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American Medical Directors Association
House of Delegates Meeting
Minutes
Thursday, March 17, 2005
Saturday, March 19, 2005
Charles Crecelius, MD, PhD, CMD, Chair of the House of Delegates called the meeting to order at 12 noon.
James E. Lett, II, MD, CMD presented the report of the Nominating Committee including the slate of officers for nomination.
| Position | Nominees |
| Vice President | Alva S. Baker, MD, CMD
Jonathan Evans, MD, CMD
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| Treasurer |
Janice Knebl, DO, MBA, CMD
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| State Presidents Council Representative |
Luis L. Gonzalez, Jr., MD, FACP, CMD
David C. Wilcox, MD, CMD
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| House of Delegates Representative |
Jeffery K. Kerr, DO, CMD
Verna R. Sellers, MD, CMD
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There were no nominations from the floor. Nominations were closed.
Lorraine Tarnove presented the Executive Director's report noting that she had placed
calls to every state chapter within the past month. The state chapters were
praised for the vast amount of progress thay have made, especially in relation
to their work with the quality improvement organizations, elder councils, state
health boards, state survey agencies, and the JCAHO.
Dr. Crecelius provided a report on the status of past resolutions. Since the House last convened, an
ad hoc committee has updated the policy compendium and included an "inactionable"
section. That section will contain resolutions that are no longer relevant,
historical in nature, or unsustainable within current monetary or staffing priorities.
Outgoing board members were acknowledged and thanked for their service.
The House recessed at 1:00 pm to reconvene on Saturday, March 19, 2005.
The Chair reconvened the meeting at 4:00 pm on Saturday, March 19, 2005. 149 delegates
were seated, and a quorum of 130 delegates was present throughout the meeting.
The ballots were collected.
Upon motion duly made and seconded, the minutes of the 2004 House of Delegates meeting were accepted.
Bylaws Amendments
Bylaws Committee Chair Catherine Eberle, MD, CMD, explained proposed changes to the
AMDA bylaws regarding Section XVII - Subsections and Section XVIII - Disciplinary
process.
Upon motion duly made and seconded, the amendment to bylaws Section
XVII - Subsections was approved.
Upon motion duly made and seconded, the amendment
to bylaws Section XVIII - Disciplinary Process was approved.
Election Results
Dr. Crecelius announced the results of the election. The House elected:
| Vice President | Alva S. Baker, MD, CMD |
| Treasurer | Janice Knebl, MD, MBA, CMD |
| State Presidents Council Representative | Luis L. Gonzalez, MD, FACP, CMD
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| House of Delegates Representative | Jeffery K. Kerr, DO, CMD |
Resolutions
Dr. Crecelius introduced 2005
Resolutions Committee member Sharon Mead, MD, CMD. Dr. Mead gave the
committee's report and presented each resolution by reciting the
resolved clauses.
Resolution A05 - Surveyor Education
Therefore be it resolved, that AMDA and its state
chapters will collaborate with state survey agencies to provide
educational materials and lecturers to provide standardized, nationally
accepted educational programs to educate surveyors on appropriate
topics; and be it further
Resolved, that surveyors be encouraged to work with
AMDA state chapters to provide facilities with educational resources
and information on where to obtain further information and training on
long term care issues and best practices; and be it further
Resolved, that AMDA support and encourage efforts
directed toward the education of state surveyors and long term care
facility staff.
Upon motion duly made and seconded, the resolution was passed.
Resolution B05 - Reporting on Referred Resolutions and Actions Called for in Passed Resolutions
Therefore, be it resolved, that at the annual House of Delegates meeting, under
the agenda item OLD BUSINESS, a report shall be given by the Chair of the House
of Delegates discussing the status of resolutions from the previous year that
were sent to committees, and a report of specific actions taken that were called
for in resolutions that were passed in the previous year.
Upon motion duly made and seconded, the resolution was passed.
Resolution C05 - AMDA Will Develop Strategies to Enhance Physician Involvement in Assisted Living
Therefore, be it resolved, that AMDA develop strategies, including collaboration with other
healthcare organizations, in order to foster AL-appropriate systems that utilize
physician involvement to maximize quality of care for AL residents.
Upon motion duly made and seconded, the resolution was passed.
Resolution D05 - Injectable Therapeutic Agents
Therefore be it resolved, that AMDA will work with CMS in
order to facilitate changes in Medicare policy that allow equitable reimbursement
for administration of injectable therapeutic agents that can be safely administered
in the nursing home.
Upon motion duly made and seconded, the resolution was
tabled until 2006 and referred to the Board of Directors.
Position E05 - AMDA
Position Statement on Video Surveillance in the Long Term Care Continuum
Upon
motion duly made and seconded, the position statement was passed.
Resolution F05-L - Clarification of Medicare Billing by Physician Extenders
Therefore be it resolved, that AMDA request that CMS review and revise its
regulations concerning the billing guidelines in the use of physician extenders
so that billing procedure consistency is maintained throughout all practice
sites - office, hospital, skilled nursing facility, and nursing facility.
Upon motion duly made and seconded, the resolution was defeated.</p>
New Business
None
The meeting was adjourned at 5:05 pm.
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