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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
5
321 Morrow Cemetary Rd
Bryson City, NC 28713
828.421.7977
[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,
20
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.
21
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
22
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.
23
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.
25
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.
26
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
27
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.
28
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.
29
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.
30
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
31
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
32
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
33
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.
34
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.
35
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
36
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;
37
(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
38
HOD Resolutions
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40
41
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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
44
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.
45
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
46
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
Return to the Agenda
47
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.
48
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.
49
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
50
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
51
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
55
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
56
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
64
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
Return to the Agenda
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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.
Return to the Agenda
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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
Return to the Agenda
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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
Return to the Agenda
73
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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76
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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77
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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78
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
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79
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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81
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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83
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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84
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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85
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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86
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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88
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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91
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
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Safe Disposal Fact Sheet
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