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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.
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