Policy Forum 19-2 Held in Iowa City


Overview

PF 19-2 was held on Thursday, September 19, 2019. Five Policy Request Statements were considered.

PRS 19-2-01: Coverage for Behavioral Health Collaborative Care Model

Policy Request

The Iowa Medical Society advocate for Medicaid and commercial insurance coverage and reimbursement for the CoCM, consistent with the Medicare coverage and reimbursement included in the 2017 and 2018 Medicare Physician Fee Schedule

Action Taken

Adopted as written


PRS 19-2-02: Advancing Gender Equity in Medicine

Policy Request

1.      The Iowa Medical Society draft and disseminate to the membership a report detailing its positions and recommendations for gender equity in medicine, including clarifying principles for state and specialty societies, academic medical centers, and other entities that employ physicians.

2.      The Iowa Medical Society:

a)      advocate for institutional, departmental, and practice policies that promote transparency in defining the criteria for initial and subsequent physician compensation;

b)      advocate for pay structures based on objective, gender-neutral objective criteria;

c)      encourage a specified approach, sufficient to identify gender disparity, to oversight of compensation models, metrics, and actual total compensation for all employed physicians; and

d)      advocate for training to identify and mitigate implicit bias in compensation determination for those in positions to determine salary and bonuses, with a focus on how subtle differences in the further evaluation of physicians of different genders may impede compensation and career advancement.

3.      The Iowa Medical Society recommend as immediate actions to reduce gender bias:

a)      eliminate the question of prior salary information from job applications for physician recruitment in academic and private practice;

b)      inform physicians about their rights under the Lilly Ledbetter Fair Pay Act and Equal Pay Act;

c)      establish educational programs to help empower all genders to negotiate equitable compensation;

d)      work with relevant stakeholders to host a workshop on the role of medical societies in advancing women in medicine, with co-development and broad dissemination of a report based on workshop findings; and

e)      create guidance for medical schools and health care facilities for institutional transparency of compensation, and regular gender-based pay audits.

4.   The Iowa Medical Society collect and analyze comprehensive demographic data and produce a study report on the inclusion of women members including, but not limited to, membership, committee makeup, and leadership positions within IMS, including the Board of Directors, speaker invitations and recognition awards, and disseminate such findings in regular reports to membership, beginning in 2020 and continuing yearly thereafter, with recommendations to support ongoing gender equity efforts.

 

5.   The Iowa Medical Society commit to pay equity across the organization by asking the Board of Directors to undertake routine assessments of salaries within and across the organization, while making the necessary adjustments to ensure equal pay for equal work.

 

Action Taken

Adopted as amended

 

PRS 19-2-03: Violence Against Healthcare Workers

Policy Request

1.      The Iowa Medical Society adopt a zero-tolerance policy toward violence against health care workers.

2.      The Iowa Medical Society shall:

a)      Inform all member physicians of the meaning of Iowa Code 708.3A

b)      Communicate Work with Iowa Hospital Association to ensure that IHA informs its members of IMS policy and have awareness of the law and its implication.

c)      Communicate with state agencies as appropriate to ensure these agencies are not creating a chilling effect on hospital and clinician response.

d)      Interface with and educate Des Moines and other police agencies about their part in protecting healthcare workers. 

3.      The Iowa Medical Society conduct a study of the charges filed against patients attacking hospital staff to ensure hospitals take seriously their responsibilities to protect their employees and identify opportunities to improve the safety of all healthcare workers.

 

Action Taken

Adopted as Amended

 

PRS 19-2-04: Policy Sunset Report for 2019

Policy Request

The Policy Committee recommends that the Iowa Medical Society policies listed in the Appendix to this report be acted upon in the manner indicated in its report.

Action Taken
Adopted

 

PRS 19-2-05: Increasing Medicaid Reimbursement for Psychiatric Mental Institutions for Children

Policy Request

The Iowa Medical Society shall advocate for increasing the PMIC reimbursement rate and establishing a reimbursement rebasing methodology wherein future increases are made in a reliable manner, creating funding stability for Iowa’s PMICs.

Action Taken

Adopted

Recent News

Burnout Programming in Sioux City

IMS had a full day in Sioux City this week partnering with the Siouxland Medical Education Foundation to bring the Burnout Awareness program to their residents...

IMS Weighs in on CY20 Medicare PFS and Quality Draft Rule

Last Friday marked the close of the public comment period for the CY20 Medicare Physician Fee Schedule (PFS) and Quality Program draft rule...

Iowa Drug Card Partnership

Iowa Medical Society FREE Prescription Assistance Program

Reminder: eRX Waiver Deadline is October 18

Physicians wishing to avoid administrative penalties for failing to comply with the new electronic prescribing (eRX) mandate have until October 1 to submit a waiver application to the Board of Pharmacy (BOP).

2020 Legislative Priorities

At its September 19 meeting, the IMS Board of Directors voted to approve the 2020 Legislative Agenda. Developed with the input of hundreds of member physicians, residents, medical students, and clinic administrators, this agenda focuses on five prima

IMS Board Meets in Iowa City

Last week, the IMS Board of Directors met in Iowa City for two days of meetings, networking, and policy setting to prepare for 2020. These events included an outreach event cohosted by the American Medical Association and the Johnson County Medical S

Got News?

Is there something you think we should be covering? What would you like to see IMS report on? Click here to let us know.