Public Policy
HOSPITALS
01/01/2017
(RESOLUTION 16-37) RESOLVED, that the ISMA adopt policy similar to that of the AMA, reaffirming the rights of employed physicians, that includes: Every employed physician has a right to be treated with dignity and respect. The physician-patient relationship is sacred and should be preserved when possible, even when physicians leave a practice, group or facility. That is, both parties should be allowed to continue the professional relationship. Employed physicians, when they quit or are terminated, are entitled to their patients' addresses, phone numbers and the content of their medical record. Employed physicians' patients have a right to access information about their prior physician including their physicians’ new locations and phone numbers. Employed physicians should be afforded adequate training so as to maintain skills, knowledge and competency. Employed physicians should receive a salary commensurate with their work effort and professionalism. Employed physicians should receive reasonable vacations and time on call. Excessive on-call time reduces productivity and physician satisfaction and increases the risk of medical error. Employed physicians should not be penalized for time off for pregnancy and child care; and be it further RESOLVED, that the ISMA adopt policies, in addition to AMA policies, stating that: Employed physicians should not be penalized for the diminished productivity and utility of electronic medical records (EMR) and server inefficiencies. Employers should strive to acquire an efficient and fully functional EMR and, when possible, provide a scribe to help improve physician efficiency. Employed physicians have a right to their medical practice financial data and to their peers' comparison data, including ancillary income generated by the employed physician, as well as referral physicians. It is important for employed physicians to know their contribution to the financial health of their organization and/or medical facility. Employed physicians should not be subjected to non-compete clauses or contracts. (RESOLUTION 16-26) RESOLVED, that the ISMA formally engage in discussions, at any promising level, with Indiana hospitals regarding the impact on physicians of federally mandated payment programs (e.g. MACRA); and be it further RESOLVED, that the ISMA share current clinical research regarding trends in physician depression, burnout and suicide with Indiana hospitals as it becomes available (the AMA Steps Forward Program, for example), along with examples of “best efforts” to change or improve any harmful factors; and be it further RESOLVED, that the ISMA explore a means for a representative group (e.g. our Board of Trustees or Executive Committee) to formally interact with Indiana hospitals in any future organizational structure of the ISMA. This would occur on at least a yearly basis to discuss physician practice options to help maintain/retain sufficient physicians to provide appropriate patient care in Indiana (e.g. promoting use of scribes, voice recognition software, more skilled medical staff).This should include open discussions on the financial implications (costs) of such choices and their impact on physician retention. (RESOLUTION 16-25) RESOLVED, that the ISMA Board of Trustees pursue a closer, more direct relationship with Indiana hospitals and/or the Indiana Hospital Association to promote attainment of mutual organizational goals; and be it further RESOLVED, that the ISMA Board of Trustees form a temporary committee to study increasing ISMA membership among hospital-employed physicians; this committee should report back to the ISMA Board of Trustees and House of Delegates by 2017 or 2018. (RESOLUTION 16-01) RESOLVED, that ISMA policy and legislative efforts support physician-owned hospitals. (RESOLUTION 13-13) RESOLVED, that the ISMA, with other health and hospital groups, promote the importance of proper hand cleansing for all health care providers in order to reduce hospital-associated infections and deaths. (RESOLUTION 12-16A) RESOLVED, that the ISMA support legislation that requires county hospitals to include physicians from their medical staffs on their hospital boards. (RESOLUTION 11-41) RESOLVED, that the AMA will strive to become the lead association for employed physicians within the U.S.; and be it further, RESOLVED, that the AMA will establish an employed physician division with such services as contract review, employee-employer relation services, mediation and other services deemed appropriate by the House of Delegates and the Board of Trustees; and be it further, RESOLVED, that the AMA will establish an employed physician section with full voting and leadership rights as determined by the Bylaws and Constitution; and be it further, RESOLVED, that the AMA modify its bylaws and constitution to require a certain minimum percentage of the AMA Board of Trustees consist of employed physicians; and be it further, RESOLVED, that this resolution (11-41) will be sent to the AMA for discussion and consideration if adopted by the ISMA House of Delegates. (READOPTED 10-47, HOD; RESOLUTION 00-15) RESOLVED, that the ISMA introduce legislation to amend Indiana Code 16-22-2-2 to mandate or require active medical staff physician representation on the respective county hospital governing boards; and be it further, RESOLVED, that any and all active medical staff physician members of county hospital governing boards not be contracted employees of their respective county hospitals, its governing board, or any of its public or privately developed corporations. (READOPTED 09-30, HOD; READOPTED 99, HOD; RESOLUTION 84-24) RESOLVED, that the ISMA oppose efforts by any hospital that serves to limit physicians’ free choice and competitive alternatives through the closing of medical staffs, sections of medical staffs, or which limit physician access to services based on arbitrary objectives that do not clearly enhance patient care. (2/15/95, EC) Approved the following policy relating to anti-trust laws covering hospitals: The state of Indiana should only grant two waivers (exempting certain hospitals from anti-trust laws). The state cannot provide an exemption unless they get a resolution from the medical staffs stating support for the merger. The EC would support future ISMA efforts to get state action exempted if such is deemed necessary by the ISMA.  This support should be written to the ISMA Board of Trustees.
Legislative News Articles
Licensing [02/27/2017]
Licensing [02/27/2017]
Insurance [02/27/2017]
Pharmacy [02/27/2017]
Pharmacy [02/27/2017]
Miscellaneous [02/27/2017]
Public Health [02/27/2017]
Prescribing [02/27/2017]
Prescribing [02/27/2017]
Introduction [02/27/2017]
Medicaid [02/27/2017]
Medicaid [02/27/2017]
Abortion [02/27/2017]
Miscellaneous [02/21/2017]
Introduction [02/21/2017]