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AMA House of Delegates takes action on your resolutions
e-Reports, Jan. 9, 2012
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Five resolutions passed by the ISMA House of Delegates last September, asked for AMA action. In November, the ISMA AMA delegation took those resolutions to the AMA House of Delegates interim meeting.

Here are the actions on those resolutions.

ISMA Resolution 11-41 (AMA Substitute Resolution 601)
Employed Physicians and the AMA
Introduced by: Kevin Burke, M.D.
Action: Adopted as amended

RESOLVED, that our American Medical Association strive to become the lead association for physicians who maintain employment or contractual relationships with hospitals, health systems, and other entities (Directive to Take Action); and be it further

RESOLVED, that as a benefit of membership our AMA provide through the Sections and Special Groups assistance, such as information and advice but not legal opinions or representation, as appropriate to employed physicians, physicians in independent practice, and independent physician contractors in matters pertaining to their relationships with hospitals, health systems, and other entities, including, but not limited to, breach of contracts including medical staff bylaws, sham peer review, economic credentialing, and the denial of due process; (Directive to Take Action); and be it further

RESOLVED, that our AMA work through the Organized Medical Staff Section and other sections and special groups as appropriate to represent and address the unique needs of physicians who maintain employment or contractual relationships with hospitals, health systems, and other entities.

ISMA Resolution 11-40 (AMA Substitute Resolution 907)
Prescription Drug Abuse
Introduced by: Kevin Burke, M.D.
Action: Adopted as amended

RESOLVED, that our AMA: 1) promote physician training and competence on the proper use of controlled substances; 2) encourage physicians to use screening tools (such as NIDAMED) for drug use in their patients; 3) provide references and resources for physicians so they identify and promote treatment for unhealthy behaviors before they become life-threatening; and 4) encourage physicians to query a state’s controlled substances databases for information on their patients on controlled substances; and be it further

RESOLVED, that the Council on Science and Public Health report at the 2012 Annual Meeting on the effectiveness of current drug policies, ways to prevent fraudulent prescriptions, and additional reporting requirements for state-based prescription drug monitoring programs for veterinarians, hospitals, opiod treatment programs, and Department of Veterans Affairs facilities.

ISMA Resolution 11-38 (AMA Resolution 812)
Medical Record and Reporting Standards
Introduced by: Kevin Burke, M.D.
Action: Referred to the AMA Board of Trustees

RESOLVED, that the AMA work with the College of American Pathologists, the American Osteopathic College of Pathologists, the American Clinical Laboratory Association, the American Society for Clinical Laboratory Science, and other appropriate entities to produce a single standardized format for presentation of laboratory results. The standard should not only define where the test results and normal values will appear on the screen or the printed page, but also specify a consistent sequence for chemistry, hematology and other results; and be it further

RESOLVED, that the AMA work with the American College of Radiology, the American Osteopathic College of Radiology and other appropriate entities to improve the terminology in both the descriptive and impression sections of a radiology report, as well as work towards producing a standardized format for the presentation of these radiologic results; and be it further

RESOLVED, that the AMA shall encourage the federal government to set future standards for all electronic health/medical records allowing for an option to choose a standardized set of menus and medical information that has the same appearance regardless of vendor. However, the electronic health/medical record should also allow customization for the convenience of the user; and be it further

RESOLVED, that this resolution (11-38), if approved by the House of Delegates of the ISMA, will be presented to the AMA for further consideration and adoption.

ISMA Resolution 11-39 (AMA Resolution 813)
Face-to-Face Encounter Rule
Introduced by: Kevin Burke, M.D.
Action: Referred to the AMA Board of Trustees

RESOLVED, that the AMA work to establish a unique billing code (G code) for completion of the Face-to-Face Encounter form and reimbursement for the code; and be it further

RESOLVED, that the AMA investigate the possibility of incorporating the questions required for the Face-to-Face Encounter into a new modified form 485 for the sake of simplicity and efficiency. This new modified form should also have a higher level of reimbursement than the current form 485; and be it further

RESOLVED, that if this resolution (11-39) is approved by the ISMA House of Delegates, it will be sent to the AMA for discussion and consideration.

ISMA Resolution 11-01 (AMA Resolution 811)
Dietary Referrals for Celiac Disease
Introduced by: Terry Brennan, M.D.
Action: Reaffirmed existing AMA policy

RESOLVED, that the ISMA seek coverage by Medicare, Medicaid and private insurers for dietary referrals to a registered dietitian by a physician for medical diagnoses that require a specialized diet; and be it further

RESOLVED, that the ISMA recommend that the AMA delegation seek Medicare, Medicaid and private insurance reimbursement for dietary referrals to a registered dietitian by a physician for medical diagnoses that require a specialized diet.

Read the AMA policy at the AMA website.

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