Report of the resolutions committee--January 30, 2010.
Article Type: Report
Subject: Medical policy (Laws, regulations and rules)
Committees (Membership)
Medical care (Quality management)
Medical care (Planning)
Author: Schmidt, John H., III
Pub Date: 03/01/2010
Publication: Name: West Virginia Medical Journal Publisher: West Virginia State Medical Association Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2010 West Virginia State Medical Association ISSN: 0043-3284
Issue: Date: March-April, 2010 Source Volume: 106 Source Issue: 2
Topic: Temporal Scope: 2010 AD Event Code: 930 Government regulation; 940 Government regulation (cont); 980 Legal issues & crime; 220 Strategy & planning Advertising Code: 94 Legal/Government Regulation Computer Subject: Government regulation; Company business planning
Organization: Organization: West Virginia State Medical Association
Geographic: Geographic Scope: West Virginia Geographic Code: 1U5WV West Virginia
Accession Number: 223908179
Full Text: Your Committee on Resolutions has carefully considered the Resolutions offered in the First Session of the House of Delegates on Saturday, January 30, 2010.

We are happy to report that a number of interested physicians appeared at the meeting of the Committee on Saturday and discussed in detail the Resolutions pending before the Committee.

The cooperation of those physicians present was most helpful to the Committee in reaching decisions and we express appreciation to those who took the time to attend the opening hearing.

Mr. Speaker, your Committee assures the members of the Association that the one and only consideration that has guided the Committee in its deliberations has been the criteria as to whether each of the resolutions was or would be in the best interest of the entire medical profession in West Virginia in giving its patients the best of care.

Mr. Speaker, your Committee considered Resolution 1, pertaining to Variation in Community Cost and Quality of Medical Care.

Mr. Speaker, your Committee recommends that Resolution 1 not be adopted and that the following substitute Resolution 1 be adopted:

RESOLVED, that the West Virginia State Medical Association call upon the American Medical Association in their studies (and related actions) regarding the variation in the cost and quality of medical care within different communities include consideration of the unique organizational and community cultural, economic, geographical, legal, social, resource, and related factors that significantly contribute to the variation and the cost of medical care within such communicates;

RESOLVED, that the West Virginia State Medical Association call upon the American Medical Association when considering enhanced centralized reimbursement incentives and performance improvement techniques directed at physicians designed to improve the quality and cost effectiveness of care delivery within an individual community, to also weigh the potential that such measures may significantly disrupt, increase the cost of, and/or compromise care;

RESOLVED, that the West Virginia State Medical Association call upon the American Medical Association in such studies and actions consider activities that may be required by the public within each individual community in order to improve significantly the quality and cost-effectiveness of medical care and avoid undesirable unintended consequences, as well as the incentives and activities that would motivate the public within each community to work with their physicians and others to promote such positive improvements.

Mr. Speaker, your Committee moves the adoption of substitute Resolution 1.

Mr. Speaker, your Committee considered Resolution 2, pertaining to Coordinated Communications.

Mr. Speaker, your Committee recommends that the following Resolution 2 be adopted:

RESOLVED, that the West Virginia State Medical Association continue efforts to coordinate the sharing of information and fostering communications between all physicians and Medical Specialty Societies.

Mr. Speaker, your Committee moves the adoption of Resolution 2.

Mr. Speaker, your Committee considered Resolution 3, pertaining to Communication of Resolutions.

Mr. Speaker, your Committee recommends that Resolution 3 not be adopted and that the following substitute Resolution 3 be adopted:

RESOLVED, that the West Virginia State Medical Association implement an effective and efficient method of distributing Resolutions to all Delegates and Alternate Delegates prior to the Annual Business Meeting.

Mr. Speaker, your Committee moves the adoption of substitute Resolution 3.

Mr. Speaker, your Committee considered Resolution 4, pertaining to Commercial Support.

Mr. Speaker, your Committee recommends that Resolution 4 be referred to the Executive Committee for review and consideration with instructions that the Executive Committee report its findings to the next meeting of the House of Delegates.

Mr. Speaker, your Committee moves the referral of Resolution 4.

Mr. Speaker, your Committee considered Resolution 5, pertaining to Medical Record Confidentiality.

Mr. Speaker, your Committee recommends that Resolution 5 be referred to the Executive Committee for review and consideration with instructions that the Executive Committee report its findings to the next meeting of the House of Delegates.

Mr. Speaker, your Committee moves the referral of Resolution 5.

Mr. Speaker, your Committee considered Resolution 6, pertaining to Federal Health System Reform.

Mr. Speaker, your Committee recommends that Resolution 6 not be adopted and that the following substitute Resolution 6 be adopted:

RESOLVED, that the West Virginia State Medical Association continue to advocate support for legislation that protects the sacred relationship between patients and their physicians in making healthcare decisions without interference; promote affordable health insurance coverage for all through a choice of plans that guarantees portability and eliminates denials for pre-existing conditions; and encourages greater personal responsibility for prevention and wellness on the part of all citizens;

RESOLVED, that the West Virginia State Medical Association express its belief and serious concern that the health system reform bills approved by the US House or US Senate awaiting final reconciliation before Congress in January, 2010, as designed are financially unsustainable because they expand Medicaid eligibility and "back-load" new spending with government levied new user fees and new taxes to cover expanded coverage and benefits;

RESOLVED, that the West Virginia State Medical Association oppose legislation that impose punitive provisions that target government calculated resource use outliers;

RESOLVED, that the West Virginia State Medical Association oppose legislation that grants authority to governmental bureaucracies to make significant future Medicare payment cuts through the new CMS Innovation Center and the new Independent Medicare Commission;

RESOLVED, that the WVSMA opposes restrictions that curtail physician-owned hospitals;

RESOLVED, that any health care reform legislation is incomplete without substantive medical liability reform; and,

RESOLVED, that the House of Delegates supports the efforts and authority of the West Virginia State Medical Association's Executive Committee and Council in expressing the position of the West Virginia State Medical Association, based upon our principles of reform on the health system reform actions being taken by Congress and the President.

Mr. Speaker, your Committee moves the adoption of substitute Resolution 6.

Mr. Speaker, your Committee considered Resolution 7, pertaining to West Virginias' Access to All Effective Tobacco Cessation Treatments.

Mr. Speaker, your Committee recommends that the following Resolution 7 be adopted:

RESOLVED, that the West Virginia State Medical Association support the efforts to have all tobacco cessation pharmaceutical products be a covered benefit by all state payors.

Mr. Speaker, your Committee moves the adoption of Resolution 7.

Mr. Speaker, we wish to thank the members of the WVSMA who appeared before the Committee for their participation, patience, enthusiasm, wisdom, endurance, and time devoted to the study of the resolutions.

In addition to me, as Chairman, the appointed members of the Committee who participated in these deliberations were:

John Schmidt III, MD, Chair

Charles Whitaker, MD

John Holloway, MD

R. Austin Wallace, MD

MaryAnn Cater, DO

Stephen Sebert, MD

Joseph Reed, MD

James Felsen, MD

David Avery, MD

Joseph Selby, MD

Michael Stitely, MD

Elizabeth Spangler, MD

WVSMA Staff

Evan Jenkins, Executive Director

Karie Sharp

Respectfully submitted,

John H. Schmidt III, MD, Council Chair
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