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Insight
Matters
Fall 2005
OPA
is Working For You!
The
Ohio Psychiatric Association is your professional association
in the state of Ohio and we would like to take this opportunity
to thank you for your continued membership. Through the combined
efforts of hundreds of OPA member volunteers and staff, the
OPA is dedicated to promoting the highest quality care for people
with mental disorders and to serving the professional needs
of Ohio's psychiatric physicians.
Here are the highlights of what the OPA has done for its members
in 2005:
Advocating
for patients and psychiatrists
Advocated successfully for adequate funding for mental and behavioral
health care in the state budget. Ohio House Bill 66 included
language that protected access to and provided adequate funding
for mental health benefits and services for Ohio's most vulnerable
citizens, including funding for the Access to Better Care initiative,
which will provide $52 million to improve access to behavioral
health services for children and their families.
Advocated
successfully to oppose "step therapy" language for
Medicaid patients. The biennial budget bill included language
that would have limited physicians from prescribing the most
appropriate and effective medications for persons covered by
Medicaid.
Lobbied
successfully to protect patient confidentiality. Ohio House
Bill 144 included specific language drafted by the OPA last
session to protect patient confidentiality in probate cases.
Advocating
for defeat of "mandate-lite" insurance benefits. Ohio
Senate Bill 5 would permit small employers to offer health plans
that do not provide insurance benefits otherwise required by
law. Passage of such legislation could eliminate the current
$500 a year mental health benefits for patients and would eliminate
the benefits of mental health parity.
Advocating
for defeat of unregulated complementary and alternative health
care. Ohio House Bill 117 would allow for complementary or alternative
health care treatment without regulation or oversight by a state
licensing board, which would pose significant risks to patient
safety.
Advocating
in support of mental health parity. Ohio House Bill 180 and
Ohio Senate Bill 116 will finally put an end to discrimination
against patients with psychiatric illnesses, enabling those
with insurance coverage to obtain the same benefits for mental
illnesses as other physical illnesses.
Advocating
for protection of patient rights with managed care companies.
Through education, we have encouraged our members to take action
for appeal (both internal and external) to address managed care
concerns that threaten access to needed and available inpatient
psychiatric services.
Reported
unfair managed care practices to the Ohio Department of Insurance
resulting in a major Ohio insurance company being investigated
by ODI for unfair denials of psychiatric services.
Investigating
the feasibility and options for managed care reform to address
the increasing concerns expressed by our members.
Educating our members
Educated
psychiatrists and other mental health professionals on emergency
psychiatry during the OPA Spring Educational and Annual Meeting,
Psychiatric Urgencies and Emergencies, held in partnership with
The Ohio State University Medical Center and Department of Psychiatry.
Educated
psychiatrists and primary care physicians on Buprenorphine treatment
and office-based treatment of opioid dependence.
Educated
psychiatrists and other mental health professionals on disaster
mental health, through the collaborative efforts of the ODMH
All Hazards Leadership workgroup.
Developed
and conducted leadership training for the OPA Council, Chapter
Presidents and Delegates
Co-marketed
the annual Psychopharmacology Update presented by the University
of Cincinnati.
Enhanced
the OPA Web Site to provide members with improved access to
information.
Educating
the public
Developing
a pilot patient education project, entitled: Increasing Patients'
Knowledge of Mental Illnesses Through Education and Community
Support - A Resource for Psychiatrists, in partnership with
the Mental Health Association of Franklin County and the National
Alliance for Mental Illness, Franklin County,
Supported
and exhibited at two educational events sponsored by the Mental
Health Association of Franklin County.
Supported
NAMI Ohio's Campaign for the Mind of America including the rally
and public awareness campaign directed at the Unintended Consequences
of Untreated Mental Illness and numerous NAMIWalks.
Implementing
policy
Developed
formal position statements on Inpatient Length of Stay for Children
and Adolescents, Pharmacy Benefit Management and Restrictive
Formularies, Ethical Involvement of Medical Directors and Insurance
Companies, for use in communicating with external groups, including
the media.
Developed
a relationship with the Ohio Coalition of Primary Care Physicians
to discuss and address issues of common interest (referral communications
and parity).
Representing
and enhancing the image and interests of psychiatrists by working
with the news media, regulatory agencies and constituency groups
to disseminate information to patients, family members and the
general public on issues of psychiatric medicine.
Issued
news releases to the media to address concerns related to the
practice of psychiatry and the patients for whom we care.
Representing
the profession
The
OPA was represented by one or our members and/or our executive
director in helping to provide
direction, shape policy, define needs, develop new programs,
and provide education on the work
groups, task forces and committees:
Coalition for Healthy Communities
Delegate to the Ohio State Medical Association
ODH Sexual Assault and Mental Illness
ODMH All Hazards Leadership Task Force
ODMH Clinical Quality Council
Ohio Chapter, American Academy of Pediatrics
Medicare Carrier Advisory Panel
Medicaid Ohio Behavioral Pharmacy Management System
We
hope that you and your patients have benefited from the actions
taken by your professional organization. Please share your comments
or suggestions. It is important that we hear from you, OPA members,
to establish the priorities for OPA activities in advocacy,
education, collaborations, policy and overall member services
and to ensure that we're meeting your needs!
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