Chronic Osteoarthritis Management Initiative (COAMI) Steering Committee Mandate and ChargesHistory and Preamble
Osteoarthritis (OA) is the commonest cause of disability in America, currently affecting 31 million, including one third of those 65 and older. OA is typically treated in an episodic and reactive manner, in spite of evidence supporting a more organized and proactive approach, similar to those followed for diabetes, hypertension, and other chronic illnesses. Recognizing the lack of such an approach, and the opportunity to develop coordinated, multidisciplinary, evidence-based models of care for OA, the United States Bone and Joint Initiative (USBJI) convened a working group that first met May 10, 2012. The attendees represented 23 professional organizations of various disciplines involved with OA care. They agreed on the need for a model of care which addressed OA as a chronic illness, and issued a Call for Action, to alert American musculoskeletal caregivers and invite additional participants. The augmented group now includes approximately 35 professional societies, plus patient representatives. COAMI has prepared a systematic review of published recommendations and guidelines for management of OA, as well as a review of patient outcome measures. The group has created plans for building an OA care model. Core components of the model have been identified, with recommendations for further development. COAMI will address the “clinical experience” of OA management, within the broader health policy concerns of the OA Action Alliance. The three primary foci of the COAMI care model are Clinical Pathway/Delivery, Shared Decision- Making, and Physical Activity. Working groups are now addressing these areas. Detailed documentation of COAMI’s progress is available from USBJI.
A Steering Committee provides leadership for COAMI within the USBJI.
The COAMI Steering Committee is composed of a Chair, appointed by the USBJI President, and 10-12 representatives from the COAMI stakeholder organizations chosen by the Steering Committee Chair. The USBJI President may choose to name Co-chairs to lead the committee. Appointment terms for the Chair and members are for three years. Reappointment and staggered terms may be requested to promote continuity.
The COAMI Steering Committee’s mandate is to lead COAMI’s efforts to improve care models practiced in the management of osteoarthritis in the United States. This will include identification, implementation, and functional assessment of best care models, incorporating input from the multidisciplinary stakeholders.
The committee will, in addition to any other duties assigned by the USBJI Board of Directors:
1. Describe the current and emerging landscape of OA care management, identifying gaps in knowledge and practice. Models from other countries will be considered.
2. Provide strategic direction for improving resources for managing OA in the US.
3. Monitor and evaluate progress toward improved OA management, including COAMI’s contributions.
4. Identify skill sets and areas of expertise needed by individual COAMI participants.
5. Engage and expand involvement of stakeholder organizations and individual experts.
6. Recruit and develop future key contributors and leaders for COAMI.
7. Collaborate with outside initiatives with similar goals.
8. Seek financial sustainability for the COAMI project, identify appropriate funding sources, and interact with them upon approval by the Executive Committee of the USBJI Board of Directors.
9. Develop program proposals that are attractive to potential funders.
10. Create and maintain an effective information network to ensure that all stakeholders receive timely updates regarding activities of COAMI and its working groups.
11. Deliver regular reports to USBJI Board, including an annual business plan and proposed budget, for review at the Board’s September meeting.
Members should anticipate time to prepare for and attend quarterly 60-90 minute teleconference meetings of the Steering Committee, as well as occasional in-person meetings (possibly one per year). Members are encouraged to serve on AMI work groups, devoting sufficient time for meaningful contributions. Most of this work is carried out by email and teleconference.