NCAPA Board Of Directors Meeting Agenda Eugene A. Stead Jr .

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NCAPA Board of Directors Meeting AgendaEugene A. Stead Jr. Center10 a.m., Saturday, February 28, 2009Mission StatementThe North Carolina Academy of Physician Assistantspromotes and represents the Physician Assistant professionin North Carolina through education, quality servicesand advocacy of optimal health care."Call to orderIntroductionsPresentationMinutes from November 2008Unfinished Business President Powell commissioned a Joint Task Force on Membership to work withthe NC Medical Society to develop a joint membership proposal for considerationno later than January 9.President Powell charged the Membership Committee with polling the Board andother key stakeholders to develop more exacting criteria for complimentary and/ordiscounted membership categories.President Powell charged Policy & Procedures with developing policy forhandling action items occurring between board meetings.President Powell charged Policy & Procedures with developing policy foraddressing voting deadlocks on the Executive Committee.Officers’ Reports Secretary — Ms. Howard Treasurer — Mr. Hendrix President — Mr. Shelton Chief Delegate — Mr. Shelton Vice-president — Ms. Martinelli President-elect — Mr. Sallstrom Past president— Ms. PowellSEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORTBoard Committee Reports Finance Committee — Mr. J. KatzSEE WRITTEN REPORTCentral Office Report Executive Director — Mr. BordenSEE WRITTEN REPORTStudent Society Reports Duke East Carolina MethodistSEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORT

Wake Forest WingatePA Program Directors Reports Duke East Carolina Methodist Wake Forest WingateSEE WRITTEN REPORTSEE WRITTEN REPORTStanding Committee Reports Conference Planning — Mr. Hendrix SEE WRITTEN REPORT Diversity – Mr. HallSEE WRITTEN REPORT Elections — Ms. PughNO REPORT Government Affairs — Ms. Martinelli SEE WRITTEN REPORT Health — Ms. CogginsSEE WRITTEN REPORT Internal Audit — Ms. ShockNO REPORT Membership — Ms. SmithSEE WRITTEN REPORT Communications — Mr. Purdy Nominating Committee — Mr. Metzger SEE WRITTEN REPORT Past Presidents Council – Mr. M. Katz NO REPORT Policies and Procedures — Mr. J. Katz SEE WRITTEN REPORT Regional Chapters — Ms. HowardSEE WRITTEN REPORT Chapter EOY Reports Student Affairs — Mr. CollinsSEE WRITTEN REPORTTask Force Reports Stead Center — Mr. Vaassen Branding — Mr. PurdySEE WRITTEN REPORT NCMS Joint Membership – Mr. Borden SEE WRITTEN REPORTOther Reports Endowment — Ms. Reich NCMB — Ms. Robinson NCMB Review Panel— Mr. M. KatzSEE WRITTEN REPORT Old North State – Ms. Abraham NC COPD Task Force – Ms. Gibble Council on Allied Health — Liaison TBA OEMS Advisory Council — Mr. Bednar SEE WRITTEN REPORTNew Business Eastern Virginia Medical School Research Survey SEE WRITTEN REPORTAnnouncementsAdjournment

NCAPA Board of Directors MeetingEugene A. Stead Jr. CenterSaturday, November 1, 2008Attendance: Board of DirectorsElmira Powell, PresidentBud Shelton, President elect & SecretaryPaul Hendrix, TreasurerJeffrey Katz, Immediate Past PresidentKathy Howard, Director-at-largeKaty Martinelli, Director-at-largeDon Metzger, Director-at-largeJoshua Smith, Director-at-largeDavid Laughlin, Student DirectorCourtney Reed, Student DirectorJennifer Swierz, Student DirectorRebecca Webb, Student DirectorMichael R. Borden, CAE Executive DirectorRob Purdy, Director of CommunicationsJamie Smith, Program Services CoordinatorErin Wilson, Director of Conference ServicesCommittee/Task Force ChairpersonsMarc Katz, Past President CouncilCarolyn Pugh, ElectionsLisa Shock, Internal AuditAudrey Tuttle, MembershipLiaisons, Regional Chapter Representatives, PA Program Faculty andGuestsRobert Bednar, Guilford Physician Extenders/OEMS LiaisonMaria Cranford, Triangle Area PAsAlisha DeTroye, Piedmont Association of PAsJim Hill, Editorial BoardRoger Page, Conference PlanningPeggy Robinson, NCMB BoardJohn Sallstrom, UnifourShawn Scott, NC Medical SocietyBob Seligson, NC Medical SocietyKristen Shipherd, NC Medical SocietyRyan Vann, Government Affairs CommitteeThe meeting was called to order at 10 a.m. by President Elmira PowellIntroductions were made by individuals in attendance

Presentation – Jim Hill, PA-C, M. Ed IT WAS MOVED AND SECONDED TO TABLE CONSIDERATION OF THE JOINTMEMBERSHIP PROPOSAL. President Powell commissioned a Joint Task Force on Membership to considerthe pros and cons of the proposals presented and to make arecommendation to the Board no later than January 9.Minutes from August 2008 IT WAS MOVED AND SECONDED TO ACCEPT THE MINUTES FROM THE AUGUST16, 2008 MEETING. MOTION PASSED BY ELECTRONIC VOTE.Officers’ Reports Secretary — Mr. Shelton Treasurer — Mr. Hendrix President — Ms. Powell Chief Delegate — Ms. Powell Vice-president — Mr. Vaassen President-elect — Mr. Shelton Past President— Mr. J. KatzBoard Committee Reports Finance Committee — Mr. J. KatzSEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORT IT WAS MOVED AND SECONDED TO ACCEPT THE FINANCECOMMITTEE RECOMMENDATION TO FUND THE PROJECTED BUDGETDEFICIT FOR FY 2009 WITH REVENUE REALIZED AT THE END OF THE FY 2008FISCAL YEAR. IT WAS MOVED AND SECONDED TO ACCEPT THE 2009 BUDGETCentral Office Report Executive Director — Mr. BordenSEE WRITTEN REPORTStudent Society Reports Duke East Carolina Methodist Wake Forest WingateSEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORTVERBAL REPORTPA Program Directors Reports Duke East Carolina Methodist Wake Forest WingateSEE WRITTEN REPORTStanding Committee Reports Conference Planning — Mr. HendrixSEE WRITTEN REPORTSEE WRITTEN REPORT

Diversity – Mr. Hall Elections — Ms. Pugh Government Affairs — Ms. Martinelli Health — Ms. Curtis Internal Audit — Ms. Shock Membership — Ms. Tuttle Communications — Mr. PurdySEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORTSEE WRITTEN REPORT IT WAS MOVED AND SECONDED TO APPROVE THE MEM BERSHIP COMMITTEERECOMMENDATION REGARDING THE DISTRIBUTION OF MAILING LISTS. IT WAS MOVED AND SECONDED TO TABLE THE MEMBERSHIP COMMITTEERECOMMENDATION REGARDING LIFETIME MEMBERSHIPS President Powell charged the Membership Committee with polling the Board andother key stakeholders to develop more exacting criteria for complimentary and/ordiscounted membership categories Nominating Committee — Mr. Metzger Past Presidents Council – Mr. M. Katz SEE WRITTEN REPORT Policies and Procedures — Mr. J. Katz SEE WRITTEN REPORT President Powell charged Policy & Procedures with developing policy forhandling action items occurring between board meetings President Powell charged Policy & Procedures with developing policy foraddressing voting deadlocks on the Executive Committee IT WAS MOVED AND SECONDED TO APPROVE POLICY 3100.1 COMPLIMENTARYUSE OF ESTES CONFERENCE CENTER IT WAS MOVED AND SECONDED TO APPROVE FOR GENERAL MEMBERSHIPCONSIDERATION A BYLAW REVISION TO ARTICLE VIII: OFFICERS IT WAS MOVED AND SECONDED TO APPROVE FOR GENERAL MEMBERSHIPCONSIDERATION BYLAW REVISIONS TO ARTICLE XVII: AMENDMENTS,SECTIONS 1 AND 2. Regional Chapters — Ms. Howard Student Affairs — Mr. CollinsSEE WRITTEN REPORTSEE WRITTEN REPORTTask Force Reports Stead Center — Mr. Vaassen Branding — Mr. PurdySEE WRITTEN REPORTOther Reports Endowment — Ms. ReichVISUAL PRESENTATION ON-SITE NCMB — Ms. RobinsonVERBAL REPORT NCMB Review Panel— Mr. M. KatzSEE WRITTEN REPORT Old North State – Liaison TBA NC COPD Task Force – Ms. Gibble/Ms. Morris Council on Allied Health — Mr. Gordon

OEMS Advisory Council — Mr. Bednar SEE WRITTEN REPORTNew Business PA Competencies – Mr. Metzger SEE WRITTEN REPORTIT WAS MOVED AND SECONDED TO ACCEPT THE TASK FORCE ON PACOMPETENCIES POSITION STATEMENT ON NCCPA RE-CERTIFICATION FORCONTINUED NC LICENSURE 2009 Committee chairs – Mr. Shelton VERBAL REPORT IT WAS MOVED AND SECONDED TO ACCEPT THE 2009 COMMITTEE CHAIRRECOMMENDATIONSAnnouncements Powell announced Lisa Shock was recognized as a finalist by the MakeMine a Million Business, a mentoring and resource program for womenowned businesses.With no other business pending, the meeting adjourned at 1:37 p.m.Respectfully, Submitted,Michael R. Borden, CAEExecutive DirectorforBud Shelton, PA-CSecretary

North Carolina Academy of Physician AssistantsSecretary’s ReportFebruary 28, 2009The following interim actions are being submitted for the record: The minutes of November 1 Board meeting were approved with corrections.MOTION PASSED by electronic vote: 12 yes, 2 not voting, 1 not voting due toabsence The Board of Directors approved a motion to support Raleigh InfluenzaImmunization Awareness Day December 9.MOTION PASSED by electronic vote: 12 yes, 3 not votingRespectfully Submitted,Kathleen Howard, PA-CSecretary

North Carolina Academy of Physician AssistantsPresident’s ReportFebruary 28, 2009I have held multiple meetings with NCAPA Central Office staff, in particular withMike, and have met with and contacted numerous Academy leaders to discuss the stateof the Academy.I also met with representatives from the NCMS concerning joint membership withNCAPA.During my tenure as president, I expect to call on all Board members, seekingtheir assistance in our endeavors. I offer my personal support to everyone who isworking to advance the goals and values of the Academy.Respectfully submitted,Bud Shelton, PA-C

North Carolina Academy of Physician AssistantsVice President’s ReportFebruary 28, 2009As Vice President for 2009 I have been working closely with our president, BudShelton, to help keep NCAPA on track and return to our core values and goals that weset during our strategic planning session under the direction of Elmira Powell, pastpresident, in 2007.My plans for 2009 include continuing to mentor and liaison with committee chairsand other academy leaders and actively reach out to our PA community to get morePAs to join our academy and to encourage current members to become more active.I hope to continue to remain enthusiastic and positive about the direction of theacademy in 2009 and to provide guidance and encouragement to all in the coming year.I plan to review our 2007 strategic plan and any work that has been done oneach goal at the beginning of each board meeting so that we can remain focused in ourcommon goals.Respectfully submitted,Katy Martinelli, MHS, PA-C

North Carolina Academy of Physician AssistantsImmediate Past President ReportFebruary 28, 2009Since our last meeting in November my activities have been:11/8/08 Attended NCAPA Committee On Diversity Retreat in Pinehurst, NC11/20/08 Attended the NC Medical Board Meeting12/01/08 Participated in Government Affairs Conference Call12/08 & 1/09 Present for NCAPA/NCMS Task Force on Joint MembershipConference CallReceived from the NCAPA Endowment an update on the decision of theirTrustees to change their bylaws in order to provide for NCAPA leadershiprepresentation on their Board. This action was a result of a previous meetingthat took place in August 2008 during which time a previously estrangedrelationship was mended. Those changes have been sent to the attorney forreview and to assure that state and federal compliance is met.Action Item: I move that the NCAPA cover the attorney fees for the NCAPAEndowment that will result from the recent bylaws changes.Financial Impact: Estimated : 500Respectfully submitted,Elmira J. Powell, PA-CImmediate Past President

North Carolina Academy of Physician AssistantsFinance Committee ReportFebruary 28, 2009Committee members:Paul HendrixMarc KatzJohn SallstromBud SheltonAudrey TuttleBill VaassenRyan VannJeffrey KatzThe committee met via conference call on January 22, 2009. All members were inattendance.We first reviewed the year-end income and expenses for FY 2008. The Board hadapproved the FY 2009 budget with the expectation that we would realize a 20,440income for the fiscal year that we would roll over into FY 2009 to balance the budget.After deliberation, the committee recommends not revising FY 2009 budget, but tocontinue to monitor income and expenses closely over the next few months beforerecommending budgetary changes.We reviewed at length causes for the income falling below projected amounts. Thesummer conference attendance was about the same as in FY 2007. The net income fromthe conference was markedly decreased from the previous fiscal year. The primaryreasons for this include decrease pharmaceutical support for exhibitor fees and speakergrants. We also had decreased revenue from membership.The Finance Committee also looked at our investments that lost over 30% over FY 2008.The Committee also discussed current space allocation within the Stead Center and thecurrent circumstances regarding the Estes Conference Center, which is not utilized mostof the time.The committee recommends funds be taken from the reserves for these projects. While itis realized this will drain some of our funds, it is felt that we need to shore up our shortterm and long-term investment strategies to better serve our members.We have budgeted 5000 for the annual financial statement review and 1800 forpreparing the tax return. The actual fees for Blackman and Sloop doing this are 5600and 1200 respectively.The 120,000 13 week CD matured January 15, 2009. As you remember, this money wasmoved into a CD to stay below the 250,000 FDIC insurance cap. The FinanceCommittee recommended moving 100,000 into another 13 week CD at 1.35%/1.39%

APY which was done January 21, 2009. The remaining 20,801.44 was moved into theGeneral Fund. The NCAPA realized 801.44 in net income from this CD.ACTION ITEMS The Committee respectfully asks that that the President task the conferenceand membership committees to evaluate their current revenue stream andbring back to the Board suggestions to maximize revenue.The Committee moves that we hire a consultant to look at our long-terminvestments and report back to the Board strategies for maximizing gainfrom these investments.The Committee recommends hiring a consultant to look at space utilizationwithin the Stead Center and bring back to the Board specific plans on howbest to utilize the space within our Central Office.The Committee also discussed our current mortgage and having a consultantlook at our current mortgage with the bank and give alternative scenarios soas best to maximize our cash flow.The Committee recommends reallocating 600 from the tax return budgetline to the financial review budget line, which would have a net 0 financialimpact.The Committee recommends consultant costs, once approved, be taken fromthe reserve funds.Respectfully submitted,Jeffrey Katz, PA-CCommittee Chair

North Carolina Academy of Physician AssistantsCentral Office ReportFebruary 28, 2009Executive Director Highlights Attended Raleigh Influenza Vaccination Awareness Day, Raleigh December 9 Attended NC Immunization Coalition Meeting January 13. Attended NC Medical Board Meeting, January 21 Meet with Katy Martinelli, Bud Shelton and Shawn Scott, Director of Member Services to discuss jointmembership project January 22 Took part in Legislative Welcome, Raleigh January 27 Attended Government Affairs Retreat January 31 Attended AAPA Constituent Organization Resource Exchange February 20-22 Attend the Health Disparities Advisory group March 12House of DelegatesNominations are now being accepted for HOD delegates and alternatives to serve two years beginning July 1, 2009through June 30, 2011. The NCAPA has posted the nomination form on its website, has run it in the Academy newsletterand has advertised it in NCAPA’s monthly e-newsletter, the Pulse.The NCAPA has also investigated the possibility of allowing members to vote electronically, either in conjunction with orinstead of filling out a traditional printed ballot. The NCAPA Executive Committee was polled for their input and Rob hasbeen in touch with AAPA, which is switching to 100% electronic voting this year. We originally had hoped to be able towork in conjunction with AAPA, using their e-voting system. However, they did not pay for an unlimited license, so that isnot possible at this time. The system they use is Votenet, and Rob is currently investigating whether it may be viable forNCAPA’s needs.If the kinks in the electronic voting can be hammered out by the May 20 deadline for HOD nominations, the NCAPA plansto “test” this method with its members in preparation for its use in all future elections.Affinity ProgramsI am working with the Membership Committee and other key leadership to begin looking at value-added membershipbenefits such as insurance, telecommunications, professional development discounts, etc.Community Health ForumI am working with allied medical societies to look at a joint community health forum. This initiative is being developed inresponse to a request from President Obama and his staff who are gathering local input on health care issues across thenation.ECC vent Name1/14/2009 NCIC Meeting1/30/2009 NC Div of Public Health1/31/2009 GA CommitteeEstimate F&B253010NoneBuffet Lunchlunch, beveragesSaturday2/28/2009NCAPA Board Meeting30Buffet LunchSaturday5/16/2009NCAPA Board Meeting30Buffet LunchMARCHAPRMAY

North Carolina Academy of Physician AssistantsDuke University Student ReportFebruary 28, 2009In writing my first official board report, I would like to extend a hello from the DukeUniversity class of 2010. For the sixty-six of us, the year 2009 holds major significance, as itmeans that every member of the largest class to ever attend Duke’s physician assistantprogram has survived the first semester. The winter break seemed to fly by as everyoneprepared for the upcoming adventures facing our class. January 26 marked the first day thatlectures were held in our new building. After having shared space with the rest of the Universityfor so long, it was nice to explore our new dedicated home. The space is not only beautiful, butalso functional and large enough to accommodate the ever growing classes. Change alwayscomes with some growing pains, but nothing could diminish our excitement.Along with the change of classroom environment, everyone has been looking toward ournext big change, as we are in the process of making the final decisions about elective rotationsfor the second year. While our professors insist that it is not the most important decision we willever make, it is hard not lay awake at night dreaming of the perfect rotation. Regardless of whatwe chose, everyone agrees that it is nice to think about a time when we will not be in theclassroom all day. Though it may seem like a long way away, we have already begun to takebaby steps towards that transition. This spring brought with it our first opportunity to see realpatients through our patient assessment course. While nerve-racking at first, it has been a veryrewarding experience, as well as a great opportunity to fine tune our history taking and physicalexamination skills. While we love our time at the hospital with patients, we are still busycracking the books, however, and the new courses are keeping us very busy.We were blessed this past fall with a new member to our Duke family. Student ChrisNewlin and his wife gave birth to a healthy baby boy, Davis Christopher, in October. Werealized Chris’ dedication to the program when we were informed that his speedy completion ofour neuroanatomy exam was due to the fact that his wife had gone into labor earlier in themorning and was waiting in the car for him. Being a physician assistant herself, she was morethan understanding of his need to complete his test. Although, the class decided that mighthave met the criteria for a legitimate excuse to miss a scheduled exam.The giving nature that drew most of us to the physician assistant profession has becomequite obvious in the variety of extracurricular activities that

Wingate PA Program Directors Reports Duke SEE WRITTEN REPORT East Carolina Methodist Wake Forest Wingate Standing Committee Reports Conference Planning — Mr. Hendrix SEE WRI