262.000 QUALITY ISSUES

262.990        Patient Centered Medical Home Metrics and Funding

MSSNY will work with the National Committee for Quality Assurance (NCQA) to implement stricter criteria for approval of those metrics and practices that organizations select to ensure that they are evidence-based.  MSSNY will work with the National Committee for Quality Assurance (NCQA) to provide adequate funding and technical assistance to Patient Centered Medical Home recipients to implement evidence-based practices. (HOD 2022-254)

262.991        Patient Centered Medical Home Administrative Burdens

The Medical Society of the State of New York will work with the National Committee for Quality Assurance (NCQA) and other regulatory bodies to streamline and eliminate unproven metric collection that takes time away from patient contact and quality care.

The Medical Society of the State of New York will urge the American Medical Association to also seek regulations to reduce the increasing strain that Patient Centered Medical Home (PCMH) metrics are placing on physicians and patient care. (HOD 2022-253)

262.992        Preserving the Anesthesia Care Team Model

The Medical Society of the State of New York will develop a policy in support of physician supervision of nurse anesthetists and will seek adoption of legislation stipulating that, regardless of location or type of health insurance coverage, a patient undergoing any medical treatment requiring anesthesia in a hospital or ambulatory surgical center be guaranteed that a physician-anesthesiologist will either personally administer or supervise a nurse anesthetist in the administration of anesthesia or that a designated surgeon has agreed to medically supervise the nurse anesthetist.  (HOD 2018-101)

262.993        AMA Guidelines for Reporting Physician Data

MSSNY supports the use of the AMA’s Guidelines for Reporting Physician Data to create data reports that physicians can easily understand and use to enhance data-driven decision making. (Council 5/24/2012: Reaffirmed HOD 2022) The Guidelines are available upon request from the Administrative Headquarters office of MSSNY.

262.994        Physicians’ Control of Quality Monitoring:

MSSNY will support and actively promote quality evaluation programs under the aegis of appropriate medical organizations including specialty societies, and insist that these programs be substituted for those controlled by the managed care industry so that the best interests of physicians and patients are protected.  Also, these existing evaluation programs should be upgraded or expanded as required to perform these quality evaluations. (HOD 2009-95; Reaffirmed HOD 2019)

262.995           MSSNY Task Force on Quality Medicare Care: 

MSSNY supports regulatory or legislative efforts which require physicians to complete a certain number of continuing medical education course credits periodically as evidence of competence and diligence in medical practice.  (Council 11/17/05; Reaffirmed HOD 2015)

262.996           Maximum Medical Improvement: 

MSSNY will work with insurers to develop clinical guidelines and best practices for maintaining therapies for chronic conditions using an evidence-based model.  (HOD 2005-263; Reaffirmed HOD 2015)

262.997           Tracking Improvement of Medical Error Evidence: 

MSSNY supports efforts by the American Medical Association to enact comprehensive patient safety legislation which:  1) Creates a confidential, voluntary reporting system in which physicians, hospitals and other health care providers can report information regarding errors or “near misses” to patient safety organizations (PSOs); 2) Allows PSOs to collect and analyze patient safety data and then provide feedback on patient safety improvement strategies; and 3) Ensures that patient safety data will be confidential and legally protected.  (HOD 2005-172; Reaffirmed HOD 2015)

262.998           AMA Specialty-Specific Quality Analyzing Committees: 

MSSNY supports and endorses the work of the American Medical Association’s Physician Consortium for Performance Improvement which has developed evidence-based performance measures.  (HOD 2005-171; Reaffirmed HOD 2015)

262.999           Task Force on Quality Medical Care: SUNSET HOD 2014