WHA Physician Leaders Council Guides MD “Top-of-License” Agenda

April 06, 2018

WHA’s Physician Leaders Council provided input to help guide the achievement of two elements of WHA’s 2018 goals focusing on integrated physicians and clinics at its April 3 meeting. The Council discussed emerging needs and challenges facing physician leaders as well as reducing regulatory burden impacting physician and professional practice.

At a prior meeting, WHA Physician Leaders Council Chair and Chief Medical Officer for ProHealth Care, Steve Kulick, MD, helped coin WHA’s physician regulatory burden agenda as a physician “top-of-license” agenda.

“While enabling ‘top-of-license practice’ has traditionally been a concept we talk about for advanced practice clinicians, it is as important if not more important that we ensure physicians are able to practice at their ‘top-of-license,’” said Kulick.

Members of the Council provided several insights into the impacts, opportunities and challenges of advancing an agenda to address physician regulatory burden, including:

  • “It is important to work to hold government accountable for the implementation costs to organizations and physicians when government imposes new requirements on the delivery of health care.”
  • “Regulatory burden translates into an electronic health record (EHR) burden for physicians. We need to address the two to four additional hours of EHR burden on physicians each day.”
  • “There is interest in removing burden caused by regulations requiring physician action when the action could be performed by a nurse practitioner, physician assistant, or other professional, but we need to be aware and overcome the fact that some physicians will still want to create barriers for advanced practice clinicians.”
  • “We need to continue to increase focus on emerging needs in clinic and ambulatory settings.”

Advocacy update

The meeting concluded with a review of WHA’s recent and ongoing advocacy impacting physicians.

Leading the discussion was WHA’s courtroom advocacy with the Wisconsin Supreme Court on the importance of Wisconsin’s medical liability non-economic damage cap to maintaining a physician workforce supply that can meet the health care needs of communities throughout Wisconsin. Oral arguments with the Supreme Court regarding the constitutionality of the $750,000 non-economic damage cap will be held April 19.

Staff also discussed activity on a number of WHA advocacy priorities, including enactment of new mental health emergency detention reforms and newly announced grants to support graduate medical education.

The next meeting of the WHA Physician Leaders Council is June 12.

This story originally appeared in the April 06, 2018 edition of WHA Newsletter