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RCSW Annual Business meeting

April 28, 2009

36^th Annual Pacific Northwest Regional Respiratory Care Conference and Scientific Assembly

Red Lion at the Park - Spokane, WA

Call to Order: 07:30 Dennis Archer

Roll Call: Lisa Bennett

A quorum was present

President - Dennis Archer

President Elect – Carl Hinkson

Immediate Past President – Dennis Bing

Vice President – Earl Moore

Secretary – Lisa Bennett

Treasurer – Steve Andersen

AARC HOD Delegate - Gary Wickman

BOD 2009 - Scott Mahoney

BOD 2009 - Thomasa McCown

BOD 2010 - Sharon Linquist

BOD 2011 - Celeste Stubbs

BOD 2011 - Garth Arkell

Cascade Chapter – Ty Sauve

Central Chapter – Tom Utigard

Puget Sound Chapter – Jon Jahns

Mt Rainier Chapter – Jackie Ray

Absent/Excused

AARC HOD Delegate - Eric Anderson

BOD 2010 - Carol Benner

Eastern Chapter – Denny Duncan

Committee Members :

Webmaster Terry Smith, - present

Co-chair, Annual Program Dee Arkell - present

Program Committee, Scholarship/Education Garth Arkell , - present

Program committee, Reg Online Bill Nehring - present

AdHoc committee member Paula Nehring - present

Sleep Ad Hoc committee member Nicki Bly – present

Dr. Josh Benditt, Co-Medical Advisor-excused

Dr. Donald Howard, Co-Medical Advisor-excused

Reading & approval of Annual Business Meeting minutes 4/27/08 : Minutes were read/reviewed silently and approved

Opening Remarks Dennis Archer Dennis recognized the program committee and thanked them for an excellent conference, acknowledging that these are difficult economic times and the attendance has still been good. The attendance reflects slightly different demographics with our alternating conference sites. Advised the members of the work being done by the RCSW to get a bachelor’s program for RT and that last year, with the help of the membership, congress passed the Pulmonary Rehab reimbursement bill. Still outstanding and needing member support is the Medicare Part B initiative to get RTs into alternate sites. Dennis encouraged RTs to access Capital Connection through RCSW or AARC website and send letters to congress people.

Email and voting Thomasa McCowan Recruiting nominations for upcoming elections/officers and board members. Please provide RCSW with current email addresses for communication purposes. This ballot will be a mail ballot, but next year the plan is to have e-voting in place. For anyone interested in running for a position and wanting to know what the responsibilities and expectations are, ask any of the current officers. (editor: Our goal is to have complete job descriptions developed and available by the end of 2009.)

Treasurer’s Report Steve Andersen For the year ending 2008, $27,272 cash on hand in savings and checking. This is a $6400 increase over 2007. Our net revenue from our main source of income, the annual conference was $15K, reflecting good management on the part of our program committee. We paid out $6K for our legislative efforts, $3500 in scholarships and grants, $970 to Webmaster but the job site provided $770 income for a net of $200 for the Website which has been praised by AARC, ATC, and others as one of the best. Thanks to Terry Smith for his good work.

Membership Earl Moore Earl has BIG PLANS. Reminder to members that we get reimbursed a portion of your AARC dues for our general fund. Look for membership recruiting activities to come.

Program Dee Arkell The conference this year has met all of its goals. Vendors filled the exhibit area to overflowing, and the attendance exceeded the goal of 300. We have 80 students, who are our leaders of tomorrow. All of the activities work together to make the conference what it is, the education, the vendors information and the fun.

Scholarship/Continuing Ed Garth Arkell 12 papers were submitted for the scholarship program representing all four RT schools. Winners were: Jennifer Oneall $500 Spokane Community College; LeAnn Garcia $1500 Spokane Community College; and Jennifer Clark $1500 Seattle Central Community College. The 3 top papers were very close in voting responses, so the BOD voted to approve an additional $500 scholarship for the 3rd place winner.

Communications/Webmaster Terry Smith Terry has had the web page up since 1990 and continues to improve it. Terry will have the conference presentations, in PDF format, posted on the website by May 3. Remember to market the jobsite as an economical job posting for any institution. Cost is $110 for 30 days. RCSW gets 40% of that amount. Top access for the website 1million hits for the CEU page and about 1million for the conference presentations. Notify Terry of any broken links. If any educational activity is available, notify Terry to have it posted on the website. ATS and WTS have links from the website.

Chapter Affairs Dennis Bing Dennis is committed to visiting all chapter meetings. Notify him of dates, and he will bring, as available, either Carl or Gary for legislative contacts and Dennis Archer as available. Dennis is the liaison for chapter presidents.

Eastern Chapter Dennis Archer for Denny Duncan Planning a fall meeting on Ped/Neonatal issues and a fun even, maybe bowling.

Puget Sound Chapter Jon Johns 2008 Annual Critical Care conference with Margaret Neff as speaker. Also, getting a groundswell with Bob Bonner and others to take to Olympia on some issues affecting Respiratory Care practice.

Cascade Chapter Ty Sauve 2008 - Bipap workshop with RT/CCU nurses. Plan 2-3 mini-conferences. June on OSA treatment and equipment, one on CO2 monitoring. Watch the RCSW website for information.

Mt Rainier Chapter Jackie Ray 2008, conference in Silverdale work 5-6 CEUs well attended. Plans to focus on building membership over coming year.

Central Chapter Tom Utigard 2009 One day meeting end of July with physician speaking. Info will be forthcoming.

Legislative Gary Wickman Gary and Carl Hinckson attended the PACT meeting in D.C. working on the Medicare Part B bachelors’ degree for reimbursement in alternate sites. Current 435 Activation to have members ask their legislators to support funding $1million for CDC to study COPD, the #4 leading cause of death in this country. May 1 is deadline to get legislators to sign on to the bill.

On the Washington State level, changes at the DOH in organization and personnel. RCSW is there to help clarify scope of practice issues, question increase in licensure rates and remain available to answer any questions. Currently there are approx 2500 practicing RTs in the state, with approx 900 members of the RCSW. This is less than 30% of our profession and, to be a stronger voice, we need to have greater % of membership.

Delegate Gary Wickman Gary is head of the “Chartered Affiliate Committee”, of which we are one. This committee awards “Summitt Award” to the affiliate that does the most to support its members and the profession. The HOD meets twice a year at the Summer Forum and at the yearly congress. The delegates are the liaison with membership to the AARC about any issues. Contact Gary or Eric Anderson about any issues you want them to present.

Strategic Planning Carl Hinkson Goal of RCSW is to get a 4-yr bachelor’s degree program. U of W (Tacoma) is developing a program in Health Care leadership and are interested in providing an RT track for this. Despite the economy, this is still a viable program but is a multi-year effort to achieve our goal. Currently there are on-line bachelors programs.

Sleep Nicki Bly There are some growing concerns about sleep in health care. We are watching the development of rules with regard to RTs in the sleep lab and the RPSGT credentialing. There are issues with CPAP and O2 titration. A program has been developed in WA state offering an Assoc degree in Sleep. Nicki will be attending the Focus conference for more information and networking.

Flaming Carinas from Highline Community College won the sputum bowl.

07:20 Meeting was adjourned by unanimous vote.

Respectfully submitted,

Lisa Bennett, Secretary

Minutes review and accepted as written by RCSW Annual Business Meeting, 04/17/2010

Respiratory Care Society of Washington

Board of Directors Meeting Minutes

Red Lion Inn

Olympia, WA February 21, 2010

Welcome-Call to Order – Carl Hinkson 3:15pm

Roll Call – Lisa Bennett

A quorum was present

President - Carl Hinkson

President Elect – (Scott Mahoney)

Vice President – Scott Mahoney

Secretary – Lisa Bennett

Treasurer – Steve Andersen

AARC HOD Delegate – Jon Jahns

AARC HOD Delegate - Eric Anderson

BOD 2010 – Earl Moore

BOD 2012 – Nicki Bly

Eastern Chapter – Denny Duncan

Puget Sound Chapter – Fred Goglia

Mt Rainier Chapter – Jackie Ray

Absent:

Immediate Past President – Dennis Archer- excused

BOD 2010 - Sharon Linquist - excused

BOD 2011 - Celeste Stubbs - excused

BOD 2011 - Garth Arkell - excused

BOD 2012 - Dennis Bing - excused

Cascade Chapter – Ty Sauve - resigned

Central Chapter – Dan Welch - excused

Non-voting members:

Medical Directors: Josh Benditt, MD; Donald Howard, M.D. - absent

Program Director – Lauri Stephens - absent

Webmaster - Terry Smith - present

Parliamentarian – Bob Bonner – present

Jim Kumpula - present

Minutes – Lisa Bennett, Secretary

The minutes of the 4th Quarterly BOD Meeting, Nov.14, 2009 were read silently and approved with one change, error in the treasurer’s report for available funds; changed from $4904.47 to $4902.47.

Opening Remarks – Carl Hinkson - we have been trying to get a meeting in Olympia for some time. Now we are here, and we hope to get some legislative outreach tomorrow.

Committee Reports

Treasurer’s Report – Steve Andersen - 2009 financial information summarized. The bottom line for 2009 was a net loss of $613. Discussion continued on philosophy of planning to lose money. The Board would like to at least break even, and Steve suggests that increasing our membership will contribute to achieving this goal. WA has approx 2500 licensed practitioners, and RCSW has approximately 1200 members. Our goal is over 50% membership, and increasing membership would allow us to do more for our members. Discussion continued about how to decrease expenses, increase revenue, or agree to lose money.

Finance Report – Steve Andersen – our account with Key Bank is open and available. We still have a few outstanding items with our B or A account, some items have not cleared. Denny Duncan will follow-up on one scholarship check that has not been cashed. Budget 2010 – Carl Hinkson – presented the proposed budget for discussion. Scholarship/Continuing education item was discussed extensively. Goal of scholarships was to “facilitate/encourage writing skills for improvement” in the students. Question was posed – “have we lost sight of our goals with scholarships?” and how can we benefit, as a Society, to bring the graduating students into the RCSW, to contribute? Is that what the scholarship program is meant to do? After much discussion a Motion was proposed to decrease scholarship budget line to $3000. Motion was approved. The scholarship committee will determine how this money will be spent, and report to the board. Since Garth is not here today, BOD will postpone the goal and intent for next meeting. Denny Duncan will take the discussion back to Garth to plan a meeting of the scholarship committee. Also on the budget, a motion last BOD meeting provided a line item for AARC Disaster Relief and International Fellowship of $500, which is subject to the availability of funds. This item was added to the budget. Motion to accept the budget was approved with these two changes.

Membership – Earl Moore discussed ideas for membership. She will have a station at the registration area at the state meeting. Follow-up with new members is needed to keep them and get them to renew. Discussion followed on how to do that. Discussed the AARC mailing to members option for announcements, etc., consider an advertisement at the state meeting, explore payroll deduction for dues at the workplace. Not sure this is something the BOD can make happen.

Program – Co-chairs Jon Jahns and Lauri Stephens. Jon presented a flyer and conference packet of speakers and topics. April 11-13 at Doubletree Hotel Seattle Airport, Seattle, WA. Lauri developed a strong program, which will have five sections: General, Pediatrics, PFT, Sleep, Management/Leadership. Gary Kauffman will meet again with the BOD on Saturday evening for BOD meeting. Sputum Bowl – contact Lauri Stephens @ lauri@u.washington.edu. A game room is also being arranged. Celeste will do registration, Bill Nehring will mentor Dennis Archer and Chris Teagarten for Reg-Online.

***Tuesday morning breakfast Business Meeting.*****

2010 RCSW Conference April 11,12, 13 at the Doubletree Hotel at SeaTac airport in Seattle WA.

Scholarship/ Continuing Education – Garth Arkell absent. BOD would like the scholarship committee to look at how the money is spent. A meeting room will be available for a committee meeting at the conference. Issues are: how written papers are evaluated/scored? What the goal(s) of the scholarship committee is/are? What is happening with the practitioner recognition?

Bylaws – no action.

Communications / Webmaster–Terry Smith reminded program committee to get the powerpoints from the speakers at the meeting, if possible. Discussion about the blog experiment. The pros and cons. Terry proposed transfer/purchse of equipment at end of life, Steve Andersen will check with bookkeeper about rules. Need to contact Comcast with new bank information for autopayment. Terry discussed the case of “if something should happen to me” the status of the website information. He has made a file re: the things BOD needs to know about the website.

Newsletter – Scott Mahoney has had a few submissions for the newletter. Scott would like a short paragraph from each by March 7.

Chapter President – where the chapter is, what area it covers, contact information, anything else?

Legislative update from Carl

Message from Nicky about nominations, ballot, update on CoArc standards.

Officers, paragraph about their particular office.

Discussion ensued about using Facebook and Twitter for social networking. The risks, benefits, etc. No action taken at this time.

Chapter Affairs – Dennis Archer absent. Carl encouraged Chapter presidents to send info re: chapter meetings, educational events to Carl. He can submit to AARC, who can send emails to members.

Chapter Presidents’ Reports

Cascade: Ty Sauve – resigned. Consider appointing Michael McCauley, Gary Wickman will ask Michael if he is interested.

Puget Sound Chapter: Fred Goglia - planning a future meeting, possibly early March with someone local speaking, CEU approved. Possibly Seattle Central or Children’s Center downtown. Also, planning a small conference in the late summer/early fall.

Central Chapter: Dan Welch – not present,no report

Rainier Chapter: Jackie Ray – conference in February at St. Pete’s with 68 in attendance, 5 CEUs. Still considering starting a journal club. Aberdeen and Silverdale interested in a mini-conference.

Eastern Chapter: Denny Duncan- no news at this time. Their chapter is considering a min-conference to recognize and support two therapists making a mission trip to Africa.

Nominations/Elections – Nicky Bly – considering a trivia sheet in the conference packet that will have, on the back, a place to indicate interest in serving as an officer. Seeking nominations for officers. Need: President-Elect, President, V.President, Treasurer, Secretary, two Director-at-Large, Chapter Presidents.

Consider mass email (through AARC) about elections, also information in the newsletter. Consider talking to schools to see if their graduates are interested in serving on the RCSW board. Continue to invite students and any other interested members to the board meetings. RCSW meetings are open to the membership. This is a good way to see how it works, what is involved in volunteering.

Announcement that the board voted Earl Moore to replace Carolyn Benner for the remainder of her term as Director-at-Large.

Legislative –Carl Hinkson – Gary Wickman submitted a written report.

Legislation WA state - Gary Wickman, Carl Hinkson, Jon Jahns, and Nick Frederici worked on getting our licensure bill opened, revised, and presented to WA state house of Representatives where it was passed unanimously. It is now HB 2989 in the Senate, due to be reviewed in committee tomorrow, Feb 22. All available RTs need to visit & or call their senators to encourage support for the changes and to approve our bill. Emphasize that this bill is revenue neutral and necessary to protect our patients. This change allows RCPs to take orders from NP, PA, DO rather than just physicians, which is becoming the standard of practice.

DOH – rules changes for ECMO and CPAP/bilevel/O2 setup by unlicensed people not moving in the DOH. Meeting with DOH in AM, Blake Maresh. Proposed fee increases again in 2011. The RCSW strongly opposes feel increase since they were doubled in 2009 and doubling again in 2011 would present a hardship for our membership.

PACT – meeting March 8^th and 9^th in D.C. Carl Hickson, Earl Moore, Eric Anderson and Gary Wickman. Looking for support for our Medicare Part B amendment with HR 1077 and S 343. We are also looking for the Congressional Budget Office to rescore our bill. The cost has been scored way too high and we feel maybe they included the oxygen DME costs to the bill. We need all RCPs to contact their legislators to have them support these bills and ask for a rescore by the CBO. Let them know that RCSW members will be in D.C. and ask them to see us.

Delegate’s Report- Eric Anderson - reported on the December HOD meeting.

Thank you to RCSW for the $500 AARC disaster relief donation.

RCSW recognizes Gary Wickman for his contribution to the House of Delegates. Gary is highly regarded in the House for his work on the Best Practice Committee, reworking the Summitt Award, updating the Charter Affiliate Handbook, and was nominated for treasurer this year.

One of the “best practice” awards was to a chapter that created a Student Chapter in their state. RCSW agreed that this would be a good idea as we try to encourage student involvement.

Aerosol Del Device Handbook is available at AARC for 6 CEUs.

Resolution passed to offer a new category of membership for RTs 65 years and over. This would be a discount membership.

Tim Myers announced a fast track Institute for Research , Education, Management

Asthma Educators course available on-line.

NBRC close to Critical Care credential exam – 2012

International Fellow applications open now if we want to apply.

Summer Forum is in Florida in July

Strategic/Long-Range Planning – Carl Hinkson – nothing to report about the transition meeting other than it will be in November. Carl and Scott Mahoney are working on this.

Sleep – Nicki Bly - Pressure ventilation in the sleep centers is still an issue. States are working through this independently. RTs are losing jobs in sleep to OJTs. Members are asking RCSW to do something about these issues. BOD is meeting with DOH – Blake Maresh tomorrow. These issues will be discussed. Nicki announced that the sleep program at Highline Community College is scheduled for accreditation survey March 12. These grads, then, will not have to go through the ASTEP certification. Nicki encouraged RCPs to use the complaint process if they think their licensure law is being abused.

Adjourned: 6:40 pm

Respectfully submitted, Lisa Bennett, Secretary

Addendum: Meeting with DOH Monday, Feb 22, 2010 8AM.

Blake Maresh- Executive Director, Section 2 Office of Health Professions and Facilities.

Who will run our program now that Jennifer, who had done much work for us and was getting things done, is no longer there? Erin Obenland, for now. Erin continues to communicate with Jennifer.

Fee increases? There is no guarantee, at this time, that they will go up. And, if they go up, there is no certainty how much. Current suggestions to RCSW are that they will go up double or more, after having doubled just two years ago. Blake explained the reasoning and the process of fee assessment, which happens yearly based on a 10-yr projection for each discipline.

RCSW asked how the 10-yr projection was made, what was taken into consideration? Increased RCPs, what effect the disciplinary process has on the fees, considering there is currently an investigation regarding scope of practice issues?

RCSW asked “What are we getting for our RCP licensure fees when we have no program director represented at DOH, increased number of RCPs? Blake listened to our concerns and will present them to his administrative leader.

Blake will send statistics on cost of the RCP program and expenses from the DOH board report to Gary Wickman and Carl Hinkson. Gary and Carl will review the information to craft a response from RCSW for our membership. Emails will go out to our members with recommended responses.

Blake was asked about the change of rules that was happening, with Jennifer’s help, regarding practice issues, specifically non-licensed personnel setting up CPAP/Bilevel and oxygen to patients and ECMO. Blake states that the rule making has been put on hold, but is ready to go to the first of 3 steps pending staffing and budget restrictions:

CR 101 – notice of rules change

CR 102 - public comment period, rules hearings

CR 103 - file final rules

RCSW to consider submitting a statement to DOH regarding safety and financial issues surrounding this hold on the rules-changing process. RCSW is advocating for the patient safety.

Blake was asked about the disciplinary investigation process. He explained the process and the responsible committees, teams and the attorney general.

Minutes review and accepted as written by RCSW BOD 4/11/2010.

Addendum: Meeting with DOH Monday, Feb 22, 2010 8AM.

Blake Maresh- Executive Director, Section 2 Office of Health Professions and Facilities.

Who will run our program now that Jennifer, who had done much work for us and was getting things done, is no longer there? Erin Obenland, for now. Erin continues to communicate with Jennifer.

CR 101 – notice of rules change

CR 102 - public comment period, rules hearings

CR 103 - file final rules

RCSW to consider submitting a statement to DOH regarding safety and financial issues surrounding this hold on the rules-changing process. RCSW is advocating for the patient safety.

Blake was asked about the disciplinary investigation process. He explained the process and the responsible committees, teams and the attorney general.

Respiratory Care Society of Washington

Board of Directors Meeting Minutes

Ellensburg, WA November 14, 2009

Welcome-Call to Order – Dennis Archer 11:55 AM

Roll Call – Lisa Bennett

A quorum was present

President - Dennis Archer

President Elect – Carl Hinkson

Immediate Past President – Dennis Bing

Secretary – Lisa Bennett

Treasurer – Steve Andersen

AARC HOD Delegate - Gary Wickman

AARC HOD Delegate - Eric Anderson

BOD 2009 - Scott Mahoney

BOD 2011 - Celeste Stubbs

Eastern Chapter – Denny Duncan

Mt Rainier Chapter – Jackie Ray

Puget Sound Chapter – Jon Jahns

Absent:

Vice President – Earl Moore

BOD 2010 - Sharon Linquist

BOD 2009 - Thomasa McCown

BOD 2010 - Carolyn Benner

BOD 2011 - Garth Arkell

Cascade Chapter – Ty Sauve

Central Chapter – Tom Utigard

Non-voting members:

Medical Directors: Josh Benditt, MD; Donald Howard, M.D. - absent

Program Director – Lauri Stephens - absent

Program Co-Chair - Dee Arkell - present

Webmaster - Terry Smith- present

Reg online (program) - Bill Nehring - absent

Sleep Adhoc – Nicki Bly - present

Ad hoc committee member – Paula Nehring -absent

Ad hoc committee member - Scott Alberts - absent

Student representative - none

Minutes – Lisa Bennett, Secretary

The minutes of the 3rd Quarterly BOD Meeting, Sept 14th were read silently and approved without changes.

Opening Remarks – Dennis Archer It has been a busy year for RCSW with H1N1 flu pandemic where RTs are at the center. National Ventilator survey by HHS and AARC completed with 75% national participation, but WA state participation was 100%. We have new threats to our licensure act from the Sleep community and a challenge re: taking orders from mid-level practitioners i.e.: Nurse Practitioners, Physician Assistants. Therefore, we will have to open our bill to clarify language. RCSW is active in addressing these issues.

Committee Reports

Treasurer’s Report – Steve Andersen - YTD financial information presented and summarized as $24,428 total funds available (including checking $4902.47 and savings $19,525.67). Reg Online cost was $2300, discussion continued on pros and cons of using Reg Online. Celeste stated that the paper registrations are fraught with error and time consuming.

Eric is presenting our registration process as best practice to HOD. He will ask other affiliates and AARC what they use for registration.

Finance Report – Steve Andersen - We are changing to Key Bank, will have credit card available for RCSW expenses/program, etc. Discussion about the usefulness of Reg Online, If it is worth the expense, consider the demographic information available through Reg Online that we don’t or haven’t used. Program committee financial members to advise the Finance committee and vice versa about alternatives to Reg Online,considering all costs and usefulness. This to be an adhoc committee, Celeste, Eric, Steve Andersen, to explore best possible way to go with registration.

Membership – Earl Moore absent this meeting, but did do a recruitment speech at the Chapter meeting. She is working on ideas shared by Gary Kauffman.

Program – Co-chairs Jon Jahns and Lauri Stephens, Jon presented a written report of planning committee, speakers and topics confirmed and those pending confirmation. There will be five sections: Pediatrics, PFT, Sleep, Management and Student. Gary Kauffman will meet with the BOD on Saturday evening. Dennis A. has applied for event liability insurance for $1000.

2010 RCSW Conference April 11,12, 13 at the Doubletree in SeaTac.

Scholarship/ Continuing Education – Garth submitted a written report. Request again $250 for each of the 4 schools in WA state. Questioning if other schools like Pima should be included. Pima has accreditation pending. BOD chose to continue this year with the four CC programs and to suggest that the scholarship committee address any other respiratory programs like Pima next year, if they are accredited programs. Garth would like to proceed with Excellence award for practitioners. Chapter presidents are to start discussing how to recognize a Practitioner of Excellence.

Bylaws – no action.

Communications / Webmaster–Terry Smith submitted a written report of data regarding the website. Regarding the job site, question for how many job inquiries are made? Terry to check this and use this information to sell to HR depts. Discussion ensued re: advertising on the website and on the newsletter and conference program. Board recommends ads posted per approval of the board with example added to minutes. Preference of the BOD is to keep the website professional and put the ads in the newsletter, conference program. Terry to create criteria for ads. Consider allowing our supporting vendors to post. Eric to send a letter to the vendors, may be a source of revenue to offset expenses. Eric to submit a list of participating vendors to Terry to post on RCSW.org with booth information as a benefit to our RCSW practitioners.

Newsletter – Scott Mahoney continues to be interested in making Newsletter, requests examples of past newsletters. Scott requests submissions for the newsletter. Newsletter to be mailed to hospitals, alternate sites, as well as available on the RCSW website.

Chapter Affairs – Dennis Bing continues to offer to attend chapter meetings, has been waiting for an invitation. Rainier Chapter invited him to their meeting. He is willing to help people get a meeting together, as well.

Chapter Presidents’ Reports

Cascade: Ty Sauve – no report

Puget Sound Chapter: Jon Jahns - Currently planning, February Annual Mike Sipes memorial meeting. Managers’ soiree may be combined with the Mike Sipes Memorial meeting.

Central Chapter: Tom Utigard – no report

Rainier Chapter: Jackie Ray - Sept 27^th at Harrison Medical in Silverdale mini-conference and chapter meeting offering 3 CEU. 19 people attended, Gary Wickman’s legislative update was well recieved. Dennis Bing coming to St. Pete’s Jan 16^th conference with 4-5 lectures, 5 CEUs. Carl is starting a journal club. Aberdeen and Silverdale interested in a conference.

Eastern Chapter: Denny Duncan-Peds & Neonatal presentation by Respironics Nov 2, CEUs – 2 and approx 20 in attendance, included a chapter meeting @ Deaconess Hospital. Planning late spring meeting with Dennis Archer invited and Earle to encourage membership.

Nominations/Elections – Thomasa McCowan absent, Dennis Archer relays results of the elections. Denny Duncan will continue as Easter Chapter president. MOTION to accept results of the election. After discussion the motion was rejected. There was no candidate on the ballot for President Elect. There were 5 write-in names, each getting 2 votes. Motion: to invoke bylaws for filling vacant office and at next election, 2010 ballot, present both President and President-Elect. Motion seconded and carried. Vice-President Scott Mahoney will fulfill the duties of the President Elect as well.

Motion: to accept the ballot results with the exception of President-Elect. Motion was seconded and carried.

Results of the election:

President Elect – no majority candidate of the write-ins

Vice President – Scott Mahoney

Delegate – Jon Jahns

BOD 2012 – Dennis Bing

BOD 2012 – Nicki Bly

Cascade Chapter President – Ty Sauve

Central Chapter President – Dan Welch

Eastern Chapter President – Denny Duncan

Puget Sound Chapter President – Fred Goglia

Rainier Chapter President – Jackie Ray

Next item is: the board of director’s member Carolyn Benner is not an AARC member and therefore inelligible to hold office. Dennis A. has been unable to contact her. She has not attended meetings. Motion: remove Carolyn Benner from the elected position due to “neglect of duties”. Motion seconded and passed. Next is discussion about filling the vacant BOD position. Motion: in order to fill BOD vacancy, acquire reasonable slate of candidates by year end, minimum of two, with email vote in January. Send nominations to Dennis Archer who will create Survey Monkey ballot for vote. Motion seconded and carried.

Legislative –Carl Hinkson – our bills S343 and HR 1077 – little is coming from AARC on where this is, given the health care reform debated. Our bills having to do with RTs working under supervision of physician as in nurse practitioners and PAs. Still need congress people to sign-on as sponsors for this legislation despite whether they can support the health care legislation or not-two - different issues. WA state DOH meeting: Issue: RTs taking orders from mid-level practitioners (PA, NP). Our bill does not have the language to cover this, thus, we must open our bill. As we open our bill, we need to address some of the other issues, such as who is qualified to administer ECHMO and titrate Bipap. We expect the sleep community to get involved in this. Our lobbyist, Nick Frederici is drafting written language, that draft copy will be emailed to the RCSW BOD for review. This is best handled with a rule change. RCSW needs to be proactive on the issues before opening the bill. Need to collect info on instances of the sleep community having violations on record, consider the newer inhaled medications. We need help to decide which issues to handle with simple rule change and which issues require opening the bill. Carl will contact Cheryl West at AARC for help. Lisa will contact Jerry Liskey to see if he has an interest in helping, since he was instrumental in getting our original practice act completed.

Staffing is changing again, loss program coordinator at DOH, DOH QA is on our side while AASM and AST are putting out money to get laws and licensure for sleep. Consider a statement from RCSW that clearly states our position and signed-off by our Medical Directors. Get other medical directors to write letters of support to the state.

Delegate’s Report- Eric Anderson reports that RCSW will receive and award of 5 scholarships to the national convention for 100% participation in the ventilator survey. As Eric prepares to go to the National conference in December, he presented two resolutions to be discussed at the meeting. 1) consider a discounted membership for RTs over age 65y who may not be working in the field but would like to keep their membership, and we need the numbers. 2) Discuss a no – compete clause with the AARC, where AARC would not compete with Affiliates. Eric presented a Motion: RCSW establish a new budget line item to provide annual donation of $500 to the AARC Disaster Relief Fund and the ACRF International Fellowship program. Donations will be approved annually by the RCSW Board based on availability of funds. Motion seconded and carried.

Strategic/Long-Range Planning – Carl Hinkson - UW Tacoma BA in Health Leadership degree program is up and running. Respiratory Care is not set up as a track due to time constraints. Oregon Technical Institute (private school) is hoping for some support from their 4-yr program – clinical sites.

Sleep – Nicky Bly suggests that RCSW contact physicians to get their support for the newly proposed pressure relief ventilation in sleep. There are not enough people in the sleep market to allow this. Nicky to contact states that have been putting up a fight in this area for suggestions for RCSW action.

Adjourned: 14:30

Respectfully submitted, Lisa Bennett, Secretary

Minutes reviewed and approved Feb 21, 2010.

Respiratory Care Society of Washington

Board of Directors Meeting Minutes

Ellensburg, WA November 14, 2009

Welcome-Call to Order – Dennis Archer 11:55 AM

Roll Call – Lisa Bennett

A quorum was present

President - Dennis Archer

President Elect – Carl Hinkson

Immediate Past President – Dennis Bing

Secretary – Lisa Bennett

Treasurer – Steve Andersen

AARC HOD Delegate - Gary Wickman

AARC HOD Delegate - Eric Anderson

BOD 2009 - Scott Mahoney

BOD 2011 - Celeste Stubbs

Eastern Chapter – Denny Duncan

Mt Rainier Chapter – Jackie Ray

Puget Sound Chapter – Jon Jahns

Absent:

Vice President – Earl Moore

BOD 2010 - Sharon Linquist

BOD 2009 - Thomasa McCown

BOD 2010 - Carolyn Benner

BOD 2011 - Garth Arkell

Cascade Chapter – Ty Sauve

Central Chapter – Tom Utigard

Non-voting members:

Medical Directors: Josh Benditt, MD; Donald Howard, M.D. - absent

Program Director – Lauri Stevens - absent

Program Co-Chair - Dee Arkell - present

Webmaster - Terry Smith- present

Reg online (program) - Bill Nehring - absent

Sleep Adhoc – Nicki Bly - present

Ad hoc committee member – Paula Nehring -absent

Ad hoc committee member - Scott Alberts - absent

Student representative - none

Minutes – Lisa Bennett, Secretary

The minutes of the 3rd Quarterly BOD Meeting, Sept 14th were read silently and approved without changes.

Committee Reports

Treasurer’s Report – Steve Andersen - YTD financial information presented and summarized as $24,428 total funds available (including checking $4904.47 and savings $19,525.67). Reg Online cost was $2300, discussion continued on pros and cons of using Reg Online. Celeste stated that the paper registrations are fraught with error and time consuming.

Eric is presenting our registration process as best practice to HOD. He will ask other affiliates and AARC what they use for registration.

Finance Report – Steve Anderson - We are changing to Key Bank, will have credit card available for RCSW expenses/program, etc. Discussion about the usefulness of Reg Online, If it is worth the expense, consider the demographic information available through Reg Online that we don’t or haven’t used. Program committee financial members to advise the Finance committee and vice versa about alternatives to Reg Online,considering all costs and usefulness. This to be an adhoc committee, Celeste, Eric, Steve Andersen, to explore best possible way to go with registration.

Membership – Earl Moore absent this meeting, but did do a recruitment speech at the Chapter meeting. She is working on ideas shared by Gary Kauffman.

2010 RCSW Conference April 11,12, 13 at the Doubletree in SeaTac.

Bylaws – no action.

Chapter Presidents’ Reports

Cascade: Ty Sauve – no report

Puget Sound Chapter: Jon Jahns - Currently planning, February Annual Mike Sipes memorial meeting. Managers’ soiree may be combined with the Mike Sipes Memorial meeting.

Central Chapter: Tom Utigard – no report

Nominations/Elections – Thomasa McCowan absent, Dennis Archer relays results of the elections. Denny Duncan will continue as Easter Chapter president. MOTION to accept results of the election. After discussion the motion was rejected. There was no candidate on the ballot for President Elect. There were 5 write-in names, each getting 2 votes. Motion: invoke bylaws for filling vacant office and at next election, 2010 ballot, present both President and President-Elect. Motion seconded and carried. Vice-President Scott Mahoney will fulfill the duties of the President Elect as well.

Motion: to accept the ballot results with the exception of President-Elect. Motion was seconded and carried.

Results of the election:

President Elect – no majority candidate of the write-ins

Vice President – Scott Mahoney

Delegate – Jon Jahns

BOD 2012 – Dennis Bing

BOD 2012 – Nicki Bly

Cascade Chapter President – Ty Sauve

Central Chapter President – Dan Welch

Eastern Chapter President – Denny Duncan

Puget Sound Chapter President – Fred Goglia

Rainier Chapter President – Jackie Ray

Delegate’s Report- Eric Anderson reports that RCSW will receive and award of 5 scholarships to the national convention for 100% participation in the ventilator survey. As Eric prepares to go to the National conference in December, he presented two resolutions to be discussed at the meeting. 1) consider a discounted membership for RTs over age 65y who may not be working in the field but would like to keep their membership, and we need the numbers. 2) Discuss a no – compete clause with the AARC, where AARC would not compete with Affiliates. Eric presented a Motion: RCSW establish a new budget to provide annual donation of $500 to the AARC Disaster Relief Fund and the ACRF International Fellowship program. Donations will be approved annually by the RCSW Board based on availability of funds. Motion seconded and carried.

Adjourned: 14:30

Respectfully submitted, Lisa Bennett, Secretary

Respiratory Care Society of Washington

Board of Directors Meeting Minutes

Ellensburg, WA Sept 12, 2009

Welcome-Call to Order – Dennis Archer 1:10 pm

Roll Call – Lisa Bennett

A quorum was present

President - Dennis Archer

Immediate Past President – Dennis Bing

Vice President – Earl Moore

Secretary – Lisa Bennett

Treasurer – Steve Andersen

AARC HOD Delegate - Gary Wickman

AARC HOD Delegate - Eric Anderson

BOD 2010 - Sharon Linquist

BOD 2011 - Celeste Stubbs

Central Chapter – Tom Utigard

Eastern Chapter – Denny Duncan

Mt Rainier Chapter – Jackie Ray

Absent:

President Elect – Carl Hinkson

BOD 2009 - Scott Mahoney

BOD 2009 - Thomasa McCown

BOD 2010 - Carol Benner

BOD 2011 - Garth Arkell

Puget Sound Chapter – Jon Jahns

Cascade Chapter – Ty Sauve

Non-voting members:

Medical Directors: Josh Benditt, MD; Donald Howard, M.D. - absent

Program Director – Lauri Stevens - absent

Program Co-Chair - Dee Arkell - present

Webmaster - Terry Smith- absent

Reg online (program) - Bill Nehring - absent

Sleep Adhoc – Nicki Bly - absent

Ad hoc committee member – Paula Nehring -absent

Ad hoc committee member - Scott Alberts - absent

Student representative - none

Minutes – Lisa Bennett, Secretary

The minutes of the 2^nd Quarterly BOD Meeting, April 25^th were read silently and approved without changes.

Opening Remarks – Dennis Archer It has been a busy year for AARC with position statement on H1N1 and current National Ventilator Survey under HHS contract closing Sept. 30 with anticipated 90% hospital participation. Currently WA state is at 59% participation. AARC is providing on-line training for the LTV 1200 – chosen stockpile ventilator for disaster preparedness. CMS issued ruling on Inpatient Rehab which did not include RCP – AARC is drafting a letter to CMS to include RTs in the 3-hour/day required rehab activity for appropriate patients.

Committee Reports

Treasurer’s Report – Steve Andersen - YTD financial information presented and summarized as $26,154 total funds (including savings). Conference made about $9137 as of today, however, Dee explained there are some adjustments that will bring the bottom line to $10,000. Bill Nehring deserves big thank you! for administering Reg-Online, which is not necessarily user friendly and a lot of work.

Steve continues to check on bank services that will fit our needs and has Key Bank as the most favorable choice. The finance committee will finalize this decision.

Budget proposal from Dennis Archer regarding additional insurance for losses due to injuries, mishaps, pandemics which could affect attendance at meetings, anything else unforeseen. This is an additional $1000 to our current policy and there are variations of this. The details will be worked-out in the finance committee and submitted as budget item.

Membership – Earl Moore met with Garry Kauffman fromAARC/ Pen State Society. Garry had lots of info, ideas. Earl will email everyone the info and her ideas for increasing membership. Earl needs person on the West side to partner with for membership. WA state has approx. 882 AARC members, need 61 new members by year-end to reach 50% practitioners. Challenge: each BOD member to recruit at least 1 new member before our next BOD meeting. Get info to Earl about results. Consider sending posters to hospitals, post on website, for membership recruitment, post in upcoming newsletter. Garry has offered to speak to BOD meeting regarding membership. Earl will talk to Carl about the transition meeting.

Program – Dee presented written data about the 2009 Conference. Discussion included, attendance was down on the 3^rd day, looks like about $10,500 profit. Evaluations will go to Lauri for 2010 program consideration. Eric, who has been managing the exhibitors for 20+ years, states he had to turn away about 10 vendors, which is surprising given the down economy. Had 55 booths, new GES contract, higher cost/booth. Jon Jahns sent letter announcing:

2010 RCSW Conference April 11,12, 13 at the Doubletree in SeaTac.

Scholarship/ Continuing Education – Garth submitted a written report. He is sending scholarship applications out late winter quarter, expecting return by March 24. The RCSW annual meeting is earlier this year, thus, earlier date.

Garth expressed much appreciation for the “education” board that reviews the papers. That board consists of 5 chapter presidents plus President and Past President.

Bylaws – no action.

Communications / Webmaster– In Terry’s absence Dennis A. reports that he has been approached about two areas that involve our RCSW website. 1) Selling ads on the site. Dennis will get the particulars about what ads, etc, and will talk to Terry. 2) A library for out-of-the country educational offerings would like to use our educational power points. BOD felt, if they want access, they could put a link to our website.

Newsletter – Scott Mahoney continues to be interested in making Newsletter, requests examples of past newsletters. Both Gary W. and Eric have old newsletters to share with Scott. Scott requests submissions for the newsletter, Earl has offered membership article already.

Chapter Affairs – Dennis Bing continues to offer to attend chapter meetings, has been waiting for an invitation. He is willing to help people get a meeting together, as well.

Chapter Presidents’ Reports

Cascade: Ty Sauve – no report

Puget Sound Chapter: Jon Jahns - no report

Central Chapter: Tom Utigard – working with ATS of WA on something in conjunction with the January Leavenworth lung conference. October 24th Medical Director- Pulmonologist speak at Regional Hospital in Yakima for the Central Chapter.

Rainier Chapter: Jackie Ray - Sept 27^th at Harrison Medical in Silverdale mini-conference and chapter meeting offering 5 CRCE. Will include membership and legislative update.

Eastern Chapter: Denny Duncan-Peds & Neonatal presentation by Respironics Nov 2 to include a chapter meeting @ Deaconess Hospital.

Nominations/Elections – Thomasa McCowan absent, Dennis Archer relays that Thomasa is finishing up the ballot tabulation. Results will come by email to the BOD to authenticate the vote.

Legislative – Gary Wickman/Carl Hinkson Gary Wickman – our bills S343 and HR 1077 are poised and ready to attach to any healthcare bill that comes out of congress this year. Our bills having to do with RTs working under supervision of physician as in nurse practitioners and PAs. Still need congress people to sign-on as sponsors for this legislation despite whether they can support the health care legislation or not-two - different issues.

State of WA activity is exciting. Transition organization and personnel in DOH to Jennifer Summers. Dennis Archer, Dennis Bing, Carl, Steve, and Gary met with Blake and Jennifer and have another meeting in the works to get interpretive statements on things like “who can set up O2, CPAP/Bipap” ECMO rulings, etc. DOH will issue Quarterly Safety Update with more info, especially concerning LIP. We will have to open our bill to update the language due to changes in practice not anticipated when bill was written. Email Gary or Carl with any ideas regarding the opening of our practice act. RCSW will work on wording of any changes. We should all be looking within the bill for anything that concerns standard of care now and in the future. There is currently a threat underway; 17 practitioners charged with “practicing outside the scope” by taking orders from PA or NP. RCSW is on it.

Delegate’s Report – Gary Wickman/Eric Anderson attended meeting in Florida in July. No resolutions brought forward. Polysomnography issue: AARC sent letter to AASM stating that RRTs should not need extra licensure or credential to obtain lab certification. Jennifer (DOH) states that: Yes, sleep is covered in our RT practice act, and No, there have been no reports of wrongdoing among RCPs in the Sleep realm.

World COPD Day Nov 18^th – RCSW plan to do spirometry, some type of participation, but may have to wait until January when legislature is in session.

Pulmonary Rehab – with CMS – bill is flawed providing only one CPT code for a multi-disciplinary team of PT, Speech, OT, RT, considers emphysema only in rehab, not recognizing other diseases and conditions. We do have RT on the CPT coding team, so hoping for some changes.

On the To Do List: 1) Co-Arc transition to commission accredited schools.

2) Asthma Educator prep courses on-line.

3) COPD educator prep courses on-line TBA.

4) Best practice committee suggestions for RCSW were our BOD video teleconferences, Reg-online. If anyone has any suggestions, present them to Eric for presentation at delegates meeting.

Disaster Relief fund – RCSW pledged $250 for the year.

Consider International Fellowship fund contribution, making these two items standing items in our annual budget.

(Celeste is still looking for someone to sponsor an International Fellow.)

Policy manual for RCSW – still planning to develop one. Lisa will check with Jerry Liskey to see what has been developed in the past.

Chairman of the Board of Medical Advisors encourages chapters to develop relationships with other professional groups with similar interests like NAMDRC, ALA, AAPediatrics, join forces to work on legislation.

Strategic/Long-Range Planning – Carl Hinkson sent announcement of theUW Tacoma BA in Health Leadership degree program coming Autumn 2009!! Fulltime and Parttime options available- all courses meet on the UW Tacoma Campus.

Transition Meeting – Carl Hinkson planning for Nov 14^th, two days in Wenatchee.

Adjourned: 1540

Respectfully submitted, Lisa Bennett, Secretary

Minutes review and accepted as written by RCSW BOD 11/14/2009

RCSW Annual Business meeting

April 28, 2009

36^th Annual Pacific Northwest Regional Respiratory Care Conference and Scientific Assembly

Red Lion at the Park - Spokane, WA

Call to Order: 07:30 Dennis Archer

Roll Call: Lisa Bennett

A quorum was present

President - Dennis Archer

President Elect – Carl Hinkson

Immediate Past President – Dennis Bing

Vice President – Earl Moore

Secretary – Lisa Bennett

Treasurer – Steve Andersen

AARC HOD Delegate - Gary Wickman

BOD 2009 - Scott Mahoney

BOD 2009 - Thomasa McCown

BOD 2010 - Sharon Linquist

BOD 2011 - Celeste Stubbs

BOD 2011 - Garth Arkell

Cascade Chapter – Ty Sauve

Central Chapter – Tom Utigard

Puget Sound Chapter – Jon Jahns

Mt Rainier Chapter – Jackie Ray

Absent/Excused

AARC HOD Delegate - Eric Anderson

BOD 2010 - Carol Benner

Eastern Chapter – Denny Duncan

Committee Members :

Webmaster Terry Smith, - present

Co-chair, Annual Program Dee Arkell - present

Program Committee, Scholarship/Education Garth Arkell , - present

Program committee, Reg Online Bill Nehring - present

AdHoc committee member Paula Nehring - present

Sleep Ad Hoc committee member Nicki Bly – present

Dr. Josh Benditt, Co-Medical Advisor-excused

Dr. Donald Howard, Co-Medical Advisor-excused

Reading & approval of Annual Business Meeting minutes 4/27/08 : Minutes were read/reviewed silently and approved

Membership Earl Moore Earl has BIG PLANS. Reminder to members that we get reimbursed a portion of your AARC dues for our general fund. Look for membership recruiting activities to come.

Scholarship/Continuing Ed Garth Arkell 12 papers were submitted for the scholarship program representing all four RT schools. Winners were: Jennifer Oneall $500 Spokane Community College; LeAnn Garcia $1500 Spokane Community College; and Jennifer Clark $1500 Seattle Center Community College. The 3 top papers were very close in voting reponses, so the BOD voted to approve an additional $500 scholarship for the 3rd place winner.

Eastern Chapter Dennis Archer for Denny Duncan Planning a fall meeting on Ped/Neonatal issues and a fun even, maybe bowling.

Cascade Chapter Ty Sauve 2008 - Bipap workshop with RT/CCU nurses. Plan 2-3 mini-conferences. June on OSA treatment and equipment, one on CO2 monitoring. Watch the RCSW website for information.

Mt Rainier Chapter Jackie Ray 2008, conference in Silverdale work 5-6 CEUs well attended. Plans to focus on building membership over coming year.

Central Chapter Tom Utigard 2009 One day meeting end of July with physician speaking. Info will be forthcoming.

Flaming Carinas from Highline Community College won the sputum bowl.

07:20 Meeting was adjourned by unanimous vote.

Respectfully submitted,

Lisa Bennett, Secretary

Board of Director’s Meeting

April 25, 2009

2nd Quarterly meeting Red Lion Spokane, Washington

Call to Order: 1905 Dennis Archer

Roll Call: Lisa Bennett

A quorum was present

President - Dennis Archer

President Elect – Carl Hinkson

Immediate Past President – Dennis Bing

Vice President – Earl Moore

Secretary – Lisa Bennett

Treasurer – Steve Andersen

AARC Delegate - Gary Wickman

AARC Delegate - Eric Anderson

BOD 2009 -Scott Mahoney

BOD 2009 - Thomasa McCown

BOD 2011 - Garth Arkell

BOD 2011 - Celeste Stubbs

Eastern Chapter – Denny Duncan

Puget Sound Chapter – Jon Jahns

Cascade Chapter – Ty Sauve

Mt Rainier Chapter – Jackie Ray

Absent:

BOD 2010 - Carol Benner

BOD 2010 - Sharon Linquist

Central Chapter – Tom Utigard

Non-voting members:

Program Director – Lauri Stephens - present

Webmaster - Terry Smith - present

Program Co-Chair - Dee Arkell - present

Sleep Adhoc – Niki Bly - present

Program Dir emeritus – Bob Bonner - present

CoMed Dirs: Josh Benditt, MD; Donald Howard, M.D. absent

Reg online (program) - Bill Nehring - absent

Ad hoc committee member – Paula Nehring- absent

Ad hoc committee member - Scott Alberts - absent

Student representative – none present

Minutes – the minutes of the 4^th quarterly meeting of 2008 were read silently and approved. The minutes of the 1^st quarterly BOD meeting 2009 were read silently and approved.

Opening Remarks Dennis Archer

Thanks to the program committee for the work they have done making this conference happen- Agenda/program look great.

Treasurer’s Report Steve Andersen

Currently $41,364 cash on hand, savings and checking to include the two missing AARC revenue-sharing checks which were reissued and deposited.

Finance committee Dennis Archer

B of A could not meet our needs so the charge was to look at banking alternatives. Three institutions showed interest in serving us, WAMU/JPMorgan Chase, Wells Fargo, and Key Bank. They all have products that will meet our needs i.e., electronic credit device, 2 signatures on checks over $1000, fluidity to move money between checking and savings, plus a bonus of some point/reward system that we could use. The finance committee, Carl H, Steve A, and Dennis A. will meet and pick a bank. Carl will be the chairperson. Another issue, our insurance. BOD has limited liability policy, one that covers against business losses and use of facilities w/acts of terrorism. Dennis A will look more closely at our policy to cover liability with conference events, business insurance in case of loss of income. Need to cover committee members who are not members of the BOD or officers. Webmaster needs some coverage. May need to add “chief technology officer” when revising the bylaws. Anyone with concerns about liability coverage, please contact Dennis A or Carl.

Membership Earl Moore met with Garry Kauffman at AARC, pointman for this from state of PA, who made fantastic membership growth. He is at this meeting and Earl will meet with him for ideas. We have 2100 – 2900 RTs in the state, if we can get 75% membership, we can provide more education quality and not have to worry about cost of meetings. Carl and Dennis A. have some ideas from their Dallas mtg and will join Earl to meet with Garry.

Scholarship/Continuing Ed Garth Arkell 12 papers representing all four RT schools in the state. Voting is very close for the top 3 again this year. Motion; BOD to fund three scholarships for 2009. Motion was amended to state “fund a 3^rd scholarship of $500 for a student”. Motion was carried as amended.

Program 2009 – Dee Arkell and Earl Moore Conference numbers are good. Vendors at 58 plus 7, which is overflow for this facility. Anticipated 300+ attendance, made 355 packets and may run out. Plated breakfast for the business meeting setup for 125, need to get commitments from people, issue tickets, as we pay for 125 whether they come or not and any extra are more money. 20 vendors used RegOnline this year as opposed to 10 last year. Need name badges to enter meeting and vendor area.

Communication/Webmaster – Terry Smith YTD expenses $971 with income of $775 from job site. CEU page has amost 1 million hits since 7/10/06, presentations have almost 1million hits as well. If presenters are concerned about “theft” of slides, they can be converted to PDF files to protect them. Notify Terry of broken links. Terry emphasized the need for a new newsletter. Scott Mahoney offered to develop one. Earl will help with this. Send any articles/items to Scott or Earl for publication. Consider emailing newsletter to alternate sites and hospital depts.

Chapter Affairs Dennis Bing is waiting for invitations to chapter meetings. Would like to provide info on how to set up a meeting, job descriptions, consider posting job descriptions on the website. Dennis Archer will email the affiliate handbook to everyone which contains job descriptions. Expect to use job descriptions and hints and tips for each position to help in the transition meeting in November. Submit chapter activities for CEUs early enough to get CRCE/CEU credits free from AARC.

Chapter President Reports:

East: Denny Duncan Fall meeting, maybe Neonatal/Peds topic, maybe have a dinner gathering for social event. Work with Earl on membership development.

Puget Sound: Jon Jahns RC managers’ “soiree” at Valley Medical Center 18-19 folks. Had legislative update and discussion of orientation processes, very helpful. He plans to hold another in June with Olympia folks discussing 4-yr program and another in October.

Cascade Ty Sauve sent questionnaire to hospitals about meeting topics, but didn’t get much response. Had meeting, Bipap workshop with Chris Cella, attended by CCU nurses and RT. Overall good workshop and may do again for those that were unable to attend. June 20 Quest healthcare mini-conference on OSA, equipment, monitoring. May consider overlapping chapters to invite to these events.

Central not present

Rainier Jackie Ray Meeting in Nov for 6 CEUs, well attended. Plan mini-conference late Sept/Oct and chapter meeting. MultiCare in October for RC Week.

Nominations/ Elections Thomasa McCowan Discussed various evoting options. Action: will stay with paper ballot for this year but notify, on the ballot, that next year will be an electronic process. Continue to explore the options and choose one that will serve RCSW purposes.

Legislative Gary Wickman and Carl Hinkson PACT to D. C. lobbied for HR 1077 Medicare Reimbursement and SR343. Felt the trip was successful although did not get more sponsors and none from Washington state. Need more pressure from home constituents. AARC wants to see an appropriation from congress for CDC to study COPD $1M.

Earl Moore met with Cathy McMorris Rodgers and was asked to sit on a Healthcare roundtable.

Legislative (cont) On Washington State level, Oct/Nov met with DOH transition team and in January followup, team members and even organization of DOH had changed. Still waiting for definite determination on ECMO, Blake says he has answers, but none forthcoming. May need to open our bill to get something formal. Consider BOD meeting in Olympia to get some action, ask Nick to facilitate this meeting.

Delegates: Gary and Eric are going to July Delegate meeting in Florida. Gary Wickman asks the BOD to consider donating to the AARC Chartered Affiliates Disaster Relief fund. Motion: RCSW to donate $250 to AARC Disaster Reilef Fund. Motion carried. Resolutions will be emailed for input when Gary and Eric have them available.

Strategic Planning: Carl Hinkson. Carl continues his liaison work with the UW- Tacoma on the BS completion program. The program is going forward, next Manager’s Roundtable meeting will have Dr. Sharon Folk attending.

Sleep community Nicki Bly will attend Focus conference in 2 weeks. Discussion groups scheduled for the controversial issues. Consider elevating education Bipap/CPAP and O2 titration. In 2012, RTs will not be eligible to do sleep unless coming from accredited program. The AARC asks the RCSW to send a letter to Wa State licensure Board asking 3 questions:

1) Are licensed Respiratory Therapists permitted to perform sleep testing in WA state?

2) Have licensed Respiratory Therapists provided sleep services in WA state?

3) Has there ever been any disciplinary action involving licensed Respiratory Therapists and Sleep in Washington state?

President Dennis Archer will draft such a letter on behalf of RCSW.

Charge to all officers and committee members: come to next meeting with rough draft of position/duties. Use affilitate handbook and bylaws for resources.

21:15 the meeting was adjourned by unanimous vote.

Respectfully submitted,

Lisa Bennett

Secretary

**Meeting minutes approved as written by BOD at 3^rd Quarterly meeting, September 12, 2009.

Board of Director’s Meeting

November 7, 2008

Seattle, WA

Call to Order: 13:30 Dennis Bing

Roll Call: Lisa Bennett

A quorum was present

Present:

President Dennis Bing

President Elect – Dennis Archer

Secretary – Lisa Bennett

Treasurer – Steve Andersen

Delegate – Eric Anderson

Delegate - Gary Wickman

BOD 2008 - Donavan Knight

BOD 2008 - Greg Carter

BOD 2009 - Scott Mahoney

Eastern Chapter President - Earl Moore

Rainier Chapter President - Jackie Ray

Absent:

Past President – Dennis Criswell

Vice President - Celeste Stubbs

BOD 2010 - Sharon Linquist

BOD 2010 - Carolyn Benner

BOD 2009 - Thomasa McCown

Puget Sound Chapter President - Jon Jahns

Cascade Chapter President - Ty Sauve

Central Chapter President - John Nee

Non-voting Members:

Medical Directors: Josh Benditt, MD; Donald Howard, M.D. absent

Program Director - Bob Bonner - present

Webmaster - Terry Smith - present

Reg online (program) - Bill Nehring - Absent

Program Co-Chair - Dee Arkell - Absent

Ad hoc committee member – Paula Nehring- Absent

Ad hoc committee member - Scott Alberts - Absent

Mentoring member -Chris Teagarten - Absent

Student representative - Jinie Cho (SCCC)

Welcome to student representatives: Jinie Cho (SCCC) Jinie is 2^nd year RT student and works at Overlake Hospital. BOD encourages any students to attend board meetings.

Thank you to Draager Medical for providing lunch for the meeting.

Reading & approval of BOD minutes 4/27/08 : Minutes were read/reviewed silently and approved with one correction; Carl Hinkson was present at the meeting.

Treasurer's report: Steve Andersen (see handouts) Steve presented financial statement as of 3^rd quarter, 2008. $10K that was a long-term CD, converted to savings this year and remains there due to interest rates being so low. Steve would like to leave the money in the savings acct where it is earning 3.5-4% interest now, until a long-term CD(8 yr) would be available at 6% interest. BOD concurred. AARC comptroller, Tony Lovio, recommends a $12-15K buffer. RCSW shows net gain of $6K as of the 3^rd quarter, so for cash flow purposes, leaving savings as is, appropriate. Dennis Archer recommends finance committee decide what type of savings account is best.

Steve reports that RCSW is bonded as of 2008. Thank you to Steve for the completeness and detail of the treasurer’s report and for his thorough and timely financial management.

AARC HOD Delegates report: Gary Wickman, Eric Anderson

December is the next HOD meeting. Two resolutions proposed and discussed.

#94-08-24 – “Resolved that the AARC provide the option of direct deposit of stare affiliate’s quarterly revenue sharing checks into affiliate’s checking account.” BOD advised to support this resolution.

#80-08-25 – “Resolve that the AARC Chartered Affiliates handbook (latest edition 1/08) be revised…………BOD advised listening to discussion, if is in the interest of other chartered affiliates, to support.

Gary Wickman is chairman of the Chartered Affiliates Committee – there is an award for “Best Affiliate” which Gary encourages application from RCSW. Committee is revamping criteria for the award modeling after “magnet status”

Eric Anderson is on the Best Practices Committee – Erick challenges RCSW to submit “best practices” application(s) to AARC for recognition.

Gary discussed the “E” voting process. RCSW can do this independently without having to purchase a license for the software because we are less than 5K membership. Dennis to review the bylaws to determine if we can do this without changing bylaws. If we do implement “E” voting, cost would be about $975 – access Vote.net. Hope to get this approved before 2009 elections.

Committee reports

Finance: Dennis Archer

1) planning an external audit – discussion about what an audit would entail, i.e., cost, CPA, external group review like our present tax consultants. Our tax person Jan Jensen, reviewed the books for 2007-2008 finding no irregularities. Because we have a fiduciary responsibility to our membership, Steve would like a legal opinion on what is necessary in the way of an audit. Dennis Archer will contact Tony Lovio, comptroller at AARC, and report to BOD.

2) review of check signing procedure – (see motion under new business) Require two signatures when the amount is $1K or more. The bank should be able to accommodate this action. We already have two signatures on the Cash Exchange Record.

Legislative: Gary Wickman, Carl Hinkson: March 9-10 is PACT meeting in Washington, D. C. Time and expenses cut back, so more money needed in the budget for 2009 PACT activity. Carl to submit budget needs to Dennis Archer for 2009. Pulmonary Rehab bill passed this last legislature.

Ad Hoc committee: Report on DOH mtg 10/31/08 – Gary Wickman

Licensure activity has been separated at the DOH from Rules/Scope and Discipline responsibility, which should be a good thing. Now have Blake Marish and Erin Obenland to deal with on rules and scope and hope to get formal ADHOC board. Nick Frederici (our lobbyist) will get involved.

Need:

 Stories/names of people not getting their licenses due to backlog. Send info to Gary or Carl or Dennis. Blake has promised to resolve issues immediately.

 Letter of support from Medical Directors to establish ADHOC advisory board. Gary Wickman can provide details for letter to DOH.

 Letter of support for ECMO for those hospitals providing the service or suspending the service.

Program:

1) Bob Bonner, Nicki Bly, Eric Anderson- report on 35th Annual regional Conference

Bob presented stats from 2008 comparing with 2004, 2005 and 2007. Goals achieved: attendance, exhibits, students, finances, grants rec’d, CRCE’s available, intangibles and social aspect.

Challenges to address: business meeting proper scheduling/venue? Encourage BOD presentations to WOW! The attendees. Lisa to provide 2008 minutes for attendees. How to increase Eastern WA attendance?

Detailed breakdown of various stats much appreciated by BOD, thanks to Bob and committee.

Program, continued:

Eric reported on vendor organization. Eric has been doing vendors for 19 years! He would welcome a person to mentor into the organizing if one was interested and committed. Eric explained that the GES contract is up for renewal. It is a 3-yr contract for vendor booth setup/takedown. BOD agrees that we should renew the contract given good service/history. This is 2009-2011 contract.

Nicki reported on review of evaluations from the conference: Attendees loved emergency preparedness program, loved the info that they could take back and apply, love the fact that most talks are available on the website. Nicki to send evaluations to Spokane for review for 2009 conference ideas.

2) Garth Arkell, Earl Moore, Eric Anderson, Dennis Archer – planning for 2009 conference in Spokane April 26- 28, 2009

Progress notes distributed for planning so far. Planning is on schedule; still have some openings for General Session and breakouts. Garth and Dee will be at AARC Congress in December looking for speakers as well as sponsors. Sunday meeting begins at noon. Annual business meeting will be a plated breakfast meeting Tuesday morning. Lori Stevens and John Salyer to work on Sputum Bowl organization. Encourage depts to field a team.

3) Need for Program Chair for 2010 conference- Bob Bonner has been program chair for long time, will serve as advisor. Carl Hinkson to work on finding program chair/co-chair for 2010. Important to start the planning as early as possible.

Elections: Donavan Knight - 2009 Election results

136 ballots returned, 126 chapter ballots returned, 16 of those invalid.

President – Carl Hinkson

V Pres – Earl Moore

Secretary – Lisa Bennett (2^nd of 2-yr term)

Treasurer – Steve Andersen (2^nd of 2-yr term)

BOD terms to expire 2012: Celeste Stubbs, Garth Arkell

Cascade Chapter President – Ty Suave

Central Chapter President – Tom Utigard

Rainier Chapter President – Jackie Ray

Puget Sound Chapter President – Jon Jahns

Eastern Chapter President – Denny Duncan

Motion: to accept results of election – Approved

Motion: to destroy ballots – Approved

Membership: Dennis Bing (for Celeste Stubbs)- slump this year, reflect on our efforts? Call for volunteers & ideas! Discussed some hospitals have tuition paid by the hospital, some have direct payroll deduction which helps, ramification of union membership and dedicated CEU monies, AARC discount coupons. If money needed in budget for membership activities, submit proposed needs to Dennis Archer for 2009 budget.

Strategic planning: Dennis Archer- Disaster planning; strong program at 2008 conference. Further planning and organization to come.

4-yr degree program –Carl Hinkson met with UWT. Starting BA in Healthcare Leadership fall 2009 and would like to see Respiratory Therapists participate. RCSW would need to provide a letter of endorsement – Dennis Bing will work on this (Carl to provide content details), and eventually a roundtable discussion with directors of departments and prospective students. Dennis Archer suggests we provide the white paper from AARC “Development of Baccalaureate and Graduate Degrees in Respiratory Care” and AARC Position Statement “Respiratory Therapist Education” as supporting documentation. UWT is working on development of a BSN which would help start BSRC development.

Transition meeting; Q4 2008 & Q1 2009 BOD – Dennis – planning Jan 24^th or 30^th, one day, with Eastern attendees flying, if convenient.

Chapter Affairs: Dennis Criswell – absent, no report

Chapter Presidents reports:

Earl Moore – Eastern Chapter – Regular ongoing CEU’s provided by vendors for staff. Now focusing on organization of 2009 conference. Next year emphasize membership growth.

Jon Jahns – Puget Sound Chapter- absent, no report

Ty Sauve – Cascade Chapter- absent, no report

Jackie Ray – Mt Rainier Chapter – 4^th Annual Respiratory Care conference at Harrison Medical Center in Bremerton, Sunday Nov 2^nd with 34 attended. Will focus on growing membership next.

John Nee – Central Chapter, absent, no report

Scholarship/ continuing education: Dennis Archer

Scholarships – Garth Arkell presented scholarship program info. Drawn-up by Dennis and fine tuned by Garth. Plan to get to schools before the Christmas break and expect papers by Mar 13^th, 2009. Continuing Education: Practitioner recognition draft proposal included, with nominations from RCSW membership. Hope to finalize and implement by 2009 or 2010.

Webmaster: Terry Smith – Access is up, 1.1M requests this year. Terry reminded everyone to use the Job site as an economical job posting. Would like to make the job site self-sustaining. American Thoracic Society loves our Website….thank you Terry.

Public Awareness: Dennis Bing: AARC Times Military Recognition- Gary Lynch (formerly of AZ, now at Good Sam in Moses Lake) on the list in AARC times and posted as well on website (Military Recognition)

New business

Motions entertained:

Bonner11.07.08_1- In interest of time, motion withdrawn to be presented at transition meeting.

Bing11.07.08_2 Require two signatures on checks when the amount is $1K or more. The bank should be able to accommodate this action. We already have two signatures on the Cash Exchange Record. Motion carried.

AARC contract renewal – Affiliate contract received to renew. AARC states no changes. Dennis Bing will review, if there are changes, will talk to AARC.

AARC Quality Recognition program- Dennis Bing recognized this AARC award, Gary Wickman and Terry Smith have already gotten this award for their depts. Dennis encourages all depts to apply for this to heighten awareness of RT. Dennis Bing will email RCSW BOD the URL for this program/application. Pass on to other hospitals.

Free & Clear- Informational, for resources, posted on RCSW website as link.

1) notice of change in Medicare coverage – Tobacco Quit Line, Medicare and Medicaid now covering more smoking cessation tools for smokers. Link on RCSW website.

2) (Mona Duprey) survey of RCPs for training & technical assistance needs for Tobacco Prevention and Control Program- a plan for assessment – when this survey is available, Mona will send to Dennis Bing who will make it available to BOD members. Active members share with others X10 in order to get some survey response regarding assessment of tools/education needed by RTs for smoking prevention and control. Surveys can be returned to Dennis Bing.

What is up with the ALA? Suggest contacting John Basile to find out what is happening. ALA has pulled it’s name and resources from this area which is what Washington ATS used for their yearly conference.

Adjourned at 17:00

Respectfully submitted: Lisa Bennett, Secretary

Board of Director’s Meeting

April 27, 2008

The Doubletree @ Seatac, WA

Call to Order: 15:40 Dennis Bing

Roll Call: Lisa Bennett

A quorum was present

Present:

President Dennis Bing

President Elect – Dennis Archer

Past President – Dennis Criswell

Vice President - Celeste Stubbs

Secretary – Lisa Bennett

Treasurer – Steve Andersen

Delegate – Eric Anderson

Delegate - Gary Wickman

Donavan Knight, BOD 2008

Greg Carter BOD 2008

Scott Mahoney BOD 2009

Thomasa McCown BOD 2009

Earl Moore, President, Eastern Chapter

Jon Jahns, President, Puget Sound Chapter

Jackie Ray, President, Rainier Chapter

Absent:

Sharon Linquist – BOD 2010

Carolyn Benner BOD 2010

Ty Sauve, President, Cascade Chapter

Jon Nee, President Central Chapter

Non-voting Members:

Donald Howard, M.D. Co- Medical Advisor - present

Bob Bonner, Program Director- present

Terry Smith, Webmaster- present

Bill Nehring, Program committee – reg online- present

Paula Nehring, Ad hoc committee member - present

Dee Arkell, Co-chair, Annual Program - present

Garth Arkell, Ad hoc committee member - present

Dr. Josh Benditt, Co-Medical Advisor-absent

Guests:

Nick Frederici – WA state lobbyist

Frank Salvatore – AARC lobbyist

Marianne Shaw – Disaster Preparedness CA Soc RC

Dennis welcomed our Co-Medical Advisor, Dr. Don Howard.

Dr. Howard related his background, activities, medical directorship at Sacred Heart Med Center, and commitment to being associated with the RCSW.

Disaster Preparedness – Dennis Bing introduced guest Marrianne Shaw who is the disaster preparedness chairman for the California Respiratory Care Society. Marianne explained how she got involved with disaster preparedness through a personal interest, proceeding to get a Master’s degree in Disaster. Our Tuesday conference agenda is full of disaster preparedness talks where Marianne will give us more information. She states that Federal, state and local disaster planning is sadly lacking in RT representation, but that she has made inroads in California, and more RTs are forging ahead nationwide to change this. She encourages each hospital to develop the necessary infrastructure through their ethics committee and administration, before the disaster occurs.

Legislative:

Frank Salvatore, Chairman AARC Govt Affairs Committee and Speaker HOD – Frank describes increasing sponsorship for the Medicare Part B House H3968 and Senate S2704 bills happening and still more needed. Encouraged a grassroots movement to mobilize the membership to write to their Congressional representatives to support this legislation; utilize “Capital Connection”, Terry has a quick access on the RCSW site, as well as “Write Now” at AARC. Suggested Chapter presidents to contact membership, use emails. Reach patients through “Better Breathers’ Clubs” to get letters from patients on the issues.

Earl Moore rec’d phone call from Cathy McMorris Rodgers wanting to talk about the health care issues. Also, Dave Reichert promised to sponsor the Pulm Rehab bill, but as of today, he has yet to do that. Need his constituents to write letters to him. Earl encourages people to get acquainted with their legislators.

Nick Frederici, last legislative session, not a lot happened. Some of this was due to the economic downturn with a budget shortfall near the end of the session. Due to the disasterous flooding in SW WA, funds were spent on disaster rather than health care. Some changes are coming in the Health Care licensing process & disciplinary standards for many of the professional organizations including Respiratory.

 Passed HB1106 requiring hospitals to report hospital acquired infections beginning July 08 with VAP. Central line infections and surgical site infections reporting coming in 2009.

 Supt of public instruction enacted anaphylaxis program in schools

 Medicaid coverage for smoking cessation

 Coming in 2009……mandate for self-extinguishing cigarettes.

 “New” commission on health care to standardize insurance benefit plans. A “Blue Ribbon” citizen’s work group to have public hearings.

 Asthma pilot project in King County, citizens work group, now town hall meetings around the state, encourages RTs to get involved.

Gary Wickman – DOH meeting in Feb, talked to Bob Nicoloff and Asst Attorneys General about interpretive statements for our licensure bill, specifically on ECMO.

Treasurer’s Report: Steve Andersen reports we have $66K on hand, this is a time of money coming in, but still have major outgo for the conference. 2007 had income of $99K and Expenses of $131.6K so we were successful in “giving back to the membership” which was our goal. We did purchase a much needed new computer for the website which also helped with reg-online.

Chapter Affairs - Dennis Criswell no activity to report. Expect to visit the chapters through the summer.

Membership- Dennis Bing announced membership has reached 1008 in state, encouraged us to maintain the momentum. Look for an aggressive membership drive in the fall. Terry Smith has had membership pay incentive for his staff. This has been successful for 100% membership in his dept.

Strategic Planning-Dennis Archer – two objectives, Disaster preparedness at the state level and development of Bachelor’s Program in the state. Greg Carter is having conversation with TCC regarding the Bachelor’s program.

Finance- Dennis Bing

Planning an external audit for the protection of the society and the officers. Recommended by AARC. Doesn’t have to be a certified audit. Steve will pursue.

Review our check signing procedures. Consider setting certain $ amount minimum that would require two signatures.

Complete our application for incorporation as a 501(C)(6) which is a trade association. This is more appropriate for us.

AARC recommends that we have a $10-15K cushion for our financial situation, but no more. After the expenses of the conference are cleared, we will look at our status.

Dennis would like to develop job descriptions for officers. Celeste believes there are already job descriptions and will research this. We would like to revise them, if that is the case.

Nominations/Elections – Donavan and Thomasa are planning for early ballot, voting, possibly completed by Sept 1. Hoping to have time for newly elected officers to buddy-up with the predecessor to get some orientation to the position before assuming office.

Scholarship/Education – Dennis Archer announced that 10 papers were submitted for the scholarships. The top three papers were just 6 points apart. The scholarship committee will award two $1500 scholarships to 1^st and 2^nd place and will award $500 to the third place student using money returned by speaker Bud Spearman and an anonymous donation. Each of the four respiratory schools will receive $250.

Celeste Stubbs was recognized for her dedication and commitment for some 10 years to the International Fellowship program. She has agreed to do this again this year. She would like to mentor a protégé to carry on this program. Contact Celeste or Dennis Archer if you are interested or know someone who is. AARC pays the hotel for the fellow to stay, so there is minimal effort involved in this valuable program.