In January, the Executive Committee of the LACMA Board met and identified the following priorities:
Membership – increase and retain; individualized marketing, reflect diversity, education, video resources, being attractive to members and prospects
Enhance community profile, brand awareness, Docs4LA
Demonstrate value to membership
Finances / Stability
Wellness – retreats
Advocacy – legislative, organizational
It’s an understatement to say 2020 was a historically challenging year. COVID 19 destroyed lives, livelihoods and was and remains, devastating for physicians on the front lines of care to those who had to close practices, furlough or lay off staff, and saw a drastic reduction in patient volume – all while social unrest impacted so many. By March, LACMA’s Executive Committee moved quickly to allocate funds ($100,000) to reach physician practices in crisis. In addition to funding to help 500+ practices facing the crisis, LACMA provided PPEs to nearly 300 additional practices. Below is a summary of the March CMA COVID 19 Regional Survey.
Virtually all practices (98%) report a substantial decrease in patient volume.
Practice revenue has declined by an average of 67%.
97% of practices are worried about their practices’ financial health due to the financial stress they are experiencing as a result of the COVID-19 public health emergency.
Practices have had to implement multiple, drastic measures to stay viable.
Approximately half (48%) of practices have had to lay off or furlough physicians/staff.
62% of practices have reduced physician/staff hours.
33% have had to cut physician and staff salaries.
14% have had to close their practice temporarily.
Two-thirds of practices (67%) applied for a loan created by the CARES Act.
Physicians ranked financial assistance (66%), PPE (56%), and temporary housing (45%) as the first or second most important resources they need.
View the full survey results at www.cmadocs.org/covid-19
Docs4LA | Through Docs4LA, led by Dr. Sion Roy, LACMA initiated dialogue with organizations involved with housing and transportation issues, addressed gun violence as a public health issue and began coalition building to work on areas that impact patients, their doctors and their communities. LACMA was able to donate to several like-minded organizations such as Skid Row Housing Trust, Meals on Wheels, Community Corps and Santa Monica College.
COVID 19 Rapid Response 1.0, 2.0, 3.0, Front Lines, Meals for 8,000
1.0: Launched Rapid Response Plan to support physicians, patients, communities during COVID 19 pandemic -- $100,000 commitment to acquire PPEs, call for increased social distancing, communications plan key components. “At this critical time in history, it is paramount that LACMA, the leading organization representing physicians in Los Angeles County, takes meaningful steps to support those caring for patients. At the same time, our entire membership of more than 7,000 physicians, students, residents and retirees support the LA Department of Public Health’s efforts to assess and address this pandemic, “ said Sion Roy, MD, LACMA Immediate Past President.
2.0: LACMA invested $50,000 in minority, women-owned practices and physician practices serving communities of color and was also supported by the Patient Care Foundation, with a contribution of $25,000.
LACMA Launched the ‘Front Lines‘ effort to enable physicians and healthcare workers quicker access to food, supplies: “We as physicians never ask for help
which is why burnout was an epidemic throughout our
profession before COVID 19.
The pandemic has exacerbated the problem and we think
giving medical providers a chance to expeditiously obtain
the supplies they need for them and their families while not
having to wait in long lines,” said Roy.
LACMA Partnered with CMA’s Care4Caregivers Initiative to
provide meals for 8,000 essential workers at the 600-bed
Los Angeles County USC Medical Center.
LACMA Partners with CMA to Hold Historic 5 Day PPE Relief Week
The State of California Office of Emergency Services and CMA made available millions of pieces of medical-grade PPE, including N95 masks, surgical masks, shields, gowns and gloves, available FREE to physician practices that have 50 or fewer physicians. From July 27th thru July 31st, LACMA distributed $12M in PPEs for area physicians.
“This week was a true testament to LACMA and CMA working together to help physicians in crisis. The lack of supplies was and remains a paramount issue for physicians as they strive to deliver safe and effective care,” said Dr. Diana Shiba, LACMA President-elect.
LACMA/CMA Distributed 2,325 boxes and shipped an additional 1,039.
In December, LACMA commences COVID 19 Rapid Response 3.0, an initiative to distribute more than 300 boxes of PPE supplies directly to practices from the Los Angeles warehouse. The LACMA Districts provided $10,000 in support of this effort.
A Unique Alliance to Provide COVID 19 Testing for a Community in Need
Thanks to the leadership of Dr. Hector Flores and Dr. Troy Elander, an innovative partnership formed to provide COVID 19 testing for the Boyle Heights community.
“The Patient Care Foundation, the non-profit arm of the Los Angeles County Medical Association is dedicated to improving access to healthcare services for vulnerable communities. We are proud to partner with Hyundai Motor America and Hyundai Hope On Wheels, TELACU, the Consulate General of Israel, Supervisor Solis, and the LA ENT Doctors medical group to provide needed COVID-19 testing to the community of Boyle Heights,” said Troy Elander, MD, Chair, Patient Care Foundation.
Health Equity Council Forges New Path
The LACMA Health Equity Council made tremendous
progress in just a few months thanks to the efforts
of Dr. Diana Shiba, co-chairs Dr. Hector Flores and
Dr. Resa Caivano and members:
Dr. Jerry Abraham, Dr. Troy Elander,
Dr. C. Freeman, Dr. William King,
Dr. Sion Roy, and Dr. Valencia Walker.
The mission of the Health Equity Council is to foster an environment for LACMA which promotes the full health potential and well-being of every member of society and advocates for equity and justice for all.
One of the first initiatives of HEC was the creation of the “Race Against Time” zoom series featuring a wide variety of guests who are experts in structural racism and its impact on health. Dr. Brian Williams, Associate Professor of Trauma and Acute Care Surgery, University of Chicago Medical School was the first guest.
In August, Dr. Diana Shiba and CEO Gustavo Friederichsen sent a joint letter to Los Angeles County Supervisor Mark Ridley Thomas to state, in part: “The Los Angeles County Medical Association (LACMA) applauds your recent proposal and the unanimous support of the Los Angeles County Board of Supervisors declaring racism a public health issue facing the region, joining a list of cities, counties, and states across the nation who have taken similar action.”
Eight Medical Society Presidents Join Forces
LACMA President Dr. Diana Shiba galvanized the eight Southern California area medical society presidents representing Kern, Ventura, Los Angeles, Orange, Riverside, San Bernardino, Imperial, and San Diego to form a new historic collaborative and partnership, the Southern California Medical Society Presidents Council. The Council has been meeting bimonthly and has shared best practiced and discussed issues including the impact of Covid-19 on practices, such as PPE and financial sustainability, structural racism and health inequities, and health-related legislation. The Council recently drafted a letter in support of the 8 Southern California Public Health Officers, imploring residents to follow science-based public health policy, including widespread masking, social-distancing, and frequent handwashing.
LACMA Partners with Los Angeles County Department of Public Health, Los Angeles County Bar Association | In 2020, as COVID 19 continued to adversely impact families, LACMA began a dialogue with food insecurity advocates from LA DPH and UCLA to look for ways to amplify existing efforts, mobilize new ones and make a difference in the lives of residents of Los Angeles.
“Our fundamental goal is and remains to leverage the LACMA network, our resource and our partners to add value to not just the conversations around hunger, but help foster solutions,” said Dr. Shiba.
In September, the Executive Committee of the LACMA Board sent a letter to Governor Gavin Newsom in support of Assembly Bill 826 (Santiago). This bill would have provided desperately needed food assistance to those suffering from hunger, and who worry about where their next meal will come from in the middle of a global pandemic.
MEDIA & COMMUNICATIONS
Developed Robust Communication Platforms
Weekly Monday Rx to members include current and important news around the pandemic
Created a page on the LACMA site dedicated to coronavirus content and resources:
Developed the COVID-19 Physician Playbook that includes topics on finance & reimbursement, telemedicine, advocacy & opportunities, and practice management
Created a new site, www.la4docs.org, that provides resources on free and discounted offers for healthcare workers, where to procure masks, mental health services, etc.:
#PutItOn | In early Summer, LACMA kicked off an innovative public service campaign in support of mask-wearing and public health officers. The successful “Put It On” PSAs campaign included videos encouraging Los Angelenos to wear masks in accordance with public guidelines. The band Los Lobos recorded a “Put it on” message as well and Rolling Stone Magazine featured them and LACMA.
#MedicineForMasks | The campaign called “#MedicineForMasks” alerted the public about the importance of wearing masks in public to prevent further loss of life, while also stressing the importance of hand-washing and social distancing. Through this unprecedented regional effort, covering 56,000 square miles and nearly 23 million people, the effort deploys social media, earned media and the membership and networks of the eight medical societies to reduce the spread of COVID-19 as it collides with the annual flu season. A media event held in late November featured several local community leaders, including union and physician leaders from UCLA and Charles Drew University, and was led by Dr. Shiba as they addressed the pandemic surge.
The campaign called “#MedicineForMasks” alerted the public about the importance of wearing masks in public to prevent further loss of life, while also stressing the importance of hand-washing and social distancing. Through this unprecedented regional effort, covering 56,000 square miles and nearly 23 million people, the effort deploys social media, earned media and the membership and networks of the eight medical societies to reduce the spread of COVID-19 as it collides with the annual flu season. A media event held in late November featured several local community leaders, including union and physician leaders from UCLA and Charles Drew University, and was led by Dr. Shiba as they addressed the pandemic surge.
In Other News
LACMA Kicks Off ‘Clear as Mud’ Podcasts | Thanks to the generous support of the Patient Care Foundation, LACMA launched its first podcast series called “Clear as Mud”. The episodes feature guests from physicians to experts in policy and wellness.
CELEBRATIONS & MILESTONES
VIrtual Installation | LACMA Held its first virtual President and Officers Installation and installed its first Asian American female president, Dr. Diana Shiba.
Two Milestone Grants | Thanks to the work of LACMA executive committee member Dr. Hector Flores, LACMA secured a $25,000 grant from the California Endowment to fund health equity initiatives, specifically an environmental scan of Latinx executive leadership in Los Angeles County in partnership with Dr. David Hayes Bautista.
$35,000 from the Pharmaceutical Research and Manufacturers of America (PhRMA) to continue LACMA’s MD Wellness Retreats in 2021 in partnership with the Four Seasons Resort, Westlake Village and California Health & Longevity Center
Ten New Preferred Partners (for 2021) to Deliver Value to Members
BY THE NUMBERS
Financials | LACMA is projected to end 2020 with a net operating surplus of over $27,000. Total revenue, total expense, and total net income are listed below with actual income and expense through November 2020 and expected revenue and expenses for December 2020.
LACMA is projected to end 2020 with total revenue down from 2019 by over $100,000. Total
expense is projected to end with an increase of nearly $100,000 from last year. LACMA
membership dues are up from 2019, however, sponsorship and partnership revenue have
decreased significantly from last year. The decrease in sponsorship revenue is offset by the
decrease in meeting expenses, however, expenses are up overall due to the COVID-19
financial assistance and PPE relief efforts that were unique to 2020.
+ Net operating income is projected to end at over $27,000 for 2020
+ Net operating income ended at over $228,000 in 2019
+ The decrease in net operating income from 2019 to 2020 is over $200,000
+ Net operating income does not include gains or losses in LACMA’s investment portfolio
MEMBERSHIP: + 102%
Year to year (based on churn) +91 members
2.2% growth from last year over 2019