State Presidents Working Session
Draft Minutes

Wednesday, March 16, 2005
New Orleans, Louisiana

1. Welcome and Approval of Minutes
   • Meeting was convened on Wednesday, March 16, 2005 at 5:20 pm. The agenda had to be reorganized to accommodate speakers arriving from their previous Symposium obligations.


2. Payment Update
   • Dennis Stone, MD, MBa, CMD presented to the State Chapters about ongoing physician payment issues, including:
     • The history of how SNF payment reduction led to NF payment reduction, and redress requires all codes be submitted to 5 year review;
     • New NF codes are in the process of being created; and
     • RVS surveys were also distributed.
3. Message from Dr. Charles Crecelius, House of Delegates Chair
   • Dr. Charles Crecelius, MD, PhD, CMD pointed State Chapters members to the Policy Compendium and stressed its importance to them.
   • State Chapters were urged to go through the Compendium for their remarks.


4. F-Tag and MDS 3.0 updates
   • Steven Levenson, MD, CMD provided updates on the F-Tags and MDS 3.0.


5. Assisted Living Update
   • Jonathan Musher, MD, CMD informed the State Chapters on assisted living issues.
   • The suggestion was made that AMDA should put together a workgroup on assisted living issues.


6. Liability Update
   • James E. Lett, II, MD, CMD, gave a presentation on the liability crisis, and discussed his Congressional testimony from last summer.


7. CMS Update and Bylaws Report
   • Catherine Eberle, MD, CMD, Chair of the AMDA Certification Board, gave a brief report no the certification program.
   • Dr. Eberle reported that two recommendations from the Bylaws review will be presented to the House of Delegates on March 17th in New Orleans: 1) Creating and dissolving subsections of groups of medical directors; 2) Clarifying the disciplinary process.


8. Presentation on "Transforming Quality of Care - Quality of Life in Nursing Homes"
   • Meg Richards, Ph.D. an epidemiologist with Quality Partners of Rhode Island, gave a presentation on the 8th Scope of Work and person-directed care.
   • Dr. Richards announced that there is a CMS pilot study underway to improve nursing homes through a general culture change involving staff retention efforts and allowing residents more say in how their care plans are determined.

Meeting was adjourned at 8:30 pm.

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