AMERICAN ASSOCIATION FOR RESPIRATORY CARE HOUSE OF DELEGATES REPORT Las Vegas, NV Dec. 9-10, 2006

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AMERICAN ASSOCIATION FOR RESPIRATORY CARE HOUSE OF DELEGATES REPORT Las Vegas, NV Dec. 9-10, 2006 Jessie Christopherson-Delegate MSRC Deb Skees-Delegate MSRC RESOLUTIONS #29-06-18 "Resolved that the AARC request that the NBRC change testing qualifications to allow the RRT examination to be taken by qualified candidates without prior CRT examination. Upon successful completion of the RRT exam, the candidate will be issued both the RRT and CRT credential. POSTPONED UNTIL SUMMER 2007 HOD MEETING #94-06-19 "Be it resolved that the AARC develop the process for the Chartered Affiliates to have the option of on line voting for state (Chartered Affiliate) elections". MOTION CARRIED. Board Action: Referred to the executive office for a report in March 2007. #33-06-20 "Resolved that the AARC House of Delegates create and charge an ad hoc committee to develop a tool kit and guidance for managers of Respiratory Care Departments involved in union organizing activities for petitioning the local labor relation boards to classify Respiratory Therapists as professional instead of technical". MOTION WITHDRAWN. #34-06-21 "Resolved that the AARC add the county as a required field on the application for AARC membership or renewal". MOTION DEFEATED. #94-06-22 "That the AARC investigate the feasibility of providing Internet Domain to each affiliate for the purpose of setting up and maintaining their web sites for the Affiliate". MOTION CARRIED. Board Action: Referred to the executive office for a report back in March, 2007. PAST SPEAKER UPDATE Claude Dockter gave the action taken by the Board on the following House resolutions: #22-06-02: Resolved that the American Association for Respiratory Care develop in conjunction with the National Association of EMS Physicians (NAEMSP) a standardized curriculum for training paramedics in the safe and appropriate use of ventilators for transport of patients outside the hospital setting. Referred back to the HOD for more investigation and information with a report at the summer, 2007 meeting. #49-05-01: "Resolved that the AARC conduct an average of at least two out of every three International Congresses before November 15th of each calendar year, excluding all future conferences previously under contract at the time of resolution ratification." Referred to the Program Committee. Program Committee reported that the AARC is committed through 2010 and that this resolution cannot currently be approved. They will, however, take this into consideration for the future. The Board defeated this resolution at this time. #44-06-01: "Resolved that the AARC, with the assistance of the Section Chairs, develop an online speaker s bureau for use by state affiliates to assist in the preparation of local educational programs." Referred to the executive office for consideration and implementation. 1

RECOMMENDATIONS Recommendation #39-06-27 "The Ad Hoc Committee for Home Care Recognition be renamed the HOD Legislative Affairs Committee and shall become a standing committee of the House of Delegates". MOTION CARRIED. Recommendation #39-06-28 "The HOD Ad Hoc Committee for Affiliate Best Practices shall become a standing committee of the House of Delegates". MOTION CARRIED. Recommendation #39-06-30 Delegates must work with society officers and PACT leaders to maintain and/or work to obtain support and co-sponsors since November 7, 2006 elections. MOTION CARRIED. Recommendation #80-06-29 Revisions to the House of Delegates Handbook and Rules of Order: Pg. 13 House of Delegates Terms -- under First Reading (of Resolutions). Revise the first sentence to state: This is the first presentation of resolutions to the HOD at each meeting, by the House Secretary or the Resolutions Committee Chair. House Rule: HD 002 Composition and Powers 3a. Reports to the House of Delegates are requested not less than sixty-five (65) fifty-six (56) days before each House of Delegates meeting. 3b. All reports to the AARC Executive Office not less than forty-five (45) twenty-eight (28) days before each House of Delegates meeting. 3c. Agenda books are to be mailed to the delegations not less than twenty-three (23) fourteen (14) days before each House of Delegates meeting. House Rule: HD004 House Officers A. Term of Office 1. The term of office for all officers shall be for one (1) year and shall begin immediately following the annual meeting of the AARC, with the exception of the Treasurer whose term of office shall be the same as that of the AARC Treasurer." MOTION CARRIED. HOD ELECTIONS COMMITTEE and HOD OFFICER ELECTIONS John Steinmetz announced officers for 2007: Speaker-elect - Frank Salvatore Secretary - Cam McLaughlin Treasurer - Joe Horn MEMBERSHIP COMMITTEE Tom Lamphere reviewed the written report. He presented slides and reviewed the difference in member numbers between 2005 and 2006 and stated that membership has increased. He stated that in December, 2005, voting members were 27,764. December 2006 there are 31,231. AARC EXECUTIVE OFFICE / AARC COO Executive Director, Sam Giordano, with the assistance of the Chief Operating Officer, Tom Kallstrom, reviewed the written report. Mr. Giordano stated that as of November 30, there are 42,464 members of the AARC. A few of the topics that Mr. Giordano touched on were membership recruitment, the Reimbursement College, the distribution of an aerosol educational resource booklet, which is scheduled to be available by the end of the first quarter of 2007, training tutorials on aerosol devices, an RRT prep course, and the contract agreements that were sent to the state presidents and the benefits that can be obtained by their involvement with this contract. HOD / BOD JOINT SESSION REGISTRY PREPARATION PROGRAM Dr. Louis Sinopoli with input from Michael Mark (from the Executive Office) gave an update on this program and announced its launch. More information is available on the website. AMERICAN RESPIRATORY CARE FOUNDATION Gary Smith stated that some of the activities the Foundation continues to be involved with is to sponsor Journal conferences, support the funding of the International Fellowship Program, and provide numerous education 2

recognition awards. He stated that next year at the Congress, they plan to get teams together to push ventilators on a 5-K run to raise money for the Foundation. Each state is encouraged to sponsor a competition and send the winner to National in 2007. COMMITTEE ON ACCREDITATION FOR RESPIRATORY CARE Dr. David Chang stated that the new chair-elect of CoARC is Shelley Mishoe. He stated that William Goding is the temporary executive director and that CoARC is currently seeking a permanent executive director. He also stated that there are currently 418 accredited respiratory programs and 14 accredited polysomnography programs. NATIONAL BOARD FOR RESPIRATORY CARE Dr. Theodore Oslick stated that the new program director for NBRC is Robert Shaw. He also stated that the NBRC executive office has moved to Olathe, Kansas. Dr. Oslick stated that currently Latin America has ongoing programs and other foreign countries have expressed interest in having programs. AARC ELECTIONS COMMITTEE Cam McLaughlin presented the written report and the newly elected 2007 AARC Officers and Directors, as well as the Home Care, Management, Neonatal-Pediatrics, and Sleep Specialty Sections Chairs. STATE and FEDERAL GOVERNMENT AFFAIRS Cheryl West presented the written reports, with the assistance of Miriam O Day, of O Day and Associates. FEDERAL GOVERNMENT AFFAIRS COMMITTEE Frank Salvatore briefly reviewed his report and stated that his report is integrated with the Government Affairs reports. BOARD OF MEDICAL ADVISORS Dr. Ira Cheifetz touched on the following topics and fielded questions: (1) Appointments for 2007. (2) Anyone on BOMA can be chair of BOMA. Until 2006, this opportunity was limited to a select few. (3) Credentialing of polysomnography and critical care BOMA supports these initiatives. (4) Guidelines for Pandemic flu casualties. (5) Guidelines for allocating the use of ventilators. (6) Guidelines for the payment of ventilator-dependent patients. AARC PRESIDENT Mike Runge reviewed his written report with the assistance of a slide presentation. STATE GOVERNMENT AFFAIRS COMMITTEE John Hiser stated that this committee will be working with the Federal Government Affairs Committee to identify people in each state to be contacted for state and/or legislative issues. He gave primary objectives for 2007 and 2008 through a slide presentation. STRATEGIC PLANNING COMMITTEE John Hiser presented the written report and reviewed the strategic planning objectives and the mission of the AARC. AARC PRESIDENT-ELECT Toni Rodriguez reviewed and elaborated on her goals and objectives for 2007 and 2008. She stated that international interaction in respiratory care is very important and we need to expand our activities to include countries outside of the United States. Ms. Rodriguez touched on communication in all areas, various forms used for communication and the revisions of these forms. She emphasized the importance of continuing to increase membership. She touched on the advantages of orientation for new members of the House and Board. We need to invite Toni to speak at our 2007 ARSC meeting. AARC EDUCATION & MANAGEMENT SERVICES UPDATE Bill Dubbs gave an update regarding continuing education requirement changes and forms to use for this, non-traditional course requirements, transcripts, CRCE accreditation fees, learning packages for program directors, reimbursement colleges, and independent study courses. 3

BENCHMARKING UPDATE Bill Dubbs stated that the benchmarking services are ongoing and available. He touched on Professor s Rounds and web casts and some of the topics scheduled for 2007. INTERNATIONAL FELLOWSHIP COMMITTEE Vijay Deshpande reviewed the written report. AD HOC COMMITTEE ON EMERGENCY PREPAREDNESS Ken Thigpen gave an update on disaster preparedness. He stated that there is still work to be done resulting from the Katrina disaster. Rebuilding is progressing but is a long way from completion. There is a disaster relief hot button on the AARC web site. AARC members can still request financial assistance. Grants to members thus far have exceeded $50,000. AARC COMMITTEE NOMINATIONS/ELECTIONS The two new Bylaws Committee members are Bill Bitzel as chair-elect and Tom Wagner as the member. The new Elections Committee member is Vijay Deshpande. CERTIFICATES OF APPRECIATION Speaker Johnson presented Tom Lamphere from Pennsylvania as the 2006 Delegate of the Year. 2007 SPEAKER Speaker Debbie Fox expressed appreciation for being elected to this position and briefly reviewed her goals for the coming year. She announced that her parliamentarian for 2007 will be Patrick Dunne. She stated that she will appoint a working group to research the EMS resolution. 4

AMERICAN ASSOCIATION FOR RESPIRATORY CARE HOUSE OF DELEGATES ROLL CALL DATE: December 9 & 10, 2006 HOD # 50-06-25 # OF # OF STATE SOCIETY VOTES PRESENT ABSENT STATE SOCIETY VOTES PRESENT ABSENT ALABAMA 563 X NEW MEXICO 209 X ALASKA 44 X NEW YORK 2081 X ARIZONA 670 X NORTH CAROLINA 1062 X ARKANSAS 515 X NORTH DAKOTA 266 X CALIFORNIA 1644 X OHIO 1415 X COLORADO 447 X OKLAHOMA 340 X CONNECTICUT 469 X OREGON 359 X DELAWARE 175 X PENNSYLVANIA 2865 X FLORIDA 1482 X PUERTO RICO 33 X GEORGIA 1138 X RHODE ISLAND 176 X HAWAII 136 X SOUTH CAROLINA 500 X IDAHO 186 X SOUTH DAKOTA 232 X ILLINOIS 917 X TENNESSEE 732 X INDIANA 1091 X TEXAS 1371 X IOWA 258 X UTAH 164 X KANSAS 431 X VERMONT / NH 230 X KENTUCKY 365 X VIRGINIA 961 X LOUISIANA 581 X WASHINGTON 696 X MAINE 135 X WEST VIRGINIA 205 X MARYLAND / DC 780 X WISCONSIN 565 X MASSACHUSETTS 693 X WYOMING 86 X MICHIGAN 681 X MINNESOTA 486 X MISSISSIPPI 293 X MISSOURI 999 X FOR: MONTANA 172 X AGAINST: NEBRASKA 371 X ABSENT: NEVADA 178 X TOTAL: 31,231 NEW JERSEY 783 X TOTAL VOTES: 5