Policy Compendium Summer 2016 (UPDATED 8/10/16)
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Policy Compendium Summer 2016 (UPDATED 8/10/16) Produced by The American College of Physicians Division of Government Affairs and Public Policy Washington, DC HOW TO USE THE ACP POLICY COMPENDIUM The American College of Physicians (ACP) Policy Compendium is arranged by headings of broad category areas relating to health care. These categories follow those used in the American Medical Association (AMA) Policy Compendium to facilitate cross-referencing between ACP and AMA policies. All headings are listed in both the table of contents and the text of the manual in bold, underlined, upper-case letters. Headings indicate the general subject being addressed, and are followed by one or more policies. The individual policies indicate the subject being addressed, and appear as bold, lower-case letters below the heading. Subheadings address specific elements of a policy, and are listed in italic, lower-case letters. CITATION LEGEND A citation follows each policy in this Compendium. The following table shows the key for abbreviations used in those citations. The citation format is [Paper Title, Approving Body YY], where YY represents the last two digits of the approval year. ACP The Board of Regents of the American College of Physicians, pre-merger. ACP AMA Del Res A Resolution of the ACP Delegation to the AMA. BoR The Board of Regents of the ACP, post-merger. CMS The Council of Medical Societies HoD The House of Delegates of the ASIM, pre-merger. ADDRESS The American College of Physicians Division of Governmental Affairs and Public Policy 25 Massachusetts Ave NW, Suite 700 Washington, DC 20001 Telephone: 202.261.4500 or 800.338.2746 <http://www.acponline.org> Policy statements published in the Policy Compendium are those policy statements of a national scope adopted by the ACP Board of Regents. All ACP policy statements shall be subject to federal, state or local statutes current or future. ACP shall not be responsible in case of any conflict. ACP Policy Compendium, Summer 2016 Update All policies in the Compendium that are approaching their tenth (10) anniversary will be identified and forwarded to the relevant committee for sunset review. The reviewing committee will make recommendations to reinstate or remove the policy due to lack of relevance or because it has been superseded by more recent policy. The Policy Compendium will be published in paper form once per year, after the Board of Regents meeting at the Annual Session. An interim electronic version of the Compendium will be posted at ACP Online in the Governors’ Information Center and the Regents’ Information Center. Policy Compendium Editorial Group ACP Policy Compendium, Summer 2016 Update Table of Contents ACCIDENT PREVENTION ............................................................................................................................... 1 ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) ......................................................................... 1 ALLIED HEALTH PROFESSIONS .................................................................................................................. 5 BEHAVIORAL HEALTH ................................................................................................................................... 9 BLOOD .................................................................................................................................................................. 9 CHILDREN AND YOUTH ................................................................................................................................. 9 CIVIL AND HUMAN RIGHTS ........................................................................................................................ 10 CODING AND NOMENCLATURE ................................................................................................................ 11 COLLECTIVE BARGAINING ........................................................................................................................ 19 CORRECTIONAL HEALTH CARE ............................................................................................................... 22 DEATH ................................................................................................................................................................ 28 DISPARITIES ..................................................................................................................................................... 28 DRUGS ................................................................................................................................................................ 32 EMERGENCY MEDICAL SERVICES ........................................................................................................... 43 ETHICS ............................................................................................................................................................... 43 FIREARMS: SAFETY AND REGULATION ................................................................................................. 59 HEALTH CARE DELIVERY ........................................................................................................................... 63 HEALTH CARE SYSTEM REFORM ............................................................................................................. 66 HEALTH FRAUD, ABUSE, AND SELF-REFERRAL .................................................................................. 74 HEALTH INFORMATION TECHNOLOGY................................................................................................. 77 HEALTH INSURANCE .................................................................................................................................... 83 HEALTH WORKFORCE ................................................................................................................................. 98 HOME HEALTH SERVICES ......................................................................................................................... 105 HOSPITALISTS ............................................................................................................................................... 106 HOSPITALS ..................................................................................................................................................... 106 ACP Policy Compendium, Summer 2016 Update INTERNAL MEDICINE ................................................................................................................................. 110 LABORATORIES ............................................................................................................................................ 111 LICENSURE AND DISCIPLINE ................................................................................................................... 112 LONG TERM CARE ....................................................................................................................................... 113 MANAGED CARE ........................................................................................................................................... 114 MEDICAID ....................................................................................................................................................... 140 MEDICAL EDUCATION................................................................................................................................ 143 MEDICAL RECORDS .................................................................................................................................... 153 MEDICAL REVIEW ....................................................................................................................................... 159 MEDICALLY UNDERSERVED HEALTH CARE ...................................................................................... 160 MEDICARE ...................................................................................................................................................... 161 NATIONAL PRACTITIONER DATA BANK .............................................................................................. 174 PATIENT – PHYSICIAN RELATIONSHIP ................................................................................................. 175 PEER REVIEW ................................................................................................................................................ 179 PERFORMANCE ASSESSMENT ................................................................................................................. 179 PHYSICIAN PAYMENT ................................................................................................................................. 185 PRACTICE PARAMETERS (GUIDELINES) .............................................................................................. 208 PREVENTIVE MEDICINE ............................................................................................................................ 209 PROFESSIONAL LIABILITY ....................................................................................................................... 210 PROFESSIONAL RIGHTS AND RESPONSIBILITIES ............................................................................. 214 PUBLIC HEALTH ........................................................................................................................................... 226 QUALITY OF CARE ......................................................................................................................................