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THE STATE OF
THE SOCIETY

by Delbert Chumley, MD
Bexar County Medical Society President 2007


It seems like only a short time ago that I was composing my acceptance speech for the BCMS officers’ installation ceremony. This year really flew by. In retrospect, it’s been a pleasure and one of the highlights of my professional career to have served as your 2007 BCMS President. We have had a very productive year, but it couldn’t have been accomplished without all the hard work and commitment from my colleagues on the Executive Committee, Boards of Directors, Censors, and Mediations, the numerous committees, and from our BCMS CEO and staff. Speaking for the medical community, I thank each of you.

I’d like to summarize some of your medical society’s accomplishments this past year — sort of a report card to our members or, better yet, a “state of the society” address.

Through the efforts of our Legislative Committee, we were successful at defeating certain bills that would have been harmful to our profession, while championing other legislation that benefited our patients and our healthcare system. We successfully defended our hard-fought victory with medical liability reform and addressed the budget deficits in our Medicaid and CHIP programs, assuring access to medical care for our most needy residents.

Our Socioeconomic Committee continues to battle against unjustified reductions in reimbursement rates, for removal of the flawed Medicare SGR formula, and for change in insurance carriers’ policies and procedures, such as unreasonable contracts, economic credentialing, increasing paperwork requirements, and uncovered services, all of which affect both the academic and private practice clinician.

Your society has also been quite active in civic and community affairs, such as emergency preparedness, our City’s homeless shelter project, Haven for Hope, and EMS services. We have worked closely with the Greater San Antonio Hospital Council and have been at the table when decisions were made that would affect our membership or our patients. Through the collaboration of BCMS and the Physician Forum on Quality and Patient Safety, significant changes have been implemented that resulted in improved quality of care and patient safety throughout the metropolitan area. We have representation on BioMedSA, working closely with city and county leaders to increase the presence of bioscience, biotechnology, and healthcare in our community, to bring more jobs to San Antonio, and to make our City a destination for the delivery of healthcare services. BCMS and San Antonio College entered into a partnership in the fall to help address the Medical Assistant shortage in our community by establishing an externship program which promises to be a win-win situation for our membership, our medical community, and the Alamo Community College District.

Thanks to the efforts of our Membership Committee, our numbers continue to grow, maintaining our position as the eighth largest county medical society in the nation. Through the generosity and foresight of the Dean’s Office at UTHSCSA, residents once again have their BCMS dues paid, ensuring future involvement by our young physician community in organized medicine. Our members are kept updated on current society events and news through our official magazine, San Antonio Medicine. We have an energetic and dedicated Publications Committee that oversees the production of what, in my opinion, is clearly the best county medical society publication in Texas, if not the nation. This is a true jewel for our organization.

Our members have the benefit of receiving help with mediation regarding patient complaints, counseling on
medical ethics issues, or assistance with rehabilitation from substance abuse by our excellent peer support system: the Physician Health and Rehabilitation Committee and the Boards of Mediation and Censors. These groups of dedicated men and women have been and remain an immeasurable asset to each of us. Our election process was also improved through a by-laws change that provided our Nominating Committee with more authority and oversight, ensuring we continue to select the best possible candidates for leadership positions. At our most recent Executive Committee meeting, we decided to change our standard general membership meetings next year to more family-oriented social events, such as picnics or even a Fiesta event. This hopefully will encourage membership participation, particularly by our younger members, and result in more congeniality among all of us.

The Past-Presidents’ Advisory Council was reactivated this year with the purpose of ensuring that BCMS members receive due recognition from TMA and other organizations for their achievements and to encourage, through a selection and mentoring process, potential future physician leaders. To have such experienced and knowledgeable physicians still actively involved in our society is a tremendous benefit to our organization.

The society’s financial status is sound and secure, thanks in large part to the oversight and management by
our CEO and Chief Financial Officer. We fair better than other Texas county societies in percentage of income from dues and have a net profit well above budget, reflecting superior management. The income from our staffing, credential verification, and auto-lease services, along with our Circle of Friends, continues to help offset dues and permits us to maintain a budget necessary to complete the work of the society. Both our Circle of Friends and forprofit services are the envy of other county societies, not only because of their uniqueness but also their huge success. Your Board of Directors takes their fiduciary responsibilities very seriously, ensuring that all expenses are justified and within budget, and our savings are secure and appropriately invested.

Our relationship with our Japanese sister medical society, Kumamoto City Medical Association, continues to flourish, with a successful visit there in November by a delegation from BCMS. We are looking forward to their visit this summer. This affiliation is in its fifteenth year and has given many of us the opportunity to experience a special personal and professional friendship with our Japanese colleagues.

The philanthropic arm of our society, the BCMS Foundation, closed another successful year under the leadership of Dr. Dale Wood and a dedicated and committed Board of Directors by awarding a record high $75,000 in college scholarships to deserving San Antonio high school seniors planning to enter a healthcare career. In addition, the BCMS Alliance has been a true ally, working closely with our society on many projects, but particularly in the areas of patient advocacy, First Tuesday visits, and philanthropic endeavors. Congratulations to Anne Foster, BCMS Alliance President, and to her Board members.

In closing, I want to wish the best of luck to our incoming President, Manny Quiñones, our Executive Committee, and our Board of Directors for a successful year. This is a wonderful organization with an important purpose and mission supported by a gifted staff and members willing to roll up their sleeves and help. Thank you again for a wonderful and meaningful experience.