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The National
   Lipid Association
   and the Polish Lipid
   Association
   A Model for Global
   Cooperation
Christopher R. Seymour,
MBA
Executive Director
Warsaw, Poland
September 9, 2011
Chris Seymour
   Born in Chicago (Polish Section)
   Graduated Temple Univ. (Philadelphia)
     Chemistry

   Naval Officer (Commander USN)
   Master of Business Administration (Jacksonville
    U)
   Executive Director
     American   Assoc. of Clinical Endocrinologists (1993-
      1996)
     National Lipid Association (1997- present)
Family Name: SLYSZ

Town:Pielnia
Province: PODK
Former Province: Krosno
Persia




                           Kenya
  Siberia



• England
• Canada
• United States
The National
   Lipid Association
   and the Polish Lipid
   Association
   A Model for Global
   Cooperation
Christopher R. Seymour,
MBA
Executive Director
Warsaw, Poland
September 9, 2011
Mission

The mission of the National Lipid Association
   (NLA) is to enhance the practice of lipid
      management in clinical medicine.
FOUNDING VALUES

Professionalism:
The NLA will enhance medical knowledge, clinical skills, and
related business activities that provide for more effective patient
outcomes. Promoting and sustaining the highest ethical
standards will be an essential component of these activities.

Public Service:
The NLA will enhance efforts to reduce death
and disability related to disorders of lipid metabolism in patients.

Multidisciplinary Approach:
The NLA will strive to provide professional activities for
the disciplines which comprise the membership.
FOUNDING VALUES
Cooperation:
The NLA will be supportive of other organizations with common
purposes and values and will seek active interactions with such
organizations.


Business Ethics:
The NLA will promote its activities with the utmost respect to
acceptable business practices, ensuring all interactions will
be undertaken in a responsible and ethical fashion.

Continuous Growth and Development:
The NLA will promote responsible outreach to all regions
of the country to make available the membership benefits
of the NLA in every community.
Definition of Clinical Lipidology
Adopted May 2006




       Clinical Lipidology is a multidisciplinary
      branch of medicine focusing on lipid and
           lipoprotein metabolism and their
                 associated disorders.
Clinical Perspective
Members
Respondents by Specialty
                               About half of physician respondents are self-report as IMs or FPs
                               Nearly a third of the respondents are cardiologists (CARDS)

                         100%



                         80%
       % of Physicians




                         60%
                                      50%

                         40%
                                                                         32%

                         20%
                                                                                                              11%
                                                                                                                                                    7%
                          0%

                                     IM/FP                              CARD                                 ENDO                                 Other
                                     (n=218)                            (n=138)                               (n=50)                               (n=30)



 Base: Physicians (n=436)
 Q3b Please describe your board certification: Cardiology, Endocrinology, Internal Medicine, Family Medicine, Other [specify]. Other includes Pediatrics, Lipidology/Clinical
     Lipidology, Medical Biochem, and Nephrology.
13
Distribution by Practice Profile*
                   Lipid Clinic                                       Lipid Specialist              General Member




 * n=628 (29 respondents excluded because of undetermined addresses or international respondents)
Frequency of Practice Services
         100%


                   80%
                               69%
% of Respondents




                                                 60%                59%
                   60%

                                                                                       41%
                   40%
                                                                                                          24%
                   20%
                                                                                                                             10%
                                                                                                                                                6%                 6%                 5%             1%
                   0%
                    Diabetes management
                              Nutrition/ Exercise Weight Managementtrial participation RehabLDLOther HTN/ Lipids Other Misc./ General Health**Teaching, Educational
                                                  programs Clinical              Cardiac        Apheresis        Diagnosis & Mgt.*
                                                                                                                                 Other Cardio Services***
                                                                                                                                       Other




                                   *Includes: Lipid management, Hypertension/Anticoagulation Management, CIMT, HTN management, Advanced lipid/lipoprotein testing
                                   **Other miscellaneous mentions, Internal medicine, Lab, Sports medicine
                                   ***Non-Invasive Cardiology Diagnostics, General (e.g. Stress testing/(nuclear/echo), Cardiology services (general cardiology/non specific), Preventive
                                      Cardiology Services & Risk Assessment ((non-specific)), Interventional Cardiology
                                   ****Smoking cessation, Diabetes education, Teaching/education (non-specific), Med management/education (non-specific)




                   Base: Physician/NP/PA/Pharm (n=594). Total is greater than 100% due to multiple responses.
                   Q15 Please indicate which of the following services your practice provides: [check boxes], Clinical trial participation, Cardiac rehab, Diabetes management, Nutrition/exercise
                       programs, Weight management, LDL apheresis, Other – please specify [fill in blank]
                                                                                                                                                                                                     15
Overview Slide
Greatest Need for
Education/Awareness
                                                                                                Lipid Clinici           Lipid Specj    Not Lipid Speck
                                                                                                     (n=155)                (n=200)        (n=282)
           Statin intolerance: evaluation and management                                            57%    JK                39%            36%
 Strategies for improving patient compliance with therapy
                                                                                                    52% Jk                   37%            43% j
                           (medication and/or diet/lifestyle)
                                        Metabolic syndrome                                          45% jk                   37%            35%
                                      Genetic testing for FH                                        21% j                    13%           18% j
                                       Lipoprotein particle #                                        34%                    41% ik          33%
                                                    Non-HDL                                          30%                     26%            26%
                                                       Apo B                                         30%                    36% ik          30%
                                 Genetic markers, e.g., KIF6                                         27%                     30%            25%
                                                     Lp-PLA2                                         24%                    33% I          31% I
 Familial hypercholesterolemeia screening and diagnosis                                              23%                     18%            22%
                                    Lipoprotein particle size                                        19%                     16%           23% J
                          Lipid clinic practice management                                           17%                     15%           24% iJ
                                                        Lp(a)                                        15%                    21% I          21% I
                                                       HDL-C                                         14%                    19% I           17%
                                                         CRP                                         12%                     16%            14%
                                                Triglycerides                                        11%                    18% ik          12%
                                      Other apolipoproteins                                           8%                     8%              9%
                                                       APO E                                          6%                    10% I          13% I
                                                       LDL-C                                          3%                     6%            10% Ij
                                          None of the above                                           1%                     1%              1%
Base: All Respondents (n=657)
Q22-3.   Of those listed, the 5 topics where you believe there is greatest need for increased awareness and/or education? (select 5)
                                                                                                                                                         20
Activity Formats Delivered
2007-2010




            Types of Activities Offered (Total = 200)

                    6%

                                           Live Meetings & Courses
              25%
                                           Internet

                         69%               Print/SAPs
Communicating the Message
Communicating the Message


@Lipid      e-
Newsbrief
Communicating the Message
The Lipid Spin
Newsletter
•Practice focused

•Developed by Chapters



•Editors:

•Jamie Underberg, MD

•Robert Wild, MD
Communicating the Message

Broadcast MediaReach MD / Lipid Luminations
    Satellite Radio

    Podcasts are archived

    Host – Dr. Alan Brown



    Reaches 700,000 monthly listeners
Foundation of the NLA

   Established December 2008

   Goal to establish “outreach” for
    lipidology
     Public Education about Lipidology
     Extended Opportunities for Professional
      Education
     Local effort to reach community based
      members and patients.
   Foundation Grant Program
     Research grants, medical
     education grants and
    community outreach grants.

   Public Education
     100 Q & A About Cholesterol
     Educational booklet for general public and
      patients

   National Campaign: Familial
    Hypercholesterolemia

   Fundraising Activities
Sources Used to Learn About Lipid
ManagementNEJM and JACC as most often used sources for LM information
• Respondents cite JCL,
• ~60% describe reading journals online; 45% use other (non-journal) online source




                             Journal of Clinical
                              Lipidology/Journal
                              of Lipidology        45%
                             NEJM                  23%
                             Lipid Spin            20%
                             JACC                  20%   NLA     63%
                             Circulation           16%   AHA     21%
                             JAMA                  10%   ACC     19%
                                                                       NLA         23%
                                                                       NEJM        13%
                      100%                                             Heart.org   12%
                                       88%                     88%     Medscape    12%      Heart.org   17%
                                                                                            Medscape    13%
   % of Respondents




                                                                                            NLA         12%
                      80%                                                                   UpToDate    11%
                                                                                                                NLA       27%
                                                                            62%                                 ReachMD 12%
                      60%                                                                                       Heart.org 10%
                                                                                                45%
                                                                                                                                   NLA       42%
                      40%                                                                                                          Heart.org 9%
                                                                                                                    27%
                      20%
                                                                                                                                         5%                  1%
                       0%
                                Reading journals          Attending    Reading journal     Reading other on-    Listening to or        Reading or      None of the above
                                (printed versions)       conferences   websites or email   line sources (not watching Pod-casts participating in on-
                                                                          updates               journals)    or other audio/video line chat rooms with
                                                                                                               lectures on-line      peer clinicians


 Base: All respondents (n=657). Total is greater than 100% due to multiple responses. Top mentions noted in text boxes.
 Q23. Which sources do you use to learn about lipid management? Which ones?
                                                                                                                                                                     30
International Relationships

Bring together a core group of organizations
 with like international interests to share,
 cooperate and discuss;
     Clinical application of science and research in clinical
     lipidology and cardiometabolic science.
     Establishment of a framework of collaborative
     organizations dedicated to the field of clinical
     lipidology.

  Improve     the practice of Clinical Lipidology
Cooperation Objectives
Other Objectives
 Develop a cooperation/affilaition program that can
  be adopted by an organization within a country
  that would allow exchange of education programs.

   To reach a diversity of healthcare professionals
    interested in improving their knowledge and skills
    in managing patients with lipid disorders.

   Foster the examination of competency based on
    standardized curriculum.
Policy (Professional and Public)

   Policy Development
     Toseek international consensus on clinical
     guidelines and recommendations.

     Toestablish unified messages for public ,
     patients, and other audiences.
Currently Offered
    Participate in NLA Programs at member rate.
      Journal (Electronic)
      Lipid Spin (Electronic)

      Meeting rates



    Participate in Online Education/Community
    Enhance and develop PoLA page at Lipid.org

    Send reports and recommendations to the
     NLA Board through a recognized liaison.
Short Term Goals

   Participate with NLA in establishment of
    recognized curriculum.

   Work on international consensus statements,
    guidelines and recommendations.

   Fellowship in the NLA (Award)
Long Term Goals
   Establish routes to recognized certification as
    necessary.

   Form a global organization of Lipid Related
    Organizations

   Demonstrate enhanced patient outcomes and
    improvement on a global basis.
NLA International Activity
   2005 – Recognized as Component Society of IAS
   2006 – Summit Program in Rome
   2007 – Summit Program in Prague
   2008- Venice IAS- Clinician Council Workgroup
   2010 – Australia AAPSAVD-AAS Congress
   2010 – Australia - Masters Course
   2010 – India - Best of NLA 2010
   2010 – Formal tie with International Cholesterol
    Federation
   2011 –Conference with Polish Lipid Association (PoLA
    )
   2011 – India-Best of NLA 2011
   2012 – Australia-Collaboration at the ISA 2012
    Meeting
Option to Join
   $35.00 per year
Certification

American Board of Clinical
 Lipidology
The American Board of Clinical Lipidology was
     established to encourage professional
  growth in the practice of Lipidology, and to
    enhance physician practice behavior to
       improve the quality of patient care.
Certification

   The ABCL is an independent certifying
    organization offering the only certification
    program for physicians specializing in Clinical
    Lipidology.

   Since offering its first exam in 2005, 700
    physicians have earned the distinction of
    “Diplomate of the ABCL.”
Training Requirements
Certification

   Established in 2006, the Accreditation Council in Clinical
    Lipidology is an independent certifying organization that
    has developed standards and an exam for allied health
    practice providers in lipidology. Two exams are offered.

       Advanced Exam: The ACCL award certification as a "Clinical
        Lipid Specialist” to successful candidates (125 CLS)


       Basic Exam The BCCL is a basic exam and certification
        available to professionals and industry (199 plus 90
        pending)
Exam Content ABCL vs. ACCL*
         ABCL (physician exam)                   ACCL (*CLS Allied health exam)
   24% Molecular lipidology                  22% Pharmacological Therapy
   18% Pharmacologic therapy                 18% Nutrition and Non-
   14% Nutrition and non-                           pharmacological Therapy
    pharmacologic therapy                     10% Clinical Trials
   14% Risk assessment and NCEP              10% Metabolic Syndrome
         Guidelines                           10% Risk Assessment and NCEP
   10% Lipoprotein metabolism                       Guidelines
   10% Epidemiology and clinical trials      10% Lipoprotein Metabolism
   10% Metabolic syndrome                    5% Genetic Disorders
                                              5% Vascular Biology
                                              5% Special Populations
                                               (ethnicity,
                                                     pediatrics, geriatrics, HIV,
                                                     etc.)
                                              5% Behavior and Compliance
Issues the NLA Is Facing

 Maintaining quality/relevance of our CME
 Meeting our diverse members’ needs
 Compliance with new laws and regulation
 Demonstrating outcomes
 Invigorating volunteer leadership
 Creating positive collaborations
 Promoting multidisciplinary care
 Funding / Independence from Industry
cseymour@lipid.org
   www.lipid.org
   Phone: 904.998.0854


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Seymour

  • 1. The National Lipid Association and the Polish Lipid Association A Model for Global Cooperation Christopher R. Seymour, MBA Executive Director Warsaw, Poland September 9, 2011
  • 2. Chris Seymour  Born in Chicago (Polish Section)  Graduated Temple Univ. (Philadelphia)  Chemistry  Naval Officer (Commander USN)  Master of Business Administration (Jacksonville U)  Executive Director  American Assoc. of Clinical Endocrinologists (1993- 1996)  National Lipid Association (1997- present)
  • 3. Family Name: SLYSZ Town:Pielnia Province: PODK Former Province: Krosno
  • 4. Persia Kenya Siberia • England • Canada • United States
  • 5. The National Lipid Association and the Polish Lipid Association A Model for Global Cooperation Christopher R. Seymour, MBA Executive Director Warsaw, Poland September 9, 2011
  • 6. Mission The mission of the National Lipid Association (NLA) is to enhance the practice of lipid management in clinical medicine.
  • 7. FOUNDING VALUES Professionalism: The NLA will enhance medical knowledge, clinical skills, and related business activities that provide for more effective patient outcomes. Promoting and sustaining the highest ethical standards will be an essential component of these activities. Public Service: The NLA will enhance efforts to reduce death and disability related to disorders of lipid metabolism in patients. Multidisciplinary Approach: The NLA will strive to provide professional activities for the disciplines which comprise the membership.
  • 8. FOUNDING VALUES Cooperation: The NLA will be supportive of other organizations with common purposes and values and will seek active interactions with such organizations. Business Ethics: The NLA will promote its activities with the utmost respect to acceptable business practices, ensuring all interactions will be undertaken in a responsible and ethical fashion. Continuous Growth and Development: The NLA will promote responsible outreach to all regions of the country to make available the membership benefits of the NLA in every community.
  • 9. Definition of Clinical Lipidology Adopted May 2006 Clinical Lipidology is a multidisciplinary branch of medicine focusing on lipid and lipoprotein metabolism and their associated disorders.
  • 10.
  • 13. Respondents by Specialty  About half of physician respondents are self-report as IMs or FPs  Nearly a third of the respondents are cardiologists (CARDS) 100% 80% % of Physicians 60% 50% 40% 32% 20% 11% 7% 0% IM/FP CARD ENDO Other (n=218) (n=138) (n=50) (n=30) Base: Physicians (n=436) Q3b Please describe your board certification: Cardiology, Endocrinology, Internal Medicine, Family Medicine, Other [specify]. Other includes Pediatrics, Lipidology/Clinical Lipidology, Medical Biochem, and Nephrology. 13
  • 14. Distribution by Practice Profile* Lipid Clinic Lipid Specialist General Member * n=628 (29 respondents excluded because of undetermined addresses or international respondents)
  • 15. Frequency of Practice Services 100% 80% 69% % of Respondents 60% 59% 60% 41% 40% 24% 20% 10% 6% 6% 5% 1% 0% Diabetes management Nutrition/ Exercise Weight Managementtrial participation RehabLDLOther HTN/ Lipids Other Misc./ General Health**Teaching, Educational programs Clinical Cardiac Apheresis Diagnosis & Mgt.* Other Cardio Services*** Other *Includes: Lipid management, Hypertension/Anticoagulation Management, CIMT, HTN management, Advanced lipid/lipoprotein testing **Other miscellaneous mentions, Internal medicine, Lab, Sports medicine ***Non-Invasive Cardiology Diagnostics, General (e.g. Stress testing/(nuclear/echo), Cardiology services (general cardiology/non specific), Preventive Cardiology Services & Risk Assessment ((non-specific)), Interventional Cardiology ****Smoking cessation, Diabetes education, Teaching/education (non-specific), Med management/education (non-specific) Base: Physician/NP/PA/Pharm (n=594). Total is greater than 100% due to multiple responses. Q15 Please indicate which of the following services your practice provides: [check boxes], Clinical trial participation, Cardiac rehab, Diabetes management, Nutrition/exercise programs, Weight management, LDL apheresis, Other – please specify [fill in blank] 15
  • 16.
  • 18.
  • 19. Greatest Need for Education/Awareness Lipid Clinici Lipid Specj Not Lipid Speck (n=155) (n=200) (n=282) Statin intolerance: evaluation and management 57% JK 39% 36% Strategies for improving patient compliance with therapy 52% Jk 37% 43% j (medication and/or diet/lifestyle) Metabolic syndrome 45% jk 37% 35% Genetic testing for FH 21% j 13% 18% j Lipoprotein particle # 34% 41% ik 33% Non-HDL 30% 26% 26% Apo B 30% 36% ik 30% Genetic markers, e.g., KIF6 27% 30% 25% Lp-PLA2 24% 33% I 31% I Familial hypercholesterolemeia screening and diagnosis 23% 18% 22% Lipoprotein particle size 19% 16% 23% J Lipid clinic practice management 17% 15% 24% iJ Lp(a) 15% 21% I 21% I HDL-C 14% 19% I 17% CRP 12% 16% 14% Triglycerides 11% 18% ik 12% Other apolipoproteins 8% 8% 9% APO E 6% 10% I 13% I LDL-C 3% 6% 10% Ij None of the above 1% 1% 1% Base: All Respondents (n=657) Q22-3. Of those listed, the 5 topics where you believe there is greatest need for increased awareness and/or education? (select 5) 20
  • 20. Activity Formats Delivered 2007-2010 Types of Activities Offered (Total = 200) 6% Live Meetings & Courses 25% Internet 69% Print/SAPs
  • 23. Communicating the Message The Lipid Spin Newsletter •Practice focused •Developed by Chapters •Editors: •Jamie Underberg, MD •Robert Wild, MD
  • 24. Communicating the Message Broadcast MediaReach MD / Lipid Luminations  Satellite Radio  Podcasts are archived  Host – Dr. Alan Brown  Reaches 700,000 monthly listeners
  • 25.
  • 26. Foundation of the NLA  Established December 2008  Goal to establish “outreach” for lipidology  Public Education about Lipidology  Extended Opportunities for Professional Education  Local effort to reach community based members and patients.
  • 27. Foundation Grant Program  Research grants, medical education grants and community outreach grants.  Public Education  100 Q & A About Cholesterol  Educational booklet for general public and patients  National Campaign: Familial Hypercholesterolemia  Fundraising Activities
  • 28.
  • 29. Sources Used to Learn About Lipid ManagementNEJM and JACC as most often used sources for LM information • Respondents cite JCL, • ~60% describe reading journals online; 45% use other (non-journal) online source Journal of Clinical Lipidology/Journal of Lipidology 45% NEJM 23% Lipid Spin 20% JACC 20% NLA 63% Circulation 16% AHA 21% JAMA 10% ACC 19% NLA 23% NEJM 13% 100% Heart.org 12% 88% 88% Medscape 12% Heart.org 17% Medscape 13% % of Respondents NLA 12% 80% UpToDate 11% NLA 27% 62% ReachMD 12% 60% Heart.org 10% 45% NLA 42% 40% Heart.org 9% 27% 20% 5% 1% 0% Reading journals Attending Reading journal Reading other on- Listening to or Reading or None of the above (printed versions) conferences websites or email line sources (not watching Pod-casts participating in on- updates journals) or other audio/video line chat rooms with lectures on-line peer clinicians Base: All respondents (n=657). Total is greater than 100% due to multiple responses. Top mentions noted in text boxes. Q23. Which sources do you use to learn about lipid management? Which ones? 30
  • 30. International Relationships Bring together a core group of organizations with like international interests to share, cooperate and discuss;  Clinical application of science and research in clinical lipidology and cardiometabolic science.  Establishment of a framework of collaborative organizations dedicated to the field of clinical lipidology.  Improve the practice of Clinical Lipidology
  • 31. Cooperation Objectives Other Objectives  Develop a cooperation/affilaition program that can be adopted by an organization within a country that would allow exchange of education programs.  To reach a diversity of healthcare professionals interested in improving their knowledge and skills in managing patients with lipid disorders.  Foster the examination of competency based on standardized curriculum.
  • 32. Policy (Professional and Public)  Policy Development  Toseek international consensus on clinical guidelines and recommendations.  Toestablish unified messages for public , patients, and other audiences.
  • 33. Currently Offered  Participate in NLA Programs at member rate.  Journal (Electronic)  Lipid Spin (Electronic)  Meeting rates  Participate in Online Education/Community  Enhance and develop PoLA page at Lipid.org  Send reports and recommendations to the NLA Board through a recognized liaison.
  • 34. Short Term Goals  Participate with NLA in establishment of recognized curriculum.  Work on international consensus statements, guidelines and recommendations.  Fellowship in the NLA (Award)
  • 35. Long Term Goals  Establish routes to recognized certification as necessary.  Form a global organization of Lipid Related Organizations  Demonstrate enhanced patient outcomes and improvement on a global basis.
  • 36. NLA International Activity  2005 – Recognized as Component Society of IAS  2006 – Summit Program in Rome  2007 – Summit Program in Prague  2008- Venice IAS- Clinician Council Workgroup  2010 – Australia AAPSAVD-AAS Congress  2010 – Australia - Masters Course  2010 – India - Best of NLA 2010  2010 – Formal tie with International Cholesterol Federation  2011 –Conference with Polish Lipid Association (PoLA )  2011 – India-Best of NLA 2011  2012 – Australia-Collaboration at the ISA 2012 Meeting
  • 37. Option to Join  $35.00 per year
  • 38. Certification American Board of Clinical Lipidology The American Board of Clinical Lipidology was established to encourage professional growth in the practice of Lipidology, and to enhance physician practice behavior to improve the quality of patient care.
  • 39. Certification  The ABCL is an independent certifying organization offering the only certification program for physicians specializing in Clinical Lipidology.  Since offering its first exam in 2005, 700 physicians have earned the distinction of “Diplomate of the ABCL.”
  • 41. Certification  Established in 2006, the Accreditation Council in Clinical Lipidology is an independent certifying organization that has developed standards and an exam for allied health practice providers in lipidology. Two exams are offered.  Advanced Exam: The ACCL award certification as a "Clinical Lipid Specialist” to successful candidates (125 CLS)  Basic Exam The BCCL is a basic exam and certification available to professionals and industry (199 plus 90 pending)
  • 42. Exam Content ABCL vs. ACCL* ABCL (physician exam) ACCL (*CLS Allied health exam)  24% Molecular lipidology  22% Pharmacological Therapy  18% Pharmacologic therapy  18% Nutrition and Non-  14% Nutrition and non- pharmacological Therapy pharmacologic therapy  10% Clinical Trials  14% Risk assessment and NCEP  10% Metabolic Syndrome Guidelines  10% Risk Assessment and NCEP  10% Lipoprotein metabolism Guidelines  10% Epidemiology and clinical trials  10% Lipoprotein Metabolism  10% Metabolic syndrome  5% Genetic Disorders  5% Vascular Biology  5% Special Populations (ethnicity, pediatrics, geriatrics, HIV, etc.)  5% Behavior and Compliance
  • 43. Issues the NLA Is Facing  Maintaining quality/relevance of our CME  Meeting our diverse members’ needs  Compliance with new laws and regulation  Demonstrating outcomes  Invigorating volunteer leadership  Creating positive collaborations  Promoting multidisciplinary care  Funding / Independence from Industry
  • 44. cseymour@lipid.org www.lipid.org Phone: 904.998.0854 Dziekuje