IBM Meets; Agenda Includes Breast Density Mandate and Electronic Death Registration System

Date of Publication (October 23, 2015)

Last Friday, the Iowa Board of Medicine (IBM) held its regularly scheduled October meeting in Des Moines. On the agenda were a number of issues with which IMS has been closely involved. A few of these include the following:

  • Breast Density – Proponents for mandating that a notification accompany a patient’s mammography results letter for those individuals with dense breast tissue testified to the board in support of such a mandate. Having failed to secure passage of a legislative mandate, advocates for the notice have petitioned the Iowa Board of Public Health (IBPH) to initiate rule-making to administratively create such a requirement. Anticipating that the IBPH will look to the IBM for input on the request, proponents wanted to ensure the board was familiar with the issue. IMS offered testimony in opposition to the mandate, shared a letter from the Iowa Radiological Society Executive Committee outlining their opposition to the mandate, and reported that a meeting to assemble educational materials, as directed by PRS 15-02-08, is being scheduled for November of this year. No date has been set for the IBPH to review this rule-making petition.
  • Joint Rules for Appropriate PA Supervision – IBM Executive Director Mark Bowden provided a report on the first meeting of stakeholders interested in the development of joint physician assistant supervision rules, as directed by the legislature earlier this year. After the first meeting in August, IBM staff developed a draft supervision agreement, based upon the written agreements required in 42 other states. Following the full IBM meeting, IMS participated in another stakeholder meeting to review components of this draft agreement.
  • Electronic Death Registration System – IMS provided testimony to the IBM outlining member feedback staff compiled regarding the Electronic Death Registration System (EDRS) and recommendations for improving the system. IMS highlighted issues with the system not being web-based, the cumbersome log-in and password retrieval process, the need for a more user-friendly format, concerns with the requirement to name a secondary cause of death even if one does not exist, and issues with death certificates being assigned to the wrong physician. The IBM currently has nearly two dozen open complaint files investigating instances of physicians not meeting EDRS filing deadlines. State staff reported a number of improvements to the functionality and education regarding the EDRS system are in development and should address many of the issues raised by IMS and others.

For additional information on these or any other issues discussed by the IBM, please contact Kate Strickler, JD, LLM, with the IMS Center for Physician Advocacy.

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