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1 AGENDA NCAPA Board of Directors Meeting Stead Center, Durham, NC Saturday, May 3, 201410:00 a.m. 3:00 p.m. Mission Statement: NCAPA provides innovative solutions to empower our members to enhance their careers and advocate for optimal health care. Vision Statement: North Carolina PAs transforming health through equitable delivery of patient-centered, team-based care. Call to Order Nominating Committee Report: Board vote needed to fill Billy Collins’ seat for remainder of term. Introductions Guest Presentations: Dr. Pendergast, President, NCPHP David Piscorik, Auditor, Stancil & Company (overview of 2013 Financial Review) Opportunity to Remove Reports from Consent Agenda (See reports listed for Consent Agenda on page 2. After any reports are removed, vote needed to approve remaining Consent Agenda.) Action Item Reports: Nominating Committee page 3 President’s Report page 13 Membership Committee page 15 Policies & Procedures Committee page 18 Government Affairs Committee page 22 Governance Task Force page 36 Verbal Reports: Executive Committee by Charlene Morris HOD Overview by Marc Katz (slides included in Board Book) page 38 Consent Agenda 1. Introduce the consent agenda at the meeting 2. Remove (if requested) a report(s) from the consent agenda 3. Approve the consent agenda 4. Document acceptance of the consent agenda

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Page 1: AGENDA - NCAPATechnical Rescuer VMR – 2011, Ropes 2012 PROFESSIONAL AFFILIATIONS Member, North Carolina Medical Society Member, American Academy of Physician Assistants Member, North

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AGENDA NCAPA Board of Directors Meeting

Stead Center, Durham, NC

Saturday, May 3, 2014– 10:00 a.m. – 3:00 p.m.

Mission Statement:

NCAPA provides innovative solutions to empower our members to enhance their careers

and advocate for optimal health care.

Vision Statement: North Carolina PAs transforming health through equitable delivery

of patient-centered, team-based care.

Call to Order

Nominating Committee Report: Board vote needed to fill Billy Collins’ seat for remainder of term.

Introductions

Guest Presentations:

Dr. Pendergast, President, NCPHP

David Piscorik, Auditor, Stancil & Company (overview of 2013 Financial Review)

Opportunity to Remove Reports from Consent Agenda (See reports listed for Consent Agenda on page 2. After any reports are removed, vote needed to approve

remaining Consent Agenda.)

Action Item Reports:

Nominating Committee page 3

President’s Report page 13

Membership Committee page 15

Policies & Procedures Committee page 18

Government Affairs Committee page 22

Governance Task Force page 36

Verbal Reports:

Executive Committee by Charlene Morris

HOD Overview by Marc Katz (slides included in Board Book) page 38

Consent Agenda

1. Introduce the consent agenda at the meeting

2. Remove (if requested) a report(s) from the consent agenda

3. Approve the consent agenda

4. Document acceptance of the consent agenda

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Reports for Consent Agenda

Minutes from January 2014 BOD Meeting page 42

Executive Director’s Report page 47

Officers’ Reports:

President-Elect page 55

Treasurer page 56

Past President page 63

Standing Committee Reports:

Communications and Marketing page 64

Conference Planning page 65

Finance page 71

Health page 74

Internal Audit page 76

Student Affairs page 77

Other Reports:

OEMS Advisory Council page 78

Endowment page 79

NCMB Review Panel page 80

Student Society Reports:

Campbell page 81

Duke page 83

East Carolina page 84

Methodist page 85

Wake Forest page 86

PA Program Director Reports:

Campbell (Tom Colletti) page 88

Duke (Karen Hills) page 89

Regional Chapter Reports:

PAPA Report page 90

New Business

Child Fatality Task Force Request page 91

Safe Disposal Fact Sheet page 92

Adjournment

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Nominating Committee Report

May 3, 2014

Members: Alisha DeTroye

Jane Girskis

Don Metzger

Josh Smith

Sandy Pierce, Chair

Cathie Feild, Staff Liaison

Activities Since Last Board Meeting:

The Nominating Committee met through a second conference call Tuesday, March 11.

Committee timeline and available positions were reviewed.

Discussion focused on initiation of plans for soliciting / contacting and follow-up of potential

candidates who have expressed interest in participation in NCAPA leadership roles. Follow-up

assignments made with further communication through e-mail.

The finalized slate is pending.

Call for candidates have been placed in The Pulse in the issues of December, January, February,

March, and April.

The following offices are on the ballot this year with term to begin January 1, 2015

President elect

Vice President

Secretary

Director-at large (2 seats)

Nominating Committee at large (1)

The committee requests that nominations for the above offices be done in writing by May 9, 2014.

This will allow the committee to have a slate of endorsed candidates by June 1, 2014 as required by

policy.

Self-declaration for candidacy is accepted until deadline of August 1, 2014.

Billy Collins resignation from the NCAPA Board of Directors becomes effective May 1, 2014.

A call for interested parties to fill this temporary vacant Director position was issued with good

response.

The slate of volunteers that will be presented to the Board of Directors May 3 for consideration:

Frank Caruso*

Wanda Hancock

Harvey Krape *

The above have been reviewed and are eligible. (*CVs attached)

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Plans for Future Activities/Goals:

Completing re-contact messages and calls to finalize the slate to be presented for the open positions

to begin serving January 2015.

The three volunteers wishing consideration for completing Billy Collin’s open Director position

have been contacted , provided access to the May 3 BOD information and have been invited to be

present at the meeting to speak in their behalf .

ACTION ITEM:

NCAPA BOD will be introduced to, take under consideration and vote on an individual to fulfill the

remainder of the vacant Director position May1 through Dec 31, 2014.

Those wishing to be considered for this position:

Frank Caruso

Wanda Hancock

Harvey Krape

Respectfully submitted,

Sandy Pierce, Chair

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321 Morrow Cemetary Rd

Bryson City, NC 28713

828.421.7977

[email protected]

[Email]

HARVEY KRAPE

OBJECTIVE Interim position on the NCAPA Board of Directors

EXPERIENCE SMOKY MOUNTAIN URGENT CARE AND FAMILY MEDICINE CENTER

08/15/2013 to present

EXTENDED CARE PHYSICIANS OF ASHEVILLE

03/01/2012- 04/01/2014

CAROLINA MOUNTAIN MEDICAL

10/15/2001- 03/01/2012

Other positions held during my career include resident training in Otolaryngology at

Boston University, Concord Otolaryngology; Alletess Medical Labs; South Miami Hospital

Emergency Dept; Retired from Medical Corp in Air Force; Angel Urgent Care in Franklin,

NC; Franklin Internal Medicine and Long Term Care. All were as Physician Assistant and

span a career of 37 years.

EDUCATION UNIVERSITY OF NEW HAMPSHIRE

Hahnemann University

Bachelor of Science in Medical Science and Physician Certificate

LEADERSHIP Vice President Far West NC Physician Extender Association

Board Member Swain County Board of Health and DSS

Former Chairman Swain County Board of Health

REFERENCES RANDALL CASTOR, MD

Smoky Mountain Urgent Care and Family Medicine

828.538.4546

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Frank Caruso

3691 Tanglebrook Trail Office: (336) 716-8460

Clemmons, North Carolina 27012 Home: (336) 766-3230

Email: [email protected] Cell: (336) 978-8893

PROFILE

Experienced Educator: Physician Assistant, Nurse Practitioner, Physical and Occupational Therapy

(Masters Level)

Experienced Clinician: Orthopedic Surgery; Rehabilitative, Podiatric, Emergency, Disaster and

Occupational Medicine

Experienced Administrator: Comfortable with extensive authority and responsibility, able to

effectively demonstrate a combination of interpersonal, analytical, organizational and leadership

skills. Demonstrated abilities to function effectively in both clinical and administrative roles within a

health care organization or system. Skilled at developing health care delivery systems which

incorporate physicians, physician assistants, nurse practitioners, nurses, and support personnel to

meet the demands of various patient populations.

Extensive Command Experience in the austere environments including firefighting/rescue

operations and in the field of Disaster Medicine

Deputy Commander NC-1

EDUCATION

National Disaster Medical System On-Line Response Team Training Program

Department of Emergency Health Services

University of Maryland, Baltimore County. (1994-present)

Completed basic and advanced core training, ongoing education

Ph.D., Candidate: Health Services Administration:

Walden University, Minneapolis, MN. (Distance Learning). (2001-2004)

MPS, Health Services Administration.

New School Social Research, NYC, New York. (1988)

B.S., Health Science – Physician Assistant

State University New York at Stony Brook, Stony Brook, New York (1983)

B.A., Biology

Dowling College, Oakdale, New York.

Teaching certification in biology, chemistry and general science

(1978)

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EXPERIENCE ADMINISTRATIVE FACULTY Wake Forest University Baptist Medical Center - Winston-Salem, North

Carolina. (1994 - present)

Director of Satellite Operations Chief Physician

Assistant (1994 – 2010)

Department of Orthopedic Surgery; CompRehab Plaza.

Participated in all phases of facility design and operations including planning of a

state of the art Rehabilitation Outpatient Center.

Direct all satellite operations for the Department of Orthopedic Surgery, hire/fire,

operations, planning, and budget responsibilities, report to Chairperson. Prior

supervisory responsibilities for staff of nine physician assistants in three outpatient

office settings

Clinical Responsibilities: Providing health care services to patients

with a variety of musculoskeletal disorders in a 55,000 square foot rehabilitative

facility that incorporates orthopedic, neurosurgery, rehabilitative medicine

(neurology, occupational, physical and neuro therapies) and functional restoration

programs. Work independently in satellite office in rural North Carolina county.

Extensive clinical experience in diabetic and vascular disease, wound care, insensitive

foot and amputee services

Teaching Responsibilities:

Faculty: Geriatric Education Center Consortium. Developed a geriatric foot care

program for Physician Assistants and Nurse Practitioners. Participated in grant

applications

Preceptor: medical students, sports medicine fellows,

Physician Assistants and Nurse Practitioners

Lecturer: Northwest Area Health Education (AHEC),

Physician Assistant North Carolina Academy Speaker.

Lecturer: Physician Assistant program Wake Forest University;

musculoskeletal topics, contract negotiations, and casting.

PROFESSIONAL SPEAKER Genzyme Biosurgery Corporation. (2001 - present)

Benefit of Viscosupplementation in knee osteoarthritis. Present programs

to health care professionals

ADJUNCT FACULTY/INSTRUCTOR

Musculoskeletal/Geriatric Foot Care

Adjunct Faculty UNC – Greensboro Nurse Practitioner Program, Greensboro, NC. (2005-

present)

Masters Program

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Developed musculoskeletal program with focus in geriatric foot care

UNC - Charlotte Nurse Practitioner Program, Charlotte, NC (2009- present)

Masters Program

Musculoskeletal, physical exam, x-ray interpretation, hands on lab

Post Professional Program

Adjunct Faculty

State University New York, at Stony Brook, Stony Brook, NY. ( 2006-

present)

Masters Program

Distance Learning/Blackboard. Teach a variety of post graduate courses

to Physician Assistants. Example: "Health Care Challenges in the 21st

Century"

Neuroanatomy and Pathophysiology

Adjunct Faculty Winston-Salem State University, Winston-Salem, NC. ( 2005-present)

Department of Occupational Therapy

Masters Program

Distance Learning/Blackboard - teach neuroanatomy and

pathophysiology to occupational therapy graduate students.

EMERGENCY MEDICINE- PHYSICIAN ASSISTANT JR Jones Medical Center, King North Carolina. (2004-present)

Provide medical and surgical emergency medical clinical services to

underserved rural population - work independently

GERIATRIC FOOT CARE - PHYSICIAN ASSISTANT Stokes Reynolds Memorial Hospital, Danbury North Carolina. (2004-

present)

Provide diabetic foot care services including wound and nail

debridement to patients in a rural hospital skilled nursing facility

DISASTER MEDICINE-PHYSICIAN ASSISTANT

Deputy Commander: Disaster Medicine Assistant Team – NC-1 U.S Department of Health and Human Services National Disaster

Medical System. (1994-present)

National Medical Response Team (NMRT-East) - Physician Assistant

Disaster Medical Assistance Team (DMAT – NC1)- Physician

Assistant/Paramedic

State Medical Assistance Team (SMAT) - North Carolina - Physician

Assistant/Paramedic

Deployment to many natural and manmade disasters including Katrina, 911,

Florida floods, etc. Participated in providing medical services during mass planed

events, i.e. Presidential inaugurations, National Republican/Democratic Conventions,

Olympics, etc.

HEALTH CARE MANAGER-PHYSICIAN ASSISTANT

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CHP The Medical Group – Affiliated with Long Island Jewish

Medical Center, New Hyde Park, New York. (1991-1993)

Participated in all phases of design and managed satellite office for large multi-

specialty HMO. Provided family practice and specialty clinical services.

PRACTICE MANAGER-PHYSICIAN ASSISTANT Suffolk Orthopedics and Sports Medicine. (July 1991 - October 1991)

Hauppauge, New York

Designed and managed a new sports medicine orthopedic practice for a

private physician

CHIEF ADMINISTRATIVE OFFICER-PHYSICIAN ASSISTANT Community Health Plan of Suffolk: Hauppauge, New York. (1984-1991)

Directed 55,000 member staff model HMO with 40 practitioners and 120

support staff. Hire/fire, contract negotiations, budget responsibilities –

reported directly to CEO. Clinical responsibilities in orthopedics, internal

medicine and general surgery

Health Care Practitioners Association: President, involved in contract negotiations,

grievance procedures and conflict resolution

EMERGENCY MEDICINE-PHYSICIAN ASSISTANT

Long Island Jewish/Hillside Medical Center: New Hyde Park, New

York.(1983-1987)

Worked in a level I trauma center emergency medicine department

BIOLOGY/CHEMISTRY- TEACHER New York State. (1978-1982)

Taught Biology, Chemistry and General Science

LICENSURE

North Carolina – Physician Assistant (current)

Virginia – Physician Assistant (inactive)

New York – Physician Assistant (inactive)

CERTIFICATIONS

National Commission Certification of Physician Assistant (current)

Paramedic – North Carolina (current) and New York (inactive)

Advanced Life Support Instructor –American Heart Association

Advanced Disaster Life Support – American College of Emergency

Physicians (current)

Pediatric Advanced Life Support – American Heart Association

(current)

Basic Life Support Instructor- American Heart Association (current)

Advanced Rescue Technician – North Carolina Fire and Rescue (current)

Firefighter I and Level II – North Carolina Fire and Rescue Commission (current)

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Hazardous Materials Responder Level I – North Carolina Fire and Rescue

(current)

Technical Rescuer VMR – 2011, Ropes 2012

PROFESSIONAL AFFILIATIONS

Member, North Carolina Medical Society

Member, American Academy of Physician Assistants

Member, North Carolina Academy of Physician Assistants

Member, Medical Group Management Association

Member, American College of Medical Practice Executives

PUBLICATIONS

Caruso, F.(2009). Frail elderly and disaster victims. The Mission, 1(4), 8-9.

Caruso, F.(2009). What is disaster medicine? The Mission, 1(3), 5.

Caruso, F.(2009). Influenza and pandemic. The Mission, 1(2), 1-4.

Caruso, F. (2009). Operations. The Mission, 1(1), 4-8.

Suggs, P., Krissak, R., Caruso, F., Teasdall, R. (2002). Geriatric Foot Care: A model

educational program for mid-level practitioners. Educational Gerontology, 28: 853-

865

PROFESSIONAL PRESENTATIONS Department of PA Education

State University New York at Stony Brook, New York

Adjunct Faculty

Post Professional Graduate Program. (2007-present)

South Carolina Academy of Physician Assistants Summer Conference (2009

- present). “Pearls in the treatment of common musculoskeletal

conditions”

NORTHWESTAHEC – Wake Forest University School of Medicine

Speaker: Presented multiple topics in musculoskeletal and disaster

professionals (1995– Present)

Southeastern Fracture Symposium: Coordinator mid-level

providers/speaker."Pearls in the treatment of common disorders of the

adult spine", "Fragility Fractures” (2007 - present)

North Carolina Academy of Physician Assistants (2004-present)

Summer Conference: Myrtle Beach, SC

Topics Include:

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“Pearls in Musculoskeletal Medicine (2010)

"Disaster Medicine” (2008, 2009)

"Geriatric Foot Care" (2008)

"Mass Casualty Medicine" (2007)

"Sports Medicine Injuries" (2006)

"Geriatric Foot Care" (2005)

“Workshops in physical exam and injection techniques” (2012, 2011)

North American Center for Continuing Medical Education

On-Demand CME webcast panelist/lecturers. (September 2007)

"A Guide to Viscosupplementation for Osteoarthritis Knee Pain. A Closer

Look at the Role of Intra-Articular Injections"

Virginia Academy of Physician Assistants. (2005-2007)

Summer Conference: Virginia Beach, VA

"Pearls in the Treatment of Osteoarthritis of the Knee". (2006, 2007)

"Disaster Medicine". (2006, 2007)

Florida Academy of Physician Assistants

Summer Conference: Marco Island, Florida

"Sports Medicine Injuries". (2004)

Georgia Academy of Physician Assistants

Summer and Fall Conference (2010 – 2012)

“Pearls in the Diagnosis and Treatment of Pain”

“Osteoarthritis Vs Rheumatoid Arthritis and Aging Populations”

Channel 8 News. (2009)

Live Interview

"Prevention of Football injuries"

WXII Channel 12 News. (2004)

Live Interview

"Use of Viscosupplementation in the Treatment of Knee Osteoarthritis"

COMMUNITY ACTIVITIES

Member, Clemmons Fire Department, North Carolina (1994- present)

Firefighter and paramedic

Member (Inactive) Ex-Captain, West Babylon Fire Department, New York. (1974 –

1994)

Deputy Commander NC-1, member National Medical Response Team – East,

Winston-Salem, NC. (1994 – present)

Member, YMCA Medical Board, NC. (2002-present)

Member, Special Operations Response Team, Board Member, (2012-

Present)

Member, Clemmons West Civic Organization (2013 – present)

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Preceptor: Philo Middle School, Forsyth County and Stokes County School System.

(2000-present)

REFERENCES Available upon request

Return to the Agenda

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President's Report

5/3/14

Old Business:

Vote to approve Daniel Mattingly as the new NCPHP liaison to replace Gail Curtis. (See attached email from

Gail Curtis)

NCAPA:

Actively engaged in committee actions and reports and comment when necessary.

Addressed NCAPA's winter conference participants and met with many PAs and NPs attending.

Traveled to DC to attend the AAPA Leadership and Advocacy Summit 2.27.14: Old and new PAs in

attendance for trek to Capitol Hill and other sessions.

DOT/CDL training course: registered for the day long class in March, held at the Stead Center. Due for test

next week.

Met with Cathie Feild, the NCAPA Executive Director, and conducted an interim performance evaluation

with the Executive Committee. This will further encourage an ongoing timely process to review challenges of

staff and volunteers at NCAPA.

Will co-present with Marc Katz to the NC Medical Board at their request on 5/16/14. We will highlight

NCAPA's strength and resolve to continue our representation of all PAs in NC

Submitted a PA of the Year 2014 award nominee for consideration. Encourage ALL to do the same!

AAPA

Chosen to represent AAPA to participate in COPD discussion with National Association for Medical

Direction of Respiratory Care (NAMDRC). Reviewed Centers for Medicare & Medicaid Services' CMS

readmission issues and upheld PA participation in the process.

http://www.aapa.org/news_and_publications/pa_pro_now/item.aspx?id=7457&terms=charlene%20morris

Composed a letter to Senator Burr re: PAs not represented during a pivotal hearing. Requested by Kristen

Butterfield, Director, Grassroots Advocacy at AAPA

(Details in Government Affairs report)

Attending the HOD meeting at AAPA's Boston Conferee as chief delegate end 5/14

Respectfully submitted--

Charlene M. Morris

President, NCAPA 2014

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From: Gail Curtis [mailto:[email protected]]

Sent: Thursday, February 13, 2014 5:17 PM To: Cathie Feild

Cc: [email protected]; Daniel Mattingly ([email protected]) Subject: resignation

Cathie, I apparently did not let NCAPA know that I needed to resign from the position at NCPHP after the 2013 year. My duties at AAPA made it impossible to make the trip to Raleigh every 6 weeks. In conversations with NCPHP and NCAPA HC, Daniel Mattingly was the best choice for replacement. This was voted on and accepted by NCPHP BOD. I am sorry I dropped the ball on notifying NCAPA as I know this is an appointed position by the NCAPA BOD. Let me know if I need to do anything further to correct this oversight. Thanks, Gail L. Gail Curtis MPAS, PA-C Associate Professor and Vice Chair Director Pre-Clinical Education Wake Forest School of Medicine Department of Physician Assistant Studies Phone: 336-716-2027 Fax: 336-716-4432 mailto: [email protected]

Return to the Agenda

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Membership Committee Report

May 3, 2014

Members: Wanda Hancock, Chair

Members: Ray Brown, Alisha DeTroye, Sharyn Gates, Jane Girskis, Sandra Keavey, Burt Moncrief,

Sandy Pierce, Lisa Shock, Rick Ulstad. Staff: Kat Nicholas

Activities Since Last Board Meeting:

Conference Calls: February 13, 2014 and March 31, 2014

Reviewed the list of non-renewals for the January 2014 campaign. Committee members have

been making contact with expired members with the hope of renewal. A master list of expired

members was created and then sorted, first by NC versus out of state, and then by member type.

After removing the non-NC members, the total of expired NC memberships was 776. It was then

decided that the committee would reach out only to the Fellows and Associates, a total of 454. Staff

will make contact with the expired Student members. Lisa Shock shared with the group a draft of an

email to be used as a model for initial contact; members of the committee are continuing to make

contact to this group of expired PAs through emails and phone calls. Since the beginning of the

project, a total of 32 Fellows and Associates have renewed.

Lifetime Membership. One of our 2014 goals was to investigate the possibility of a “Lifetime

Membership.” Sandra Keavey researched the idea of lifelong member status and presented

information to the committee, including the fact that most similar organizations do not provide this

as a membership option. The information was reviewed with a recommendation that we not pursue

establishing a Lifetime Membership. NCAPA already offers an Honorary Member category and the

establishment of a Lifetime Membership would be too costly to members and NCAPA.

Sustaining Membership status for Edward Hedrick, PA-C, was approved by Committee vote.

Submission of articles for Pulse each month. Through reviewing the search feature of the website,

we learned that any article that contained the word “member” would be pulled on the search. We

also determined that recognition of the benefits of membership is not communicated enough. Both

of these can be accomplished by each member of the committee providing an article for the Pulse

during the year. For the current year, we have done this and have articles assigned through

September.

Strategies to improve retention and solicit new members. Discussion was held of further

reductions for those attending CME. Ray Brown will discuss options with the Education

Committee. Encourage students to participate and attend the Summer/Winter conferences.

Membership Statistics. Total members 1801 (1033 Associate/Fellow, 49 Affiliate, 674 Students).

This total represents an increase of 343 Associate, Fellow and Affiliate members since the last board

meeting.

Regional Chapters. Due to lack of participation, the Fayetteville Area Physician Assistants Chapter

has not been established. There may be a future effort in the Fall, but there have been no definite

decisions made at this time. Currently, there is no Fayetteville Area Physician Assistants Chapter.

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PA of the Year. Guidelines for the PA of the Year were approved by the BOD in 2013. The call

for nominations was sent out to all members on April 1, 2014. The nominations will be closed as of

May 1, 2014 and the PA of the Year will be decided upon by the Awards Committee, consisting of 2

Directors at Large, 2 Presidential appointees and last year’s recipient.

Plans for Future Activities/Goals:

Summer Conference Membership Booth

Buddy Program to be developed

Selection of PA of the Year Award

Marketing Initiative for Member Benefits

Visits and gifts for graduating students

Development of an additional recruitment campaign strategy

Continue to work with students to retain membership after graduation

ACTION ITEM(s):

The Membership Committee recommends to the Board of Directors that we do not consider

establishment of a Lifetime Member category.

Respectfully submitted,

Wanda Hancock, Membership Committee Chair

Return to the Agenda

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Year 2014 2013 2012 2011 2010

Line # As of 4/16/2014 4/15/2013 5/1/2012 4/13/2011 5/1/2010

1 Fellow 781 797 801 885 846

2 Associate 172 147 245 288 52

W14 Conf. Comp Fellows/Associates 80

3 SUBTOTAL,(sum of lines 1, 2) 1033 944 1046 1173 898

4 Affiliate 49 105 48 527 15

w14 Conf. Comp Affiliates 45

5 Student 674 622 480 380 365

6 SUBTOTAL (sum of lines 3, 4, 5) 1801 1671 1574 2080 1278

7 Complimentary Conference memberships (above) 74 573

7 GRAND TOTAL 1801 1745 2147 2080 1278

Included in the totals above 2014 2013 2012 2011 2010

As of 4/16/2014 4/15/2013 5/1/2012 4/13/2011 5/1/2010

8 NCAPA/NCMS joint members 272 197 261 245 81

9 New Graduate Discount 36 33 50 23 27

10 Two-Year $250 Memberships 171 197 88 167 130

11 Three-Year $350 Memberships 47 140 83 n/a n/a

Year 2014 2013 2012

As of 4/16/2014 4/15/2013 5/1/2012

Fellows/Associates 422

Affiliates 83

Students (New Grads) 228

Out of State 264

12 TOTAL, Non-Renewed 997 1191 976

Year 2014 2013 2012

As of Apr-14 Jan. 2013 Jan. 2012

13 Includes only NC, SC, TN, VA addresses *4873 6559 5400

*Data obtained from NCMB list sent 4.1.2014;

NCAPAs current Fellow and Associate members = 21%

NCAPA Membership

Non-Renews

Physician Assistants Licensed to Practice in NC

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Policies and Procedures Committee Report

May 3, 2014

Committee Members:

Chelle Jeffery

Sue Reich

John Sallstrom

Jeffrey Katz, Chair

Action Item: The committee brings forth changes that were approved at January Board meeting to

Bylaws as follows for approval:

ARTICLE V: THE BOARD OF DIRECTORS Section 1. Power and Duties. All corporate powers will be exercised by, or under the authority of, and the business and

affairs of the Academy will be managed by, the Board of Directors or by committees established by the Board of

Directors.

Section 2. Number. The number of persons serving on the Board of Directors of the Academy will be no less than eleven

(11) and no more than seventeen (17). The members entitled to vote for the Board of Directors may change the number

of persons serving on the Board of Directors by amending these Bylaws. The Board of Directors will be comprised of (a)

the President, President-Elect, Vice President, Secretary, Treasurer and immediate Past President; (b) five (5) Directors

at Large; and (c) two Student Directors. There will be one student representative to the Board of Directors from each

approved PA program. This will comprise the Student Section. This Student Section will designate two (2)

representatives to serve as the Student Directors at each meeting of the Board of Directors. No person may hold more

than one position on the Board of Directors.

Section 3. Term.

a. All Directors-at-Large will serve as members of the Board of Directors for terms of two (2) years. All Student

Directors and Student Representatives will serve as members of the Board of Directors for terms of one (1) year. All

officers will serve as members of the Board of Directors during their terms as officers (See Article VIII Section 2). The

immediate Past President will serve as a member of the Board of Directors for a term of one (1) year, to begin upon the

expiration of the term as President.

b. The terms of those serving on the Board of Directors will begin on January 1st of the year following their

election, except for the Student Directors and Representatives, whose terms will begin upon their election.

Section 4. Qualifications and Election.

a. Officers must be and remain Fellow Members of the Academy in good standing for the entire term. Directors

must be and remain Fellow or Associate Members in good standing for the entire term. Student Directors must

maintain student membership in the Academy for their entire terms of office.

b. Persons serving on the Board of Directors will be elected by the members entitled to vote, in the manner set

forth in Article X of these Bylaws. The election of the Board of Directors will be conducted by written ballot.

Those persons who receive the highest number of votes will be deemed to have been elected. The election will

be valid only if it conforms to the provisions of Article IV, Section 9 of these Bylaws.

c. If a current Director-at-Large is elected to an officer's post, that person will vacate the Director-at-Large

Board seat. In that event, the Board of Directors will appoint a new Director-at- Large to complete the

unexpired term of office.

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Section 5. Vacancies; Removal.

(a) Persons serving on the Board of Directors may be removed by the members entitled to vote at an election of

the Board of Directors. Persons serving on the Board of Directors may not be removed at a meeting unless the

meeting notice states that a purpose of the meeting is the removal of a person serving on the Board of Directors.

The number of votes cast to remove the person serving on the Board of Directors must exceed the number of

votes cast not to remove him or her.

(b) All vacancies occurring in the Board of Directors, with the exception of the President, the Past President, or

student directors shall be filled by a vote of the majority of the remaining members of the Board from a slate of

candidates prepared by the Nominating Committee and/or by self-declaration. The Nominating Committee shall

give notice to the Membership of the election by mail or electronic means.

The Nominating Committee may recruit nominees or receive nominations from members: in this case, the

Nominating Committee will verify the credentials of all nominees no later than one week before the scheduled

Board of Directors meeting. The Nominating Committee shall present to the remaining Board of Directors at

the next scheduled Board of Directors meeting a list of credentialed candidates who have agreed on said

nomination.

All nominees shall be given an opportunity to address, by choice either verbally or in writing, the Board. A vote

by secret ballot shall subsequently be conducted. In the event that no candidate receives a majority, the top two

vote getters will then be placed in a run-off election, utilizing a second vote by secret ballot. In the event only

one person is nominated, that person shall assume the vacant seat by acclaim.

A vacancy in a student director position will be filled by the electing body for that student director at its next

meeting following such vacancy. The electing body will notify the board of its selection.

(c) All vacancies in elected positions, except for the Board of Directors, shall be filled by a majority vote of the

Board of Directors at its next scheduled meeting. Nomination of candidates shall be proposed by the Board at

least 2 weeks prior to the next scheduled meeting.

(d) If a person serving on the Board of Directors fails to maintain the requirements for Fellow Member or

Associate Member status (or, for Student Directors, Student Member status) during the term of office, that

person's seat on the Board immediately is deemed to be vacated.

(e) If a person serving on the Board of Directors fails to attend two consecutive meetings of the Board of

Directors, without excused absence by the President, then the Board of Directors may vote by majority to have

the person be removed from the Board of Directors.

Section 6. Compensation.

The Board of Directors will not be compensated for their services. The Board of Directors may, in its discretion,

allow payment or reimbursement for expenses related to NCAPA business.

ARTICLE VIII: OFFICERS

Section 1. Officers. The officers of the Academy will consist of the President, President-Elect, Immediate Past President,

Vice President, Secretary, and Treasurer.

.

Section 2. Term.

a. All officers, except the Vice President, Secretary and Treasurer, will serve for terms of one (1) year, unless

otherwise provided by these Bylaws. The Vice President, Secretary and Treasurer will serve for terms of two

(2) years. Each officer will hold office until the expiration of the officer's term or until the officer's death,

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resignation, removal or disqualification. However, an officer may be reappointed to an office by the Board for

another term if no successor to that office is elected, and may serve in that office until a successor has been

elected and qualified.

b. The term of office will begin on January 1st of the year following election as an officer.

Section 3. Qualifications and Selection.

a. Each officer must be a Fellow Member in good standing of the Academy for the entire term of office.

b. Officers will be elected by members entitled to vote for officers.

Section 4. Vacancies; Removal.

a. In the event of a vacancy in the office of President prior to July 1, the Past President will serve as President for the

remainder of the President's term. Subsequently, the office of Past President will be vacant for the remainder of the

President's term. In the event of a vacancy in the office of President on July 1 or later, the President-Elect will serve

as President for the remainder of the President’s term. Subsequently, the office of the President-Elect will be vacant

for the remainder of the President’s term.

b. In the event of a vacancy in any other office, the Board will appoint a replacement to that office who will

serve in that office for the remainder of the predecessor's term.

c. In the event that an officer moves from North Carolina and/or fails to maintain the criteria for Fellow

Member status during the officer's term of office, that officer's seat on the Board of Directors immediately is

deemed to be vacated.

Section 5. Compensation. The officers will not be compensated for their services. The Board of Directors may allow

reimbursement for expenses incurred by the officers in connection with those services.

Section 6. President. The President will serve as a member of the Board of Directors and will preside at all business

meetings of the Academy and of the Board of Directors. The President will make a report of the year's activities at the

Academy's annual meeting. The President will appoint the chairpersons of standing and ad hoc committees, subject to

approval by the Board of Directors. The President and/or President-Elect and/or Secretary will sign all legal papers of the

Academy as authorized by the Board of Directors. At the expiration of the President's one-year term, the President will

serve as a member of the Board of Directors for one (1) additional year as the Past President.

Section 7. President-Elect. The President-Elect will perform such other duties as the Board of Directors or the President

may assign. Upon completion of the term as President-Elect, the President-Elect will succeed to the office of president

for one (1) year. The President-Elect must be present or excused at three-fourths (3/4) of all board meetings or forfeit the

position.

Section 8. Vice President. The Vice-President, during the absence or disability of the President and President-Elect, will

have the power to perform all the duties of the President or President-Elect, and will perform such other duties as the

Board of Directors may assign.

Section 9. Treasurer. The Treasurer will receive all funds of the Academy and will disburse them as directed by the

Board of Directors. The Treasurer will keep full accounts of all funds received and paid out and report the same to the

Board of Directors at each meeting and to the members at the annual meeting. The Treasurer will keep all funds of the

Academy and promptly deposit them in depositories approved by the Board of Directors. The Treasurer must be a

member of the Finance Committee. The Treasurer must be bondable and will be bonded at the expense of the Academy.

Section 10. Secretary. The Secretary will keep a record of the minutes of all business meetings of the members and of

the Board of Directors and will certify the minutes with his or her signature. The Secretary will notify all officers and

Directors of all business meetings of the Academy and of the Board, and will be responsible for the oversight of the

records and minutes of all business meetings and of the corporate seal.

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ARTICLE X: ELECTIONS

Section 1. Offices to be Filled. The Academy will hold annual elections for the offices of President-Elect, Vice

President, Secretary and Treasurer five (5) Directors at Large and two members at large to serve on the Nominating

Committee. The Student Directors will be elected to the Board of Directors, the number of Student Directors to be

determined in accordance with Article V, Section 2 of these Bylaws.

Section 2. Nomination of Candidates. Nomination of candidates for officers, delegates or Directors at Large must be

received by the Nominating Committee in writing no later than June 1st of each year. Self-declaration for candidacy is

permitted and must be received by August 1. All nominations must be made by Fellow Members or Associate Members.

No names will be placed in nomination without the nominee's consent. Candidates seeking election may declare for one

office only. Student Representatives will be nominated by the students enrolled in the educational programs they attend.

Section 3. Time of Election.

a. Elections will be held for all officers (excluding the President), Directors at Large, and at large Nominating

Committee members by distributed ballot in accordance with the provisions of Article IV, Section 9 of these

Bylaws. In each year, ballots will be mailed no later than September 1st and must be postmarked no later than

October 1st for tabulation. The office of the President will be filled by the previous term's President-Elect,

elected by the members at the previous year's elections.

b. Two (2) Directors at Large, A Vice President and a Secretary will be elected on October 1st

of even-

numbered years. The three (3) remaining Directors at Large and a Treasurer will be elected on October 1st of

odd-numbered years.

c. The Student Representatives will be elected by their classmates, who are Student Members, no later than

November 1. THE STUDENT DIRECTORS WILL BE ELECTED BY STUDENT MEMBERS OF THE

NCAPA.

Section 4. Eligibility of Voters. Ballots for election of the Board of Directors and Nominating Committee members will

be distributed to each Fellow Member and Associate Member in good standing on the Academy membership list as of

the time of distribution.

Section 5. Votes Necessary to Elect. Officers, Directors-at-Large, Student Directors, and at-large Nominating Committee

members will be elected by a plurality of the votes cast, in accordance with the provisions of Article IV, Section 8 of

these Bylaws. In the case of a tie vote, run-off ballots will be distributed within two (2) weeks after the ballots are

counted.

Respectfully submitted,

Jeffrey Katz, PA-C

Chairman

Return to the Agenda

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Government Affairs Committee Report

May 3, 2014

Members: Lisa Shock, Chair, Marc Katz, Jeff Katz, Elmira Powell, Don Metzger, Ryan Vann,

Audrey Tuttle, Kathy Howard, Christian Schulz, Sola Ogunniyi, Detra Chambers, Brock Phillips,

Rob Bednar, Linda Sekhon, Tonya Darrow, Christopher Deans, Molly Calabria (student member),

Alisha DeTroye, Sam Rogers, Glen Combs, Marian Cranford, Wade Marion

Staff Liaison: Cathie Feild

Activities Since Last BOD Meeting:

-- Conference call – April 1, 2014 – See attached minutes.

--NCMB Policy Reviews – GA committee was asked to provide input to the NCMB on the

following policies –

NCMB Policy Statement – Treatment of Pain

Draft Medicaid Policy

-- North Carolina Medical Board Meetings

See attached reports from the March meetings

-- GA Legislative Meeting – April 12, 2014 – John Bode was in attendance as well as Will Barnett

from NCMS. See below for minutes. – Jeff Katz to give additional verbal comments.

-- Affordable Care Act Education – See attached for final versions of the English and Spanish

Flyers.

NCMS Political Education Summit – Five GA members and Cathie Feild attended on March 22. A

brief overview with key points– provided by Cathie Feild:

The importance of grassroots advocacy:

Set a S.M.A.R.T. Goal: specific, measurable, attainable (in the current environment), realistic, and timely.

When you meet with a legislator or legislative staff person, ask for something specific. There are two types of

"asks": policy related and relationship building (will you come visit our hospital).

(FYI-The feeling of the experts in the room that day was that an SGR fix was not going to happen.)

If you are asked a question that you don't know the answer to, say, "I don't know, but I'll find out and get back

to you." Become a trusted source of reliable information for the legislator.

Get your patients engaged. If there is an issue that impacts your ability to practice and it will impact your

patients, let them know. They can be powerful advocates.

Know what issues your legislator is interested in before you meet with him/her so that you can relate your issue

to what they are interested in, even if in a tangential way. Ways to find out what your legislator is interested in:

what committees do they serve on; look up what bills your legislator has introduced or co-sponsored.

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When talking to a legislator or legislative staff member, remember S.P.I.T.: Be specific, make the issue

personal (be for something, not just against something), informative, and trustworthy-build relationship as

reliable source.

Legislative staffers can be just as important to influence (or more important) than the legislator. When the

legislator wants to know how to vote on a bill, he/she will ask the legislative staff person (particularly true on

the federal level).

Regarding PAC contributions:

Invest in people who already understand your views.

Whether your contribution makes a difference in a campaign depends on the amount of money being spent on

that race. If you give a $1000 donation to someone who only raises $2,000 for their entire campaign, you will

make a difference and it will be very much appreciated. However, if it is an expensive race and hundreds of

thousands of dollars are being spent (or even millions), then a $1000 contribution might not make a big impact.

When asking people to give to your PAC, stress the importance of separating personal views from what is good

for the profession.

Why people give: because someone asked; because they understand the impact; contribution is an opportunity

to build a relationship.

Good saying, "If you aren't at the table, you're going to be on the menu."

AAPA Leadership and Advocacy Summit

Several GA members attended and as a result of such efforts, AAPA asked NCAPA to provide

information about PAs in NC to be shared with “a legislator who was considering co-sponsoring HR

4015” – the following update was received -

Ellmers Votes to Protect Patient Care for Seniors March 14 2014 Congresswoman Renee Ellmers (R-NC-02) released the following statement this afternoon after voting for H.R.

4015 - "The SGR Repeal and Medicare Provider Payment Modernization Act." "This morning I was proud to vote for legislation that will repeal and replace Medicare's flawed Sustainable Growth Rate (SGR). For the first time since 1997, we have a bicameral, bipartisan solution to the challenges posed by the SGR. For far too long we have passed temporary patches, leaving Medicare patients to fear the loss of their doctors and providers. By passing this bill, we are providing a long-overdue

solution for Medicare's payment system, while also replacing it with a system that focuses on quality, value, and accountability." "I've heard from numerous doctors and health care professionals in my district who tell me that they cannot provide adequate care to their patients because of the uncertainty and flaws in the current SGR formula. I look forward to seeing this bill move quickly through the Senate so that it can be signed into law."

This morning, Congresswoman Renee Ellmers voted for H.R. 4015 - "The SGR Repeal and Medicare

Provider Payment Modernization Act." The sustainable growth rate is a formula that was enacted in 1997 to control physician spending under Medicare. However, the SGR policy flaws have compelled Congress to override the formula driven cuts for more than a decade. In fact, since 2003, Congress has spent nearly $150 billion in short-term patches. On March 31, 2014, the most recent three month patch included in the Bipartisan Budget Act will expire. As a result, physicians will see approximately 24 percent cut from reimbursement rates if left unaddressed. H.R. 4015 repeals the current sustainable growth rate formula and replaces it with a permanent solution

to address physician payments in the Medicare program. Specifically, the bill maintains the current 0.5

percent increase through the remainder of 2014 and continues the reimbursement rate from 2015 through 2018. Beginning in 2019, the payment levels would remain at current levels through 2023. Adjustments to the reimbursement rates between 2019 and 2023 may be made in one of two ways – through the merit incentive payment system (MIPS) or an Alternative Payment Model (APM).

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-- AAPA also asked NCAPA to send a letter to Sen Burr regarding PA inclusion in Health Reform

Efforts – See attached.

-- PULSE – GA members continue to publish ongoing articles in each issue of the PULSE.

-- NCCPP - NC Coalition to Protect Patients – A new organization formed by NCMS

Currently , there is no PA on the NC Coalition to Protect Patients board of directors. We need to

include a representative from the NCAPA.

The Board is comprised of representatives from each member society that contributes $5,000 for the

year. The Coalition is a 501c4 committed to educate policy makers. It is wholly funded by member

society contributions and therefore its work is governed by the same groups through the board.

NCMS would really benefit from the PA perspective - especially on scope of practice issues!

See attached NCMS document for additional information.

-- GA Committee voted to become an AENC Sponsor – For over 30 years, the Association Executives of North Carolina has hosted its opening night Legislative Reception to honor recently elected members of the NC General Assembly. This has been a great way for the professions and trades in North Carolina to collectively meet with our NC government officials. It’s been such a successful event that many ask why we don't conduct the event annually. Beginning in 2014, AENC will begin hosting the Legislative Reception annually to welcome our NC elected officials back to Raleigh. This is a great way to encourage partnership and promotes a spirit of cooperation.

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The Legislative Reception will take place on Wednesday, May 14, 2014, from 6-8P at the NC Museum of Natural Sciences. Once again, AENC will be soliciting sponsorships for this event. To be a sponsor, the cost is $700 for AENC members and $1,100 for non-members. This includes 8 tickets to the event, your name on all pre and post-event publicity and you will be listed on signage throughout the event.

-- GA Committee members are also reviewing the NC Tracks Bulletins for updates pertinent to PAs

and practice issues.

-- John Bode report on Medicaid Reimbursement – See attached – The GA committee continues

with regular communications with our lobbyist.

Strategic Goals - Outlined at Strategic Planning in November 2014

1) Survey our members to identify their primary concerns regarding issues that impact PA

practice. – Continued work with CMC and membership

2) Respond to member questions about legislation, policy, regulations, and reimbursement. –

Ongoing

3) Include an article about legislative, regulatory, or practice issues in each issue of The

Pulse. – Ongoing

4) Utilize an online legislative action center on the NCAPA website to make it easy for PAs

to communicate with legislators and regulatory agencies. – Continued work with CMC and

Central Office to develop ENGAGE platform. Rob Bednar has agreed to work with Cathie to

be the GA point person.

5) Advocate to the North Carolina Medical Board on behalf of PAs. – Ongoing

6) Advocate for PA regulatory and legislative issues.—Ongoing

7) Promote NCAPA's Political Action and Education Committee (PAEC).—Will be more

clearly defined in scope and responsibility -- Cathie Feild and Central Office are working to

clarify how to place PAEC on hold – as we do not have adequate support or staff to devote to

advocacy efforts.

8) Work to get PAs included as allowed providers in mental health clinic regulations. – Glen

Combs will work with GA and John Bode to craft PA Message.

9) Document what NCAPA has done for PAs in NC over the years on issues such as scope of

practice. – Continued work with CMC and Central Office to define further.

10) Determine how the Patient Protection and Affordable Care Act will impact PAs.—Joint

Project with NCMS PA Section – Ongoing and successful dissemination of resource

documents in English and Spanish through NCAPA and NCMS channels.

11) Conduct outreach to PA students. – Continued work with CMC and Membership.

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A face to face committee meeting is planned to follow the BOD meeting in August. We will be

discussing specifically the PA Message for Health Reform Efforts and the need to be “at the table”

publicly at the legislature during any Medicaid reform proceedings.

Action Items:

NCAPA shall appoint a PA member to be the NCCPP representative and liaison to the GA

committee to represent the PA profession regarding Health Reform efforts and policy. $5000 of GA

budgeted funds shall be used to contribute to the NCCPP Board so NCAPA will be listed as a

representative member.

Respectfully Submitted,

Lisa P. Shock, MHS, PA-C

Chair, Government Affairs Committee

Return to the Agenda

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NCMB Policy Committee Meeting

Wednesday, March 19, 2014

Attended By: Cathie Feild

Old Business: Position Statement Review

Departures from or Closing of Medical Practices

There was an initial discussion about procedure—who should review the brochure (which is a multi-

page document) versus the position statement, which is a one-page official position of the NCMB

and clearly under the purview of the Policy Committee? The Committee members wondered

whether or not there needed to be a process for comment from licensees. It was decided that the

Board only needs to notify licensees of review of position statements—not a brochure, which is only

informational in nature.

They were informed that the Outreach Committee discussed the brochure in detail earlier that day

and decided to review it and give their feedback to Nancy Hemphill (NCMB staff member) within

two weeks.

It was decided that the role of the Policy Committee was to make sure the information contained in

the brochure was congruent with what is contained in the position statement—to make sure there is

nothing that contradicts the position statement. The Policy Committee will give feedback about this

to Nancy Hemphill within two weeks.

Telemedicine

The Policy Committee will not act on this today. They are waiting for the final recommendations

from the Federation of State Medical Boards (FSMB). The Federal Trade Commission recently

announced a forum that was expected to address, in part, aspects of telemedicine, national licensure,

or portability of state medical licenses. The Board is developing a public interface on telemedicine

driven from a patient-centric focus. A presentation by BCBSNC will not be available until July.

Policy for the Use of Controlled Substances for the Treatment of Pain

Dr. Shepa spoke. He mentioned FSMB policy. He stated that he had surveyed 50 medical boards

and found that 1/3 don’t have a policy, 1/3 adopted the FSMB policy, and 1/3 developed their own

policy. Dr. Shepa was very impressed with Indiana’s policy and stated they have a great toolkit. He

recommends that the NCMB adopt the FSMB policy or modify the FSMB policy with elements

from the Indiana policy. The Indiana policy tends to be more specific regarding prescribing

recommendations than FSMB or what NCMB tends to do.

The Program Evaluation Division of the NC General Assembly is evaluating the role regulatory

boards play in this issue, particularly regarding the use of opioids and the Controlled Substance

Reporting System. The NCMB provided them with their draft report on March 18.

Continuing with the discussion of the Policy for the Use of Controlled Substances for the Treatment

of Pain, mention was made of “carve-outs” for naloxone and palliative medicine. Also, acute versus

chronic pain management. Does the Policy Committee want to deal with chronic pain first and then

address acute pain? It was stated that they would address chronic pain and then address acute pain

separately.

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New Business:

Position Statement Review—Access to Physician Records: Tabled until a later date.

Integrative Medical Society request for reconsideration of the Treatment of Obesity position

statement with reference to use of HCG: Tabled. Will be discussed later in Executive Session.

Meeting adjourned.

NCMB Allied Health Committee

March 19, 2014

Attended by Rob Bednar, PA-C

NCMB Meeting held March 19.2014 at 1PM.

I. 2013 Compliance review

--30 PAs randomly selected

--2 not conducted due to one not practicing medicine the other having issues regarding Psychological

Impairment and Polysubstance Dependence and was referred to Board.

--24 of the remaining 28 in full compliance

--4 reviews resulted in the PA and primary supervising physician being sent Private Letter of

Concern

1. PA started practicing medicine before submitting Intent to Practice form to the Board.

Also her electronic prescription blank did not contain the name and telephone number of her

supervising physician.

2. PA did not have a Scope of Practice, documentation of any QI meetings, documentation of the

prescriptive authority agreement, or document listing her back-up supervising physicians.

This PA had been working in the same medical practice and same physician since June 2008.

3. PA did not have any documentation of QI meetings or written instructions for his prescribing

polices.

4. PA did not have any documentation of QI meetings or written for prescribing and periodic review.

Of note, 2012 one compliance review resulted in the PA being sent a Private Letter of Concern.

II. Rule changes approved in relation to pharmacist administering vaccines.

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III. Ms. Kovacs presented a draft letter to update the PA Intent to Practice Letter to better clarify

expectations for the PA and supervising physician.

IV. Scope of Practice for Medical Responders and other emergency responders

OEMS Medical Director has outlined a request to allow Medical Responders under Medical

Direction to administer naloxone for suspected of opioid overdose. This was approved by

committee to go to full board for approval.

No further business.

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MINUTES

NCAPA Government Affairs Committee Meeting

Via GoToMeeting, April 1, 2014, 8:30 – 9:45 PM

Participants: Lisa Shock (Chair), Marc Katz, Elmira Powell, Rob Bednar, Jeff Katz, Tanya

Darrow, Glen Combs, Alisha DeTroye, Linda Sekhon, Marian Cranford, Molly Calabria,

Christopher Deans, Samantha Rogers, Cathie Feild (staff liaison)

Not in Attendance: Detra Chambers, Don Metzger, Audrey Tuttle, Kathy Howard, Sola Ogunniyi,

Christian Schulz, Ryan Vann

NCAPA’s PAEC

Marc explained that the PAEC was originally set-up to have three trustees and two Ex-Officio

members (the NCAPA Board President and the Government Affairs Committee Chair). There was

some discussion about the role of ex-officio members. Jeff stated that within NCAPA, it has

historically meant someone who was serving on a committee due to their position, but they were

fully participating committee members with voting rights. Others shared their experience that in

some groups an ex-officio serves in more of an advisory capacity and does not vote.

The question was raised as to whether or not it was a conflict of interest for the NCAPA Board

President and GA Committee Chair to serve on the PAEC. It may appear as if the PAEC is under

undue influence of the Academy and serving the will of the Board rather than the will of the PAEC.

It was also questioned whether or not the PAEC should be under the responsibility of the GA

Committee. Should it be a freestanding committee? Two points were brought up about this: 1) the

PAEC has not really established itself as a fully functional, independent entity yet, and 2) the PAEC

has experienced a lack of leadership.

This lead to a discussion about whether or not NCAPA had a volunteer or volunteers who were

passionate, committed, and had enough time to devote to the PAEC. Is the NCAPA Board really

invested or committed to having a PAC? While a number of people like the idea of having a PAC,

the reality seems to be that no one has the time to take it on in a way that will make it an asset to

NCAPA and the physician assistant profession. Cathie shared the financial status of the PAEC and

the staff time required to keep up with the donations and reporting requirements.

The PAEC began 2013 with a balance of $1365.84. From January of 2013 through March of 2014,

the PAEC took in $2172, but $785 of that was a credit card processing error at the Summer

Conference, so actual donations during that time period were $1387.00. During that same period,

the PAEC account was charged $348.81 in merchant service fees. Additional PAEC donations of

$110 are pending deposit into the PAEC account. During the life of the PAEC, only one campaign

contribution has ever been made--$500 to the Hollo for House Campaign in 2012. The 2013 mid-

year report to the NC Board of Elections was filed late, which incurs a penalty. The penalty is

waived for first time offenders, but if a PAEC report is ever filed late again, there would be an

additional penalty and the first penalty would be reinstated. The fine could be as much as $10,000.

The NC Board of Elections is apparently very behind (by a couple of years) in examining PAC

reports, but if this ever came up, it poses a financial risk to the Academy.

In light of this discussion, it was suggested that at this juncture, maybe NCAPA needs to focus its

resources on other areas. It was agreed that Cathie would find out from the NC Board of Elections

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the rules and process for closing a PAC and email her findings to the GA Committee. The GA

Committee will then consider making a motion to the NCAPA Board of Directors about what to do

with the PAEC.

NCMS Political Education Seminar

Those who attended this event on March 22 were asked to share what they learned. Elmira reported

that it was very informative and mentioned several topics that were addressed such as the need to get

to know your legislators; strategies for getting across your message, inviting legislators to visit your

practice, using social media, sponsoring town hall meetings, and White Coat Wednesdays.

Meeting with Will Barnett of the NCMS

Lisa reported that she had met with Will Barnett, the Assistant Director of Legislative and Political

Action at the NCMS. He will be attending NCAPA’s GA Committee meeting on April 12. Will

stated that Medicaid reform would be the biggest issue during the upcoming legislative session.

NCAPA needs to be visible with this issue. There may be some issues about scope of practice

(concerns over encroachment). Will shared his vision of effective government affairs being like a

three-legged stool—lobbying, grassroots advocacy, and a PAC. He shared that the best thing the

NCMS ever did in terms of raising money for their PAC was the breakfast they hold in conjunction

with their meeting. He mentioned White Coat Wednesdays. Lisa told him about Engage and he was

intrigued by that. Will and Lisa suggest that we need to refine and reinforce the message of the

physician/PA team. This is what sets PAs apart from other health care providers. We can position

this in a positive way to PAs benefit.

Alisha mentioned that during the AAPA Leadership and Advocacy Summit, it seemed that the

AAPA was taking the position that PAs be called and known as “PA”s and not as “physician

assistants.” She wondered whether or not this might be something NCAPA wanted to take a stance

on. Several people on the call liked this approach.

Agenda for April 12 GA Committee Meeting at the Stead Center

Lisa asked for input on what the committee wanted on the agenda. The meeting will include John

Bode, NCAPA’s lobbyist. Several things were mentioned: John give a “state of the union”

summary; discuss areas in which NCAPA needs to be involved; definitely Medicaid reform—need

to craft our own message, emphasize PAs providing primary care and medical homes; should we

start to set a frame work for trying to get a PA seat on the NCMB; change the mental health statute

so that PAs are defined as being providers. Glen Combs, President of Association of PAs in

Psychiatry, reported that 13 other states include PAs as mental health providers. Glen is going to

contact John Bode and offer to be a resource on this issue.

Engage

Cathie provided an overview of where she is in the process of creating the NCAPA Engage web

page. She shared a preview of the site, which is under construction. Cathie stated that she needed

someone with technical expertise or aptitude to assist in getting the site ready to publish. She

outlined two steps to the process of being ready to go live with this resource: deciding on and writing

the content, and being able to work with the software platform to get the content posted and use the

functions that Engage has to offer. Cathie reported that she was having a hard time finding enough

time to get the site functional and also felt she lacked the technical expertise to do so efficiently.

Rob Bednar volunteered to help with the technical side of getting the website ready. Tanya also said

that she had some experience with websites and she could provide input for content from the Insider

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newsletter. Molly suggested a google folder or sign-up sheet so that other committee members could

volunteer to research issues to post on the site and get feedback from other committee members.

There was a discussion about whether or not the GA Committee needed Board approval to post

NCAPA’s position on an issue. There was general agreement that as long as there was consensus

among the GA Committee, the GA Committee would have the authority to develop NCAPA’s

legislative positions—at least that’s how it has worked in the past. It is likely that the GA

Committee would recognize a “hot button” or controversial issue that warranted discussion and

approval at the Board level. One of the primary functions of Engage is to be an educational tool. It

was felt that there were at least several non-controversial issues that could be posted for

informational purposes to the Engage site at this time without Board approval. Cathie suggested that

the GA Committee will develop its legislative agenda for the year at the April 12 meeting and that

information can be shared with the Board in the GA Committee Report for the May 3rd

Board

meeting. Also, Cathie suggested that it may be easier to figure out the functioning of the Engage site

if those working on the technical side have content to work with. Cathie will work with Rob after

the April 12 meeting to get the site functional by the end of April if possible.

Kanof Award

Lisa asked if the committee was still in favor of this idea. She stated that she had spoken to several

people at NCMS and they were supportive of it, including Bob Seligson. The group agreed that they

want to move forward with this project and they were comfortable with Lisa taking charge of it. It

was agreed that the NCAPA Summer Conference would be the best time to present the award. Lisa

plans to use some of the GA Committee budget to host Dr. Kanof for the night at the Kingston

Plantation.

ACA Flyer

Lisa thanked Marian for all of her work on the ACA flyer. Her impression is that it has been well

received and is a fantastic resource. Marian stated that there are plans to translate it into French and

Burmese. It is still relevant even though the March 31 enrollment deadline has passed because if

people have a qualifying event they can enroll outside of the open enrollment period and it would be

needed for the next open enrollment in November. Marian would like to get some feedback from

providers to know if they are finding it useful. She asked if we could get website analytics from

NCMS and NCAPA to find out how many times people have clicked on the link. Cathie stated that

we could see how many people opened the email blast that was sent out via iContact. (Note from

Cathie: NCAPA sent an email announcing the flyer to 1642 people on 3/6/14. As of 4/2/14, the

email had been opened by 43%, approximately 700 people, and 10%, or 164, actually clicked on the

link to the flyer.)

There being no further business, the meeting was adjourned.

Submitted by Cathie Feild

On behalf of Lisa Shock

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MINUTES

NCAPA Government Affairs Committee Meeting

Saturday, April 12, 2014 10:00 AM – 12:00 PM

Stead Center, Durham

Attendance

Guests: John Bode, Bode Hemphill, LLP, NCAPA Lobbyist

Will Barnett, NCMS, Assistant Director, Legislative and Political Action

GA Committee Members:

Jeff Katz (meeting chair), Marian Cranford, Tanya Darrow, Alisha DeTroye, Elmira Powell, Samantha

Rogers, Ryan Vann, Cathie Feild (staff liaison)

Introductions

Everyone was asked to state their name, their role, and why they were interested in government affairs. John

Bode stated that he will miss Mark Hollo, but that there are two legislators whose wives are PAs—Senators

Meredith and Brock. There was general consensus that government affairs was not everyone’s passion, but

those involved in this committee recognize the importance of safeguarding the profession—the need to

remain vigilant and make sure progress made to-date is maintained and that the profession keeps moving

forward.

Current Political Landscape

Currently, North Carolina has a Republican Governor and veto-proof Republican majorities in the House and

Senate. The Democratic Party in NC is in disarray and the Republicans are “out-fundraising” the Dems by a

5-1 margin. The Republicans have created legislative districts that are almost unbeatable. What this means

for John, as a lobbyist, is that he needs to make sure he gets along well with Republicans. He does 15-20

fundraisers during primary season and another 15-20 in the fall. He will be doing one for Representative

Baskerville, who sits on the House insurance and health committees, later this year.

PAs need to think about how to make themselves heard. Develop relationships with legislators—they want

someone to talk to about health care. A Political Action Committee (PAC) may be beyond what NCAPA can

do at this point, but we can participate in grassroots advocacy efforts.

It is clear that PAs will be asked to do more and more in health care. As NC adds PA programs, more PAs are

graduating here and we need to keep them in the organization. NCAPA should also collaborate with NCMS

and the NC Hospital Association—they have the capacity and staff to provide us with information that we

don’t have the resources to gather ourselves.

NCAPA needs to get a PA back on the NCMB. The next opportunity is 2015, but we should be thinking now

about who we want to be on the Medical Board. John stated the McCrory administration is opaque at best.

We need to figure out if we have any PAs who are close to Governor McCrory who can exert influence. John

needs to be able to mention that we have a great PA who needs to be on the Medical Board.

Grassroots Advocacy

John suggested that NCAPA survey our members to find out who knows whom. Cathie shared a flyer from

the AMA asking their members to “Become a very influential physician,” by letting the AMA know if they

are connected to a member of Congress or his/her staff. NCAPA could develop a similar campaign to start

developing a database of PAs across the state who could participate in grassroots advocacy efforts.

NCAPA also needs to develop a fact sheet about who PAs are and what they do. Do legislators know what

PAs do? Education is needed. There is confusion about roles of various types of health care providers.

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Legislators are hearing about NPs, Certified Nurse Midwives, and others. There is a constant push from other

health care professionals for freedom to practice without supervision.

There will be increasing demands because of Medicaid and the ACA. PAs need to help structure their

workplaces; define and understand where you fit. Where do you want the profession to be 5 or 10 years from

now because the landscape is changing? Rural areas are losing doctors and hospitals, but not losing

population. Who will serve these people?

Will Barnett mentioned a new project of the NCMS. It has created a new 501(c)4 organization called the NC

Coalition to Protect Patients. It has its own Board of Directors comprised of representatives from each

participating specialty society. Will stated the purpose of the NCCPP was to help people understand the

differences among health care providers. Amy Whited is the staff contact about this project at the NCMS.

(Attached is information about NCCPP provided to Cathie Feild from Will Barnett.)

John Bode stated that health care is in a major transition. NCAPA needs to talk more about the future and

where we want the profession to go. Focus on grassroots advocacy: find out who our members know, craft a

message, ask people to share that message with the people they know and report results back to NCAPA. Jeff

pointed out that NCAPA has not yet crafted our message.

Upcoming Elections

Jim Fulghum is a physician who is currently in the NC House, but is running for a Senate seat. Marian

Cranford mentioned that she knows his wife. John Bode is doing an event for him in September.

John explained the potential impact on state politics because Thom Tillis and six other Republicans are

running for the US Senate seat currently held by Kay Hagan. There will likely be a run-off election and it

will occur just as the short session is getting started. Tillis will be distracted from his job in the NC House

and this could lead to a disintegration of leadership. This could lead to awkwardness between the House and

Senate in the budget session and Medicaid reform is the biggest budget issue. John predicts we will probably

end up with a straight cut of about 4%. It was mentioned that the NCMS had sent a letter to NCDHHS

Secretary Aldona Wos on March 31 expressing disagreement with DHHS’s proposed “Shared Savings Plan

with Providers” (SPAs). Twenty-one medical groups signed-on to the letter and yet NCAPA was not made

aware of it or asked to sign. The SPAs, if approved, would cut Medicaid provider payment rates by 3%,

which would impact PAs depending on the volume of Medicaid patients seen. John stated NCAPA can do its

own letter to Secretary Wos. He suggested we also send it to House and Senate leadership and Senators

Meredith and Brock. (NCMS letter attached.)

Jeff stated his concern that what ultimately might be proposed would be something that would negatively

impact PAs more than physicians. John suggested that NCAPA let other groups, such as NCMS, the hospital

association, and the radiologists know that we would appreciate their help in not letting this happen. He

emphasized the positive aspects of working together against the idea of Medicaid HMOs and for involvement

of CCNCs. He predicted that the issue will not be resolved this summer. Unfortunately, there is

incompetence in the Medicaid office, although it was stated that the new medical director that has just been

appointed should help.

Will Barnett stated that having value driven ACOs, similar to Medicare, was the main priority of NCMS. It is

the wish of NCAPA that PAs be specifically named in any legislation. We need to make sure we’re part of

the high level discussions.

Statute NC 10A NCAC 27G.0104

John stated that he has talked to Representative Hollo about drafting a change to the statute to include PAs as

defined providers. John plans to talk to Senators Meredith or Brock, as well.

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Preparing for 2015

Medicaid issues

Continue to work with NCMS and the hospital association

Find out not only who PAs know, but who we know in specific districts.

Rep. Donny Lambeth from Wake Forest University will probably replace Mark Hollo on the

Appropriations Committee. NCAPA has many leaders in Forsythe County. It was mentioned that it

might be appropriate for PAPA to hold an event for Donny Lambeth. Samantha Rogers asked about

the propriety of asking her patients to get involved. It was stated that her employer might have rules

about that, but that she could volunteer to get more involved in the Wake Forest PAC and other

political activities. John knows some of the key players. Sam will think about this.

Summary of NCAPA’s 2014 Legislative Agenda

Medicaid Reform

NC 10A NCAC 27G.0104

Stay informed about elections

Develop our message

Develop a grassroots advocacy network

Questions and Answers

If NCAPA’s PAC had $2000 to give, what would John’s recommendation be? Co-Chairs of HHS

Committee in Senate and House (Representative Nelson Dollar and Senator Pate). Possibly Dr.

Fulgham—John is recommending that all his clients give to Dr. Fulgham. Keep an eye on the polls.

Is it worth it for NCAPA to have a PAC if it is not very active? Unless NCAPA can raise $5000-

$10,000 for the PAC every year, probably not worth it.

Will Barnett stated that Medicaid reform would be NCMS’s major legislative issue this session. They

would like NCAPA behind their position—to transition to value driven care. He stated they have an

Accountable Care Consortium with toolkits for every specialty. He recommends that everyone read

the general toolkit.

John Bode stated that we should try to get together more often than once a year. A strategic time to

meet next would be after the short session is over.

We need to make sure Mark Hollo stays active after he leaves the legislature. He is well-connected.

Perhaps after the session is over, he could be recruited to join the Government Affairs Committee.

The idea was raised to have a breakfast at the NCAPA summer conference thanking Mark Hollo for

his service. It was generally agreed that this was a good idea.

There being no further business, the meeting was adjourned.

Submitted by Cathie Feild

On behalf of Jeff Katz

Return to the Agenda

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Governance Task Force Report

May 2014

Members: Marc Katz, Chair, Jeff Katz, Detra Chambers, Samantha Rogers, Wanda Hancock, Kondie Lykins, MJ

Leonardi, Cathie Feild, Staff Liaison

The Task Force has met twice by Conference Call and exchanged several emails. The first mission

was to decide how to go about our task. It was decided to start with the Bylaws and review article by

article. We cannot look at Policies and Procedures until we have a firm foundation of the Bylaws.

The exception to this will be the Policies and Procedures that are specific to staff only. It is our hope

that the Board will not “word smith” each section during the Board Meeting, but if there were

questions to have them presented to us prior to the Board Meeting so we could be more responsive to

any suggestions. After all the sections of the Bylaws have been reviewed and approved by the Board,

we will take the document as a whole for approval and then for ultimate approval by the general

membership.

We have discussed and are bringing to the Board Articles 1-3 of the Bylaws.

ACTION ITEM: Approve changes to Articles 1-3 of the Bylaws as indicated below.

ARTICLE I: DEFINITIONS

In these Bylaws:

a. "Academy" means the North Carolina Academy of Physician Assistants.

b. "Board" means the Board of Directors of the Academy.

c. "Board of Directors" means Officers, Directors-at-Large, and Student Directors.

d. "Director-at-Large" means a person elected, designated, or appointed to serve on the Board to provide

leadership in accomplishing the purposes of the Academy.

e. "AAPA" means the American Academy of Physician Assistants.

f. “Officer” means President, President-Elect, Immediate Past President, Vice President, Treasurer, and

Secretary, and Vice-President

ARTICLE II: NAME AND OFFICES

This organization is known as The North Carolina Academy of Physician Assistants. The principal office and registered

office of the Academy will be located at a place designated by the Board.

ARTICLE III: PURPOSE

The Academy is organized and will be operated exclusively for educational, professional and scientific

purposes and support of optimal health care. To achieve these purposes, the Academy will strive to assure the public

of a uniform entry level standard for and continued competency of physician assistants, and to represent physician

assistants and physician assistant students so as to maximize the benefit of their services to the public. The Academy

will:

(1) Encourage its members to provide quality service to the public;

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(2) Develop, sponsor, and evaluate continuing medical or medically related education programs for the physician

assistant and public;

(3) Assist in the development of role definition for physician assistants in North Carolina;

(4) Assist with the coordination and standardization of curricula for the physician assistant profession;

(5) (4) Uphold the concept of maintaining continuing medical education (CME) for certification and recertification of

the physician assistant;

(6) (5) Develop, coordinate, and participate in studies research having an impact upon physician assistants;

(7) (6) Serve as an information center for its members, health professionals, and the public;

(8) (7) Maintain liaison with North Carolina's medical regulatory board, the North Carolina Medical Board; and the

North Carolina Medical Society

(9) (8) Maintain involvement in the legislative and ,regulatory and reimbursement arenas in health related areas and in

issues relating items specific to the physician assistant profession.

Respectfully Submitted,

Marc S. Katz, PA-C

Return to the Agenda

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HOD Resolutions

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DRAFT MINUTES

NCAPA Board of Directors Meeting

Stead Center, Durham, NC

Saturday, January 25, 2014– 10:00 a.m. – 12:30 p.m.

Mission Statement:

NCAPA provides innovative solutions to empower our members to enhance their careers

and advocate for optimal health care.

Vision Statement: North Carolina PAs transforming health through equitable delivery

of patient-centered, team-based care.

Attendance

Board Members Present:

Charlene Morris, President

Marc Katz, President-Elect

Ray Brown, Vice President

Paul Hendrix, Treasurer

Detra Chambers, Secretary

Billy Collins, Director-At-Large

Alisha DeTroye, Director-At-Large

Samantha Rogers, Director-At-Large

Joshua Smith, Director-At-Large

Cliff Daub, Methodist Student Rep

Kondie Lykins, Campbell Student Rep

Rebecca Salman, ECU Student Rep

Ashton Youngers, Wingate Student Rep

Board Members Absent:

Don Metzger, Immediate Past President

Stacey Lee, Director-At-Large

Kelsey Blaine, Wake Forest Student Rep

Holly O’Sullivan, Duke Student Rep

Jamie Seals, Elon Student Rep

Committee Chairs and Liaisons Present:

Rob Bednar, NC Emer. Med. Service Adv. Council

Marian Cranford, Internal Audit Committee

Wanda Hancock, Membership Committee

Paul Hendrix, Conference Planning Committee

Jeff Katz, Policies & Procedures Committee

Marc Katz, NCMB Review Panel

Daniel Mattingly, Health Committee

Sandy Pierce, Nominating Committee

Elmira Powell, Endowment

Samantha Rogers, Student Affairs

Lisa Shock, Government Affairs

Ryan Vann, Finance Committee

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Regional Chapter Presidents Present:

Ray Brown, Metrolina

Burt Moncrief, Unifour

Sandy Pierce, Smokey Mountains

Samantha Rogers, PAPA

PA Program Directors Present:

Christina Beard, Methodist University

Thomas Colletti, Campbell University

Guests:

Glen Combs, Government Affairs Committee Member

Staff Members Present:

Cathie Feild, Executive Director

Lee Busselman, Director of Membership & Marketing

Carin Head, Director of Conferences & CME

Kat Nicholas, Administrative Assistant

Call to Order and Introductions

Opportunity to Remove Reports from Consent Agenda:

Wanda Hancock, Chair of the Membership Committee, requested that the Membership Committee

Report be removed from the Consent Agenda.

The Consent Agenda was then approved. Reports contained in the Consent Agenda are listed at the

end of the Minutes.

Action Item Reports:

Policies & Procedures Committee: As directed by the Board at the November meeting, the P&P Committee

took the changes proposed by the Student Director Task Force and revised the Bylaws and Policies &

Procedures to reflect those changes. The changes included adding a Section 6: Election of Student Directors,

under Article X of the Bylaws. The revisions were included in the Board Book for approval.

After a brief discussion there was general agreement among Board members and Jeff Katz to keep changes to

the Bylaws to a minimum and, instead, include what was proposed for Article X, Section 6 in policy. Further

discussion of this action item was postposed while Jeff Katz made revisions to the report contained in the

Board Book.

All Board members were given a revised P&P Report (attached to these Minutes for the record).

Revision striking language from Article V: The Board of Directors, Section 2. Number, was

approved.

Revision striking the last sentence from Article X: Elections, Section 2. Nomination of

Candidates, was approved.

Revision striking the sentence in Article X, Section 3 (c) and replacing it with “The Student

Directors will be elected by student members of the NCAPA” was approved.

No other changes to the Bylaws were deemed necessary. Other details about how the Student Directors will

be elected and the role of the Student Section were included as policy changes. A motion was made and

approved to table consideration of policy changes until after the Bylaws have been approved. The

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process for changing the Bylaws is as follows: The NCAPA Board of Directors must vote to approve the

changes again at the May Board meeting, after which the changes are presented to the general membership.

The members must vote to approve the Bylaws changes.

Proposed changes to policies (1007.1, 1007.2, and the addition of 1007.3) were discussed, but will not be

voted on until after changes to the Bylaws are approved.

1007.1: Motion—Table until Bylaws are approved. Approved.

1007.2: Discussion of the proxy vote. Jeff Katz brought this to the Board’s attention as being

different than what is allowed for other Board members. Discussion centered around the fact that

while there are Student Board members, students actually are different in some ways. For example,

they don’t have as much control over their schedules. Also, Board members want to encourage

student participation. Motion: Table as written (without strikeout) until after the Bylaws are

approved. Approved.

1007.3: Move to table until Bylaws are approved. Approved.

Health Committee:

President Charlene Morris brought forth a motion that Daniel Mattingly be appointed Chair of the

Health Committee. Motion approved unanimously.

Action Item: The Health Committee will provide an annual update to the NCAPA BOD beginning in 2014.

Discussion: Daniel Mattingly suggested a presentation from the NCPHP Chair, Dr. Warren Pendergast, in

2014. The presentation would provide information specific to PAs. NCAPA donates $42,000 per year to the

NCPHP so should stay up to date on the activities of NCPHP. The May Board meeting was thought to be the

best meeting for the presentation from Dr. Pendergast.

Motion approved unanimously. Dr. Pendergast will be invited to give a presentation at the May 2014

Board meeting.

Verbal Reports:

Executive Committee: The Executive Committee brought forth two action items.

Motion: NCAPA will endorse Jeff Katz for President-Elect of AAPA.

Discussion: What is Jeff’s platform? Platform statement can be viewed on his Facebook page. Issues

include future of the profession, AAPA finances, especially in light of reduced money from pharmaceutical

companies, focus on strategic plan, and ensure PAs can work to the level of their licensure.

Vote: Unanimous approval; motion carries.

Motion: Allow use of NCAPA logo on a brochure for patients about the Affordable Care Act that is being

developed jointly with the NC Medical Society and the PA Section of NCMS.

Discussion: Project Access of Durham County is allowing NCMS to modify a brochure that they have

developed. The brochure will not specify physicians as the health care providers. A question was raised

about whether or not we know enough about where ACA is going. Need to make sure information is

accurate. This brochure will simply direct patients to schedulers and resources. Enrollment period goes

through March 31st.

Vote: Unanimous approval; motion carries.

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Appointment of Policies and Procedures Review Task Force: The Executive Committee decided to

create a Task Force to do a thorough review of NCAPA’s governing documents including committee

descriptions, Board member position descriptions, the Bylaws and the Policies & Procedures, and make

recommendations for any changes and updates. The TF will consist of five PAs and two students. President

Charlene Morris will appoint the members and would like a diversity of views and experience on the TF.

Three PA members were appointed during the Executive Committee meeting: Marc Katz (Chair), Detra

Chambers, and Jeff Katz. Charlene asked for volunteers for the other slots. Samantha Rogers and Wanda

Hancock volunteered and were approved. Kondie Lykins, PA Student Board member from Campbell

University, also volunteered and was approved. One more student member will be appointed after the Board

meeting.

Membership Committee: Chair Wanda Hancock distributed copies of the latest membership statistics and

asked for help recruiting. She would also like a representative from each Regional Chapter to serve on the

Membership Committee. While some have volunteered, she still does not have representation from all

Regional Chapters.

Wanda is challenging her committee to reduce non-renewals by calling members and encouraging them to

renew. It was felt that the booth at the summer 2013 conference was helpful in putting a “face” on

membership and that should be continued. The Each One Reach One Campaign was very disappointing; no

one participated and it will not be continued.

The Board expressed concern that NCAPA does not have a larger share of PAs licensed to practice in North

Carolina as members. There was discussion about what motivates people to join. After a brief discussion it

was acknowledged that discounting membership dues does not seem to be a motivator. It was recommended

that NCAPA focus on value, not discounts. It is believed that access to low-cost and online CME is valuable.

A question was raised about whether or not NCAPA could offer an installment plan for dues payments—

automatically charge members’ credit cards for a certain amount each month. It was also suggested that

NCAPA find out from PA programs which students are staying in state after graduation and do more

concerted marketing to that group.

President’s Report: Charlene mentioned that the March 22 CDL/DOT training class was filling up quickly.

She requested that one of the Student Board Members give a 10 minute presentation about their PA program

at the next Board meeting. She also stated that she hopes NCAPA will showcase a different specialty in each

issue of The Pulse. She wrote an article about family medicine practice for the January issue.

Announcements

NCMS Political Education Seminar is being held on Saturday, March 22 at the NCMS office. NCMS

agreed to accommodate six NCAPA leaders at the training and those slots are now full.

A reception is being held on February 13 at 6:00 pm at the Raleigh Marriott City Center by the

planning committee for the 2014 U.S. Public Health Service Scientific and Training Symposium

(symposium held on June 10-12). Information was available for anyone interested in attending.

The Executive Director requested that Board members turn in their 2014 Conflict of Interest Forms.

Next Board Meeting: May 3, 2014 at the Stead Center

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Reports Approved By Consent Agenda

Minutes from November 2013 BOD Meeting

Executive Director’s Report

Officers’ Reports:

President-Elect

Treasurer

Secretary

Standing Committee Reports:

Communications and Marketing

Conference Planning

Finance

Government Affairs

Nominating

Student Affairs

Other Reports:

EMS Advisory Council

Endowment

NCMB Review Panel

Student Society Reports:

Campbell

Duke

East Carolina

Methodist

Wake Forest

Wingate

PA Program Director Reports:

Campbell (Tom Colletti)

Duke (Karen Hills)

Elon (Patti Ragan)

Methodist (Christina Beard)

Regional Chapter Reports:

Fayetteville Area Physician Assistants

Piedmont Area Physician Assistants

Unifour

There being no further business, the meeting was adjourned at 12:30.

Respectfully Submitted by:

Cathie Feild, Executive Director

On behalf of Detra Chambers, Secretary

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Executive Director’s Report

May 3, 2014

Executive Committee/Board of Directors

Attended January 25 Executive Committee and BOD meetings; prepared minutes.

Participated in Executive Committee conference call on Feb. 18; prepared minutes.

Prepared agendas, background materials, and Board Book for May 3 Executive Committee and BOD

meetings.

Provided regular activity reports to the Executive Committee.

Government Affairs

Helped develop agenda and participated in Government Affairs Committee conference call on April

1. Provided input and update about PAEC. Wrote minutes.

Scheduled Government Affairs Committee meeting with John Bode at Stead Center April 12; Helped

prepare agenda, staffed meeting, and wrote minutes.

Participated in webinars with Engage staff March 3 & 28 to develop website prototype. Discussed

help needed to get it functional with Rob Bednar and Tanya Darrow of GA Committee.

Attended NCMB Policy Committee Meeting March 19.

Coordinated NCAPA attendance at NCMS Political Education Seminar March 22; attended meeting;

prepared summary of salient points.

Responded to Kristen Butterfield, AAPA Director of Grassroots Advocacy, and worked with Marc

Katz, Lisa Shock, Charlene Morris, and Reginald Carter to prepare one-page summary of the PA

profession in NC.

Responded to Kristen Butterfield and worked with Charlene Morris, Marc Katz, and Lisa Shock to

prepare letter to Senator Burr regarding including PAs in any meetings, hearings, or legislation

regarding primary care.

Processed donations to PAEC, updated database, and filed 2014 1st Quarter Report with NC Board of

Elections.

Finance/Accounting

Met with David Piscorik of Stancil and Company on January 24.

Met with NCAPA Paragon Bank Rep Feb. 4.

Participated in Finance Committee conference call on Feb. 5.

Worked with David Dew to update Chart of Accounts for 2014.

Prepared for and participated in the annual financial review by Stancil and Company, including

emails and phone calls with David Dew and Paul Hendrix, and gathering and organizing records for

onsite review that took place March 12 & 13. Answered follow-up questions. Reviewed draft report

and discussed with Paul Hendrix.

Reviewed monthly financial reports; shared expense graphs with BOD and Committee Chairs.

Reviewed and coded invoices for payment.

Nominating Committee

Participated in Nominating Committee conference call on March 11; followed-up via emails with

summary of plan of action and status reports.

Worked with Committee on process to solicit candidates to fill remainder of Billy Collins term on the

2014 BOD.

Wrote announcements for Pulse regarding vacant Board seat and nominations for 2015 BOD.

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Internal Audit Committee

Met with Paul Hendrix, Ryan Vann, and Marian Cranford regarding Internal Audit Committee on

January 25.

Sent draft report of 2013 financial review to IAC for review before May 3 Board meeting.

Policies and Procedures Committee: Governance Task Force

Prepared background materials for first meeting of Governance Task Force on March 6

(GoToMeeting call).

Participated in editing first three articles of Bylaws.

Participated in another GoToMeeting call on March 27.

Participated in editing Article IV of Bylaws.

Membership Committee

Met with Gardner-Webb faculty with Lee Busselman on Jan. 28 to talk with them about NCAPA and

student membership opportunities.

Oversaw the transfer from MemberMax to Cvent for membership database and online store.

Participated in Membership Committee Conference call with Kat Nicholas on March 31.

Reviewed membership statistics and non-renewal lists; recommended revisions.

Clarified policy for retired membership approval.

Consulted with Kat and Carin regarding policy for complimentary membership with conference

registration. Decided to continue policy for winter conference, but only include as an option for

summer conference during Early Bird registration period.

Provided editing and proofreading support and oversight for The Pulse.

Conferences and CME

Consulted with Carin Head and Paul Hendrix regarding development of DOT training.

Helped prepare for and staff the 2014 Recertification Review Conference.

Attended Conference Planning Committee meeting on Feb. 26.

Worked with the Conference Planning Committee and Carin Head on DOT/CDL DVD project,

including procedures and writing speaker contracts.

Assisted with DOT/CDL Training at the Stead Center on March 23.

Consulted with Carin Head on Winter 2014 P&L statement.

Reviewed online registration forms and speaker forms for summer conference.

Student Affairs

Helped with preparations and staff support for Student Challenge Bowl at Stead Center on April 26.

Personnel/Human Resources

Set-up funds transfer process for employee IRA benefit.

Met with Lee Busselman regarding impending retirement, status of projects, and orientation for

replacement.

Interviewed Kat Nicholas for Director of Membership and Marketing position; made job offer.

Worked with Kat Nicholas on orientation and transition activities for new role as Director of

Membership and Marketing.

Met with NCAPA President March 21 regarding administrative management issues.

Selected candidates to interview for administrative assistant position; scheduled interviews.

Conducted interviews with Kat and Carin for an administrative assistant on March 25 & 26.

Selected best candidate in consultation with Carin and Kat.

Prepared offer letter; completed hiring process. Helen Hammond started as Office Administrator on

April 14.

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Ongoing orientation, training, and supervision of new employee, Helen Hammond, and mentoring of

Kat Nicholas.

Wrote announcements for Board and Pulse regarding staff changes.

Administrative Management/Oversight

Met with Tri-Properties commercial real estate agent Feb. 3 regarding lease possibilities for the ECC.

Followed-up with two referrals looking for catering space—no interest.

Maintained monthly ECC banking records and sent reports to David Dew.

Attended Association Executives of North Carolina (AENC) CEO Roundtable regarding human

resources issues on Jan. 30.

Met with representatives from the Center for Personalized Education for Physicians (CPEP) on Feb.

12 regarding their plans to open an office in the Triangle.

Participated in the AAPA Constituent Organization Leadership Call on Feb. 13

Attended a webinar about Board development on Feb. 20.

Met with Healthcare Providers Service Organization (HPSO) Reps Feb. 25 to discuss our contract

with them to promote their professional liability insurance program.

Discussed insurance of PAHx items and memorabilia housed at Stead Center; consulted with

insurance broker.

Reviewed Business Personal Property Listing from Stancil.

Attachments: Staff Responsibilities

Director of Conferences and CME Report

Director of Membership and Marketing Report

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Staff Support of Committees: Who is Responsible for What?

Executive Director (Cathie Feild)

Board and Executive Committee

Finance Committee

Government Affairs Committee

Internal Audit Committee

Nominating Committee

Policies & Procedures Committee

Governance Task Force

Additional Areas of Responsibility:

Liaison with Endowment

Personnel/Human Resources

Building Management

Insurance Policies

Accounting/Treasurer

External Relationships

Election Process

Director of Membership & Marketing (Kat Nicholas)

Communications and Marketing Committee (includes website and The Pulse)

Membership Committee (includes Regional Chapters)

Student Affairs Committee (includes Challenge Bowl & Leadership Retreat)

Director of Conferences & CME (Carin Head)

Conference Planning Committee (includes Professional Development Review Panel and development

of new CME opportunities)

Health Committee

Office Administrator (Helen Hammond)

Processing checks and data entry for membership and conference registration

Preparing bank deposits

Preparing monthly revenue reports

ECC (initial contact, calendar, set-up & clean-up)

Contact for vendors (landscaper, HVAC, alarm system, janitor, IT, etc.)

Filing, Reception, Mail

Administrative support for Executive Director, Director of Membership & Marketing, and Director of

Conferences & CME

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Director of Conferences & CME Report (Carin Head)

May 3, 2014

Activities since our last board meeting:

January through April

Winter Conference:

Handled all planning and marketing materials associated with W14 for attendees and

exhibitors

Point of contact with Sheraton Hotel regarding all conference functions

Point of contact with Audio Visual company at Sheraton Hotel for all conference needs

Developed and ordered all supplies for W14 including Printed Agenda, Printed Programs,

Binders, Badges, etc.

Scheduled speakers, collected presentations, formatted presentations for web, print & day of

conference

Developed NCAPA Power Point for daily use at conference

Maintained registration lists, and communicated pertinent conference announcements to

attendees and exhibitors

Point of contact with the exhibit hall company regarding booth placement/set up

Managed the packing/moving of all supplies to/from the conference

Set up and sent out evaluation surveys to all attendees

Sent attendee lists to NCCPA for conference CME logging

Finalized the hotel bill

Prepared final Profit & Loss Statement for Winter Conference

Commercial Driver ME Training:

Developed and managed the marketing materials for all training dates

Ordered appropriate mail lists to target the marketing for all training dates

Set up and managed registration for all training dates

Worked with NCAPA trainers on developing the content of the training including: Power

point presentations, workbooks, links to FMCSA information, test questions, answer key, etc

Developed and ordered all printed materials for all training dates including work books &

badges

Applied to AAPA for CME approval of training

Managed all aspects of catering needs for all training dates

Attended all training dates and managed a/v needs for the training

Developed the evaluation surveys and sent them to attendees for all training dates

Managed list for NCCPA for CME logging for all training dates

Prepared Profit & Loss statement for CDME trainings (ongoing)

DVD Program:

Point of contact with CPC regarding development of project and terms with Ignite

Productions and speakers

Point of contact with Ignite Productions (John Bielinski’s video company) regarding

development of project

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Coordinated travel and logistics associated with Ignite Productions for the recording of the

training classes

Developed registration forms for DVD program

Applied to AAPA for CME approval of DVD program

Developed the workbook that will accompany all DVD programs

Developed the Post-Test and Answer key with the speakers/trainers of the course

Sent marketing e-mails for DVD Program

Set up registration and web page for DVD Program

Conference Planning Committee

Planned CPC Meeting on 2/26/14

Coordinated catering needs for meeting

Developed Agenda for CPC Meeting

Attended CPC meeting

Prepared minutes for CPC Meeting

Assisted CPC Chair with Board of Directors Report for BOD Meeting

Professional Development Review Panel

Scheduled and planned PDRP conference calls regarding W14 Speakers

Attended conference calls regarding W14 speakers and presentations

Communicated PDRP findings to speakers regarding W14 presentations

Scheduled and planned PDRP meeting on 4/2/14 at Stead Center

Developed agenda for PDRP meeting on 4/2/14

Prepared speaker proposals for PDRP consideration for S14 Agenda

Attended PDRP meeting 4/2/14

Prepared minutes for 4/2/14

Communicate with PDRP regarding updates for Summer Conference agenda

Summer Conference

Set Up and Opened Summer Conference registration in January 2014

Set Up and Opened Summer Conference exhibitor registration in January 2014

Marketing e-mails to both attendees and exhibitors

Developed marketing materials for S14: postcards, registration forms, bookmarks

Managed the ordering of state medical board mailing lists

Point of contact for Kingston Plantation regarding all conference functions

Scheduled all speakers for Summer Conference agenda

Developed speaker confirmation paperwork and distributed to all speakers

Booked entertainment for Sunday Welcome Reception and Thursday reception

Updated agenda on NCAPA website

Arranged event cancellation insurance through ShowStoppers

Coordinated first postcard mailing to attendees

Coordinated first postcard mailing to exhibitors

Developed exhibitor floorplan and booth map

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Director of Membership and Marketing Report (Kat Nicholas)

May 3, 2014

Activities since our last board meeting:

January through March (acting as Administrative Assistant)

Office Administration:

Handled all general office administration, including mail, entering of membership and conference

registrations, weekly job postings, and weekly deposits.

Created monthly deposit reports and sent to Treasurer

Established a filing system to store payment and general information by vendor

Compiled Board Report for January board meeting and edited as necessary

Ordered any necessary catering for various office functions, including board meeting and DOT

workshops

Membership/Marketing:

Responded to all inquiries via email, phone, or post regarding membership information

Downloaded data from MemberMax to be either transferred to Cvent or archived

Attended all conference calls between Cvent and Director of Membership to be aware of process of

transferring databases

Assisted in collection of data for Financial Review

Spent time learning WordPress and assisted in updating documents on website

Assisted the Director of Membership and Marketing in developing new website for membership

registration.

Completed the development of the members only section in Cvent

Uploaded member data into new database

Handled the finalizing of the Online Store event in Cvent

Was trained on iContact and learned how to distribute The Pulse

General training and orientation for new position to begin April 1st as Director of Membership and

Marketing

Created spreadsheet of expired 2013 members for Membership Committee. Divided by NC and non-

NC, and then by member type.

Participated in Membership Committee conference call on March 31st.

Conference:

Maintained Cvent registration list. This included sending reminders regarding balances due and

following up on those who registered as members but were not current members and collecting

appropriate payment

Contacted Exhibitors to arrange for booth selection and collect payments

Confirmed contracts with outside vendors (Coke, Carolina Livery, etc.)

Entered PANRE practice exam into IBT site

Added sessions to NCCPA website

Updated onsite documents, signs, certificates, and daily power points

Created user and eligibility accounts for PANRE practice exam and sent users their login information

Created Moderator Packets and Exhibitor Packets

Continued to maintain data regarding registration and following up with balances due

Registered pre and post-attendee lists with NCCPA

Set up speaker evaluation surveys in Survey Monkey

Re-formatted speaker presentations to accommodate flash drives and website. Made appropriate links

on website where necessary

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Maintained updated lists of all attendees of workshops

Maintained list of all balances due and followed up with registrants as necessary

Attended Winter Conference and worked Registration

Registered attendees that requested membership as members

Entered all sessions and registrants of all DOT workshops onto NCCPA website

Printed badges for all DOT workshops

April – as Director of Membership and Marketing

Membership

Researched and created a list of all membership recruitment efforts made since September 2013;

distributed to Membership Committee

Created and sent email regarding PA of the Year Nominations

Typed minutes of 3.31 conference call and distributed to Membership Committee

Ordered plaques for Membership Certificate Plaques

Created file of new Membership Cards and sent to Laser Image

Began scheduling PA program visits with graduating and incoming classes.

Prepared statistical report for Board Book

Student Affairs

Gathered names of participants for 2014 Challenge Bowl and sent confirmation emails regarding date

and time

Created handouts of the “board” to hand out to participants

Arranged for catering and prizes for Challenge Bowl

Attended Challenge Bowl on April 26th

Contacted Sue Reich to introduce myself and set up schedule for reviewing student grant applications

Contacted all PA Program Directors and Coordinators to introduce myself and confirm contacts

Regional Chapters

Hosted TAPA meeting at Stead Center on April 23rd

and provided membership information

Contacted Regional Chapter Presidents to confirm list of officers and updated information

accordingly

Communications and Marketing

Sent out request and collected articles for the April issue of The Pulse

Edited articles and created online and email version of The Pulse

Updated website, including adding events, editing information, changing links, etc.

Followed up with Cvent regarding issues with new site and edited accordingly

Other

Trained new Office Administrator on general administrative duties, such as entering payments, mail,

deposits, etc.

Updated Administrative Manual to reflect new procedures involved with database transfer

Return to the Agenda

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President Elect Report

May 2014

Summary of activities since last Board Meeting:

Government Affairs.

I remain an active committee member participating in most

issues that come before the committee.

North Carolina Medical Board

Will be teaming with President Charlene Morris to give a 30 minute presentation to

the Board on May 16.

Conference Planning

Attended the committee meeting during the Winter Meeting. I will remain active

assisting the committee during the summer meeting. I became an active member of

the PDRP and participated in the phone conference and email exchanges discussing

the Summer Meeting. I have been honored to lecture at the 4 DOT training sessions

and share the responsibility of the sessions with my phenomenal partners in this

endeavor; Josh Smith, Laura Geraghty and Carin Head.

Finance Committee

I remain an active member participating as needed

Governance Task Force

See submitted report

Student Presentation

I presented to the first Gardner Webb University class educating them about the

NCAPA. I also met with the acting director of the Gardner Webb University

Program.

Executive Committee

I remain an active and vocal member participating with conference calls and email

exchanges.

Strategic Planning

I have been discussing with Cathie changes to how we do strategic planning and challenging

previous timelines. More discussions will take place at the Board Meeting.

Respectfully Submitted,

Marc S. Katz PA-C

Action items: None

Return to the Agenda

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Treasurer’s Report

FY 2013 BUDGET

May 03, 2014 AMOUNT SPENT ALLOCATED A. CENTRAL OFFICE 87,891.37 317,113 C. BOARD OF DIRECTORS 30,481.30 104,650 B. STEAD CENTER 21,304.06 95,316 D. NATIONAL AFFAIRS 2,769.09 17,275 E. TREASURER 1,580.00 4,800 F. CONFERENCE PLANNING 159,470.46 436,500 M. MEMBERSHIP 3,890.70 24,247 H. GOV AFFAIRS 1,603.63 18,119 I. COMM. & MARKETING 1,419.05 10,000 J. HEALTH 493.39 5,900 L. STUDENT AFFAIRS 140.55 4,375 P. STUDY MATERIALS 175.00 3,000 P. ESTES CONFERENCE CENTER 227.81 1,600 O. POLICY & PROCEDURES 0.00 1,000 P. INTERNAL AUDIT 0.00 600 $311,446.41 $1,044,495 as of 4-18-14

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OPERATING FUNDS Conf Acct General Acct CDARS Acct Paragon Bank $12,182.61 $202,081.26 $637.75 Wells Fargo Bank Gen Acct SW CD $6,594.76 $11,362.90 SCHWAB RESERVE FUNDS Equities/Fixed Income Cash/Other $1,077,863.44 $41,066.53 Total of all Accounts: $1,351,789.25 as of 4-18-14

All requests for reimbursement should be submitted to the Central Office within 30 days of incurring the expense. Only NCAPA reimbursement forms will be accepted. Each reimbursement form must be approved and signed by the appropriate NCAPA Officer or Committee Chair. Failure to (1) use the Official Reimbursement Form (2) have appropriate approval/receipts may cause a delay in the processing of your reimbursement. Respectfully submitted, Paul C. Hendrix, MHS, PA-C Treasurer Attachments If you have any questions concerning the Treasurers Report, please contact Paul Hendrix prior to the Board Meeting

Return to the Agenda

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Submit within 30 days to [email protected] or fax to 919-479-9726

Original receipts are required for expenses over $25 (scanned receipts will not be accepted)

NAME: DATE:

MAILING ADDRESS:

PURPOSE:

Trip Originating Address

Trip Destination Address

Round Trip Yes No

TRANSPORTATION: COST

Auto: # of miles at .56 per mile

Parking Fees:

Airplane:

Other:

LODGING

Rate: # of nights

MEALS:

Date Breakfast Lunch Dinner

TOTALS

MISCELLANEOUS

TOTAL REIMBURSEMENT

CHECK #

For Office Use Only

BUDGET DEBITED CODE # AMOUNT

NCAPA REIMBURSEMENT FORM

INSTRUCTIONS:

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Immediate Past President Report

May 2014

Since completing a productive 2013 in the life of the NCAPA, I have been actively involved

with various committees and the NCMS. I have attended conference calls of the

executive committee, CMC, and discussed issues with the membership committee. In my role as

chair of the PA section of the NCMS, I was involved with the ACA information project that

produced a valuable resource for providers to share with their patients. I would like to recognize the

extensive efforts of Marion Cranford on this project as well as Lisa Shock, Dr. Liz Kanoff and

others. I continue to be amazed with the leadership of the NCAPA and look forward to the

leadership of Charlene.

Respectfully submitted, Don Metzger, PA-C, MHS

Return to the Agenda

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Communications and Marketing Committee Report

May 3, 2014

I want to thank Lee Busselman for his contributions to the NCAPA and wish him well in his

retirement. Unfortunately, with this change, some of our projects have been slow to implement.

We discussed some improvements with the website that will need to be re-visited now that

we have changed from MemberMax to Cvent. I have spoken with Kat and look forward to

having her get up to speed with Cvent and contributing to the CMC.

I was intrigued with the video that John Belinski produced with Bill Vaassen telling the story

of the NCAPA and the Stead Center. We are looking into how to add video to the website

and will be featuring more about the NCAPA in the future.

Respectfully submitted,

Don Metzger, PA-C, MHS

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Conference Planning Committee

May 03, 2014

Members: Paul Hendrix (Chair), Ray Brown, Roger Page, Bill Vaassen, Josh Smith, Laura Geraghty, Marc

Katz, Cathie Field (staff), and Carin Head (staff).

The annual Winter Conference and Recertification Exam Review was held at the Sheraton Imperial Hotel and

Towers in Research Triangle Park, NC, Feb 23 - 28, 2014. A total of 290 PAs and NPs participated. The

conference, now in its 28th year, draws PAs and NPs from all over the country; this year, 24 states were

represented. Conference evaluations are detailed below and the Winter Conference P & L is attached.

W14 OVERALL EVALUATIONS

Excellent Good Fair Poor

Conference Registration 76.5% 23.5% 0% 0

Educational Content 88.5% 11.5% 0% 0

Conference Facilities 57.7% 30.8% 9.6% 1.9%

Audio Visuals 73.1% 26.9% 0% 0

Overall Conference Evaluation 76.5% 23.5% 0% 0

Likely to Recommend Conference 86.5% 11.5% 2% 0

PROFESSIONAL DEVELOPMENT REVIEW PANEL

The Professional Development Review Panel (PDRP) continues to focus on the content and quality of

NCAPA CME programs and research all available methods of CME distribution.

The PDRP had a meeting on 4/02/14 to discuss plans for the 2014 Summer Conference. The PDRP

would like to have all speakers confirmed by 5/01/2014.

DOT TRAINING WORKSHOPS

The NCAPA has developed a training course to address the new FMCSA rule that requires Medical

Examiners to be trained and registered to complete medical exams for commercial drivers. The FMCSA rule

goes into effect on May 21, 2014.

The live trainings have been very successful and we have had 3 to date: February 28, March 22 and March 23.

We have trained 197 providers so far including PAs, NPs, MDs, and Chiropractors. We have another training

planned for May 10, 2014 in High Point, NC and will offer the training at the Summer Conference as well.

In addition, we have developed a DVD set that is available for purchase on our website. Providers from

across the country can purchase our DVD course and complete the training requirement.

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NCAPA DOT Training P & L Statement

INCOME DOT Live Trainings DVDs Online

405-21 Registration $69,950.00

DVD Sales $1,400.00

TOTAL INCOME $69,950.00 $1,400.00

EXPENSE

569-10 Travel $1,461.89

569-12 Meals $237.13

569-16 Lodging $778.78

569-30 Postage $5,627.05

569-40 Printing $3,306.49

569-60 Supplies $19.78

569-70 Banquet/Catering $6,120.38

569-88 Cvent Fees $1,299.20

569-90 Misc $1,944.99 $12,994.00 $3325.00*

569-90 Honorariums $9,200.00

569-92 AAPA CME Expense $150.00

TOTAL EXPENSE $30,145.69 $12,994.00

NET INCOME $39,804.31 -

$11,594.00

*In process, not yet developed or paid

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NCAPA

Winter Conference

P & L Statement Comparison

Winter 2014

INCOME 290 Attendees

Registration $159,700.00

Exhibitors $13,100.00

Grants

Misc.

TOTAL INCOME $172,800.00

EXPENSE

0.1 Travel (committee and staff) $603.12

0.12 Meals (committee and staff) $683.14

0.16 Lodging (committee and staff) $3,274.59

0.2 Telephone $255.73

0.3 Postage $16,222.31

0.4 Printing $16,856.19

Advertising $925.00

0.6 Supplies (supplies, signs, binders, flash drives) $4,034.49

0.7 Hotel Food and Beverage $42,859.69

0.72 Staff Services

0.74 Staff Expenses

0.76 Special Events $1,980.94

0.78 Speaker/Moderator Expenses $3,417.51

0.8 Honoraria $19,450.00

0.82 Sheraton A/V $20,659.22

0.84 Hotel Gratuities $350.00

0.86 PANRE Expenses $70.00

0.88 CVENT $4,005.00

0.9 Misc. $489.18

0.92 CME Expenses $245.00

0.93 NCNA CE Expenses

0.96 Refunds

TOTAL EXPENSE $136,381.11

Cost per person

$483.21

NET INCOME $36,418.89

**2014 Expenses that differ from 2013: Addition of CVENT fees and One Additional Mailing (printing & postage)

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2014 SUMMER CONFERENCE

Make your plans now to attend our Annual Summer Conference which is scheduled for August 17-22, 2014.

Serving as our Conference Headquarters, the Kingston Plantation, a Hilton and Embassy Suites Resort, is

the largest oceanfront resort and convention center on the Mid-Atlantic coast. When you enter the resort, you

know you have arrived at a very special place. The resort is “close to everything, but away from it all”.

The Conference Program will offer 29 hours of Category I Credit and will conclude in the early afternoon

each day to allow plenty of time for you and your family to enjoy Myrtle Beach. Conference highlights

include our traditional 5K Fun Run, Sand Sculpturing Contest, Horseshoe Tournament, Volleyball

Tournament, Pier Fishing Tournament, 5K Run, and Golf Tournament. The Welcome reception has been

scheduled for Sunday night at the Palmettos Pavilion with entertainment by Liquid Pleasure, a live band. The

NCAPA Reception has been scheduled for Thursday at the Palmettos Pavilion. There will be an abundance

of food available and everyone will have the opportunity to meet with NCAPA Officers, Directors and

Committee Chairs. The NCAPA Annual Meeting will also be held during our Summer Conference.

KINGSTON AMMENITIES - The pace is unhurried, a feeling enhanced by 145 acres of park-like gardens,

woods, and lakes. The ocean and half-mile secluded beach are waiting to delight you. The 50,000-square foot

oceanfront waterpark & lazy river water complex, called Splash! is the heart and soul of the resort’s

recreation activities. Rounding out the water park attractions are two large swimming pools, two kiddie pools,

and three Jacuzzis. An adjacent area offers a lighted volleyball court, a PGA-approved putting green, and live

pool-side entertainment five days a week. The Sports and Health Club offers state-of-the-art fitness

equipment, weight room, racquetball courts, sauna, and much more. Yoga, Pilates, step classes, water

aerobics, and aerobics on the beach are available daily. Massage therapists are available at the club or in your

room. The Kingston Plantation boasts its own championship golf course. This par-72 course has received

accolades from both Golf Magazine and Golf Digest.

WHAT ABOUT THE CHILDREN? - The Kids Club offers complimentary activities for kids 5 and older

from 10:00 am - 3:00 pm each day. Activities include arts and crafts, beach bag painting, beaded name

jewelry, big daddy splash contest, fitness walk, golf visor painting, crab racing, penny dive, pool relays, sand

dollar painting, sea shell boxes, shirts to dye for, splashtastic pool games, water balloon toss, and much more.

Call (843) 449-0006 ext. 3700 for additional information.

KINGSTON LODGING - Over 1,300 accommodations are available. All feature at least two TVs, coffee

makers, microwave ovens, irons & ironing boards, room service, and shuttle service throughout the resort.

Most accommodations include full kitchens, washers/dryers, outdoor pools, and private entries. Internet

access is available with laptop computers in all guest suites, hallways, hotel lobbies, public areas, and pool

areas. Best of all, our general sessions will be broadcast via closed circuit to all resort accommodations.

Reduced rates are available for three days before and after the Conference. For special rates, be sure to

identify yourself with the NC Academy of Physician Assistants by using our group code NCA. A variety of

room options are available from one-bedroom lodges to two-bedroom oceanfront condos. For more details

about accommodations or to make your reservations, call 1-800-876-0010 or visit

www.kingstonplantation.com.

MYRTLE BEACH ATTRACTIONS - Myrtle Beach is home to over 1,000 restaurants, 100 golf courses,

and many other attractions. After the sun goes down, glittering nightlife beckons along the Grand Strand.

Mega-complexes like Broadway at the Beach and Barefoot Landing feature a mind-boggling array of

specialty shops, restaurants, and nightclubs. For resort guests who prefer more sedate attractions, we

recommend Brookgreen Gardens or Hobcaw Barony, a 17,000-acre nature preserve.

Additional attractions include:

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Alabama Theater Family Kingdom Park Medieval Times

Barefoot Landing Over 100 Golf Courses Myrtle Waves Water Park

Hard Rock Café IMAX Discovery Theater Ice Castle Theater

Legends in Concert NASCAR Speedpark Broadway at the Beach

Brookgreen Gardens Planet Hollywood Ripley's "Believe It or Not”

The Carolina Opry Ripley's Aquarium Butterfly Pavilion

Deep Sea Fishing Dixie Stampede Spirit of the Dance

GOLF TOURNAMENT - This will be the 22th year for our Endowment Golf Tournament. Myrtlewood is

only 10 minutes away from our conference facility and offers beautiful and challenging play. We will again

be offering prizes for the 1st, 2

nd and 3

rd place teams as well as prizes for longest drive and closest to the pin.

All proceeds go to the NCAPA Endowment and the education of aspiring PAs.

SUTURING WORKSHOP - This course in basic suturing and wound care management begins with a 30-

minute lecture covering the steps involved in good wound care. Topics included are wound evaluation, skin

preparation, wound irrigation, and achieving painless anesthesia. A two-hour hands-on practicum, using pig's

feet, follows a brief Q & A period. A low student-to-instructor ratio ensures that every participant gets

instruction in instrument handling and suturing techniques. Emphasis is placed on learning how to control

skin edges and suture tension. All materials are provided. The only requirement for participation is a

willingness to learn. After completing the workshop, participants will know how to manage wounds and have

beginning-level skills in suturing.

PRACTICE RECERTIFICATION EXAM - In cooperation with Prometric Testing Centers, official

proctor of PANRE, participants will be able to take a practice PANRE exam online anytime within 30 days of

the conference.

ADJUNCT SYMPOSIA – Fifty three (53) additional hours of CME will be added to the agenda again this

year we will have the PALS (12), Basic Cardiac Life Support (4), Advanced Cardiac Life Support (16),

Dermatology (4), Suturing (3), and Orthopedic Exam Workshop (2), and a Joint Injection Workshop

(2). New for 2014 is Active Engagement Advanced Emergency Medicine (8), EKG Boot Camp (3) and

the Commercial Driver ME Training Course (6).

CME ATTESTATION - The Conference Planning Committee has read and understands the current

Standards for Programs Designated for AAPA Category I CME. In summary, the committee attests that

NCAPA adheres to all standards as set forth in this document, including; educational standards,

administrative requirements and the standards for commercial support. All committee members and paid staff

have signed appropriate disclosure forms.

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We are expecting attendance to be in the 1000+ range. Our block of rooms will be taken quickly so PLEASE

MAKE YOUR RESERVATIONS NOW TO ENSURE YOUR CHOICE OF A ROOM OR SUITE. For

special rates, be sure to identify yourself with the NC Academy of Physician Assistants. The Kingston

Plantation will honor our group rates for three nights prior to the Conference and for three nights following

the Conference. Accommodations should be arranged directly with the Kingston Plantation. Call 1-800-876-

0010 or visit the NCAPA web site www.ncapa.org for the following special NCAPA/Kingston Plantation web

site link.

www.kingstonplantation.com

Please visit our web site www.ncapa.org for additional information. If you have questions, please contact

NCAPA at 1-800-352-2271 or [email protected]. To ensure you obtain conference rates, please use

group code NAP whether you make reservations on-line or on the phone.

See you at the Beach!!!

Paul C. Hendrix, MHS, PA-C

Conference Chair

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Finance Committee Report

May 3, 2014

Committee Members:

Ryan Vann, Chair

Paul Hendrix

Marc Katz

Charlene Morris

Elmira Powell

Samantha Rogers

Bill Vaassen

Cathie Feild, NCAPA staff contact

1. Review of End-of-Year Statement for FY 2013: On February 5th

, the committee met by

conference call to discuss the FY13 end-of-year financial statement. There were several topics

to consider, including a discussion of which areas/committees were over budget and why, and an

overall analysis of expenses vs revenue for 2013. We also spent a great deal of time deciding

how to account for the large amount of money that was spent to pay off the Stead Center

construction loan balance. In the end, it was determined that the Academy finished the year

several thousand dollars under budget – “extra” payments towards the Stead Center loan were

not included in this figure as we felt they were, indeed, extra/additional payments, and that

including these payments in our analysis would skew our ability to assess whether the Academy

continued to provide itself with a reasonable budget for usual expenses and revenue. A separate

analysis of the amount in our operating funds led us to the decision that we could safely transfer

funds to our reserve account – a few days after the meeting, $20,000 was moved to our Schwab

accounts for this purpose.

2. Monthly Review of Committee Budgets: Each month, the committee reviews a financial

statement prepared by our accountant. From this statement, our accountant generates pie charts

for each committee that shows what portion each committee’s budget has been utilized. Cathie

has been sending these out consistently for several months now. We hope that committees find

this information useful as they plan their expenditures throughout the year. If your committee

has suggestions as to how this information could be more useful to you, please do not hesitate to

contact Ryan Vann (Finance Committee Chair) at [email protected].

3. Review of Schwab Reserve Accounts: The committee reviews reserve account statements

monthly. It is our policy that a minimum of $1.15 million is kept in these accounts, though there

is currently less than that due to the funds withdrawn from reserves to pay off the Stead Center

construction loan. At this time, we have two reserve accounts that make up our portfolio with

similar balances. One of these is a bit more conservative than the other, though we feel strongly

that both are finically sound, broadly diversified, carefully managed. At regular intervals, we

will evaluate the performance of each of these accounts, and at some point, we may decide to

move all of the funds into one account or the other. At the end of March, the total amount in

reserve was $1,122,322.51. This is just over $27,000 short of our minimum reserve account

balance, so we are making progress in that area.

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4. Quarterly Review of Banking/Checking Accounts: As directed by the BOD in November

2010, the Treasurer, Chief Executive, and Finance Committee chair review the Academy’s

banking/checking accounts each quarter to ensure that funds in excess of $250,000 are moved

into our CDARS accounts. This helps to ensure that our accounts will be fully FDIC insured in

the event of bank failure/financial catastrophe. Our account balances have not recently required

such fund reallocation. Cathie Feild will continue to monitor our accounts on a regular basis and

will let us know if our balance approaches/exceeds $250,000.

5. Budgeting For FY2015: Committees should begin thinking about their budgetary goals for

2015. In August, we will try to provide a rough outline of the FY2015 budgeting process so that

deadlines, etc. are clear well in advance. We anticipate that that the process of budget creation

by the Finance Committee and budget passage by the Board will take place electronically, and

will occur after the November BOD meeting (a process that has worked well for us and the

Academy for several years now).

Action Items: None

Respectfully Submitted,

Ryan Vann, MHS, PA-C

Committee Chair

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Health Committee Report

May 2014

Members:

Daniel Mattingly, Chair

Amy Boucherle

L. Gail Curtis

Charles Kober

Corey Richardson

Sandra Alexander, student member

Oswald Ganley, ex officio

Activities Since Last Board Meeting:

1. Committee Meeting February 28, 2014 at Sheraton Imperial, RTP, NC

A. NCPHP annual update presented by Drs. Warren Pendergast, Medical Director, Joe Jordan,

Clinical Director, and Logan Graddy, Staff Psychiatrist.

B. 12-step meetings at conferences

i. Reviewed meetings at Winter Conference

ii. Planned meetings at Summer Conference

C. Peer review of PA cases was conducted

D. Health Committee Blog update (Corey Richardson)

E. Planning for projects discussed at last committee meeting

F. 2014 committee budget review

Peer Review Cases

New Assessments 4

Chemical Dependency 2

Dual Diagnosis 0

Axis ! 0

Axis II 0

Professional Sexual Misconduct 1

Other 1

Active Cases 29

Chemical Dependency 21

Dual Diagnosis 3

Axis ! 2

Axis II 0

Professional Sexual Misconduct 2

Other 1

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Monitors Cases

Cases in monitor contract phase 16

Cases with PA monitors 4

Cases with MD monitor 0

Cases with other monitor 0

Cases not needing monitor**** 12

Cases with monitor assignment pending 13

****This includes all those for whom a monitor is not required (Axis 1, Axis 2, Stage 2, Diagnostic

Monitoring, Professional Sexual Misconduct, Out-Of-State and Active Monitor Contract Phase Who

Don’t Need Monitor.

Plans for Future Activities/Goals:

1. Overarching goals for 2014:

A. Peer review (legislative responsibility)

B. Continued partnership with NCPHP

C. Conducting 12-step meetings at both NCAPA-sponsored conferences

D. Advocacy and education

2. Specific Goals:

A. Develop a policy for allocation and distribution of funds from the Kober Treatment Grant.

B. Provide the NCAPA BOD with an annual update on NCPHP at the August or November

BOD meeting. Dr. Pendergast would be invited to address the BOD at this update.

C. Recruit new member to the HC. One candidate is currently identified and will be contacted

by the Chair.

D. Have a HC booth at both NCAPA conferences to publicize the HC to PAs needing

professional resources or personal help, to recruit new members, and to raise funds for the

Kober Grant.

E. Collaborate with the Conference Planning Committee to invite a speaker to address relevant

health committee topics (opioid diversion, PA health and wellness, etc.) at the conferences.

ACTION ITEM(S):

None.

Respectfully submitted,

Daniel Mattingly

Chair, Health Committee

Attachment: NCPHP Audit Report

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April 21, 2014 NCAPA Board of Directors 1121 Slater Rd. Durham, NC 27703 Dear Board Members: I am writing to inform you about the recent release of the report on the performance audit of the North Carolina Physicians Health Program (NCPHP) by the Office of the State Auditor (OSA). The audit was performed after several physicians complained that NCPHP had not dealt with them fairly, and questioned the quality of evaluations and treatment they received. The audit was conducted over a period of about one-year, and involved review of 110 case files from physicians and PAs who participated in NCPHP over a 10-year period. Numerous interviews were held with various parties involved in NCPHP in a number of capacities. One Health Committee member who has worked directly with NCPHP was interviewed by the auditors. There were no PAs in the group of complainants who prompted the audit. The audit did not find any evidence of unfair treatment of participants, or problems with the work of NCPHP. Needless to say, NCPHP is pleased with this confirmation of the integrity and quality of the program and services it provides. The OSA did, however, make several recommendations that it believes may prevent possible problems, or the appearance of problems in the future. The Health Committee has reviewed the audit report, and has found nothing that will have either a positive or negative impact specifically on PAs. Nor does it appear that any of the recommendations will have a significant deleterious effect on services provided by NCPHP to PAs and physicians. The report can be viewed in its entirety at: http://www.ncauditor.net/pub4/. Please do not hesitate to contact me for more information, or if I can be of help in any way. Best regards, Daniel E Mattingly, PA-C Chair

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Internal Audit Committee Report

May 3, 2014

Members: Marian Cranford, PA-C, Chair; Lisa Shock, MHS, PA-C

Activities Since Last Board Meeting:

All financial statements have been reviewed since January 2014 and have been found to be

in order. Recommendations were made to the accountant to use bar graphs instead of pie wedges on

reports to be better understood and more accurately display our financial position. This has been

carried out. It was recommended to use the color red for the negative variances, but this has not

been done, as it seems to be a software issue.

The Committee has received the draft report from Stancil and Company of NCAPA’s 2013

Financial Review and is in the process of reviewing it at the time this report was written.

Plans for Future Activities/Goals:

Recruitment for another committee member has been successful. Scott Edelstein, PA-C,

has agreed to serve on the committee. He works in cardiology at Duke and lives in Chapel Hill. He

is reinstating his NCAPA membership and will submit the appropriate paperwork.

ACTION ITEM(s): None

Respectfully submitted,

Marian E. Cranford, PA-C

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Student Affairs Committee Report

May 3rd, 2014

Mission Statement: To represent and voice the concerns of the PA student community while

supporting efforts in achieving academic success

Members Samantha Rogers, PA-C, Chair

Billy Collins, PA-C

Kelsey Blaine, PA-S1 (Wake Forest)

Cliff Daub, PA-S1 (Methodist)

Kondie Lykins, PA-S1 (Campbell)

Holly O’Sullivan, PA-S1 (Duke)

Rebecca Salman, PA-S1 (ECU)

Lance ‘James’ McGee, PA-S1 (Elon)

Ashton Youngers, PA-S1 (Wingate)

Current Projects:

1. The SAC has worked closely with Lee Busselman and now Nat Nicholas and Cathie Feild to

prepare for the Student Challenge Bowl, April 26th

.

2. The committee will turn its attention to the Student Leadership retreat in the coming weeks

and months. Will work with Academy staff to select a date in the Fall of 2014.

3. Visit the incoming classes at all PA programs in the state during 2014.

Action Items: None

Respectfully submitted,

Samantha D. Rogers, MMS, PA-C

NCAPA, Director at Large

Student Affairs Committee Chair

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NC EMS Advisory Council Report

May 3, 2014

Activity:

NC EMS Advisory Council Meeting

February 11, 2014

http://www.ncems.org/

Note: Meeting cancelled due to inclement weather

Compliance Report

Injury

Hospital Preparedness Report

Agency Report

Next EMS Advisory Council Meeting Tuesday, May 13th, 2013 (11:00am) at Brown Building,

Dorothea Dix Campus; Raleigh.

NO ACTION ITEMS

Respectfully Submitted,

Rob Bednar, MHS, PA-C, NREMT-P

NC OEMS Advisory Liaison

[email protected]

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NCAPA Endowment Report

May 3, 2014

Endowment Trustees:

Elmira Powell, (President), Charlene Morris (NCAPA Executive Committee appointee), Alisha

DeTroye, Rob Holliday, Gail Marion, Suzanne Reich (treasurer), Brenda Scronce, (secretary), Jim

Hill, and Robert Wooten.

The Trustees met in Winston Salem, NC on Monday, March 24, 2014. By the time of this Board

meeting, a fundraiser in memory of Mark Sizemore and Mandy Dozier will have taken place. This

program, sponsored by PAPA (Piedmont Association of Physician Assistants) was in memory of two

of its former members and included Category I CME. The lecture, “Palliative Care in Oncology:

Too Little, Too Late?” was given by Dr. Nathan Streer. A meet and greet, with the families of the

honorees, was a part of the commemoration. Currently the Endowment hosts the Sizemore-Dozier

Memorial Fund that is available to NCAPA Regional Chapters to promote continuing medical

education endeavors. At the close of the evening, attendees were encouraged to donate to the

Sizemore-Dozier Memorial Fund so that Mark & Mandy’s passion can live on through its mission.

A brochure is being designed as a tool, to solicit corporate support for our Annual Golf Tournament.

By identifying various levels of sponsorship, we hope to bolster revenue for PA student scholarships

to keep pace with the increasing number of PA programs throughout the state. Any PA, who has a

relationship with a potential sponsor(s), is asked to contact any of our Trustees so that we may invite

them to participate in this noble cause.

The Lanny Parker Memorial Fund, originally created for any PA interested in third party

reimbursement, has now been re-purposed as a resource for PA students with an interest in advocacy

and leadership. A brochure and online application for this fund is forthcoming.

Respectfully submitted,

Elmira J. Powell, PA-C

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Liaison to N.C. Medical Board Review Panel Report

May 3, 2014

Members: N. C. Medical Society: Devdutta (“Dev”) G. Sangvai, MD (Review Panel Chair) , Paul R.

Cunningham, MD, Michelle Jones, MD, John Reynolds, MD

Old North State Medical Society: James Smith, MD

N.C. Osteopathic Medical Association: Slade A. Suchecki, DO

N.C.A.P.A.: Marc Katz, PA-C (Review Panel Vice Chair)

N.C. Nurses Assoc Council of N.P.s: Dennis A. Taylor, DNP-C, MSN, ACNP-BC

Public Member serving on NCMB: Thelma Lennon

The Review Panel is currently seeking physician applications for 2 positions that will be open this

November.

It is not too early to be thinking about potential PA candidates for the seat that will be up for

reappointment November 2015

Respectfully Submitted,

Action Item: None

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Student Representative Report

Campbell University

May 3, 2014

The Spring of 2014 has been eventful and historic for Campbell’s Physician Assistant Program. The

program’s inaugural class has taken the PANCE and most have begun their careers as physician assistants.

Ms. Melissa Davis, PA-C, RD, LDN enjoyed the honor of being the first Campbell PA graduate to return and

lecture students on Eating Disorders – we look forward to having many Campbell grads return to their alma

mater in the future as guest instructors!

Students and faculty are excited to be attending the AAPA Conference in May 2014. Members of the Class

of 2015 will be participating in the NCAPA Challenge Bowl competition in April to help prepare for the

National Medical Challenge Bowl – we look forward to competing in Boston against teams from across the

country!

As the Class of 2015 nears the end of their didactic year, the incoming class of 44 students has been accepted

– ten of these students are the first dual PA/Masters of Science Public Health students at Campbell University.

Campbell offers the only dual PA/MS degree in North Carolina, providing students with a solid foundation in

healthcare research and outcomes evaluation. These students will complete the requirements for the Masters

of Public Health Degree prior to starting the PA curriculum in August 2014. This spring, the Physician

Assistant Program was granted continued accreditation status by the ARC-PA. Campbell has now reached

the highest level of accreditation granted to PA programs and we look forward to the next accreditation visit

planned in 2021.

MPAP students from the Class of 2015 have documented more than 1000 community service hours since

matriculating in August. Service opportunities have ranged from Adopt-A-Highway trash pickup to blood

drives to church service. In April, all 44 students participated in the Buies Creek Elementary School Health

Fair which was an intiative started by the inaugural Class of 2013. PA students interacted with each grade

level (K-5) teaching hand-washing, nutrition, sun protection, and the harmful effects of tobacco use. Children

also participated in self-defense and stranger safety activities, a Zumba dance, and an exercise and sretching

routine. Held outside on a perfect spring day, the event was a huge success and the young students had a

great time learning how to stay healthy and active!

PA-S1s continue to fulfill Campbell’s mission of community outreach by participating in campus activities

such as Operation InAsMuch (a campus-wide initiative to serve our local community). All 6 graduate

programs from the College of Pharmacy and Health Sciences participated in a health fair, with the PA Class

of 2015 checking blood pressure and testing blood glucose levels. Our students encouraged patients to

follow-up with their primary care providers and emphasized the fact that they are key advocates for their own

health. PA students have also participated in panel discussions at Campbell University, NC State University,

and UNC-Chapel Hill to promote the PA profession. Students spoke at pre-med club meetings and pre-PA

interest meetings – these meetings garnered a lot of interest from undergraduates, as more than 60 students

attended each of the gatherings! PA students explained the application process for PA school, interview tips,

and the program schedule including both didactic and clinical years. Recent Campbell PA graduates joined

the discussion at UNC to speak about taking the PANCE and applying for jobs – they provided invaluable

advice about working as a new physician assistant in today’s healthcare system!

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Campbell Univeristy is committed to facilitating interprofessional collaboration and the PA students recently

participated in an “Interprofessional Day of Awesome.” Students partook in team-building exercises with

students from the medical school, physical therapy program, public health program, and pharmacy school.

Students from all programs enjoyed making new friends and fostering a better understanding of each of our

professions. To further encourage interprofessional relationships, the PA Class of 2015 hosted a “Spring

Fling Health Mixer” with students from all 6 health sciences graduate programs. Students mingled with each

other and danced the night away at a beautiful local vineyard. Proceeds from this party will help offset

expenses as we travel to Boston for the AAPA National Conference. Campbell strongly believes in a team-

based healthcare model and we are confident our interprofessional case studies, simulated scenarios, team

building events, and social outings will help to nurture cooperative professional relationships.

Report Submitted by: Kondie Lykins, PA-S

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Student Representative Report

Duke University

May 3, 2014

Activities Since Last Board Meeting:

The first year class finished up the second didactic semester in April after covering nine fields of medicine

since January. Amidst the madness of tests, weekly patient H & P’s and heaps of lectures and case-based

learning sessions, students increased their community outreach in Durham. On March 15th, ten PA students

hosted a wellness booth at the NC Special Olympics. They talked to the athletes about nutrition, smoking

cessation and sunscreen use. The booth also focused on healthy blood pressure and weight, and creatively

encouraged physical activity with coconut and pineapple bowling. On March 19th, a group volunteered to

teach elementary school students about hygiene and healthy practices at the Global Scholars Academy in

Durham. On March 22nd

, PA students and PT students teamed up with Bridge 2 Sports to learn how disabled

athletes participate in sports including: seated volleyball, wheelchair basketball, and visually-impaired bocci

ball. The PA students loved this four-hour Adaptive Sports Experience, and truly appreciated the efforts of

the Bridge 2 Sports organization and their athletes who instructed. Twenty PA students were excited to swap

hours at the hospital for an evening in an industrial-sized kitchen on April 5th, when they cooked and served

spaghetti dinner to about 200 individuals at the Urban Ministries shelter in Durham. On April 11th, the Class

of 2015 carried on the annual tradition of bringing culturally-relevant health education to Burton Elementary.

The Burton students responded with gusto to the quiz game and the educational skit which included singing,

dancing, and even ukulele-playing! Finally, the Duke PA program supports St. Baldrick’s Foundation for

childhood cancer research each year, and 2014 has turned out to be another outstanding year. Fundraising

events—including a dinner at Moe’s Southwest Grill, a bowling day, and a raffle event at West 94th St. Pub—

as well as individual efforts by students have raised $8,595 to date for St. Baldrick’s.

Plans for Future Activities/Goals:

On April 26th, the St. Baldrick’s effort will culminate in a “Shave Day” where a group of gutsy PA students

will shave their heads to honor children whom have lost their hair secondary to cancer treatment. The day

will include a party replete with kids’ games where Duke students will join other local organizations to

celebrate young cancer survivors who will be in attendance.

More than half of the Class of 2015 will be attending the AAPA conference in Boston this May. Students are

so eager to support their challenge bowl team, to learn about the latest in evidence-based medicine and to

meet inspiring PA’s at the conference. Before their AAPA appearance, the challenge bowl team members

will be fine-tuning their buzzer-slapping skills at the upcoming NCAPA State Challenge Bowl.

Respectfully submitted,

Holly O’Sullivan, PA-S

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Student Representative Report

East Carolina University

May 3, 2014

Class Notes:

2014

The Class of 2014 is finishing their forth rotation of their clinical year. Everyone has

been very happy with their sites and I have heard only positive things about their

experiences and preceptors. The class has sites in Greenville and surrounding areas,

Raleigh and Wilmington.

2015

My class is finishing our second semester of PA school. This semester has been full of

interesting and challenging courses such as Clinical Medicine I, Diagnostic Methods,

History and Physical II and Pharmacology. I know all of us are excited to finish the rest

of this semester and begin our Summer classes. Our program just found out that the Dean

has agreed to some extra funding which we will use for a new lung and heart simulator

which I know we can’t wait to get our hands on to practice!

There are several students from our class attending the upcoming AAPA conference

in Boston. We are excited to be able to be a part of such an important event for our

profession. We have been practicing our quiz bowl skills so that we can compete in the

conference quiz bowl challenge.

To relieve stress, we have several students who are training for a triathlon in nearby

Washington, which will be held in the next few weeks. Many of the students have created

teams for the triathlon as well. The training has been helping students stay focused on our

rigorous workload.

The class has also been very involved in volunteering within Greenville and nearby

communities. Some of our classmates have been involved with the Harnett and Lee

Smiles, which is a program giving underserved children a free oral exam. Other students

in our class have been volunteering at Hope Lodge, which houses cancer patients during

treatment. We hope to be able to continue our volunteer work throughout the clinical year

as well.

2016

The class of 2016 has been selected and we are very excited meet them and help them

make the adjustment to PA student life.

Respectfully Submitted,

Rebecca Salman, PA-S

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Student Representative Report

Methodist University

May 3, 2014

Updates Since Last Board Meeting:

•The Class of 2014 has just completed their 4th

of 10 clinical rotations. In June, four

students will be participating in an interdisciplinary international rotation in Belize.

•The Class of 2015 has just completed their second semester and after a short break

begins their third didactic semester on April 28, 2014.

Twelve members of the class participated in the Harnett Smiles dental program in

February. Give Harnett Kids a Smile is a medical/dental education and service event for

Harnett County families. This year’s program brought together more than 140

volunteers, including Physician Assistant, Nursing, Pharmacy, Public Health, Dentistry

and Physical Therapy students from 7 different universities.

More than 20 students have registered and plan to attend the annual AAPA Conference in

Boston, MA next month.

On May 3 the class will be holding the 5th

Annual Methodist PA Program Golf

Tournament to raise funds towards the class’s participation in a PANCE review course.

A portion of the proceeds will also be donated to the Care Clinic of Fayetteville, a free

treatment center that provides medical care to low income and uninsured residents of

Cumberland County.

Respectfully submitted,

Cliff Daub, PA-S

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Student Representative Report

Wake Forest University

May 3, 2014

Members: Kelsey Blaine

Activities Since Last Board Meeting:

Faculty and Program News

o Sarah J. Maloney, PA-C MPAS, MS and David H. Kuhns, PA-C CCPA,

MPH, DFAAPA have joined PA Studies as full-time faculty members at

the Boone campus.

o The Department of Physician Assistant Studies moved to 525@ Vine, part

of the Wake Forest Innovation Quarter on March 24, 2014.

o In January Professor Rogers and two second year students took a medical

mission trip to Bolivia and volunteered with Hospitals of Hope.

First Year Student Class of 2015

o The first year students have completed four of the five units in the didactic

year. They are currently working on their last unit - male and female

genitourinary systems and obstetrics. Their final simulated patient

assessment is May 5. From May 9-22, they will be in preclinical training,

including procedure workshops, EHR training, and ACLS training. June 2

marks the first day of their rotations.

o Ten students have been selected as Marshals to serve at the Class of 2014

graduation. Marshals are selected based on academic achievement.

o The students had an opportunity to gain hands-on experience with male

and female pelvic exams at their training workshop conducted by EVMS.

o Students are beginning their work on their Masters Project, including topic

selection and literature reviews.

Second Year Students Class of 2014

o The second year students are finishing their 11th

and final rotation.

Required rotations include internal medicine inpatient and outpatient,

emergency medicine, ob/gyn, family medicine, pediatrics, surgery, and

psychiatry. Each student also has 3 elective rotations.

o Graduation is on Monday, May 18th

. 60 students are expected to graduate.

o The Masters Symposium will be held on May 12, 2014. The symposium is

the culmination of the students’ research activities or EBM-based clinical

reviews and is centered on presentations from the various groups. In

addition, each group produced publication-ready manuscripts for

submission to peer reviewed journals. One paper has already been

published in JAAPA with other papers awaiting selection for publication. o This year’s keynote speaker will be Zachary Hartsell, MPAS, PA-C,

Director of Physician Assistant Services Wake Forest Baptist Health. His talk is titled “The perfect game: How baseball can teach us about leadership.”

Student Activities

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o Wake Forest Students are registered to participate in the National Medical

Challenge Bowl in Boston, MA. We also participated in the NCAPA

Challenge Bowl on Saturday, April 26, 2014.

o There are 23 students from Wake Forest PA Program planning to attend

the national AAPA Conference in May 2014.

o Fundraising efforts this spring have focused on raising funds for students

to attend the AAPA Impact conference in May. Fundraising efforts have

included

Bake sales

Crossfit gift card sales

Proceed sales at area restaurants

o Volunteer efforts this spring have included

Assisting at the Casting Tent at Summit School Spring Carnival

Volunteering activities with Children at Brenner Children’s

Hospital

Assisting with the Brenner Children’s Hospital Fundraiser

“Cheers! A toast to children’s health”

o First and second year PA students also continue to volunteer with the

DEAC clinic, a student run clinic that delivers equal access to healthcare

to serve the Winston-Salem community.

o To encourage health in wellness, students and staff have participated in

weekly fitness challenges. Students and staff are assigned to teams and

required to log exercise minutes daily. The team with the highest average

minutes per week is announced at the end of each challenge and awarded a

coveted trophy.

o Additionally, 28 first year students and 4 faculty members participated in a

16 team single elimination Foosball Tournament held in the student

lounge during lunch hours.

Respectfully submitted,

Kelsey Blaine

NCAPA Representative

Wake Forest University School of Medicine

Department of Physician Assistant Studies

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Program Director’s Report

Campbell University PA Program

May 3, 2014

From: Tom Colletti, Director

Date: April 18, 2014

Program Activities:

On March 24, 2014 the Program was granted Accreditation – Continued status

from the ARC-PA. The next validation visit will be in seven years.

The PAS-1 class held a Health Fair for the Buies Creek Elementary School on

April 2, 2014.

44 Students have been accepted for the Class of 2016

Included in that class are the first 10 Dual Degree Students – Master of Physician

Assistant Practice / Master of Science in Public Health.

All students have taken the PANCE and the program has an 88% pass rate.

Faculty received Simulation Medicine Training. Students have had several

Simulation Exercises this past semester.

The spring semester ended 4/17/14. Summer semester begins 4/21/14.

Plans for Future Activities/Goals:

Students are planning to attend the AAPA Annual Conference in Boston.

A Challenge Bowl Team will attend.

ACTION ITEM(s): None

Respectfully submitted,

Tom

Thomas P. Colletti, MPAS, PA-C

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Program Director's Report

Duke University PA Program

May 3, 2014

Graduates

o Alumni Reception on Saturday, May 24, 6-7:30 pm Westin in Boston, MA.

Preclinical Year Update

o Almost 60 students from the Class of 2015 will attend the AAPA Impact

Conference in Boston, MA this May.

Clinical Year Update

o The Class of 2014 will receive their MHS degree May 11, 2014.

Admissions Update

o The next admissions cycle opens in April.

Faculty Update

o Megan Holmes, our new anatomy instructor, joined the faculty on March

17th

. She is from Johns Hopkins University and is completing her PhD.

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Piedmont Association of Physician Assistants (PAPA) Report

May 3, 2014

2014 Officers

President: Samantha D. Rogers, PA-C

Vice President: Sunnie Flowers, PA-C

Secretary: Brock Phillips, PA-C

Treasurer: Ryan Vann, PA-C

Directors at Large: Sarah Bumgarner, PA-C, Brandon Blank, PA-C, Bowie Tran PA-C

Student Representatives: Julie Gupton, PA-S, Melanie Aydt PA-S

Webmaster: Courtney Hughes, PA-C

PAPA Membership:

Fellows: 99 total: 89 PAs, 10 NPs

PA Students: 35

Chapter Activity in 2014 to date:

Maintained 501c6 and incorporation status

Participated in and expanded an existing Mentorship program with 2nd

Year PA students at Wake Forest School of Medicine

CME committee has worked diligently to secure educational grants for this calendar year,

however, the climate seems to have become more difficult again and funds have not been

obtained as of yet.

Will host a May 1st event with support from Hospice and the NCAPA Endowment in

Honor and Remembrance of Mark Sizemore and Mandy Dozier, 2 past Presidents of

PAPA

Planning underway for the 17th Annual Fall Seminar – October 11

th 2014 at Forsyth

Medical Center Conference Center

Member Education:

CME- I AAPA Approved Meetings

2-14-14 “Overview of Anemia”

3-25-14 “EKG Interpretation”

4-22-14 “Constipation Variant IBS”

5-1-14 “Palliative Care in Oncology: Too Little, Too Late?”

CME- II Meetings

1-16-14 “Percutaneous Lumbar Decompression”

1-23-14 “Updates in Renal Cancer”

2-18-14 “Clinical Use of V-Go: The Insulin Delivery Device”

3-6-14 “Discover a New Option for the Treatment of Major Depressive Disorder”

3-13-14 “Insulin A to Z”

4-1-14 “Azilect and Parkinson’s Disease”

Respectfully submitted,

Samantha D. Rogers, MMS, PA-C

PAPA President

NCAPA, Director at Large

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Child Fatality Task Force Request

I just received this notice today and would like to propose to the BOD for endorsement. I believe

this to be an important message advocating for patients and deserves our support. Please

review and comment on Saturday.

Cathie - Can this email be sent to the BOD before Saturday? Can we have it ready to display on

the "Big Screen"

Thanx

Don

Hello Stakeholders!

The Child Fatality Task Force has prepared a fact sheet for presentation to the General

Assembly in anticipation of the short session. Please find it here. If you or your

organization would like to sign on as a supporter of this, please email either Tanya

([email protected]) or Elizabeth Hudgins ([email protected]) by

lunch on May 9th. The more people we can add to this the better it is, so please do

consider. This is where all our work begins to pay off!

Thank you so much for your continued support and encouragement. I will be in touch as

events warrant.

Sincerely,

Tanya

Contact Information: Tanya P. Roberts, MSW, CSAPC, NC OMC Project Coordinator | 252.665.3424

[email protected]

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Safe Disposal Fact Sheet

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