|
HOD
Resolutions From WCMSSM
RESOLUTION
82-07A
Title: Smoke
Free Michigan Health Institutions. No Action.
Introduced
by: Ronald M. Davis, MD, for the Wayne County Delegation
RESOLVED: That
MSMS work with the Michigan legislature to seek a ban on
smoking in all Michigan health institutions.
RATIONALE: The
Committee took no action because this is current MSMS policy. Please
reference Resolution 56-07A for a complete summary of MSMS
activity with smoke-free worksites.
RESOLUTION
83-07A
Title: New
Member Recruitment Discount. Adopted as Amended.
Introduced
by: Mohammed A. Arsiwala, MD, for the Wayne County
Delegation
RESOLVED: That
all MSMS members who recruit a new full dues-paying member
shall receive a 10 percent discount off their dues for
that year for each new member recruited up to a maximum
of 100 percent of dues.
RATIONALE: MSMS
has periodically conducted peer-to-peer membership recruitment
campaigns and endorses the concept behind this resolution. The
resolved portion was amended to specify that only the recruitment
of full dues-paying members qualifies for this incentive
campaign.
RESOLUTION
84-07A
Title: Depression
in Pregnancy and Family Safety. Adopted.
Introduced
by: Federico G. Mariona, MD, for the Wayne County
Delegation
RESOLVED: That
MSMS work with the appropriate medical specialty societies,
the office of the Michigan Surgeon General, the Michigan
Department of Community Health, and public and private
health insurance plans to create a state-wide educational
program for the public and medical practitioners to increase
their awareness of postpartum depression and depressive
symptoms in pregnant women; and be it further
RESOLVED: That
MSMS work with all third-party payers to ensure that maternity
benefits include the timely use of validated clinical screening
tools to identify depression starting at the first prenatal
care visit and continuing until the end of the first year
post partum.
RESOLUTION
85-07A
Title: Infant
and Child Protection Initiative. No Action.
Introduced
by: Federico G. Mariona, MD, for the Wayne County
Delegation Supported by: The Genesee County Delegation
RESOLVED: That
MSMS work closely with all state social and community based
agencies, medical specialty societies, and child and infant
care coalitions to enhance public awareness, education,
and communication to better coordinate all processes and
activities conducive to protect and defend infants and
children; and be it further
RESOLVED: That
MSMS work with all related state institutions to establish
stronger policy-level changes in child protection, improve
financing of children preventive services, and reduce duplication
of services resulting in a safe, protective, and stimulating
family and home environment for our children.
RATIONALE: The
Committee recommends no action on this resolution since
last year’s Resolution 88-06A addressed all aspects of
domestic and family violence including children.
RESOLUTION
86-07A
Title: Full
Disclosure by Candidates for AMA Delegate Positions. Disapproved.
Introduced
by: Frank P. Bongiorno, MD, for the Wayne County
Delegation
RESOLVED: That
MSMS require that a plaintiff or defense expert physician
who also wants to run for office in a county medical society,
MSMS or for an AMA delegate or alternate delegate position
disclose this association for the electorate to judge if
a conflict of interest is present.
RATIONALE: Testimony
emphasized that it is difficult, if not impossible, to
ascertain whether any plaintiff or defense expert physician
has, or ever has had, less than noble motives during a
trial. The Committee agreed that ultimately it is
the civic responsibility of physicians to participate in
the legal process.
RESOLUTION
87-07A
Title: Corporate
Health Care Services. No Action.
Introduced
by: Federico G. Mariona, MD, for the Wayne County
Delegation
RESOLVED: That
in this era of value-based medical care, MSMS work in cooperation
with other recognized organized medicine groups in Michigan
along with the Michigan Department of Community Health,
the Michigan Public Health Institute and the office of
the Governor to determine the potential impact of corporate
health care clinics in the health of the public; and be
it further
RESOLVED: That
organized medicine cooperate in finding ways and means
to avoid the uncontrolled development of a parallel health
care system in the state of Michigan, the corporatization
of practitioners, and the practice of medicine through
corporate health care clinics.
RATIONALE: This
resolution addresses store-based health clinics. The
update on Resolution 31-06A provided to the House of Delegates
describes current activities to address this issue, including
discussions with the Michigan Bureau of Health Professions
to identify mechanisms to promote retail settings that
can assure at least a minimum level of quality and safety
for patients. In addition, the AMA has adopted measures
to promote quality and safety at store-based health clinics,
such as well-defined and limited scope of clinical services,
standardized evidence-based practice guidelines, provision
for direct access, and supervision by MDs and DOs, as well
as several other criteria. These developing state
and national activities achieve the intent of the resolution,
so no additional action was needed.
RESOLUTION
88-07A
Title: Increasing
AMA Membership Thru Local Credentialing. No Action.
Introduced
by: Frank P. Bongiorno, MD, Wayne County
RESOLVED: That
the Michigan Delegation to the AMA encourage the AMA to
accept local/state credentialing for membership and abandon
the costly, ineffective and expensive national process
with a goal of opening AMA membership to all component
state members.
RATIONALE: The
Committee believed that the current AMA process for credentialing
is satisfactory, and is confident that the process in place,
handled on a case by case basis, allows for due process
and includes the right of a physician to appeal any decision
made. The Committee believed that the AMA credentialing
process does not present any unjustified barrier to membership.
RESOLUTION
89-07A
Title: Insurance
Company Buyouts Eliminate Competition. Adopted as
Amended.
Introduced
by: Arezo Amirikia, MD, for the Wayne County Delegation
RESOLVED: That
MSMS continue to actively monitor proposed mergers and
acquisitions for impact on competition among insurers and
inform the Governor, Attorney General, Insurance Commissioner,
and Federal Trade Commission of any concerns; and be it
further
RESOLVED: That
MSMS ask the AMA to continue to support efforts to monitor
proposed mergers and acquisitions for impact on competition
among insurers and address any concerns as needed.
RATIONALE: The
amended language clarified the intent of the resolution
and encouraged additional collaborative efforts with the
AMA.
RESOLUTION
90-07A
Title: Health
Care Costs. Adopted as Amended.
Introduced
by: H. Richard Henderson, MD, for the Wayne County
Delegation
RESOLVED: That
in the name of cost effective, quality health care for
all, the Michigan Delegation to the AMA ask the AMA to
include in its Agenda 2008 that the medical profession
advocate for and become more vocal for appropriate, cost
effective, and reasonable care.
RATIONALE: The
new language reflected an amendment offered by the author
of the resolution.
RESOLUTION
91-07A
Title: Access
to Quality Health Care. Referred to the Board for
Action.
Introduced
by: Diane G. Holland, MD, Wayne County
RESOLVED: That
MSMS oppose the Michigan Court of Appeals for its elimination
of existing health care benefits to hundreds of Michigan
families and their children through Case #265870, thereby
exposing them to serious medical and financial liability;
and be it further
RESOLVED: That
MSMS file an amicus brief with the Michigan Supreme Court
against the Michigan Court of Appeals Case #265870 that
eliminated existing health care benefits to hundreds of
Michigan families; and be it further
RESOLVED: That
MSMS collaborate and unite with other entities in the state
of Michigan, including the Governor and legislature, to
ensure that health care benefits are equally available
to all Michigan citizens and their children.
RATIONALE: Testimony
by the author and a guest, as well as background provided
by MSMS legal counsel, revealed that this resolution addresses
the February 1, 2007, Court of Appeals decision that interpreted
the “marriage amendment” to the Michigan Constitution which
took effect on December 18, 2004. This Amendment
requires that only the union of one man and one woman in
marriage be recognized as a marriage or similar union for
any purpose. The Court of Appeals held that this
Amendment prohibited public employers from offering same-sex
domestic partner benefits in their employee benefit packages. An
Application for Leave to appeal this decision to the Michigan
Supreme Court has been filed. MSMS was being asked
to support this appeal.
MSMS
already has policy supporting coverage for all Michigan
citizens as requested in the third resolved. The
Reference Committee did not have adequate information about
the appeal of the Michigan Court of Appeals decision and
felt that further investigation was necessary. Therefore,
the Reference Committee recommended referral of this issue.
RESOLUTION
92-07A
Title: Unfunded
Electronic Mandates. No Action.
Introduced
by: Edmund M. Barbour, MD, for the Wayne County Delegation
RESOLVED: That
MSMS work to convey to all interested parties that physicians
be fairly and adequately compensated for the acquisition,
training, and implementation of electronic systems for
health records, e-prescribing, and quality data collection
with payments made with additional funds, not just set
aside as part of “pay-for-performance” participation; and
be it further
RESOLVED: That
the Michigan Delegation to the AMA ask the AMA to pursue
legislative and regulatory efforts to adequately compensate
physician practices for implementation of and ongoing support
for electronic systems in their offices.
RATIONALE: The
Committee believed that the intent of this resolution to
provide some sort of financial support for physicians choosing
to implement EMR is tremendously important to physician
practices. However, the Committee raised questions
about the use of the term “adequately compensate” by the
author in the resolution. It was the sense of the
Committee that this resolution was similar in intent to
Resolution 4-07A, and that 4-07A is more specific with
respect to how to provide financial relief to physician
practices.
Back
to top
|
