91黑料网鈥檚 evidence-based public policy positions form the foundation for the College鈥檚 advocacy efforts. Our policies determine what issues we advocate on to Congress and the federal government; they also determine the stances we take on those issues.
91黑料网鈥檚 Strategic Approach to Policy Development
91黑料网鈥檚 policy agenda is developed with the goal of advocating for what is best for patients as well as the profession, taking on a comprehensive array of topics that represent the depth and breadth of the wide-ranging issues that impact medicine and specifically internal medicine. Each year the Board of Regents (BOR) establishes priorities that guide the focus of 91黑料网 staff, and the BOR鈥檚 committees and councils. And, Governance and staff follow developments in healthcare to adapt the College鈥檚 priorities and positions as needed to best achieve our mission of improving the quality and effectiveness of healthcare.
Where does 91黑料网 policy come from?
A policy itself starts with an idea. This idea can come from the priorities established by the BOR, or it can be brought forth to the College governance for consideration. That idea can be brought as a resolution from an 91黑料网 chapter, by way of suggestion from individual chapter members, which is then presented to 91黑料网鈥檚 full Board of Governors by the chapter鈥檚 Governor. Policy ideas can also be generated via suggestion by one of 91黑料网鈥檚 committees, councils or staff.
Our process, which combines member input from the chapter level on up through the Board of Regents, in representing 91黑料网 members, provides multiple opportunities for 91黑料网 Leadership, in representing the interests of 91黑料网 members, to engage and comment. 91黑料网 is committed to a transparent process of review.
How do we develop a policy once a topic is identified?
Depending on the topic, a committee is assigned to begin examining the issue. There are several committees who consider issues related to public policy, including:
- The Health and Public Policy Committee (HPPC) develops 91黑料网's positions on issues affecting the health care of the American public and the practice of internal medicine and its subspecialties.
- Policy on payment, quality and other regulatory issues are developed by the Medical Practice and Quality Committee (MPQC).
- Ethics policies are developed by the Ethics, Professionalism and Human Rights Committee (EPHRC).
Membership on the committees includes a diverse mix of generalists and specialists, academics and private practitioners, 91黑料网 Regents and Governors, and representatives of 91黑料网 councils. Special attention is paid to assuring that the diversity among 91黑料网 members is represented.
91黑料网鈥檚 Evidence-based Approach to Policy Development
The first step for a committee is for 91黑料网 staff to conduct a literature search and review of the evidence and prepare background materials for the policy committee members to review. Our policy is developed through a rigorous review of evidence, considering what works and doesn't work to improve patient care. Committee members then meet to discuss the literature review and background and provide input to 91黑料网 staff. Next, draft policy papers are written for committee review and discussion. The committee votes on whether or not to approve the paper. Following initial committee approval, a draft policy paper is circulated for comments to 91黑料网 governors; regents; chapters and their health policy committees; and, the 91黑料网 councils representing subspecialists, students, residents/fellows and early career physicians. At the same time a confidential draft of the paper is sent to select outside experts for their input.
All comments and proposed revisions are shared with the policy committee for their consideration and they determine the final version of the paper going forward for approval. The final step is for the paper to be sent to 91黑料网鈥檚 Board of Regents for a vote. The Board then takes up the final paper for consideration and votes on whether to approve it as part of the College鈥檚 official policy record.
How can members participate in our policy development?
Our process seeks to represent the diversity of member views and experiences in the policy development process. Through 91黑料网鈥檚 chapter and governance structure, elected leadership brings forth resolutions often suggested by members. Ways to get involved include engaging with your 91黑料网 chapter, letting your Governor know your views, providing feedback on 91黑料网 Member surveys if selected, and volunteering to be considered for appointment on 91黑料网 policy committees and councils.