Respiratory Care Society of Washington 1st Quarter Board of Directors Meeting March 16, 2011 Seattle, WA and Spokane WA Welcome and Call to Order - Scott Mahoney, President Roll Call - Susan Gibbs, Secretary A quorum was present President - Scott Mahoney President Elect - Greg Carter Vice President - Katherine Boettcher Secretary - Susan Gibbs Treasure - Jim Kumpula BOD 2011 - Celeste Stubbs BOD 2011 - Garth Arkell BOD 2011 - Dennis Bing BOD 2013 - Craig Hilborn BOD 2013 - Fred Goglia Central Chapter - Rusty Wilson Eastern Chapter - Denny Duncan Puget Sound Chapter - Bob Bonner Legislative Chair - Gary Wickman 3:00PM Past Co-program Chair - Dee Arkell Absent: Rainier Chapter - Jackie Ray - excused Cascade Chapter - Daniel Nordstrom - excused AARC HOD Delegate - Eric Anderson - excused AARC HOD Delegate - Jon Johns - excused BOD 2012 - Nicky Bly - excused Non-voting members: Medical Directors: Donald S. Howard, MD and Josh Benditt, MD, both are absent. Minutes of the Nov 13, 2010 meeting were reviewed. Bob Bonner motioned the minutes be approved as reviewed, motioned seconded. Discussion followed. Motion passed by vote that minutes be approved. Treasure Report: Jim Kumpula reports there is $32,142.00 in the checking account minus approximately $1200.00 vendors fees. There is $9695.00 in the savings account. Conference registrations are coming in on-line. Vendors $1200.00 fees are also coming in. No checks are out at this time for expenses for the conference. Membership - Dennis Bing had nothing to report at this time. Scott mentioned the AARC Connect lists approximately 1100 members in Washington including students. Program - Bob Bonner states there were 477 attendees at 2010 conference. The DoubleTree Hotel requires a certain number of attendees for overnight stays. The need is now for 93 more attendees. Dennis has a list of speakers to hand off to Bob. Brochures have been mailed out. Out of 62 vendor booths, 20 are still open. Scholarship - Garth Arkell - defer report to old business. Bylaws - Scott Mahoney and Susan Gibbs: Scott states the bylaws need to be refreshed by the end of this year, but possibly put off until 2013. Gary stated that technically the bylaws need to be reviewed every 5 years, the last review being 2006 and recommended we go for it now. With that in mind, Scott moved we follow Gary’s recommendation. Dennis Bing has volunteered to assist Scott and Susan. Scott commented that it takes full membership vote to approve the bylaws. Communication - Terry Smith absent. Questions were raised about member contact information. Will ask Terry to re-instate contact info and send to membership and also to Scott. Delegate Report - documents e-mailed out prior to meeting. Members to look over reports. Legislative Report - Gary W. - at the state level Bill #HB1640 amendment to allow RT licensure to accept orders from RNP’s and PA’s has passed the House unanimously . The Senate Health Community passed the bill unanimously. However in the Senate Rules Committee the vote needs to be taken no later than April 1st, 2011. Notices have been sent out asking membership to ask our senators to clarify the meds RTs can use and to clarify RT CEU’s. On a national level, the PACT team had a very successful meeting having made contact with 10 out of 11 delegates pushing for amending Medicare Part B. This amendment would permit certain qualified RTs to provide a variety of respiratory therapy services in the Md’s office. The goal is to reduce hospital re-admissions by 41% and the MD would be able to bill Medicare at 85% of the costs. On the house side this is Bill #HR 941. PACT should have a Senate Bill number soon. 3.3% of licensed Rts have sent in messages to their respective national delegates through the AARC Capital Connect site. At this time Patty Murry is unable to help due to other commitments. Public Awareness - Craig Hilborn - AARC has a multitude of information available, the goal being to put out a yearly calendar of events for public interest. Another suggestion is to write “Letters to the Editor” in the major newspapers re: public health issues. Bob made the suggestion that internal and external groups such as college and hospital administrations be made aware of all the information that is available. Craig is asking for further suggestions. Chapter Affairs - no report. Chapter Meeting East side is looking for meeting site possible the “Casino”. Puget Sound - Bob Bonner- the conference held this past February was successful. And is looking to present another conference later in the year. Bob is asking the four college programs to send 2 student representatives to Olympia. Discussion held on how best to get more Rts in the Puget sound area involved in the RCSW and is looking for a common vehicle. Fred will be assisting Bob. Bob has also suggested getting together more often with dept. managers. Central Chapter - Rusty Wilson also looking for ways to recruit more members and how best to get the info out. It was suggested Rusty talk with Lisa B. in Aumaut and Tom at Yakima Regional Hospital. Dee will get touch with Rusty and send member contact info for the Central Chapt. Dennis B. suggested Rusty send Scott any info re: events for a blast. Planning for the Future - Greg Carter - Transition meeting will be held Nov 19 and 20 place to be determined. Again, the question raised on how to get more members to the meeting. Sleep - Niki Bly- excused, no report. A suggestion was made to invite administrators to the conference and offer them free parking. Mary Selecki will hold a 25 minute talk, then open the floor to questions. New Business - Scott - Budget strategy. Nick Federici is employed by the RCSW to serve as lobbyist in Olympia. Nick did not send invoices for the years of 2008 and 9. Then sent one invoice totaling $10,000.00 Nick was paid up front $3800.00 for 2010 and has been asked to invoice at the time of service. The pay rate is different when the state legislative body is in session. Scott made the motion the $3150.00 for 2008 and the $3900.00 for 2009 be paid after the upcoming conference for a total of $6950.00. If funds are not sufficient after the conference, then the 2009 payment will be put off until next year. The question was raised re: the contract RCSW has with Nick. Did the contract expire in 2005 and has it been renewed since then?. Suggestion was made to turn the contract question over to the Legislation committee . Scott approves. Vote taken and approved to pay Nick Federica. Scott made a motion to pay Nick Federichi either quarterly or annually. Gary suggested this motion be tabled until the legislative committee re-negotiates a contract with Nick. Scott withdrew the motion. Scott made a motion we put off offering the $1500.00 in scholarship money until RCSW finances are more stable. Discussion followed. Jim suggested a letter be sent out to students explaining the RCSW may not be able to pay for scholarships this fiscal year. Celeste made a motion to amend the motion that we suspend the award this year. Vote taken and the motion carried. Scholarship committee made a motion to change the award to full member rate tuition to the Annual Conference for 2012 and recognize those students. Vote was taken, there were 3 opposed. A roll call vote was then requested, there were 7 ayes and 4 nays. The motion carried. Revenue sharing with AARC - there is additional revenue possible and be incompliance with the AARC rules. We will look for ways to capitalize on on-line education. Dennis made a motion to approve the contract signing and send back the AARC revenue sharing contract. Motion carried.. Nicki Bly will not be able to facilitate elections for this year. Scott asking for volunteers to champion the election process. Fred will work with Scott. Annual Business meeting - luncheon meeting to be held Tues April 12 at 11:45. Please RSVP. Next BOD meeting will be Sat April 9 at 14:00 and will include dinner. Please RSVP. Bob made a motion - the President Elect and delegates must have already been elected or have been approved to a position in the RCSW somewhere in their tenure. This is a question for By-law change. Dennis amended the motion to elect people who have held positions in the past or have been involved. Motion carried. Scott, Susan and Dennis will take on this amendment. Motion to adjourn at 5:26, motion carried. Respectfully submitted, Susan Gibbs, Secretary Gibbssusan09@comcast.net ovember 19, 2011 (formated as submiited) Meeting called to order at 08:30 and opening remarks given by outgoing President, Scott Mahoney. Roll Call taken by Secretary, Susan Gibbs. All are present with the exception of Central Chapter President Daniel Nordstrom and Board of Directors member Craig Hillborn who are excused. Also present but not listed on the roll call sheet are Earl Moore and Michelle Pedicorn. Minutes of the 3rd quarter meeting were reviewed, amended and approved as amended. Finance Report given by Treasure Jim Kumpula. Available checking acct. balance 31,511.11. Available saving acct balance 10,714.32 for a total of 42,225.43. Master Card -191.00. President Elect, Greg Carter has a proposed budget for 2012 that will be tabled until the Transition meeting. Membership: Denis Bing reports there are 1162 AARC/RCSW members which is approx 50% of licensed practioners in the state. The AARC has Washington listed as the highest membership per licensed practioner and at > 50% Program: Bob Bonner stated ETOH related behavior affected the Sputum Bowl Contest. Discussion followed. In regard to vendor booths, a free booth will be awarded to the vendor who sponsors a speaker. The question was raised if the RCSW will have a booth in the exhib hall and how will it be manned. To be discussed further at a later time. RCSW State Conference Status Report - Discussion followed. Further discussion will be held at the Managers Round Table. Scholarship: Garth Arkell commented on the process of dispersing the scholarship. Eric Anderson suggested using AARC Connect as a guideline. By-Laws: Committee will review for any recommended changes. Recommended changes are then forwarded to the AARC for approval prior to RCSW vote of approval. Communications/Webmaster: Terry Smith, Jackie Ray and Jon Jahns. Two newsletters have been circulated via e-mail. A suggestion was made to mail out a hard copy once a year and look at advertising as a means to help offset the printing and mailing costs. A discussion was started regarding the RCSW website, which many felt to be cumbersome. President Scott charged the committee with reviewing the website and making recommendations. The Face Book page has had over 100 “Likes”. Delegate Report: Eric Anderson/Jon Jahns - 1. $68,000.00 currently in the AARC Disaster Fund. This past year 45 RTs were in need of need of these funds were awarded $500.00 each. 2. Drive for COPD - go to AARC website for info. The push is to get RTs involved in both community based and home care. 3. 4. The AARC has put aside 250,000.00 to hire a firm that will evaluate the evidence that will guide the changed to our Clinical Practice Guidelines. This panel of experts will assess the data working the first the CPGs that are high volume, high risk and high cost. We need to influence that we are delivering the highest quality care through our evidence based guidelines. 5. 6. Congressman Ross, champion of HR 941 which provides access to Medicare part B, is set to retire. We need to invigorate and multiply our efforts. The AARC will sponser the 13th Annual Hill Days March 5 & 6, 2012. 7. 8. The AARC will have a Virtual Lobby Day starting the week prior to Hill Day. Each affilliate needs to formalize and update the 435 plan. 9. 10. 2015 - Appointed a task force that visited with the NN2 group who believe we do not have a transparent process. Now doing a gap analysis of what needs to be done. Analyze competencies - what needs to be added or deleted from programs. Look at NBRC matrix what needs to be changed in the exam structure by comparing the competencies. Develop surveys for managers to gather info. We need to drive the change that healthcare changes create. 11. National membership is approx 52,800 out of 161,000 licensed RTs in the US. The AARC goal is to increase membership to 80,500 = 50%. 12. RCSW received $33.00 this qtr from co-marketing. There are courses to place on the RCSW website and advertise their availability. 13. New addition of the Guidelines to Aerosol Delivery Devices will be available online for the nonrespiratory community. 14. Safety checklists have been developed for Adults, Pediatrics, and Neonates to be used during transportation of the patient without an RT. 15. Another checklist is in the works that will assist the RT score the ICU patient to determine if they are at risk for transport. Eric’s goals are to have all the paperwork completed and submitted by March 2012 for the Summit Award and to become involved in the US COPD Coalition. Legislative Report: Gary Wickman/Carl Hinkson - Gary submitted an article to the AARC Times and was also mentioned at the Award Ceremony during Nationals. Gary received a proposed contract from Nick Federici. There is still a rule change the RCSW re: what meds the RT can deliver that remains under moritorium by the Governor. It will be a goal of 2012 to get that rule change at a state level. PAC meeting to be held March 5th & 6th, 2012. RCSW to send a delegate. HR941 will be high on the agenda, however there is no Senate version at this time. 2nd Pulmonary Fibrosis Act - to raise public awareness. DOH - updating computer systems that would allow for online license renewal. Public Awareness - no report. Chapter Affairs: Carl Hinkson - all have been active. Eastern Chapter: Denny Duncan - Conference held this past summer put on by students. Discussion held re: seed money from RCSW. Motion made that net proceeds from student conference go back to student organization at Spokane Community College. Motion seconded. More discussion followed. Motion tabled until later today. Puget Sound Chapter: Bob Bonner - several connerences were held this qtr., also held manager’s meetings. Cascade Chapter: Daniel Nordstrom - held a meeting this past June. Discussed the PICC line program. Mt Rainier Chapter: Jackie Ray - held a student conference that was very well attended but by only a small number of students. Michelle Pedicorn introduced as the new chapter president. Central Chapter: forwarded report - two meetings were held this year with another scheduled for November 30. Elections: Fred Goglia - defered to new business. Strategic Planning: Greg Carter - defered to Transition meeting. Sleep: Nicki Bly - The AARC has webcasts available and protocol resource directory. The AASM has now accept the CRT-SDS and the RRT-SDS credentials. Old Business: Scott - We still owe Nick Federici $3150.00 for 2008. Motion made and seconded to pay outstanding balance. Motion carried. New Business: Scott - 2011 election results - 104 votes cast of which 86 are valid. Motion made and seconded to certify election results and passed. Motion made to delete election ballots, seconded and passed. Carl Hinkson submitted a written Motion Form to direct the President to select an ad hoc chair to organize a new specialty section of the organization called the “RCSW management section” Discussion followed. Move made to amend the motion to add line item to budget, seconded. Called to question and carried. A written report was passed to everyone present from the RT School Study Committee re: Recommendations to RCSW Board. Motion made to adjourn meeting, seconded. Motion carried. Meeting adjourned at 11:15 A.M. Board Meeting called back into session by Scott at 14:30. Call to question previous motion made re: dispersition of net proceeds made from student conference on the east side. The question was voted on and passed - the net proceeds will go the the student organization at Spokane Community College. Motion made to accept amended budgets for 2012, seconded and carried. Motion made to adjourn meeting, seconded and carried. Meeting adjourned at 14:45 Respectfully Submitted Susan Gibbs, Secretary RCSW Addendum notes A speaker from Sanford-Brown College in Portland gave a presentation on their position for starting a new RT program. Written material passed out to everyone present. Transition Meeting began at 12:30 when Scott passed on the President’s gavel to Greg Carter. Scott then offered his thanks to the BOD for their help. Greg presented awards of appreciation to Carl for his presidency 2010 to Scott for 2011. Achievements of 2011 were highlighted and goals for 2012 were brought forward. The RCSW Position Statement on RT Education in WA state was passed out to everyone as well as the School Study Recommendations. Discussion followed. The rest of the afternoon was spent in breakout workshop groups.