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American Medical Association Organized Medical Staff Section (AMA-OMSS) 2008 Interim Meeting Summary November 6-8, Marriott Orlando World Center Summary of Actions The AMA-OMSS held its 52nd Assembly. The Section considered 15 resolutions and 6 reports for a total of 21 items of business.
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November 6-8, Marriott Orlando World Center
Behaviors that Undermine Safety:
Due to the potential impact of alleged “disruptive behavior” on physicians, quality and patient safety and the profession of medicine, the OMSS made specific recommendations concerning this issue. These recommendations included a requirement for both the medical staff and the hospital to adopt and implement its own code of conduct. At I-08, the HOD adopted policy supporting these recommendations.
Behaviors that Undermine Safety (excerpt):
RESOLVED, That our American Medical Association (AMA) adopt the following policies:
A. The Medical staff
The medical staff shall develop and implement its own code of conduct in the medical staff bylaws which includes, but not be limited to the following provisions:
Behaviors that Undermine Safety (Continued):
Clarification of the Title of “Doctor” in a Hospital Environment:
In a hospital there are many professionals who have received doctorate degrees, who are not MDs or DOs. Due to the importance of providing patients with the best care, it is crucial that there is no confusion on the part of the patient, their family, or staff when communications or other interactions occur. The AMA-OMSS made recommendations that called for The Joint Commission to implement identification standards for those who have achieved a Doctorate, to be required to appropriately identify themselves and visibly display their specific type of Doctorate on their person. Therefore, only those who fall under the AMA definition of a doctor will be identified as a MD or DO, and other professionals in a hospital environment would be required to indicate and display their appropriate credentials, distinguishing themselves from physicians. At I-08, the HOD adopted the Section’s recommendations.
Rescind the 48 Hour Rule:
According to Medicare regulations when a verbal order is given it must be authenticated within 48 hours. No data has been published to support the benefit of the federal government’s 48 hour authentication requirement, despite the AMA’s request for such information. In response to these federal regulations, AMA-OMSS made several recommendations to our AMA; such as requesting that the AMA pursue working with other physician, hospital, and specialty organizations, to create a stronger voice in opposition to the 48 hour rule, and encouraging states to adopt legislation that requires a more appropriate timeline for authentication. At I-08, the HOD adopted positions supporting these recommendations.