- Scope of Practice for Midwives, Optometrists, Psychologists, P.A.'s, ARNP's etc...: These fellow providers are very organized, have hired their own lobbyists and sometimes only one physician or IMS representative will show up at the Iowa legislature discussions. Optometrists want to do intraocular injections, Psychologist would like to prescribe medications and ARNP's have succeeded in getting limited oversight and privileges to perform colonoscopies.
- Physician Burnout: physicians, administrators and our legislators can all help alleviate burnout. A common theme was excess electronic charting, combined with clinic "assembly line" requirements, push workloads to personal/family time. The "Meaningful Use" requirements are hurting pt care; for example, it's hard to find out what was exactly done to a patient during their hospital stay when you need to go through 30+ pages of unnecessary charting. The "Demanding Patient" contributes to physician burnout, but patient satisfaction scores put pressure on physicians.
Consider how a police officer or fire fighter may be put on administrative leave to recover after a victim's death. In contrast, physicians are expected to go on and see the next patient.
- Mental Health: untreated mental illness raised health costs across the board, in multi-specialties. Iowa has a shortage of mental health providers and spending cuts have affected existing facilities.
- Physician empathy, Pediatric antipsychotic prescriptions, Financial management (ask me how they tied this to the Villa Nova win), and Geriatric mental health were also meetings that I attended.
- See Conference Brochure for more information.
The Chamber of Commerce had a lobbyist highlight some items being voted on: clean water, broadband access, Psychologists prescribing, TIF, business incentives, inadequate mental health funding, etc.