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September 2010

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Experience makes the man

An interview with ACA’s Executive Vice President William O’Connell

By Stanford Erickson

If the American Chiropractic Association (ACA) had come up with a wish list of who best they might hire to manage their Arlington, Va.-based national chiropractic lobbying association, they probably could not have come up with a more qualified individual than their recently hired Executive Vice President William K. O’Connell.

Look at these qualifications:

• He is an undergraduate of the University of California at Berkeley, has a master’s degree in business administration from the University of San Francisco, and a master’s degree in public administration from Northern Illinois University.

• He was the assistant executive director for the American Dietetic Association in Chicago for six years.

• He then went on to be the deputy director and chief financial officer for the American Osteopathic Association (also in Chicago) for 12 years.

• He became the number two executive officer for the American Board of Anesthesiology based in Raleigh, N.C., for seven years.

• He eventually moved to Washington, D.C., and in the next five years, served as executive director of the Society for Advancement of Violence and Injury Research, and then executive director, government affairs at the National Safety Council.

In addition to all his experience with associations — learning to run them prudently and becoming knowledgeable of how Congress, the executive branch, and regulatory departments really operate — he has a well-documented heart for helping people.

In the beginning

“I was raised on the East Coast — Boston and New York — but after Catholic high school, I traveled to the West Coast determined to be of some public service,” says O’Connell.

“I was concerned with poor people’s civil rights and ended up joining the VISTA program as a community organizer for migrant workers in the San Joaquin Valley of California.”

At Berkeley, O’Connell studied cultural anthropology while living in Oakland and commuting to college on a bicycle. To pay for school, rent, and food, he taught school.

O’Connell attributes his initial interest in healthcare to his father, who was an executive with pharmaceutical companies.

Bob Draba, PhD, MBA, JD, and O’Connell’s former boss at the American Osteopathic Association, notes that in addition to O’Connell’s “plethora” of talents, what Draba really admires about O’Connell as a manager is his problem-solving ability.

“Bill has a laser-like ability to focus on a problem and work the problem with dogged persistence until the problem is solved,” says Draba.

Well-traveled man

“I think an obvious advantage I bring to ACA, in addition to my experience with various associations, is having lived and worked in so many different geographic areas of the country,” O’Connell says.

“Now when I travel to attend various chiropractic state associations — like the ones I attended in California and New Jersey — I can connect very easily to explain how the ACA builds value for its membership.”

A significant amount of his time is spent in meeting with groups of chiropractors throughout the country and explaining the need for more of them to join the ACA. There are more than 60,000 chiropractors in the United States, but only 15,000 are active members of the ACA.

“Legislators, both state and federal, respond to aroused voters and especially doctors of chiropractic because their influence can include the patients under their care,” says O’Connell. “Also, ACA, in particular, has benefitted from members of Congress — both Senate and the House — who have had excellent care from a local chiropractor and, because of that, have fought for us legislatively.”

Good and lucky

Usually, it is better to be lucky than good. But it would appear that with O’Connell, the ACA has hired someone who is both.

Not only was ACA fortunate to obtain someone with O’Connell’s experience and credentials, but O’Connell was equally fortunate he became the operating head of ACA about the same time it achieved one of its greatest legislative successes in its history.

Whatever one’s thoughts about the national healthcare reform legislation signed into law in March, the final version of the act contained the all-important nondiscrimination language championed by Senators Tom Harkin (D-IA) and Chris Dodd (D-CT), and necessary for chiropractic.

“The critical and historic point to remember is that Section 2706 will apply to all Employment Retirement Income Security Act (ERISA) plans, both fully insured and self-insured, with plan dates of 2014 and beyond,” says John Falardeau, ACA vice president of government relations.

“The scope of the application of Section 2706 is extensive and unprecedented. It breaks down the barriers of ERISA pre-emption of self-insured plans and expands notions of nondiscrimination in terms of participation or coverage to virtually the entire

scope of employee benefits and insurance plans,” says Falardeau.

In addition, O’Connell points out that the act explicitly requires doctors of chiropractic be named as potential members of community health teams to support the development of increased access to comprehensive, community-based, coordinated care.

“ACA’s board of governors, its staff, and grass roots support of chiropractors throughout the country have worked for years on the inclusion of chiropractic as an equal member of the nation’s healthcare providers,” says O’Connell.

“What has been achieved is a major step forward, but anyone familiar with the regulatory process understands, once legislation becomes law, this is just the beginning of the beginning. In fact, the real work now begins. And it may take up to six years to sort things out as all the various professional disciplines in the healthcare community vie for ensuring they benefit most by how the regulations of the law are promulgated,” says O’Connell.

Experience is key

Rick A. McMichael, DC, president of the ACA, points out that O’Connell’s strong Washington, D.C., experience is a key asset in leading this regulatory effort going forward. “The implementation of this new law in a fair and equitable measure for chiropractic will require the coordinated efforts of Bill O’Connell, John Falardeau, and New England Delegate Dr. Rick Miller playing pivotal roles in this effort as we work with our chiropractic summit partners.”

But that is not enough, says Dr. McMichael.

“It’s also critical that doctors of chiropractic from all corners of the profession lend their time, attention, and resources to make certain we prevail in these efforts to level the healthcare playing field,” he says.

“Insurers must not be allowed to continue to discriminate against DCs and our patients. MDs must not be given unfair advantage over DCs and other healthcare providers. Those who regulate healthcare and the insurance industry must be made accountable for ensuring that the intent of this new law is carried out fully through the administrative process. Only by working together can chiropractic finally and deservedly take its rightful place within the healthcare community, as valued members of the healthcare team.”

Fight for the future

Dr. McMichael also sees O’Connell’s broad association experience as a major asset. “Bill O’Connell has already shown he is aware of the need to work effectively with the multiple committees and work groups in ACA. He is working very closely with the executive committee and the board of governors on a daily basis. He will soon be fully engaged with the House of Delegates at our annual meeting in Newport, R.I., during the last week in September. Juggling all this is no easy task.”

Dr. McMichael says the greater challenge for O’Connell, ACA leadership, and staff will be to activate the greater part of the chiropractic profession that is not a member of their state and national associations, and get them involved and engaged in this fight for their future.

The ACA initiated the Chiropractic Summit in September 2007 and it has grown to more than 40 organizations. Dr. McMichael has been involved with the summit from its inception, helping to facilitate planning and consensus-building activities.

The purpose of the summit is for leaders of the profession to work together with one voice and one message to place DCs front and center within the nation’s new healthcare system.

“I talk with chiropractic college students regularly and a concern they have is that we DCs are not more supportive of one another,” says Dr. McMichael. “Part of this may be attributed to our being very individualistic and independent people by nature and part of this relates to decades of outside pressures on the profession.

“Regardless of the cause for our differences, we owe it to this next generation of DCs to come together and make their future more secure.”

Dr. McMichael believes the Chiropractic Summit is a positive move in this direction. “Doctors of chiropractic have much more in common than we disagree about,” he says.

“And our greatest agreement is that chiropractic is a blessing to millions of our patients. We are all blessed to be part of a profession that offers health and hope and a profession that changes patients’ lives for the better.”

Stanford Erickson is the editorial director of Chiropractic Economics. He can be reached at 904-567-1555, serickson@chiroeco.com, or through www.ChiroEco.com.

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Join in!

Now you can join the American Chiropractic Association (ACA) — at a discount!

If you join the ACA before Sept. 15, you will receive a discount on your first year of membership. Join online at www.ACAtoday.org/Join or over the phone by calling 800-986-4636. Be sure to mention the discount code: 1012.  
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