At the last several Board of Trustees meetings, the board approved:

A strategic plan
This plan is shaped around the three pillars of strategic policy and engagement, professional success and opportunity and vitality of the profession. Each has an intent statement and strategic priorities. The strategic plan can be seen in its entirety below. The mission and vision remain the same. However, the core principles have changed to include: 

1. Honoring ISMA’s Rich History – A legacy of professionalism and trustworthiness.
2. Culture of Respect – A welcoming environment of mutual respect where physicians from all backgrounds, specialties and practice types are represented.
3. Focus on Patients and their Physicians – A drive to improve healthcare and health outcomes for all Hoosiers.
4. Broad Expertise – A recognition of physicians’ extensive training and experience.
5. Advocacy Grounded in Policy – A drive to provide thoughtful input to improve health care.
6. Value of Relationships – A recognition that mutual human interaction and connection are essential to progress.
7. Integrity and Ethics – Decisions grounded in patient welfare, science, evidence-based medicine, and ethical judgment.

A new policy on recordings for ISMA meetings and other functions

• Meeting Agendas. In any meeting of the ISMA Board, Executive Committee, Commissions, Committees, and ad-hoc work groups, the following language will be provided in the agenda header: “ISMA strictly prohibits recording of the content of this meeting through transcription, audio recording, video recording, or AI note-taking software. Violations may result in removal from the meeting and/or further discipline.”
• Event Agendas/Registrations. In any event other than a meeting (CME, district meetings, convention, presentation by speakers, etc.) the following will be included in either the event registration or agenda, as applicable: “This event is for the exclusive use of ISMA, its members, and other registrants of the event.  All records of this event will be created and retained by ISMA staff. All other audio, visual, and transcribed recordings of this event are prohibited. Any unauthorized recording of this event is the property of ISMA.  Any individual discovered making an unauthorized recording of this event will be asked to delete the recording, may be excused from the event, and may be subject to further discipline.”
• Beginning of Meetings and Events. Before each meeting or event, either staff or the physician presiding over the meeting will verbally state: “As a reminder, please refrain from using audio, visual, or AI tools to create a recording of this event.”

A new policy on in-house fiscal notes
In response to concerns about the staff and member time that goes into resolutions referred to the Board, the Board adopted a new policy to add an in-house fiscal note to each final report on a resolution referred to the Board. The Board directed staff on how to calculate those in-house fiscal notes. The new policy is as follows: 
 
Activity on resolutions referred to the Board of Trustees for study or action shall be reported back to the House of Delegates through a Study Report or Action Report for each resolution, which shall be provided to the House of Delegates. Pursuant to Board of Trustees policy, each Study Report or Action Report shall include an estimation of costs associated with conducting the study/action and developing and publishing the report. For purposes of the calculation, staff time shall be estimated at $115 per hour, physician time shall be estimated at $270 per hour, resident time shall be estimated at $125 per hour, and medical student time shall be estimated at $21 per hour. An overhead allocation of $2,000 per report shall be added to cover time associated with editing and publication. Out-of-pocket expenditures (such as hiring a consultant) will be reported at actual cost. The in-house fiscal notes will also be reported back to the House of Delegates in the Board of Trustees annual report.  

A report on Resolution 25-15 Universal Mental Health Screenings for Indiana's Youth in Public Schools
This resolution was referred to the Board for study. The Board formed a study committee which included two of the resolution authors. The committee met and prepared a report which ultimately recommended that the resolution authors bring the issue back in the future, proposing a policy position that includes part, but not all, of Resolution 25-15. The Board approved the study report. The in-house fiscal note was $5,061. To read the report, log on to ISMA Pulse.

A report on Resolution 25-25 APRN Certification 
This resolution was referred to the Board for action. The Board formed a study committee which included both resolution authors. The committee met and prepared a report which ultimately recommended the Board not adopt Resolution 25-25 but continue to monitor and assess association needs on this important advocacy issue. The Board approved the committee’s recommendation to not adopt Resolution 25-25 and approved the study report. The Board also decided to form a task force on optimizing non-physician provider utilization. The in-house fiscal note was $18,260. To read the report, log on to ISMA Pulse. 

A report on Resolution 25-27 Limit Number of Non-physician Provider Collaborations  
This resolution was referred to the Board for action. The Board formed a study committee which included two of the resolution authors. The committee met and prepared a report which analyzed collaborative practice agreement laws and prevalence in Indiana and ultimately recommended the Board not adopt Resolution 25-27. The Board approved the committee’s recommendation to not adopt Resolution 25-27 and approved the study report. The in-house fiscal note was $16,150. To read the report, log on to ISMA Pulse.

A report on Resolution 25-54 Seek and Support Indiana Medical Public Service Loan Forgiveness Program
This resolution was adopted but included language directing the association to conduct a study. The Board directed staff to conduct the research and prepare the study report, which the Board ultimately approved. The in-house fiscal note was $12,005. To read the report, log on to ISMA Pulse.