds in a bias toward solutions for you, its members. This report highlights the value of your membership. It will be distributed to all members and made available online. To request additional copies, please call 1-703-836-4444.

Governance and Member Relations

The strength in this organization starts with Academy members. As individuals, their collective annual dues sustain more than 30 percent of the operating budget. As peers, they elect the organizations leaders. As learners, contributors, and instructors, they share knowledge across the profession. And as organized groups based on state, local, or national clinical areas of expertise, they debate issues and influence policies. By simply belonging, each of our members makes a commitment to the success of this organization and the profession of otolaryngology head and neck surgery.

Membership

Most of the Academys more than 11,400 members are U.S. and Canadian Fellows and Members, board-certified and actively practicing otolaryngologist-head and neck surgeons. The Academy also benefits from the involvement of retired members and more than 1,250 life members, whose 35-year relationship with the Academy has earned them the distinction of membership at no cost. The strength of the membership is also sustained by two critical constituents. The resident members and international members engage as active constituents, and through organized groups, including the Section for Residents and Fellows-in-Training (SRF) and numerous international committees.



Membership Type % of Total
As of 9-4-2009
US and Canada Fellows and Members 7,408 65%
Resident Members 1,431 12%
International Fellows and Members 760 7%
Affiliates, Associates, and Scientific Fellows 180 2%
Life Fellows and Members 1,262 11%
Retired Fellows and Members 386 3%
TOTAL

Committees and communities

Member involvement in the inner workings of the Academy is accomplished through our committees. With more than 1,150 members serving on 65 different committees, faculties, and advisory groups, there is both great opportunity and challenge in directing their enthusiasm and energy toward common goals for the organization, in a manner that respects their precious time. Every few years, leadership convenes a Task Force for Committee Effectiveness and Efficiency to review all committees, to identify areas for consolidation or growth, and to guide closer alignment to the organizations strategic plan. Under the direction of Immediate Past President James C. Denneny, III, MD, this year five committees were singled out as model committees due to their contributions to the organization, strength of leadership, active engagement of members, and continuity of communication and efforts beyond simply meeting during the annual meeting. They are:

  • Allergy and Immunology CommitteeRichard C. Haydon, III, MD, Chair; Karen H. Calhoun, MD, Chair-Elect; Stephanie Jones, Staff Liaison

  • BOG Legislative Representatives CommitteeMichael D. Seidman, MD, Chair; Megan Bronson, Staff Liaison

  • Endocrine Surgery CommitteeLisa A. Orloff, MD, Chair; Catherine R. Lincoln, CAE, Staff Liaison

  • History and Archives CommitteeJohn W. House, MD, Chair; Lawrence R. Lustig, MD, Chair-Elect; Tom Harlow, Interim Staff Liaison

  • Rhinology and Paranasal Sinus CommitteeScott P. Stringer, MD, Chair; Udo Kaja, Staff Liaison

Each year, the Academy also recognizes members whose volunteer service to the organization reaches two different benchmarks. This past year, 46 members received an Honor Award and another 20 reached the '50-point'mark to earn the Distinguished Service Award, both of which recognize members for their varied and sustained participation in key activities and leadership roles. These awardees joined the prestigious ranks of more than 1,500 Honor and Distinguished Service Awards given to date. Check our website for the names and photos of awardees: www.entnet.org/Community/Honor-and-Distinguished-Service-Awards.cfm.

Board of Governors

For more than 25 years, the BOG has functioned as an advisory body to the Board of Directors (BOD) by facilitating grassroots communication between the BOD and local, state, regional, national, and international otolaryngology head and neck surgery organizations.

The BOG reaches out to practitioners in the field of otolaryngology by interacting with societies and subspecialty organizations, primarily through legislative, educational, and socioeconomic activities, committee meetings, and group assemblies. To raise public awareness of the specialty, this year the BOG implemented a society grant program built around the theme, 'What Is an Otolaryngologist?'The 2008-2009 winners, the Iowa Academy of Otolaryngology-Head and Neck Surgery and the National Medical Association: Harry Barnes Society, are working diligently to increase the publics knowledge of the unique skill set of otolaryngologists.

The spring meeting saw great success in achieving the BOGs outreach goal. Held at AAO-HNS headquarters immediately before the Joint Surgical Advocacy Conference (JSAC), the meeting resulted in record-breaking attendance of over 100 attendees representing our members, member residents, and affiliated professional organizations. Highlights from the twoday meeting included: vetting proposed resolutions sent to the Board of Directors; clarifying the BOG Rulesand Regulations to make them more effective and useful; informative presentations from BOG leaders; a leadership development and speed mentoring session; appearances by the candidates for AAO-HNS President-Elect; and the announcement of the slate of candidates for BOG Chair-Elect and Secretary. The BOG Spring Meeting also introduced the new 'My Communities'web feature to state societies. This platform will be a useful tool for committees and societies in the year to come.

Component relations

At the strategic planning meeting in December 2006, one of the top five priorities was strengthening society relations. The Boards of Directors took action to explore possibilities for a new strategic model that will more effectively and efficiently position AAO-HNS and subspecialty organizations. The Specialty Society Advisory Council (SSAC) is now an advisory body for subspecialty issues and acts as a conduit for communications between the Academy and members of 11 representing societies.

International relations

As the culmination of KJ Lee, MDs, six successful years as Coordinator for International Affairs, the Academy welcomed four new International Corresponding Societies to our global network of 45 societies. They are three societies Iraqi Kurdistan, New Zealand, and Turkish Voice Speech and Swallowing, and a federation: the Interamerican Association of Pediatric Otolaryngologists. Thanks also to Dr. Lee, otolaryngology societies in China, New Zealand, the Philippines, Turkey, and the UK held joint meetings with the Academy.

The International Steering Committee has taken on new responsibilities for liaison with the International Corresponding Societies, to ensure continuity and personal relationships with the changing leaderships. Now in its second year, the International Visiting Scholarships enable rising academics from developing countries to take part in observerships and attend our annual meetings.


Shelby C. Leuin, MD, (left) and Adele Evans, MD, (right) participated in the Medical Missions for Children trip Antigua, Guatemala. Here they are shown in the post-surgery recovery room after reparing this childs cleft lip.

Adapting to fast-changing technology, International Relations co-sponsored the first Virtual Otology Conference with the European Academy of Otology-Neurotology and launched a new International Internet Subscription to disseminate our educational offerings around the globe. These technologies are offered to benefit ENT specialists in developing countries, who may not have the resources to travel to U.S.-based meetings.

As part of our global outreach, headquarters linked with societies, medical schools, hospitals, and clinics in observing World Voice Day and Oral, Head and Neck Cancer Awareness Week (OHANCAW). The Academy staffed booths at two well-attended international meetings held in the U.S.: the International Head and Neck meeting in San Francisco, and Rhinology World in Philadelphia. We had helpful discussions with the two European groups: the European Academy of ORL-HNS and the European Federation of ORL-HNS Societies.

Humanitarian outreach

The committee headed by James E. Saunders, MD, had an active year: 1) presenting symposia on global hearing loss at the Panamerican Congress and the IFOS World Congress; 2) representing the specialty at the Global Burden of Surgical Disease, hosted by the American College of Surgeons; and 3) playing an active role in the newly launched informational network, the Coalition for Global Hearing Health. Humanitarian outreach is highlighted at the annual meeting through the popular Humanitarian Open Forum and the volunteer-staffed Humanitarian booth.

Serving our members

Providing outstanding service to all customers and recognizing the invaluable contributions of our members are commitments shared by every staff member. Whether you are calling the Academys Member Services team to order a publication or update your membership, or seeking support and advice from our research, health policy, government affairs, or communications experts, our goal is to provide a consistent level of customer service to you each time you contact the Academy. We strive to make each member feel connected, valued, and taken care of.

We made exciting improvements this year to the member profile pages of the new Academy website (www.entnet.org). Access the new member profile section anytime to conveniently edit up to two business addresses and one home address, view your honor point totals, and update your practice type and subspecialty designations information that helps members and the public find you online more easily.

Health Policy and Practice Affairs

Representing your socioeconomic interests

Health Policys key strategic issues relate to federal regulatory and socioeconomic advocacy, healthcare system reform, the business of medicine, and private payer advocacy.

Under federal regulatory/socioeconomic advocacy your Academy is involved in promoting your interests at the Centers for Medicare and Medicaid Services (CMS), the AMAs CPT Editorial Panel, the AMA/Specialty Society Relative Value Scale Update Committee Relative Value Update Committee (RUC), in the development of National and Local Coverage Determinations (NCDs and LCDs), the Medicare Payment Advisory Commission (MedPAC), Medicare Contractor Carrier Advisory Committees (CACs), CMSs Practicing Physicians Advisory Council (PPAC), and the National Correct Coding Initiative (NCCI).

Filling your Business of Medicine needs

Along with the Government Affairs unit, Health Policy is actively involved on systematic healthcare reform. It partners with several other organizations to provide products and resources for members. These include coding workshops with Karen Zupko and Associates, webinars provided by the Coding Institute, and coding resources from Ingenix. Health Policy promotes training for office staff by partnering with the American Academy of Professional Coders, providing a certification test based on coding expertise specific to otolaryngology. In the past year, the Academy has worked directly with several private payers to advocate for payment policies favorable to our members and their patients.

Fair payment successes

The Academy continues to work for fair physician payment with the RUC and through our participation on the AMAs CPT Editorial Panel. We were successful in working with CMS and NCCI for removal of three code pair edits. CPT code 31525 (Laryngoscopy, direct diagnostic) was bundled into 38720 (Cervical lymphadenectomy (complete)) as well as 38724 (Cervical lymphadenectomy [modified radical neck dissection]). However, NCCI and CMS stated that if the physician performs a 'scout'laryngoscopy to assess the surgical field prior to the laryngectomy, with or without lymph node dissection, the laryngoscopy would not be separately reportable. 30520 (Septoplasty) was bundled into 30465 (Repair nasal valve stenosis). NCCI and CMS agreed that this edit should be removed.

The Academy was also successful in overturning a bilateral designation on CPT code 69200 (Removal foreign body from external auditory canal; without general anesthesia). CMS had designated the code so that the 150 percent payment adjustment for bilateral procedures did not apply. There is no compelling reason for this edit, in the CPT code descriptor, vignette, or other source, and based on the Academys efforts, CMS agreed to remove it.

In the spring, representatives of the Academy and the American Academy of Neurology (AAN) met with CMS to discuss the bundling of the canalith repositioning maneuver CPT code with an E andM service, but to date, the effort has been unsuccessful. CMS still maintains that the Epley is part of the E and M reimbursement. We will continue our efforts to ensure that physicians who perform this essential and time-consuming service on Medicare beneficiaries will be appropriately reimbursed.

Health Policy continues to advocate with CMS regarding the audiology transmittals issued in the early part of 2008. While encouraged by discussions to date, dialogue continues with CMS on this issue.

The Academy belongs to a coalition of medical specialty societies called the Specialty Society Insurance Coalition (SSIC). To date, this group has met with leaders from Americas Health Insurance Plans (AHIP) and Blue Cross/Blue Shield (BCBS). AHIP represents the majority of third-party payers in the nation. These meetings are convened in an effort to raise awareness at the payer level to promote our members concerns. The goal is also to influence private payer policies, ensure medical society participation in issues related to payer policies, projects, and activities, and to have an opportunity to influence healthcare reform. Access to the highest levels of leadership in the various health plans is important to the Academy for our long-term strategic goals to leverage our influence where it does the most good.

Health Policy advocated with a number of insurers on proposed or existing policies. They included:

  • NHIC Durable Medical Equipment Medicare Administrative Contractor (DME MAC), National Government Services DME MAC, CIGNA DME MAC, and Noridian DME MAC on coverage of Positive Airway Pressure Devices for the Treatment of Obstructive Sleep Apnea.

  • CMS coverage of Reconstructive Treatments for Facial Lipodystrophy Syndrome associated with AIDS/HIV.

  • CMS Coverage Analysis Group (CAG) regarding the DME MACs local coverage determination on Positive Airway Pressure Devices for the Treatment of Obstructive Sleep Apnea.

  • Empire BCBS, WellPoint, Aetna: Coverage for Nasal Surgery to treat Obstructive Sleep Apnea (OSA).

  • Highmark Blue Cross Blue Shield: Coverage for Radio Frequency Ablation of the tongue to treat OSA.

  • United HealthCare: Coverage for Sinus Balloon Catheterization; Cochlear Implants; Semi-Implantable Electromagnetic and Bone-Anchored Hearing Aids.

  • WellPoint: Negative Wound Pressure Therapy; Intraoperative Radiation Therapy

On two occasions this past summer, because of advocacy efforts from the AMA, the Academy, and other medical societies, the Federal Trade Commission (FTC) voted to delay implementation of the 'Red Flags'Rule. The Academy continues to be involved in a coalition to oppose these rules that affect physicians, by adding more paperwork and administrative responsibilities for your practices.

Health Policy has actively worked to identify any existing Carrier Advisors serving on CACs for the Medicare Administrative Contractors (MAC). New regions have been created in 15 areas that will administer both Part A and B for Medicare. A letter, a call, and a note in The News have gone out to the Board of Governors state otolaryngology societies and to the medical directors of each MAC, to identify Academy members who may be serving. Members can serve to help build a bias for solutions with the Academy in your own region. To serve on a committee or become involved in the nomination process for your local Medicare contractors CAC, please contact healthpolicy@entnet.org.

Research and Quality Improvement

The Research and Quality Improvement unit worked on a number of strategic goals this year, with a long list of accomplishments.

The new Research Advisory Board (RAB) recommended to the Boards of Directors a plan for Research that identifies programs of strategic value and areas in need of strategic growth.

The goal of growing the Centralized Otolaryngology Research Efforts (CORE) grant program is well on its way, with increased dollars and strong relationships with collaborating societies and donors. Now in its tenth year, CORE has awarded more than 350 research grants totaling over $6 million. The CORE program unifies the research application and review process, encourages young investigators to pursue research in otolaryngology, and serves as a step to channel efforts for NIH funding opportunities.

CORE Grant Stats 2008 2009 % change
Letters of intent 212 193 Down 10%
CORE grant applications 159 150 Down 6%
Funding dollars $2,808,117 $2,905,697 Up 3%
Grants awarded 43 38 Down 13%
Total awarded $775,208 $777,457 Up 0.25%

Evidence-based knowledge

SLEEP

Studying Life Effects and Effectiveness of Palatopharyngoplasty (SLEEP) was a multi-site, community-based study to demonstrate the treatment effects of Uvulopalatopharyngoplasty (UPPP). SLEEP was sponsored by an unrestricted educational grant by Schering-Plough, in conjunction with the AAO-HNSF. Results were presented at the 2007 annual meeting and a manuscript is in development.

SMILE

The Study to Assess the Effectiveness of CeviMeline to Improve OraL Health in Patients with XErostomia Secondary to Radiation Therapy for Treatment of Head and Neck Squamous Cell Carcinoma (SMILE) is an investigator-initiated multicenter trial. It currently has 52 patients enrolled at the 10 participating sites. SMILE is coordinated by the Duke Clinical Research Institute (DCRI). Sponsorship is provided by an unrestricted educational grant by Daiichi Sankyo, Inc.

PREDICT

Parental Response to Ear Disease In Children with and without Tubes (PREDICT), is a multi-institutional study that explores the impact that ear disease, in children ages 6 to 24 months, has on the child and their family in terms of quality of life. This study uses several quality-of-life instruments, both disease-specific and general, and will meet the Academys NIH PROMIS collaboration goals. To date, 90 patient forms have been collected from 10 participating sites. The study hopes to collect 1,500 forms over two years.

Quality-of-life outcomes

This project was undertaken through the BEST ENT Steering Committee and the OREBM subcommittee. The result is an outcomes tool matrix that will be available as a resource to all members. In a time of increasing pressure for measurement and assessment, this tool should prove valuable to users and will lay the groundwork for future data collection activities.

CHEER

The AAO-HNSF and the Duke Clinical Research Institute (DCRI) are collaborating on several projects within the DCRIs NIDCD R21/R33 phased infrastructure grant, Creating Healthcare Excellence through Education and Research (CHEER). We are seeking to build a viable practice-based research network through the huband-spoke concept described in the NIH Roadmap. The projects will incorporate both the CHEER otology-focused network and the AAO-HNSF BEST-ENT network. Projects include a revamp of the Clinical Scholars program, a coordinators training conference, and an otology data collection project.

Guidelines

Guidelines continue to set the direction for the specialty in improving the quality healthcare arena. Since 2007, the following Multidisciplinary Clinical Practice Guidelines have been published: Adult Sinusitis; Impacted Cerumen; Benign Paroxysmal Positional Vertigo; and Dysphonia (Hoarseness). Due next year will be a Clinical Consensus Statement on Nasal Valve Repair and a multi-disciplinary guideline on Tonsillectomy. Also on the docket are a single specialty guideline on Polysomnography for sleep-disordered breathing in children; and a clinical consensus statement called VTE Prophylaxis for Head and Neck Surgical Procedures.

SCAHPS

The AAO-HNSF participated in the pilot testing of the SQAs ACS-led Surgical Consumer Assessment of Healthcare Providers and Systems (SCAHPS). This is a standardized survey of patients experiences with surgical care in the ambulatory and facility-level settings. The Academy recruited nine physicians from four otolaryngology practices that allowed their patients to be surveyed for this study. Forty-three percent of patients identified completed the survey and responses were grouped with other surgical specialties. The survey has been approved by AHRQ for inclusion in the CAHPS family of surveys, contingent on clarification of the SCAHPS audience, purpose, and tools used to develop the final survey.

SQA

The Surgical Quality Alliance data registry project has moved to the design phase. It will have a minimal, common, surgical core data set, upon which each society can further add its own specialized data elements, measure, or other content. The registry provides: a confidential, central data repository for societies and clinicians; standard structure, definitions, risk stratification and quality standards; and data for tracking quality improvement, practice management, performance tracking benchmarking, and pay for performance reporting.

Adult Sinusitis

The Adult Sinusitis measures were approved by the AMA Consortium for development of a comprehensive measure set. The Academy will co-lead the development.

Wrong-site (-sided) Sinus Surgery

This survey received a record 500 responses from the membership. Volunteers from the Patient Safety and Quality Improvement (PSQI) committee are currently analyzing the data, and preliminary results will be shared this October, followed by a more detailed publication.

Government Affairs

Federal advocacy

In July 2008, the AAO-HNS helped avert a 5.4 percent cut to Medicare physician payments and pass a 1.1 percent increase. Since the beginning of 2009, Congress and the Obama Administration have been focused on healthcare reform. In part, they are considering a fix to the flawed Medicare physician payment formula, scheduled to be cut 21.5 percent in January 2010. The AAO-HNS worked diligently with the surgical community through the year to advocate that Medicare physician payment reform must be included in any healthcare overhaul legislation introduced by the House and Senate. It is unknown at this time if Congress will pass healthcare reform that includes a Medicare physician payment fix, or if they will again pass a short-term band-aid that prevents the 21.5 percent cut and gives physicians a modest increase in 2010.

Scope of practice

In June 2009, Rep. Mike Ross (D-AR) introduced H.R. 3024, legislation that would allow audiologists direct access to Medicare beneficiaries without a physician referral. The AAO-HNS sent a letter opposing this dangerous legislation to every House member. A separate opposition letter, signed by over 100 national and state medical societies, was also sent to Speaker of the House Nancy Pelosi (D-CA) and House Minority Leader John Boehner (R-OH).

FDA regulation of tobacco

President Barack Obama signed the Family Smoking Prevention and Tobacco Control Act (Public Law No. 111-031) in June 2009. This important law amends the Federal Food, Drug, and Cosmetics Act (FFDCA) by granting the FDA the authority to regulate tobacco products and their advertising. The AAO-HNS worked with a coalition of over 1,000 public health organizations to shepherd the bill through Congress. The Act passed the U.S. House of Representatives in April (298-112) and the U.S. Senate in June (79-17).

Reauthorization of EHDI

In March of this year, the U.S. House of Representatives passed the Early Hearing Detection and Intervention (EHDI) Act of 2009 (H.R. 1246). The EHDI program helps establish and support statewide plans that identify children with hearing loss and directs them to early intervention services. H.R. 1246 was referred to the Senate Health, Education, Labor and Pensions Committee, and we continue to monitor actions relating to the bill.

ENT PAC

In the November 2008 elections, ENT PAC, the political action committee of the AAO-HNS, enjoyed a 92 percent success rate, helping to elect nine new candidates favorable to ENT issues. Donations to 79 federal candidates and political committees totaled about $172,000. During 2009, ENT PAC experienced a decrease in support. Donations ($162,000) are down 31 percent from last year. The decrease is due largely to the postponement of fundraising calls to later in 2009, and that the average contribution fell. ENT PACs donation goal is $365 per member, or a dollar a day. ENT PAC continues to host federal legislators for events at its Washington, DC, office.

JSAC

In March 2009, the second annual Joint Surgical Advocacy Conference (JSAC) hosted by 18 surgical organizations including the Academy was held in Washington, DC, bringing surgery together on a variety of legislative issues. More than 115 of the 450 attendees were otolaryngologist head and neck surgeons, the second largest group of surgeons in attendance. Participants heard from Members of Congress, political pundits, and Congressional and grassroots experts. After briefings on legislative issues that impact surgeons, JSAC attendees met with Congressional members and staff to discuss Medicare physician payment, scope of practice, and research funding. For the third year, the Academy will serve a lead role in the planning and preparation for JSAC 2010.

State advocacy

With a continued focus on collaboration in the past year, the AAO-HNS worked on legislation of shared interest with a variety of stakeholders, including state otolaryngology societies, subspecialty societies, state medical societies, and other national medical specialties. During the latter part of 2008, the AAO-HNS and its partners successfully defeated scope-of-practice expansion bills in Illinois, New York, and Pennsylvania. Each reemerged in 2009 and have been successfully amended or opposed thus far. In late 2008, Michigan leaders, with Academy assistance, negotiated a speech-language pathology licensure bill that was signed into law in early 2009. The AAO-HNS also worked in 2009 with partners, many of them members of the Stop Medical Taxes Coalition, to defeat cosmetic procedure tax bills in Oregon, Texas, and Washington. In April, the Alabama Senate and the Michigan House adopted resolutions recognizing April 16, 2009, as World Voice Day in their respective states. Finally, efforts continue in New York to repeal an outdated law that prohibits physicians from dispensing hearing aids for profit.

Grassroots advocacy

With healthcare reform hotly debated in Congress and the states, AAO-HNS grassroots efforts continue to play an increasingly important role in legislative advocacy. To increase member involvement, the Academy has enhanced its grassroots program, including creating a new staff position (Legislative Grassroots Specialist), and combining the two former networks, the ENT-Congressional Advocacy Network (ENT-CAN) and the State Legislative Contact Network (SLCN). The new streamlined ENT Advocacy Network engages 1,243 members, or 15 percent of the Academys U.S. members. We also encourage participation in the Key Contacts Network, a database of Academy members personal legislative relationships. As of June 2009, this network consisted of 43 members, many with multiple contacts, for a total of more than 75 key federal and state legislative contacts.

Education and Meetings

Information sharing and cooperation across the Academy and throughout the specialty is essential to meeting the future learning and performance improvement demands of otolaryngologist head and neck surgeons. AAO-HNSF took steps to support the necessary collaboration among the AAO-HNSF leadership, staff, and otolaryngology societies.

The Foundation Coordinators for education, research, international, scientific program, instruction course program, information and internet technology, and the Otolaryngology Head and Neck Surgery editor come together with senior staff in strategy, research, education and meetings as the Science and Educational Committee. They have a newly revised charge to act as advisors to the AAO-HNSF Board of Directors on critical trends and issues that have an impact on the Academy/Foundations scientific, educational, and research efforts. Staff support for all face-to-face, enduring, and online education was combined within the newly formed Education and Meetings business unit to ensure better collaboration, consistency, and efficiency across all program development, planning, and delivery.

The Foundation continued to involve experts across the specialty to identify and create educational activities, through consulting roles on the education committees by the following societies:

  • American Academy of Facial Plastic and Reconstructive Surgery

  • American Academy of Otolaryngic Allergy

  • American Broncho-Esophagological Association

  • American Head and Neck Society

  • American Laryngological Association

  • American Neurotology Society

  • American Otological Society

  • American Rhinologic Society

  • American Society of Geriatric Otolaryngology

  • American Society of Pediatric Otolaryngology

  • Association for Research in Otolaryngology

  • Association of Otolaryngology Administrators

  • Society of Otorhinolaryngology and Head-Neck Nurses

  • Society of Physician Assistants in Otorhinolaryngology/Head and Neck Surgery

  • Society of University Otolaryngologists-Head and Neck Surgeons

The Annual Meeting Subspecialty Society Work Group was created at the direction of the Subspecialty Society Advisory Council to explore opportunities to work towards increased integration of the many events held in conjunction with the annual meeting.

Preparing for the future

Education and learning for otolaryngology head and neck surgeons continues to move toward demonstrated improvement in medical care and better patient outcomes. Requirements for maintenance of certification, licensure, and accreditation are evolving, as healthcare reform and demands for transparency in corporate relationships intensify. In this rapidly changing environment, the AAO-HNSF education and annual meeting committees ensure that the Foundations education program stands up to all standards. Education programs are designed to fill gaps in knowledge, competence, or performance, as identified through reviews of the literature and education evaluations.

2008 Annual Meeting OTO EXPO

Chicago, IL, was the site for the AAO-HNSFs 112th Annual Meeting OTO EXPO, where the house of otolaryngology gathered for the worlds largest and most respected otolaryngology meeting. More than 9,000 attendees from 80 countries, all 50 U.S. states, and every subspecialty were represented. Participants gathered to review the latest in basic translational and clinical research, participate in top-notch instruction courses, get hands-on experience with the hundreds of products and services, and reconnect with colleagues from around the globe. Special tribute was paid to attendees from our guest countries China, India, Ireland, and Russia. The exhibit hall featured displays and demonstrations from more than 300 exhibiting companies.

2008 Attendance
Physicians/Residents 5,651
Allied Health Professionals 252
Non-Medical Office Staff 142
Guests 236
SUBTOTAL 6,281
Exhibitors 2,785
TOTAL 9,066

A fast-paced opening ceremony honored those who have given so much to the Academy/Foundation and to the specialty. Members contributed to the opening ceremony by sharing their passion for the Academy and their work, in an exciting countdown to the start of the program.

2009 Annual Meeting OTO EXPO

A record-breaking number of abstracts were submitted to the Scientific Program for the 2009 Annual Meeting OTO EXPO. The Scientific Program is fully integrated across all areas of otolaryngology head and neck surgery, ranging from basic and translational science through clinical research and practice. Subspecialty societies responded enthusiastically to the Academys invitation to offer cosponsored miniseminars. The Instruction Course program covered issues critical to academic medicine, as well as instruction to increase the efficiency and value of a clinical practice.

CME and professional education

AAO-HNSF continued to increase online education and knowledge resources to provide greater member access for content development and enhanced opportunities for research and learning.

  • AcademyU provides 24/7 access to 67 courses in all clinical practice areas and practice management to 2,302 registered users, 74 percent of whom are regular Academy Fellows/Members. A recent upgrade to the AcademyU platform opened the system to Mac users for the first time.

  • The ENT ImageViewer provides access to over 750 otolaryngology head and neck images, including Dr. Eiji Yanagisawas collection of endoscopic images of the ear, nose, and throat, and the collection of histopathology images from D. Gregory Farwell, MD, and colleagues at UC-Davis. The foundation welcomes donations of additional images to continue to build this resource.

  • More than 200 reviewers of the journal Otolaryngology Head and Neck Surgery earned CME credit for journal reviews within the first six months in which such credit was available. Reviews must meet rigorous criteria to receive credit.

  • Content from the 2008 annual meeting was captured and made available digitally:

    • Four blended learning activities from the Patient Safety and Quality Improvement programming are available for CME credit in AcademyU.

    • The third annual Head and Neck Oncology Resident Education Symposium, cosponsored by the American Head and Neck Society (AHNS), is available for viewing on the Academy and AHNS websites.

    • The 2008 annual meeting lectures are available on the website.

    • Audio files of sessions are available for purchase as mp3 downloads.

  • An online testing option for the Home Study Course was launched and positively received by the 13 percent of subscribers who tested it online.

  • An online subscription for the Patient of the Month Program was announced for summer 2009.

Continuing Medical Education
Transcripts 5,604
CME Credits 276,878.75
CME Instruction Hours Available 551.75

CT Imaging

The CT Imaging Working Group is guiding the development of a CT imaging curriculum based on ICACTL accreditation guidelines, as well as monitoring and commenting on policy developments in the area of CT imaging. The working group is reviewing existing content to identify CT-related material. With input from the ICACTL, they will make curriculum recommendations and provide information to guide members to achieving ICACTL accreditation by the January 11, 2011 deadline.

Reaching out

In addition to providing learning for otolaryngologist head and neck surgeons, the AAO-HNSF provides resources to physicians, allied health professionals, and office staff.

The Clinical Oncology Online (COOL) program was recognized by the American Academy of Physician Assistants who began studying cases for AAPA Category 1 CME credit. From the launch in February through June 2009, 640 courses were completed. COOLs usefulness is documented by an increase in participation by medical students, residents, and non-nurse/non-PA allied health professionals.

The Certification Program for Otolaryngology Personnel (CPOP) three-phase training program teaches basic hearing testing to otolaryngology office personnel. Nearly 350 allied health professionals have demonstrated their ability to function as part of a hearing healthcare team under the supervision of an otolaryngologist since the program began in 1994.

Adams Center for the History of Otolaryngology Head and Neck Surgery

The Foundation provides archival services through stewardship, licensing, and loans of historical materials important to the specialty of otolaryngology and to participating otolaryngology societies and related organizations. They include:

  • American Broncho-Esophagological Association

  • American Head and Neck Society

  • American Laryngological Association

  • The American Laryngological, Rhinological and Otological Society, Inc., aka The Triological Society

  • American Otological Society

  • New York Laryngological Society

Archival searches and loans were temporarily suspended during the headquarters move to ensure the safety of the collection. The History and Archives Committee is reviewing the entire collection of physical artifacts and developing a plan to make them more accessible to the membership by photographing and digitizing the collection.

Communications: Publishing, Marketing, and Public Relations

Your Academy ensures that you have the information and resources you need to deliver quality patient care. These include key publications offering the latest in research and socioeconomic news that will influence your clinical and business decisions. Powerful Academy public relations and media relations assistance are available to help you extend your practice through community outreach. The Otolaryngology Head and Neck Surgery journal and the Bulletin rank as the most frequently used benefits by members, with more than 95 percent indicating they use them.

Journal facts:

  • The journal impact factor rose to 1.409 (highest ever). It measures the frequency that average articles in a journal are cited in a particular year.

  • An Academy media release this year about research in the journal was accessed by 3,806 reporters.

  • New manuscript submissions have risen 20 percent, and acceptances also increased 20 percent, while the rejection rate increased to 60 percent.

  • Supplements published 2008/2009: Clinical practice guideline: Benign paroxysmal positional vertigo (November 2008); Clinical practice guideline development manual: A quality-driven approach for translating evidence into action (June 2009); Annual program issue (September 2009); Clinical practice guideline: Hoarseness (Dysphonia) (September 2009).

  • The top 5 articles this year accounted for 11,683 downloads, compared to only 8,622 the prior year.

  • The AAO-HNS guideline on BPPV was incredibly popular, with nearly 4,500 online requests.

  • Reviewers for the journal can now earn CME credit. In the first six months, 200 reviewers did so.

Bulletin facts:

  • In April 2009, we launched the online version of the Bulletin, at www.entnet.org/bulletin.

  • Initial response is positive, with good response and reports from Google. Average time spent on each page is close to two minutes.

  • Response from potential advertisers has been positive, as well.

  • Co-mailing in May of Otoscope for 3rd year, to encourage information exchange within the practice.

  • Revenue projections for FY 2009-2010 are $25,000.

Website: More member-focused

Between October 2008 and August 1, 2009, more than 1,359,165 visits were logged on www.entnet.org, our website. Launched at the 2008 annual meeting, the website is the best resource for otolaryngologists and the public for information on ear, nose, throat, head, and neck health issues. Young members just starting practice find the Advanced Search option allows them to perform a literature search of five of the most used publication sources at once. At least once weekly, they go here to get clinical point-of-care information.

Since last December, member pages on the website have been updated, based on input from Academy leaders. Pages have enhanced navigation, visual differentiation of content for member users (vs public views), and an added tier of options on the menu. One example of increasing user ease is a name change on one tab from Community to Members

Marketing

You told us in the member survey that the new AAO-HNS/F logo speaks to the Academys dynamic nature and pride you feel about the specialty. Since then, marketing has promoted that confidence and loyalty, in unison with the new Corporate Development programs, adding Industry Round Table (IRT) and Academy Advantage (AA) brands into the portfolio.

Also note the new AAO-HNS/F Marketplace, the online one-stop for your professional shopping needs, with an overview of special educational and professional offerings, including online products, on-site courses, practice management resources, and books.

Not anti-social

The Academys embrace of online social media has grown stronger in recent months. The Academys Facebook page (www.entnet.org/facebook) features multimedia content and a platform for members and followers to offer their own material. The PR Twitter channel (www.twitter.com/aaohns) is an overwhelming success with members, providing immediate information such as healthcare reform news.

Media and PR

Otolaryngologists play an ever-growing role in the healthcare delivery system, and increasingly, patients and consumers need information about their health. So it is important that the critical services our members provide are represented accurately in the nations media. In the past year, the Academy and its member experts were cited in more than 500 articles in national and local magazines, newspapers, and websites, such as the New York Times, Wall Street Journal, Mens Health, and WebMD. We are now recognized as a leading source for otolaryngology-related topics. In July, the Academy placed President-Elect Ron Kuppersmith, MD, on a FOX TV appearance. At a crucial point in the national dialogue on healthcare, he helped to establish specialty support for evidence-based decision-making.

PR Facts:

  • A nationwide consumer survey about ENT-HNS healthcare resulted in benchmarks and messages to use for outreach.

  • A best-read Academy media release about public perception of ENT-HNS services was accessed by 4,260 reporters.

  • More than 500 Academy members were cited in the media.

  • The special edition of The News, about scope of practice, was read by 3,173 members within two weeks.

Community outreach

The Academys BOG Media and Public Relations committee and international PR firm APCO Worldwide conducted a national public awareness survey in spring 2009. The resulting information will be used to guide public service and outreach campaigns over the next three years. Research indicated that in the areas of voice, hearing, childrens health, sleep, and head and neck cancer treatment, focused messaging would have a measureable impact.

  • New Media Relations Handbook A handbook for members who are interested in becoming involved in media relations. See the Media Outreach section of the Members page on www.entnet.org.

  • Mini-PR campaigns press releases, Bulletin coverage, and website resources are implemented each month.

Development Corporate Relations

Charting a path for success

Development and Corporate Relations efforts in 2008-2009 focused on advancing the specialty and patient care by providing individuals, foundations, and corporations an opportunity to advance our mission and programs.

Conversations with donors and members are building relationships and giving insight into what you face in the specialty and what you value most from the Academy and its Foundation. With member input and leadership, the AAO-HNS/F has continued building endowment funds, grown the Legacy Circle, and welcomed new Life Members to the Millennium Society, setting the stage for diverse fund development programs that will provide a stable source of long-term support.

In 2008-2009, the Corporate Relations unit set out to find a better way to foster relationships with corporate partners to assist with unrestricted funding needed to continue core initiatives like research and education, while ensuring adherence to regulations and maintaining our values. By redesigning the way we align with corporations, we were able to launch new programs and secure valuable unrestricted funding and relationships.

FY 2008-2009 strategic activities

  • Launched the Industry Round Table (IRT) to increase unrestricted funding

  • Revamped the Academy Advantage (AA) program to engage companies in supporting the specialtys advancement through royalty agreements

  • Cultivated major gifts for future funding through the Legacy Circle planned giving program and endowment funds

  • Instituted a Named Miniseminar Program

  • Obtained major gifts from corporate friends, individuals, and foundations in support of achieving our mission.

Encouraging philanthropy

Development established several vital programs that directly support the goal of providing a stable source of long-term funding. This year staff and members cultivated several endowment gifts critical to the organization;s mission. New opportunities for individual contributions were introduced through innovative programs like the Named Miniseminars Program and the named International Visiting Scholars Grants. This emphasis has increased awareness by many donors and resulted in donor decisions to support the Foundation more assertively in the past year.

The Legacy Circle

The Legacy Circle offers you the opportunity to ensure that our important work continues beyond your lifetime, by including the Foundation in your will or estate plans and being recognized as a Legacy Circle member. During 2008-2009, the Legacy Circle welcomed Noel Cohen, MD, and his wife Baukje, and Jerry Schreibstein, MD, and his wife Harlene Ginsberg.

Millennium Society: New Life Members

Additionally, in 2008-2009 the following individuals gave generous gifts, and the Foundation is pleased to recognize their generosity through Life Membership in the Millennium Society: Noel Cohen, MD, and his wife Baukje Cohen, Barbara Goldstein, MD, Jerry Schreibstein, MD, and his wife Harlene Ginsberg, and Abraham Shulman, MD.

Our efforts rely on the unwavering support of our dedicated Boards of Directors, Board of Governors, and the many members who have championed the Development and Corporate Relations efforts during 2008-2009 by opening doors, writing letters, and promoting philanthropy to colleagues.

Corporate Relations

Industry Round Table (IRT)

The AAO-HNS Industry Round Table (IRT) program was established to form substantive relationships with industry companies who align with the Academy mission of empowering our members to provide the best patient care. Both leverage the important work of each other. Each benefits by working together to better serve and communicate with the otolaryngology head and neck surgery specialty, its practitioners, and patients. The IRT program offers an unprecedented package that allows the Academy to foster corporate partnerships to further key initiatives of the Academy.

Development of the IRT program began more than a year ago with an external audit of the Academy, evaluating how to best align with our corporate partners to maximize key relationships for both sides. With the audit information, the IRT program was designed and publicly launched in April 2009. Response from industry has been tremendous. Within the first few months, the Academy was able to announce several launch partners including Acclarent, Entellus, Lifestyle Lift, Starkey, Alcon, Bristol-Myers Squibb Company, and ImClone Systems Incorporated. We extend a special thank-you to those IRT launch partners.

Corporate support is critical to realizing the mission of the Academy, to help our members achieve excellence and provide the best ear, nose, and throat care through professional and public education, and research. Our partnerships with the organizations who share this mission allow the Academy to continue to provide the programs and initiatives that are integral to our members providing the best patient care.

Academy Advantage

To complement the IRT program, the Academy Advantage affinity program was redesigned and re-launched with new benefits to our corporate partners and guaranteed revenues for the Academy. The Academy Advantage program is an affinity program that offers selected products and services to AAO-HNS members as a member benefit. These products and services for your professional, business, and personal needs can offer substantial discounts on products and services you already use. It leverages the group buying power of Academy members to create a win-win-win program for members, the Academy, and Academy Advantage participating vendors. Product and service offerings provide national brands and boutique-type products and services such as medical liability insurance, patient education products, website development, group purchasing organization, and personal and business financial services. The Academy wishes to acknowledge our Academy Advantage Premier Partners, The Doctors Company, Eyemaginations, Mediplay; and our Academy Advantage Partners,Amerinet, Bank of America, and Officite. Visit www.entnet.org/advantage for a current listing of all partners.

Recognizing Generous Contributors

Special Thanks to Our Corporate and Foundation Donors

In addition to our IRT and Academy Advantage programs which provide funding for general support for program areas of greatest need, the AAO-HNS Foundation also seeks funding for specific program such as CORE research grants, CME education, humanitarian and international programs, and patient safety to name a few. The Foundation thanks the following companies for their support of critical Academy and Foundation programs:

  • Acclarent, Inc.

  • Alcon Laboratories, Inc.

  • The Alcon Foundation

  • Amerinet

  • ArthroCare ENT

  • Bank of America

  • Bristol-Myers Squibb and Imclone Systems Incorporated

  • The Doctors Company

  • The Doctors Company Foundation

  • Entellus Medical

  • Eyemaginations

  • Lifestyle Lift

  • Martha Entenmann Tinnitus Research Center, Inc.

  • Mediplay, Inc.

  • Merck and Co., Inc.

  • NeuroLogica Incorporated Officite

  • Olympus Gyrus ACMI

  • Starkey

  • XORAN Technologies, Inc.

As of August 28, 2009

2009 Millennium Society

The Foundation sincerely thanks the following Millennium Society members for their generosity that helps fulfill the Foundations mission and benefits the specialty. Program year January 1, 2009 through December 31, 2009

Life Members

  • Leslie Bernstein, MD DDS

  • Robert E Butler, MD

  • Noel L Cohen, MD (Hon) Freiburg and Baukje Cohen

  • Robin T Cotton, MD

  • James Croushore, MD

  • Michael E Glasscock, III, MD

  • Barbara Goldstein, PhD

  • Jack V Hough, MD

  • Rande H Lazar, MD FRCS

  • Thomas B Logan, MD

  • Frank E Lucente, MD

  • Michael M Paparella, MD

  • Jerry M Schreibstein, MD, and Harlene Ginsberg

  • Abraham Shulman, MD

  • Herbert Silverstein, MD

  • J Pablo Stolovitzky, MD

Patron Members

David L Witsell, MD MHS

Sustaining Members

David E Eibling, MD

Members

  • David A Abraham, MD

  • Ronald G Amedee, MD

  • Vinod K Anand, MD

  • J Noble Anderson, Jr, MD

  • Max M April, MD

  • James H Atkins, Jr, MD

  • David M Barrs, MD

  • Robert W Bastian, MD

  • Nikhil J Bhatt, MD

  • Neil Bhattacharyya, MD

  • Andrew Blitzer, MD DDS

  • Derald E Brackmann, MD

  • Carol R Bradford, MD

  • Jean Brereton

  • Kenneth H Brookler, MD

  • David Brown, MD

  • Jimmy J Brown, DDS MD

  • Jeffrey M Bumpous, MD

  • Karen H Calhoun, MD

  • C Ron Cannon, MD

  • Roberta M Case, MD

  • Stephen J Chadwick, MD

  • Sujana S Chandrasekhar, MD

  • C Y Joseph Chang, MD

  • Ajay E Chitkara, MD

  • Khalid Chowdhury, MD MBA

  • Mary Pat Cornett, CAE CMP

  • Robin T Cotton, MD

  • Lawrence J Danna, MD

  • Antonio De la Cruz, MD

  • Jennifer Derebery, MD

  • Daniel G. Deschler, MD

  • Eduardo M Diaz, Jr, MD

  • Linda J Dindzans, MD

  • David R Edelstein, MD

  • Lee D. Eisenberg, MD MPH

  • Moshe Ephrat, MD

  • Michael J Fucci, MD

  • Terry J. Garfinkle, MD MBA

  • Jeffrey B Ginsburg, MD

  • Jack L Gluckman, MD

  • Richard L Goode, MD

  • James D Gould, MD

  • James A Hadley, MD

  • Steven D Handler, MD

  • Tom Harlow

  • G Richard Holt, MD MSE MPH

  • Sue Sedory Holzer

  • John R Houck, Jr, MD

  • John W House, MD

  • Paul M Imber, DO

  • Anthony F Jahn, MD

  • Jonas T Johnson, MD

  • David W Kennedy, MD

  • Helen F Krause, MD

  • Russell W H Kridel, MD

  • John H Krouse, MD PhD

  • Thomas C Kryzer, Jr, MD

  • Jeffery J Kuhn, MD

  • Ronald B Kuppersmith, MD MBA

  • Donald C Lanza, MD

  • Dennis Lee, MD, MPH

  • Philip G Liu, MD

  • William M Luxford, MD

  • Robert H Maisel, MD

  • Paul A Markowski, CAE

  • Tracy McKay

  • Ralph B Metson, MD

  • Richard T Miyamoto, MD MS

  • Eugene N Myers, MD, FRCS, Edin (Hon)

  • David R Nielsen, MD

  • J David Osguthorpe, MD

  • Fred D Owens, MD MBA

  • Robert M Owens, MD

  • Simon C Parisier, MD

  • Christopher P Poje, MD

  • Sarah P Powell, MD

  • Robert Puchalski, MD

  • Gregory W Randolph, MD

  • Rance W Raney, MD

  • Elisabeth H Rareshide, MD

  • Richard M Rosenfeld, MD MPH

  • Mauro L Ruffy, MD

  • Hamed Sajjadi, MD

  • B Todd Schaeffer, MD

  • Megan Schagrin

  • Michael D Seidman, MD

  • Samuel H Selesnick, MD

  • Gavin Setzen, MD

  • Michael Setzen, MD FAAP

  • Adam M Shapiro, MD

  • Gary M Snyder, MD

  • Robert J Stachler, MD

  • Wendy B Stern, MD

  • Michael G Stewart, MD MPH

  • Fred J Stucker, MD

  • Andrew E Sutton, MD

  • Oscar A Tamez, MD

  • David J Terris, MD

  • J Regan Thomas, MD

  • Dana M Thompson, MD MS

  • Jonathan Y Ting, MD

  • Robert J Toohill, MD

  • Debara L Tucci, MD

  • Ira D Uretzky, MD

  • Richard W Waguespack, MD

  • Marilene B Wang, MD

  • Mark K Wax, MD

  • Stephen J Wetmore, MD

  • Beth Williams

  • Julie Wolfe

  • Eiji Yanagisawa, MD

  • Ken Yanagisawa, MD

  • Jay S Youngerman, MD

  • Bevan Yueh, MD MPH

Young Physician Members

  • Abbas Tahseen Allam, MBBS

  • Seilesh Babu, MD

  • Alexis H Jackman, MD

  • Joe W Kutz, Jr, MD

  • Samantha Marie Mucha, MD

  • Chau T Nguyen, MD

  • Sanjay R Parikh, MD

Gifts processed as of September 11, 2009

The AAO-HNSF Legacy Circle Members

The AAO-HNS Foundation expresses its gratitude to the following individuals who have made a commitment to the future through a bequest or planned gift to the Academy or its Foundation. Through their generosity, many critical programs that will enhance the practice of future otolaryngologists will be made possible.

  • Noel L. Cohen, MD (Hon) Freiburg,
    and Baukje Cohen
    James Croushore, MD

  • Michael H. Diamond, MD

  • Michael E. Glasscock, III, MD

  • Thomas A. Graves, MD

  • Helen F. Krause, MD

  • Frank E. Lucente, MD

  • David R. Nielsen, MD

  • Jerry S. Schreibstein, MD, and Harlene Ginsberg

  • Anthony P. Sertich, Jr., MD

  • P. Ashley Wackym, MD

  • David L. Witsell, MD MHS

Three other individuals are anonymous members of the Legacy Circle. Updated 8/17/2009

If you are interested in becoming a member of the Millennium Society, or the Legacy Circle, please contact Tracy McKay, Director of Development, at 1-703-535-3714 or tmckay@entnet.org.

Financial Report 2008-2009

For the fiscal year ended June 30, 2009, the total revenue from operations was under the revised year-end budget by 2.8%; and total expenses were under budget by 3.1%. These combined will lead to an increase in reserves of 0.3%. The Annual Operations budget does not include the market value change in investments; however, the unrealized investment gains and losses do impact the reserves. We anticipate a 17.5% use of reserves from a loss on investments due to the market value change in our portfolio. A large portion of the unrealized loss is related to market value change in the value of the interest rate swap agreement. This amount is reported annually over the ten-year term of the agreement and will result in a cumulative gain or loss of $0.00. However, the accounting rules require an annual recognition of the change in the valuation of the agreement.

The annual budget process begins in December of every year and includes several sessions with the Board of Directors, the Executive and Finance Committee (Eand F), and the Finance and Investment Subcommittee of the E and F. The process that is currently in place involves the elected leadership at every critical decision point.

This process culminates in June as the Boards of Directors approve the budget for the new fiscal year that begins July 1 st. In June 2009, the Board of Directors approved the fiscal 2009/2010 budget. This budget anticipates total revenues of $19,068,600 and total expenses of $19,068,600 for a balanced budget. Board and management are working again this year on non-traditional sources of revenue, while strengthening our position with the mainstay revenue items.

Overall, the course has been set and the controls are in place to ensure a strong financial future for your association, so that we will continue to provide excellent services to our members and the public.


American Academy of Otolaryngology Head and Neck Surgery/Foundation
Consolidated Statement of Functional Revenue and Expenses for the 12 Months Ending June 30, 2009
Description ACTUAL 2008 / 09 % BUDGET 2009 / 10 %
REVENUES:
Membership Dues $6,122,300 34% $6,218,700 33%
Meetings and Exhibits 6,673,000 37% 6,576,200 34%
Product and Program Sales 1,517,000 8% 1,483,000 8%
Publications 783,200 4% 665,000 3%
Royalties 1,266,600 7% 1,272,000 7%
Investment Income-Interest and Dividends 317,500 2% 368,000 2%
Corporate and Individual Support 1,257,900 7% 1,953,200 10%
Other Revenue 197,100 1% 532,500 3%
Total Revenue 18,134,600 100% 19,068,600 100%
PROGRAM EXPENSES:
Member Services 1,802,500 10% 2,112,200 11%
Meetings and Exhibits 3,917,500 21% 3,411,200 18%
Products and Programs 1,859,800 10% 2,240,200 12%
Publications 1,306,900 7% 1,464,700 8%
Strategic Alliances 578,300 3% 548,900 3%
Government Affairs 835,300 5% 1,058,400 5%
Communications 1,319,200 7% 939,800 5%
Research and Quality Improvement 1,310,100 7% 1,669,100 9%
History and Archives 20,100 0% 63,300 0%
Expenses - Program Activities 12,949,700 70% 13,507,800 71%
SUPPORTING ACTIVITIES:
Management and General 4,997,300 27% 4,987,500 26%
Fundraising 455,600 3% 573,300 3%
Total Expenses 18,402,600 100% 19,068,600 100%
Change in Unrestricted Net Assets before Gains (Losses) on Long-Term Assets (268,000) 0
Investment Returns Gain (Loss) Realized and Unrealized (1,687,600)
Interest Rate Swap Agreement Returns Gain (Loss) Realized and Unrealized (1,362,700)
Loss on Disposal of Assets (131,500)
Change in Unrestricted Net Assets (3,449,800) 0