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To work toward
eliminating
discriminatory reimbursement practices
in all areas of reimbursement, and at the same time,
towards the inclusion of acupuncture and oriental medical
benefits in healthcare plans by the best educated and
clinically trained AP/OM licensed practitioners;
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Improving the National Health
Information Infrastructure (NHII)
and Standards for Health-Related Data
Draft Resolution
September 3, 2003
WHEREAS, the American
people are entitled to life, liberty, and the pursuit
of happiness, through the exercise of the individual
freedom in a manner that does not infringe on the freedoms
of others, and these rights are applicable to their
pursuit of wellness and healthcare;
WHEREAS, the federal
government has committed to supporting these freedoms
through the application of information and communications
technologies to the health industry that have supported
greater consumer choice and wealth-generating efficiencies
in other industries;
WHEREAS, a cost-effective
national health information infrastructure, free of
special interest influence and control, is needed to:
1) compile, analyze and disseminate health-advancing
information from all health industry stakeholders, including
public and private, community, minority and ethnic,
and faith-based organizations,
2) provide impartial information on
best practices to health, healthcare, and health policy
decision makers, and
3) help the greatest number of people
exercise their individual freedoms and get the right
care in the right place at the right time, at the lowest
possible cost;
WHEREAS, the federal
government is supporting a public-private collaboration
to develop impartial standards for health-related data
to:
1) support an optimal information architecture,
2) align financial and other incentives of consumers,
caregivers and organizations (e.g., through tax-benefits
for achievement of targeted health improvements),
3) enhance health surveillance to support homeland security,
4) support research and population health,
5) enhance safety and quality, and
6) help protect privacy and confidentiality;
WHEREAS, the building
blocks of an effective health information infrastructure
are currently incomplete and flawed, and compromise
the nation's ability to:
1) identify public health risks (such as bioterrorism
and viral epidemics),
2) avoid individual health risks (such as medical errors
and adverse reactions),
3) reverse disparities in health based on income, race
and ethnicity,
4) make comparisons of economic and health outcomes
of conventional, complementary and alternative approaches
to care, to identify the best practices available,
5) improve healthcare accessibility, quality and cost-management,
and
6) support better health policy decisions;
WHEREAS, the federal
government committed to specific improvement in the
health information infrastructure for administrative
simplification, including standardization of transactions
and code sets under the Health Insurance Portability
and Accountability Act of 1996 (HIPAA);
WHEREAS, complete,
accurate and precise clinical and administrative codes
are essential to:
1) support healthcare research, management, and commerce;
2) help those who finance, administer, and deliver care
make better decisions; and
3) give consumers reliable information on the cost and
benefits of care and greater freedom to secure the care
they prefer;
WHEREAS, the HIPAA
code sets are oriented toward conventional physician-directed
and dentist-directed disease-based models of care, and
the HIPAA code set evaluation and naming process is
dominated by conventional allopathic practitioners who
could benefit financially from the restriction of standards
for health-related data to allopathic approaches to
care;
WHEREAS, new codes
are needed to reflect alternative medicine, nursing
and other forms of integrative healthcare (such as the
approaches to wellness and healing taken on behalf of
impoverished, minority and ethnic populations).
WHEREAS, older code
sets are designed, developed and overseen in a manner
that facilitates special interest control over the financing,
administration and delivery of care by practitioners
in healthcare professions other than their own;
WHEREAS, complete,
accurate and precise codes will help health, healthcare
and health policy decision makers to:
1) more easily identify the least costly and most beneficial
interventions,
2) support the exercise of individual freedoms in relation
to wellness and healthcare, and
3) get the greatest number of people the right care
in the right place at the right time, at the lowest
possible cost;
WHEREAS, incomplete
and flawed standards within the national health information
infrastructure result in systemic inefficiencies and
dependencies that block access to quality care, raise
the cost of care, and lead American workers to choose
employment on the basis of health coverage rather than
their potential to contribute productively to the economy,
to the detriment of national socioeconomic development;
BE IT RESOLVED, that
we urge the federal government to pass regulations or
law to ensure the nation's clinical and administrative
codes are developed and managed in an open and impartial
manner that
1) precludes special interests from withholding or assigning
codes in a manner that restricts competition or limits
consumer choice;
2) supports scientific assessments of the relative economic
and health outcomes of integrative healthcare, as well
as complementary and alternative approaches to physician-directed,
dentist-directed and other disease-based models of care;
and
3) supports the collection, analysis, and dissemination
of health-related data, information and knowledge on
all facets of wellness and healthcare to support wellness
and improve individual and public health, business,
and industry efficiencies, and socioeconomic development;
BE IT FURTHER RESOLVED,
that we urge
1) federal and state governments to explore immediate
remedies to national health information infrastructure
challenges that compromise the rights of Americans,
in order to empower them to control their healthcare
expenditures and choose the care that is best for them;
2) federal and state governments to
initiate a criminal investigation into the business
practices of organizations whose members are enriched
by disease, to explore and counter the possibility of
systemic and institutionalized perpetuation of disease,
restraint of trade, anti-trust and/or racketeering practices
(e.g., control of data collection, coverage and reimbursement,
pricing, licensing, scope of practice and case management);
and
3) the state attorney generals and U.S. employers to
jointly explore the potential for a lawsuit against
the federal government for having supported any statutory
monopolies by the conventional allopathic profession
that limits competition in healthcare to:
" the financial detriment of the states and U.S.
employers and
" the detriment of the health and rights of the
American people.
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