Articles  |   July 2013
Emery A. Rovenstine Memorial Lecture:: John B. Neeld, Jr., M.D., 1999 ASA President, Presents ‘Winning the War’
Author Affiliations
  • Audrée A. Bendo, M.D.,M.S.
    Committee on Annual Meeting Oversight
    Chair
Article Information
Cardiovascular Anesthesia / Practice Management / Advocacy and Legislative Issues / Articles
Articles   |   July 2013
Emery A. Rovenstine Memorial Lecture:: John B. Neeld, Jr., M.D., 1999 ASA President, Presents ‘Winning the War’
ASA Monitor 07 2013, Vol.77, 30.
ASA Monitor 07 2013, Vol.77, 30.
John B. Neeld, Jr., M.D., 1999 ASA President, will present the Emery A. Rovenstine Memorial Lecture in 2013. Responding to the economic reality that our nation cannot sustain ever-increasing health care costs, and the need to provide best quality anesthesia care to an aging and growing population in an era of a continuing shortage of anesthesiologists, ASA has promoted the anesthesiologist-led anesthesia care team as the best model for 21st century care.
Rather than embrace the physician-led model of care and its record of patient safety and quality, the American Association of Nurse Anesthetists (AANA) has undertaken aggressive efforts in legislative and regulatory arenas in state capitals and Washington, D.C., with the goal of dismantling the physician-led model of care. The AANA and the nursing community are joined in these efforts by powerful and well-organized allies, including other advanced practice nurse (APN) organizations and a coalition, including the American Hospital Association, AARP and the Robert Wood Johnson Foundation, which has assisted in funding APN coalition branches in every state. The Federal Trade Commission (FTC) intervened in this debate through its actions targeting several state medical and dental boards, and Congress intervened through Section 2706 of the Public Health Service Act, the “Non-discrimination in health care” provision of the PPACA law. The only effective counter to these efforts is definitive proof of the value anesthesiologists bring to patient care, and proof of our value demands current and valid outcome studies. Dr. Neeld will review the efforts of AANA, the economic imperative to reduce the rate of the rise of health care expenditures, the existing outcome studies in the specialty and a call for ASA to fund well-designed, scientifically-valid outcome studies to prove the value anesthesiologists bring to patient care.
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