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OREGON MEDICAL ASSOCIATION
HOUSE OF DELEGATES
Interim Meeting
November 6-7, 2004
OMA Headquarters, Portland
DIGEST OF ACTIONS
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The House of Delegates held its Interim Meeting at OMA Headquarters, in Portland,
November 6-7, and took the following actions:
A. ELECTED the following to the 2005 Nominating Committee:
Peter A. Bernardo, Chair, Salem
David P. Telasha, Milwaukie
David G. Watt, Portland
Paula Ciesielski, Eugene
Pursuant to OMA Bylaws, 2004 chair Charles E. Hofmann, Baker City, will serve
as the fifth member of the committee.
B. ACCEPTED the following informational reports:
AMA Delegates’ Report (p. 89)
Board of Medical Examiners Report (p. 62)
Community Health Committee Report B (p. 39)
Finance and Audit Committee Report (p. 19A)
Executive Committee Report A (p.24)
Executive Committee Report B (p. 24A)
Health Care Finance Committee Report (p. 46)
Health Care Finance Committee Report A (p. 46A)
Legislative Committee Report B (p. 32A)
Loss Prevention Education Committee Report (p. 29)
OMA Alliance Report (p. 82)
OMPRO Report (p. 84)
Oregon Medical Education Foundation Report (p. 55)
Oregon Medical Political Action Committee Report (p. 85)
Oregon Medical Political Action Supplemental Report
Patient Safety Committee Report (p. 94)
Physicians Assistant Section Report (p. 61)
Professional Consultation Committee Report (p. 26)
Secretary-Treasurer’s Report A (p. 10)
Secretary-Treasurer’s Report B (p. 13)
Secretary-Treasurer’s Report C (p. 19)
C. REFERRED - LEADERSHIP TASK FORCE REPORT (p. 31) back to the committee
for further study.
OMA House of Delegates – November 6-7, 2004
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D. AMENDED AND ADOPTED - LEGISLATIVE COMMITTEE REPORT A (P. 32):
That OMA explore legislative options including but not limited to:
a. Institution of a patient excess compensation fund not funded by physicians
and other health care providers;
b. Establishment of a professional screening panel to evaluate the merit of claims
filed against health care professionals;
c. Reintroduction of legislation to require the disclosure of plaintiff and defendant
expert witnesses.
E. ADOPTED - COMMUNITY HEALTH COMMITTEE REPORT A (p.33):
That OMA encourage all members to sign up for the Oregon Department of Human
Services’ Health Care provider Registry of licensed physicians and other health
care providers who wish to volunteer to respond to community-wide emergencies.
F. ADOPTED - BYLAWS COMMITTEE REPORT A (p.50):
1. That Chapter 08.130 of the Bylaws be amended so as to read:
08.130 The President, Immediate Past President, President-Elect, Vice
President, Secretary-Treasurer, Speaker, Vice Speaker and two other voting
members of the [Board] Association shall constitute the Executive Committee.
2. That Chapter 08.131 of the Bylaws be amended so as to read:
08.131 The Board shall from [its] the Association’s voting membership elect
two members to serve on the Executive Committee, each to serve for a period of
two years; provided one shall be elected each year so that the members-at-large
serve staggered terms [; and further provided that the term of a member of the
Executive Committee shall not extend beyond the term for which such member
has been elected as a member of the Board].
Each year at the regular quarterly meeting of the Board designated as the Fall
Meeting by the President, the Secretary-Treasurer shall call for nominations for
the Executive Committee Member [Trustee]-at-Large position of the incumbent
whose term expires upon adjournment of the next Annual Meeting. The
Secretary-Treasurer shall accept nominations in writing until the day before
the regular quarterly meeting of the Board designated as the Winter Meeting by
the President. Upon commencement of said meeting and as a special order of
business, the Secretary-Treasurer shall announce any nominations received,
call for seconds for each of them and call for further nominations from the
floor. Upon adoption of a motion to close nominations, and if necessary, the
Secretary-Treasurer shall cause a written ballot to be prepared and distributed
to all voting members of the Board in attendance. The Secretary-Treasurer
shall then count the ballots and declare the candidate receiving a majority of
votes cast elected. In the event no candidate receives a majority, the candidate
OMA House of Delegates – November 6-7, 2004
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receiving the least votes shall be stricken from the ballot and a new ballot
prepared. This procedure shall be followed until a candidate receives a
majority of ballots cast and the Secretary-Treasurer declares a winner. Said
candidate shall take office upon the adjournment of the next Annual Meeting.
G. ADOPTED - BYLAWS COMMITTEE REPORT B (p. 53):
1. That Chapter XI of the Bylaws be amended by the addition of a new subchapter
11.018 to read:
11.018 The Finance and Audit Committee shall review the financial affairs
of the Association and its subsidiary and associate organizations. Its
duties shall include but not be limited to: recommending to the Board and
the Executive Committee a proposed annual budget; reserve and
investment policies; an employee retirement plan; and selection of an
auditing firm to conduct an annual audit of the Association and its
subsidiary and associate organizations.
H. ADOPTED - POLICY REVIEW TASK FORCE REPORT A (p. 54):
That in accordance with OMA policy, Annual House of Delegates Digest of Actions
2001, that selected OMA policies be sunsetted for the reasons stated.
I. ADOPTED - POLICY REVIEW TASK FORCE REPORT B (p. 54A):
That the selected policies presented be re-affirmed by the Interim House of
Delegates 2004.
J. ADOPTED - POLICY REVIEW TASK FORCE REPORT C (p. 54B):
That Exhibit A “Where We Stand,” a Guide to OMA Policy Statements, be adopted.
K. ADOPTED - POLICY REVIEW TASK FORCE REPORT D (p.54C):
That action on policy statements concerning death with dignity, palliative care and
physician assisted suicide be coordinated with one another and deferred until the
Annual Meeting of the House of Delegates in 2005.
L. ADOPTED - INSTITUTIONAL ACCREDITATION COMMITTEE REPORT (p. 101):
That the Accreditation Council for Continuing Medical Education Standards for
Commercial Support be adopted as policy of the Oregon Medical Association.
OMA House of Delegates – November 6-7, 2004
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M. AMENDED AND ADOPTED - RESOLUTION NO. 1:
PREAMBLE: On June 29, 2004, while serving in Iraq, Oregon National Guardsmen
of the 2nd Battalion, 162nd Infantry under the command of Lt. Col. Daniel
Hendrickson, a Corvallis police officer, discovered within the confines of the Iraq
Interior Ministry, prisoners being starved, willfully dehydrated, beaten and
tortured. The Guardsmen intervened and relieved the suffering of the prisoners.
RESOLVED, that the Oregon Medical Association hereby recognizes and thanks all
Oregon uniformed personnel for their bravery and sacrifice in the war
on terrorism in all parts of the globe; and be it further
RESOLVED, the Oregon Medical Association especially recognizes and honors our
valiant Oregon National Guardsmen for their outstanding humane
actions while serving in Iraq; and be it further
RESOLVED, that President John C. Moorhead shall inform Lt. Col. Daniel
Hendrickson of the OMA’s deep respect and patriotic pride in the 2 nd
Battalion, 162nd Infantry.
N. ADOPTED - RESOLVE NO. 1 OF RESOLUTION NO. 2:
RESOLVED, that the medical and public health community act promptly and
decisively to address this serious public health threat by improving
clinicians’ understanding of climate-health impacts; by promoting
provider-patient dialogue on climate and health; and by fully
engaging with policy makers in support of appropriate efforts to
stabilize the changing global climate and to mitigate its adverse
medical and public health impacts.
O. REFERRED - RESOLVE NO. 2 OF RESOLUTION NO. 2 to the appropriate
committee for further study:
RESOLVED, that the OREGON MEDICAL ASSOCIATION:
(1) support research activities intended to improve our
understanding of global warming and changes in global and
regional temperatures and weather systems, along with expanded
basic and translational research to improve scientific
understanding of the health impacts on infectious and chronic
diseases and population health, and to expand opportunities for
successful therapeutic intervention and to strengthen public
health; and
(2) support precautionary primary preventive measures to avert
climate change, including reduction of carbon dioxide and other
greenhouse gas emissions and preservation of greenhouse gas
sinks through appropriate energy and land use policies, both to
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mitigate emerging and continuing health impacts of changes in
global climate, and to secure important, consequent public health
co-benefits associated with reduction of air pollutant emissions;
and
(3) support engagement with U.S. efforts to address the public health
threat of climate change through the Association’s participation in
national coalitions to combat global warming; support for efforts
to strengthen medical and public health infrastructure and
workforce, both domestically and abroad, to effectively respond to
changes in climate and global temperatures; and by empowering
physicians and other health care professionals to act as advocates
for sustainable climate policies in their own communities and,
where appropriate, in clinical settings; and
(4) support the immediate adoption of legislative strategies to
minimize anthropogenic impacts on climate change, both through
reduction or other appropriate control of direct emissions of
greenhouse gases, and through efforts to increase energy
conservation and energy efficiency, and to reduce the
consumption of polluting fossil fuels through strengthened
support for renewable energy; and
(5) support U.S. efforts to reduce, and ultimately stabilize, global
greenhouse gas emissions through international cooperation and
multilateral negotiation; and
(6) support efforts to strengthen educational opportunities for the
medical and public health workforce to learn more about the
health effects of global climate change through content in
curricula and continuing education.
P. AMENDED AND ADOPTED - RESOLUTION NO. 3:
RESOLVED, that the Oregon Medical Association support the following Policy
Statement of the American Public Health Association, that:
1. Calls on the United States government to explicitly reaffirm its
historical commitment to international treaties aimed at curbing
the development and proliferation of nuclear weapons and
weapons of mass destruction; and
2. Calls on the United States government to abandon plans to
“modernize” its nuclear weapons arsenal and to abandon its
plans to initiate a new era of nuclear testing; and
RESOLVED, that the OMA also supports calling on the United States government
to expedite the allocation of significantly increased resources to
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secure current nuclear arsenals in Russia and elsewhere, to prevent
their falling into the hands of terrorists; and be it further
RESOLVED, that the OMA show its support through communicating these
messages to the A.M.A, the Oregon Congressional delegation, the
medical community and the general public.
Q. ADOPTED - RESOLUTION NO. 4:
RESOLVED, that the Oregon Medical Association amend its bylaws to enable its
component medical societies including the Medical Society of
Metropolitan Portland to include within its delegate allotment
(including alternate delegates) eligible medical students, and that
such delegates have the right to vote on all matters that come before
the OMA House of Delegates; and be it further
RESOLVED, that such amendments be presented to the A-05 meeting of the OMA
House of Delegates.
R. ADOPTED - RESOLUTION NO. 5:
RESOLVED, that the OMA strongly recommend to the Board of Medical Examiners
that their data reporting system be modified and updated to more
accurately and clearly reflect the true status of medical practitioners
in Oregon.
S. ADOPTED - RESOLUTION NO. 6:
RESOLVED, that the OMA through its association with the AMA encourage the
FDA to require inclusion of comparative quality data in consumer
advertising, thus creating a basis for more informed consumer
choice; and be it further
RESOLVED, that the OMA through the AMA encourage the FDA to develop new
standards for drug advertising to consumers that are grounded in
data derived from systematic research.
T. ADOPTED - RESOLUTION NO. 7:
RESOLVED, that Oregon Medical Association actively oppose underage drinking
by working toward a comprehensive community-based environmental
approach that includes local and state policies and medical services;
and be it further
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RESOLVED, that the Oregon Medical Association designate a member(s) to
participate on the American Medical Association Action Team on
Alcohol and Health; and be it further
RESOLVED, a signed copy of this resolution will be forwarded to the American
Medical Association’s House of Delegates.
U. AMENDED AND ADOPTED - RESOLUTION NO. 8:
RESOLVED, that the OMA encourage the use of evidence-based Preferred Drug
Lists (PDL) by third-party payers and governmental programs
including Medicaid; and be it further
RESOLVED, that the Oregon AMA delegates ask the AMA to support the concept
of evidence-based PDLs that identify preferred drugs within classes
that have first been compared for effectiveness and safety; and then
given they are equivalent, take cost into consideration; and be it
further
RESOLVED, that OMA work with OMAP and other public and private payers to
reduce to the extent possible onerous processes to obtain appropriate
medications for patients with unusual or complicated conditions
where preferred drugs are not necessarily medically appropriate.
V. AMENDED and ADOPTED SUBSTITUTE - in lieu of RESOLUTION NOs. 9 and 10:
RESOLVED, that the Oregon Medical Association, other elements of organized
medicine in Oregon, the Oregon Association of Hospitals & Health
Systems and other entities concerned about the adequacy of Oregon’s
medical workforce and medical education opportunities for Oregon
residents and economically disadvantaged applicants, join with the
OHSU School of Medicine in aggressively seeking strategies and
resources adequate to maximize opportunities for medical education
in Oregon for Oregonians while retaining increased numbers of
OHSU School of Medicine graduates and Oregon postgraduate
trainees, in Oregon; and be it further
OMA House of Delegates – November 6-7, 2004
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RESOLVED, that OMA ask for the leadership of Oregon Health & Science
University School of Medicine to address potential means of
remediation at the A-05 Meeting and annually thereafter as
appropriate.
ANDRIS ANTONISKIS, SECRETARY-TREASURER
FUTURE MEETINGS
131st ANNUAL MEETING
APRIL 29 – MAY 1, 2005, SUNRIVER
INTERIM MEETING
OCTOBER 22-23, 2005, OMA