Each year, the California Society of Anesthesiologists elects it's officers at the House of Delegates meeting. This year the event will be taking place virtually on June 7th. The candidates have been nominated by the Committee on Leadership Development and Nominations.
Please find those nominated, including photos and statements for all officer positions that have more than on candidate.
ASA Director for California
The Director from California of the American Society of Anesthesiologists shall: Counsel with the officers, directors, delegates and members of this Society on matters pertaining to the improvement of this Society; Represent this Society on the Board of Directors and in the House of Delegates of the American Society of Anesthesiologists; Submit a report at each session of the House of Delegates of this Society on all pertinent activities of the American Society of Anesthesiologists and its Board of Directors or House of Delegates which have taken place since the submission of the last such report; and Perform such other duties as are provided in these Bylaws.
Johnathan L. Pregler, MD
The ASA Director is a representative and also the organizational leader of our involvement at the national level. I have demonstrated leadership ability and ASA experience that would allow me to fulfill these roles at the highest level. I work at UCLA where I provide clinical care and serve as a faculty member.
I regularly work in the operating room providing physician-only care and training residents. The other component of my job is serving as Medical Director for Operative Services with responsibility for 11 operative facilities that perform 60,000 procedures with 900 employees and a budget of $200M.
Within the CSA, I advanced through the Speaker track and I remain dedicated to a collaborative decision-making process. During my CSA Presidency in 2013 we established 2 major strategic initiatives that continue today. Our current public relations efforts and lobbying strategy were started after several years of battling the Medicare Opt-Out decision in court. These two initiatives resulted in the hiring of our current PR firm and lobbyists that have served us so well over the past 7 years and created a much more effective presence in Sacramento.
I have served on numerous committees including the Committee on Economics, and Quality Management and Departmental Administration. My ASA efforts have been focused on preserving payment for our professional services and maintaining the conditions under which we practice. I was honored to be chosen to Chair the 33% Medicare Payment Problem Task Force of the Committee on Economics. Solving the problem of low Medicare payment rates is one of our most pressing issues and I appreciate the trust that ASA leadership has in my ability to accomplish this task. I have also been nominated by QMDA to serve on the US Pharmacopeia, the organization that establishes national guidelines for the handling of medications in our practice settings.
The COVID pandemic has presented the most difficult leadership challenges that I have faced in my career. Leading our physicians and staff during the pandemic with limited scientific guidance was a true challenge and the value of the ASA’s statements was critically important to all of us. I was honored to participate in the writing of the ASA’s statements on COVID Testing, the Use of PPE and the Roadmap for Resuming Elective Surgery.
I have represented us 14 times in Washington, DC at the ASA’s Legislative Conference and am a legislative key contact. I was also elected by the Board as one of only 4 Alternate Directors to serve on an ASA Board Review Committee.
If elected, I plan to support all of you by helping with committee appointments and by building your ASA connections to maintain California’s level of engagement. Within a few years, I plan to seek a position as ASA officer. Serving as your Director would increase my visibility for ASA office.
I humbly ask for your vote to serve as ASA Director. Please don’t hesitate to contact me with any questions about my candidacy.
Johnathan Pregler, MD
Paul B. Yost, MD, FASA
The ASA Director for California represents all of you – CSA members, delegates, officers – at the ASA Board of Directors. We are the largest state society. It’s critical for our next Director to represent our interests forcefully and constructively at the national level.
As a full-time clinical anesthesiologist in MD-only private practice, I understand the financial pressure that all of us are enduring. I normally bill around 1000 units per month. In April, I billed only 100 units! Taking care of pediatric patients as well as adults, I see the strain that families are under during this pandemic. This is a time that will force us to adapt in unprecedented ways. Yet anesthesiologists have never before had such a positive image as front-line heroes, so there is great opportunity too.
The ASA Director must have leadership ability and experience to stand up effectively for California anesthesiologists. Here’s why I believe I’m ready to take on this vital task:
- In-depth political experience
Before becoming CSA President in 2014, I served as Chair of LPAD, representing CSA interests in Sacramento. From the inside out, I understand California politics and campaigns because I’ve been elected to City Council and to the office of mayor of my town, Seal Beach. In 2018, I was elected President of the Orange County Medical Association. I have worked extensively with local and state elected officials on healthcare issues, and am a key contact with Congress members including Raul Ruiz, MD, one of a few physicians in the House of Representatives.
- Proven effectiveness at the ASA national level
In 2017, ASA leadership honored me with a seat on the ASAPAC Executive Board. The very next year our state won the ASA Day of Contributing Challenge! I remember working the phones with many of you late into the night to make that happen. Later that year, for the first time, California won the Alabama Cup as the state with the highest contribution to ASAPAC, because CSA members understand along with me that money is the mother’s milk of politics!
- Financial stewardship
As CSA President in 2014-15, I guided CSA through a difficult transition where we decided not to operate our own stand-alone office any longer. Instead, we now contract with a professional association management firm in Sacramento. The location close to the Capitol strengthens our advocacy and made CSA stronger. We have a professional staff with more depth and skills and saves CSA more than $100,000 per year. CalOptima, the largest health insurer in Orange County, insures low-income children and adults who are eligible for full Medi-Cal. I have been publicly appointed to the CalOptima Board and elected to serve as chair, with responsibility for $3.6 billion of Medi-Cal funds for 750,000 patients.
I look forward to hearing from you! Please call or email to discuss any questions or issues. I hope to serve you as ASA Director for California, and I ask for the honor of your support and your vote.
Paul Yost, MD, FASA
ASA Alternate Director for California
The Alternate Director from California of the ASA shall: Assist the Director in the performance of the Director's duties; and perform the duties of the Director when the Director is unable to act.
James M. Moore, MD
My name is Jim Moore. I would like to tell you about my background and explain why I think I will be the right choice as Alternate Director of the ASA from California.
My clinical specialty is regional anesthesia, and I’ve served several roles in my department at UCLA, such as leading the acute pain service, the preoperative clinic, and our electronic health record implementation.
In the CSA I have been delegate, director, Vice Speaker and Speaker of the House, and served on the Board of Directors for many years. During my term as President of the CSA, we defeated a bill in the state assembly that would have set out-of-network payments to 100% of Medicare rates; CSA began its push for safe anesthesia care for pediatric dental procedures; and we made a successful transition to new office management, which still operates our office functions today. During my presidency, CSA established the nonprofit CSA Foundation, and through the Foundation started its support of STEM education that has helped to implement a biomedical sciences curriculum in several California high schools.
Each state has one director and one alternate director on the ASA Board, so we need effective leaders from California to represent this large contingency that our membership comprises. In the ASA, I believe I have earned a reputation as a respected and capable leader. I also hope to continue to represent California as I work toward seeking election to ASA office in the future, and serving as Alternate Director would be a step toward that goal.
For several years I served as chair of the ASA Committee on Performance and Outcomes Measures. I led the development of quality measures for the ASA which now are part of the Merit-based Incentive Payment System, for anesthesiologists to report in the Quality Payment Program and determine Medicare payment adjustments. I have had regular interaction with ASA leadership and leaders of other anesthesiology and surgical societies, seeking to promote the highest standards for quality of patient care.
When the ASA convened its Education Summit to formulate a strategic plan for ASA educational activities, I was asked to play a key role. I was chair of the Education Summit workgroup that addressed Understanding and Implementing New Technologies. The strategies from that Education Summit still help to guide ASA’s educational activities today.
No one could have foreseen the upheaval in our lives that has occurred this year. As we work to keep our families safe and continue to provide the best care for our patients, we face great uncertainties for the near future. CSA members need the CSA and ASA, now more than ever. Both societies continue to provide resources and advocacy so that we can keep our practices secure and continue to promote the best of care for our patients. I sincerely hope to be able to help with this important work by representing you on the ASA Board of Directors as Alternate Director. I ask for your support and your vote. Thank you.
Mark I. Zakowski, MD, FASA
I appreciate you for the time and effort you have volunteered on behalf of our society and our specialty. We need more leaders like you!
Likewise, I first started at CSA as District Director 20 years ago! My perspective includes that of being a “PracAdemic” – private practice academic. Starting my career in NYC as an academic Obstetric Anesthesiologist at Bellevue/NYU for 7 years, I then came back in 1996 to Los Angeles at Cedars-Sinai, a private practice. As my department grew and evolved, we gained a residency and later I started the Fellowship in Obstetric Anesthesiology, becoming ACGME accredited and achieved SOAP Center of Excellence designation. So must CSA, ASA and all of us – adapt to changing situations and be ‘at the table’ to help guide our future.
CSA itself has morphed over the years from a direct staff employment model, endured some difficult times and staff turnover, then recognizing our limitations in managing an office and advanced to using an association management company and tactically moving the CSA office from San Mateo to a Sacramento based firm. I advocated for CSA structural changes and moving the office to where our voice and presence would help our society and members the most – the state Capitol. Advocacy is members prime concern, and as CSA President I led the GASPAC ‘fix’.
Personal growth and learning remain a lifelong process, often accelerated by external forces. As Chair of Legislation and Practice Affairs, I stretched my comfort zone and learned the advocacy craft while educating the nuances of our specialty to our then new KP Public Affairs lobbyists. We spent innumerable hours together, co-learning.
My principles center around transparency, inclusion and service to others. I opened the committee nomination process to the entire CSA membership, a tradition that has continued. Rather than relying on the usual ‘powerhouses’, I sought and encouraged folks from private practice and mid-to-smaller sized groups to participate at committee and leadership levels. I continue to mentor past residents, fellows and society colleagues.
The experiences at CSA helped me serve SOAP (Society for Obstetric Anesthesia and Perinatology) as Chair of Education and later as President 2018-19. My CSA and ASA connections and experiences helped me to guide SOAP. As Education Chair, I set explicit committee membership goals and expectations, while simultaneous opening up to allow new members to participate. My two decades of CSA/ASA experiences and connections helped guide and inform many decisions. While CSA focuses on activities with ASA and CMA, SOAP has many more interdisciplinary and intersociety interactions e.g. ACOG, SMFM, OAA.
Similarly, the knowledge, skills and experience I gained participating and leading a Sub-Specialty Society, helps inform and guide my perspectives going forward and will benefit CSA, ASA, our sub-specialty societies and interdisciplinary societies relations.
With your help and support, I hope to be of service to you and our professional societies as ASA Alternate Director. My various experiences – Private Practice, Academic, Sub-Specialty Society, Advocacy, Education, transparency, inclusion and mentoring will help guide discussion to help benefit everyone.