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Prior Authorization: MSMS believes that the hassle of prior authorization needs to be addressed through a multifaceted approach to expedite patient care and reduce burdens on physicians. A 12-question, web-based survey was administered by MSMS in July 2017, with more than 600 actively – practicing Michigan physicians responding: 29% were in primary care and 70% were specialists.
  Prior authorization is an extreme burden
  Prior authorization delays care
  Prior authorization causes physicians to be away from seeing patients
MSMS is currently developing a plan to address prior authorization. If you have interest in this initiative, please notify Rebecca Blake, rblake@msms.org.
MAPS Update and EMR Integration Grant: An updated and more user-friendly Michigan Automated Prescription System (MAPS) went live in April. All prescribers are asked to register and use MAPS in their practice. Through a combination of state and federal funding, the state will cover the vendor’s (Appriss Health) costs to integrate the upgraded MAPS website directly into physician practices’ electronic medical records and pharmacy dispensing systems, allowing instant access for prescribers and pharmacists. Funds are available through August 2018. In addition, prescribers can access their individual “report cards”, to be used as a clinical tool for the prescriber’s information only. Report cards summarize clinicians’ prescribing history, including comparison to other prescribers of the same peer group and specialty.
Legislation: The Board took vote to support House Bill 4079, which would establish licensure for Anesthesia Assistants and was crafted in consultation with the Michigan Society of Anesthesiologists. Certified anesthesia assistants are required to (1) have a Bachelor Degree that includes pre-medical prerequisite coursework, (2) obtain entry requirements for a Master Degree level program, and (3) complete 24-28 months of accredited programming and significant clinical experience at an academic medical center. HB 4709 would assure access to anesthesia services in rural communities by increasing the pool of qualified individuals. Unlike proposals that promote independent practice by CRNAs, HB4709 affirmatively seeks to address the issue of anesthesia access in underserved rural areas without disrupting the model of physician- supervised anesthesia care that the vast majority of our state maintains and that patients demand. Upon demon- stration of a shortage of anesthesia services, a facility may enter into a collaborative agreement with anesthesiologists to provide remote supervision and
protocols of anesthesia services that maintain patient safety while providing flexibility for facilities that previously supported independent practice by CRNAs.
Diabetes Prevention: MSMS secured a second year
of grant funding to continue its work on diabetes prevention. The grant of $30,000 will fund work with physician organizations, an educational session at the Annual Scientific Meeting, and continued work with the Michigan Department of Health and Human Services on the State Diabetes Action Plan.
New Resources: The new MSMS on-line Health Law Library offers one-stop access to valuable legal information for physicians and their staff. Topics include AIDS/HIV, compliance, end-of-life, medical records, and scope of practice. Additionally, MSMS recently updated one of its most popular documents, the Medical Records Guide for Physician Practices. Both resources are available on the MSMS website.
Education Update: Don’t forget the 21st Annual MSMS Conference on Bioethics, on November 11th at the Sheraton Ann Arbor Hotel. The member fee is $195 for 6 hours of CME Credit. The MSMS Foundation continues to offer education, both as conferences, and on-line,
to meet the new CME requirements for licensure; human trafficking, medical ethics and pain management.
FINANCE COMMITTEE REPORT
  WCMS Active Emeritus county dues rate to be $150 and MSMS dues rate remains at $150. – A motion was made by Dr. Maurer to approve the Active Emeritus $150 county dues rate with the inclusion of an addendum that the president is empowered to waive this fee with anonymity. The motion was seconded by Dr. Szocik. All in favor with the exception of
1 opposed (Dr. Koopman) and 1 abstained (Dr. Spindler). Motion carried.
  RX program – Discussion and vote – A motion was made by Dr. Share to approve the RX Card program. The motion was seconded by Dr. Mitchiner. All in favor with the exception of 1 opposed (Dr. Farmer) and 0 abstained. Motion carried.
  AMA U of M Student support for AMA meeting travel – Vote – A motion was made by Dr. Mitchiner to approve the $500 contribution for travel to support the U of M Medical students who are attending the AMA Annual Meeting in Hawaii. The motion was seconded by Dr. Spindler. All in favor, 0 opposed, and 0 abstained. Motion carried.
26 Washtenaw County Medical Society BULLETIN JANUARY / FEBRUARY / MARCH 2018
















































































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