Steve Daviss MD DFAPA
for Assembly Recorder (2017)
I am asking for your vote when the Assembly meets in May in San Diego.
Below I explain what the position involves, who I am, what is important to me, and some background about positions held and things I've done. If you have further questions for me or want to discuss APA, our profession, or healthcare in general, either call or text me on my cell phone (410-782-0077) or email me (email@example.com).
The position of Assembly Recorder carries out the Duties defined in the Assembly Procedural Code:
The Recorder shall be responsible for the formal call to Assembly meetings, who shall be seated at Assembly meetings, the records of the Assembly and all duties assigned by the Speaker, the Assembly or the Procedural Code.
These duties include managing the process of Action Paper management and tracking and reporting actions items passed by the Assembly as they make their way through APA leadership levels. The other duties are those related to the charge of the Assembly Executive Committee. This charge is:
- to act for the Assembly between Assembly meetings; however, proposed policy statements are to be made only in emergencies when actions clearly may not be deferred until the next meeting of the Assembly;
- to promote interests and decisions of the Assembly within the rest of the APA, including evolving strategies and tactics to enhance implementation of Assembly actions by appropriate APA components, and accept action papers referred to the AEC by the Assembly and determine the APA component to which they should be sent;
- to address APA intercomponent affairs of the Assembly, i.e., relations with the Board of Trustees, components, Joint Reference Committee, and Medical Director's office;
- to facilitate Assembly function by advising the Speaker, exchanging information and developing Assembly policies, including assisting the Speaker on planning for Assembly meetings, exchanging important information about arising issues, and developing policies about the Assembly's function;
- to study the Assembly and its components and identify issues related to long range planning, addressing emerging issues that go beyond internal structural matters that address the future of the field of psychiatry and the APA;
- to review the budget of the Assembly, in coordination with APA staff, and make decisions as needed during the fiscal year to assist staff in managing resources;
- to prioritize passed Assembly action items in accordance with the APA mission and financial feasibility and provide progress updates to the Assembly.
The fields of medicine, in general, and of psychiatry, in particular, are undergoing historic changes. And the new Administration has promised to enact major changes in how healthcare is delivered and paid for in the U.S. The high cost of healthcare is leading to changes in the system of healthcare financing that reward quality outcomes rather than high volumes. In the next couple years, we will see a number of alternative payment models that will affect our practices and our patients, with Medicare and Medicaid leading the charge. While we maintain the free right to operate outside “the system,” this evolution will require complex changes to healthcare policies, to the measurement of quality and outcomes, and to the information technologies that lie underneath electronic health records, health information exchanges, disease registries, and mobile health technologies.
Whether one accepts insurance or not, these changes will drastically change the economics of healthcare. Those who can demonstrate the best outcomes, reduce total healthcare spending, and improve patients’ experience (the “Triple Aim”) will fare well. Psychiatrists are in a unique position to be the biggest winners within these new models -- but only if we are at ALL the tables as these policy and economic decisions are made. Providing effective, integrated psychiatric interventions improves the ability of patients to take better care of their overall health, with billions of dollars in savings on the “medical side.” Psychiatrists -- because of our unique biopsychosocial training -- are the key to unlocking the benefits of the triple aim.
As a healthcare leader, I understand these multiple healthcare system levers and will encourage the APA to develop forward-thinking policies that ensure our organization increases relevance for current members as we fight against over-regulation, attract and retain younger members, develop nonmember revenue sources that serve our members and advance quality for our patients, and participate in the regulatory processes shaping our field.
This is the perspective I bring to the Assembly. My passion is ensuring that the value that we bring to improving people’s lives is recognized, understood, and fulfilled. I have practiced this by participating at multiple levels to assert advocacy for psychiatry’s unique role.
Education and Training
1989 M.D. University of Maryland School of Medicine
1993 Residency - Western Psychiatric Institute and Clinic, University Health Center of Pittsburgh
1995 NIMH Clinical Research Fellowship - Maryland Psychiatric Research Center, University of Maryland
2008-12 Oregon Health Sciences University coursework in Clinical Informatics; and American College of Physician Executives coursework in the Business of Medicine
ABPN Certified in Psychiatry and in Psychosomatic Medicine
At the APA, I am a Distinguished Fellow, and am Assembly Representative for the Maryland Psychiatric Society for 2012-2019, and also 2007-2009. I have authored over a dozen successful Action Papers, and have served on the Assembly Rules Committee, Reference Committees, and Assembly Committee on Communications. I serve as a member of the Telepsychiatry Committee and as chair of the Committee on Mental Health Information Technology (previously the Committee on Electronic Health Records), where we've worked on quality measures, disease registries, accreditation standards for insurance companies and hospital, parity, electronic medical records, health information technology standards, telemedicine, and mobile health apps. I've also served on the Council on Quality Care, Council on Research and Quality Care, and Committee on Standards and Survey Procedures. Dr. Steve Sharfstein appointed me in 2005 to represent the APA on URAC’s Health Standards Committee, where I served for 11 years to represent APA, and advocating for consumer- and provider-centered insurance policies and that parity and access to care be included within insurance company accreditation standards.
In Maryland, I have served my district branch in committees for public affairs, communications, nominations, and legislative affairs, and served at every officer level, including president and council chair. In 2013, the Maryland Psychiatric Society first established the Presidential Award of Excellence and bestowed upon me the inaugural award in recognition of extraordinary level of service and commitment to the Society. I have served continuously in the MPS Legislative Affairs Committee for more than two decades, where I established a web-based bill-tracking system that has over 10 years of bills, positions, testimony, letters, and discussion.
In Maryland and nationally, I have served on numerous committees, task forces, and workgroups -- many regulatory and legislative in nature -- that address various aspects of healthcare, advocating for parity and the interests of our patients and our members, while bringing fresh perspectives and out-of-the-box thinking to complex problems. These committees have addressed parity, access to care, behavioral health integration, care coordination, public policy, healthcare reform, standards for electronic behavioral health records, health information exchange, mobile health technology, health IT standards, telemedicine, quality measures, quality improvement, addictions, Medicaid pharmacy policies, and postgraduate medical education.
In the clinical sphere, I recently provided part-time patient care in an urban clinic providing care to underserved populations with complex problems. Prior to that was the chair of the Department of Psychiatry at University of Maryland Baltimore Washington Medical Center from 2004-2013 and clinical assistant professor at University of Maryland School of Medicine. I have previously served in nearly every type of healthcare setting, including solo private practice, group practice, hospital inpatient, hospital outpatient, partial hospitalization, intensive outpatient, nursing homes, assisted living facilities, substance abuse programs, federally qualified health centers, free medical clinics, teaching facilities, emergency departments, and consultation-liaison psychiatry.
My clinical leadership roles have been chief resident for Western Psychiatric Institute and clinic; founding president of a private, multidisciplinary group practice; medical director of a substance abuse program; associate chair of a psychiatry department in a general hospital; and chair of the department of psychiatry at University of Maryland Baltimore Washington Medical Center. I am currently founding president of a consulting group focused on integrated care and related healthcare policy and health information technology, as well as CMIO for M3 Information, a DC-based mental health research company started by Robert Post MD.
In summary, I bring fresh perspectives and new ideas to the position of Recorder, with member-focused and patient-centric passion and commitment.
I am asking for your vote.
Select Action Papers and Position Statements with authorship or significant co-authorship
- Developing a “Find a Psychiatrist” Function for Patients on the APA Website
- Adequacy of Health Insurance Provider Networks
- Management of Sensitive Information within Health Information Exchanges (HIEs)
- Mental Health Parity Act Compliance and Insurance Accreditation Organizations
- Update on 2002 Position Statement on Carve-Outs and Discrimination
- Committee on Mental Health Information Technology
- Use of District Branch Electronic Communications by APA Election Candidates
- APA Representation in the HL7 Standards Organization
- Efficient Electronic Payment and Record Access
- Payer Coverage for Prescriptions from Nonparticipating Prescribers
- Psychiatrist Involvement in Medical Euthanasia and Physician-assisted Suicide of the Non- Terminally Ill
- Ad Hoc Workgroup to Explore the Feasibility of Developing an Electronic Clinical Decision Support Product
- Position Statement: Confidentiality of Electronic Health Information
- Position Statement: Patient Access to Electronic Mental Health Records