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Dr. Threatt and MSMS Chief Executive Of cer Dr. Szocik speaks on the Dr. Junck serves in Reference Julie Novak in Ways and Means Committee  oor ahead of HOD voting Committee C
RESOLVED: That MSMS consider monopsony when evaluating health care payment systems. The Committee agreed that monopsony should be a consideration when discussing payment systems. Language speci c to single-payer was removed as the Committee heard testimony regarding monopolistic activities by other payers, as well as reimbursement policies under consideration in the state of California.
Title: Referral Obligation for Physicians Exercising Conscientious Objection
Original Author: Dr. Cheryl Famer
House Action: Disapprove
The Committee recommends disapproval due to existing MSMS and AMA policy. The AMA’s House of Delegates recently approved the AMA’s Council on Ethical and Judicial Affairs rewrite of the AMA’s Code of Medical Ethics. The Committee believes the language in the Code suf ciently addresses the author’s concerns.
The language is as follows: “In general, physicians should refer a patient to another physician or institution to provide treatment the physician declines to offer. When a deeply held, well-considered personal belief leads a physician also to decline to refer, the physician should offer impartial guidance to patients about how to inform themselves regarding access to desired services.
Title: Physician Screening for Homicidal Ideation
Original Author: Dr. Robert Sain
House Action: Amend
RESOLVED: That MSMS ask the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry to take the lead in developing standardized screening tests for homicidal ideation; and be it further
RESOLVED: That MSMS consider practical remedies to help all Michigan primary care physicians and their colleagues learn how to identify persons poised to commit homicide. Although there has been research on this issue, there is still much to be learned regarding how best to impact patients with homicidal ideation. The Committee recognizes that the medical community has a role to play in leading the dialogue, developing standardized and unbiased tools, and identifying
practical remedies to assist physicians in caring for patients who may be inclined to act out and cause harm to themselves or others. The Committee believed it was more appropriate for the national specialty societies to take the lead on developing tools than for MSMS, and amended the  rst Resolved to re ect that position. Additionally, the Committee amended the second Resolved clause noting that it is premature to specify certain activities until a screening tool or other recom- mendations come forth from the national specialty societies identi ed in the resolution.
Title: Study of Inpatient Psychiatric Beds
Original Author: Dr. Robert Sain
House Action: Disapprove
The Committee believes this is an important statewide issue. However, there has already been activity at the state level including a thorough study through the Michigan Inpatient Psychiatric Admissions Discussion (MIPAD) initiative which was launched by the Michigan Department of Health and Human Services (MDHHS) in July 2017. MIPAD’s charge was to investigate ongoing barriers to inpatient psychiatric services. As part of this initiative, MDHHS convened a workgroup to produce a set of recommendations to overcome these barriers. The MIPAD Workgroup submitted 42  nal recommend- ations to MDHHS in October 2017, and MDHHS is currently working on implementing 19 of these recommendations in the short term. Additionally, the Michigan Legislature is currently considering House Bill 5439, which would “add a section to the Mental Health
Volume 70 • Number 3 Washtenaw County Medical Society BULLETIN 9


































































































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