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OREGON MEDICAL ASSOCIATION HOUSE OF DELEGATES Interim Meeting November 6-7, 2004 OMA Headquarters, Portland DIGEST OF ACTIONS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 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 DIGEST OF ACTIONS Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 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 DIGEST OF ACTIONS Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 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 DIGEST OF ACTIONS Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 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 OMA House of Delegates – November 6-7, 2004 DIGEST OF ACTIONS Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 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 OMA House of Delegates – November 6-7, 2004 DIGEST OF ACTIONS Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 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 OMA House of Delegates – November 6-7, 2004 DIGEST OF ACTIONS Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 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 DIGEST OF ACTIONS Page 8 1 2 3 4 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