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Resolutions to MSMA: DRAFT

Start By Believing

Resolution: That the Missouri State Medical Association send a message to the state legislature that Missouri become a “Start by Believing” State, thus proclaiming that we will “start by believing victims of sexual assault.”

Whereas: When a loved one dies in a car accident due to a drunk driver, or you are diagnosed with cancer, your loved ones will gather around you to support and care for you. Sometimes the community will lend support. They don’t blame you.

Whereas: “I was raped”. It is extremely difficult for a child, women or man to disclose that they have been prey to a sexual predator. They are shamed, blamed and the community sometimes persecutes them. The pain of sexual assault is long lasting for the victim as well as the family and can ripple through the community with destructive effects.

Whereas: April is Sexual Assault Awareness Month. As physicians we should believe that sexual violence is as much a health care issue as diabetes, heart disease or obesity. These are patients that we see in our offices that are dealing with the symptoms of PTSD.

Whereas: Start by Believing is a public awareness campaign designed by End Violence Against Women International (EVAWI) to change the way we respond to rape and sexual assault in our communities. We need to dispel the myths surrounding sexual assault and support our patients. The mission of Start by Believing is to allow communities and professionals (particularly in law enforcement and medicine) to make a statement that they will “start by believing the victim” when they hear a story of sexual assault.

Whereas: Arizona was the first state to “Start by Believing”.

Whereas: Police, prosecutors, healthcare systems and other community members support this initiative.

Therefore:

Resolved: The physicians of Missouri should support the “Start by Believing” campaign.

Resolved: That the Missouri State Medical Association send a message to the legislature that Missouri become a “Start by Believing” State, thus proclaiming that we will “start by believing victims of sexual assault.”

Fiscal Note:-0-

See attachments


Structure of Council and House of Delegates

Resolution: That the MSMA Council study and discuss the current structure and meeting frequency of the Council and the House of Delegates.

Whereas, it is increasingly difficult for members to attend a delegate meeting that requires most of a weekend,

Whereas, diverse member input and representation is critical for an association to continue to represent its constituency,

Resolved: That the MSMA Council study and discuss the current structure and meeting frequency of the Council and the House of Delegates.


Preparation of Inpatients for Discharge

Whereas patients admitted for inpatient services are among the most ill and in need of carefully coordinated services, and,

Whereas, at discharge from acute care settings, patients remain at significant risk once acute care teams hand off care to the patient and the patient’s community, and,

Whereas, due to the complexity of drug regimens and attendant administrative, financial, and insurance matter, the hand off to community settings is especially treacherous(Desai, Williams, Greene, Pierson, & Hansen, 2011), and,

Whereas, many patients fail to navigate the transition to the community successfully, many times failing due to their continuing an outdated drug regimen, duplication of medications leading to toxicity, or failing to initiate new medications(Pal, Babbott, & Wilkinson, 2013),

Therefore,

Be it resolved the MSMA and AMA pursue legislation and regulation at the State and federal levels that assures the following:

At discharge, the patient’s regimen will be appropriately adjusted by the discharging physician, in collaboration with pharmacists, social workers, and those familiar with any formularies that impact the patient’s access to necessary medications, and,

The patient’s physician providing ongoing care and the patient’s pharmacy of record will be informed of changes in the patient’s drug regimen, including deleted medications and changes to dose, frequency, route, duration, and other critical matters.

Desai, R., Williams, C. E., Greene, S. B., Pierson, S., & Hansen, R. A. (2011). Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. Am J Geriatr Pharmacother, 9(6), 413-422. doi: 10.1016/j.amjopharm.2011.10.005

Pal, A., Babbott, S., & Wilkinson, S. T. (2013). Can the targeted use of a discharge pharmacist significantly decrease 30-day readmissions? Hosp Pharm, 48(5), 380-388. doi: 10.1310/hpj4805-380

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Connect &
Collaborate

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Events

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Practice
Opportunities

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For Retired
Physicians

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