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1 AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS 1 56th ANNUAL HOUSE OF DELEGATES 2 3 TABLE OF CONTENTS 4 5 6 Page 7 Preliminary Agenda .............................................................................................................................. 3 8 Letter to Delegates and Alternates ........................................................................................................ 5 9 A Guide for Delegates .......................................................................................................................... 7 10 11 12 BOARD OF TRUSTEES REPORTS 13 Board of Trustees ................................................................................................................................ 14 14 President .............................................................................................................................................. 17 15 Vice President ..................................................................................................................................... 19 16 Representatives Bureau....................................................................................................................... 20 17 Immediate Past President .................................................................................................................... 21 18 Secretary-Treasurer ............................................................................................................................. 22 19 Speaker of the House .......................................................................................................................... 23 20 Vice Speaker of the House.................................................................................................................. 24 21 Trustees ............................................................................................................................................... 25 22 Executive Director and Legal Counsel ............................................................................................... 32 23 24 25 STRATEGY TEAMS 26 Leadership Development Strategy Team ........................................................................................... 41 27 Membership Development Strategy Team ........................................................................................ 42 28 29 30 COMMITTEES 31 Awards ................................................................................................................................................ 43 32 Bylaws and Resolutions ...................................................................................................................... 44 33 Documents .......................................................................................................................................... 45 34 Editorial Advisory............................................................................................................................... 46 35 House of Delegates Minutes ............................................................................................................... 47 36 Judicial Council .................................................................................................................................. 48 37 Nominating.......................................................................................................................................... 49 38 State Societies ..................................................................................................................................... 50 39 Strategic Issues Planning .................................................................................................................... 51 40 41 42 TASK FORCES 43 Core Curriculum ................................................................................................................................. 54 44 Occupational Analysis ........................................................................................................................ 55 45 Professional Expansion and Awareness ............................................................................................. 56 46 47

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS 1 56th ANNUAL HOUSE OF DELEGATES 2

3 TABLE OF CONTENTS 4

5 6 Page 7 Preliminary Agenda .............................................................................................................................. 3 8 Letter to Delegates and Alternates ........................................................................................................ 5 9 A Guide for Delegates .......................................................................................................................... 7 10 11 12 BOARD OF TRUSTEES REPORTS 13 Board of Trustees ................................................................................................................................ 14 14 President .............................................................................................................................................. 17 15 Vice President ..................................................................................................................................... 19 16 Representatives Bureau ....................................................................................................................... 20 17 Immediate Past President .................................................................................................................... 21 18 Secretary-Treasurer ............................................................................................................................. 22 19 Speaker of the House .......................................................................................................................... 23 20 Vice Speaker of the House.................................................................................................................. 24 21 Trustees ............................................................................................................................................... 25 22 Executive Director and Legal Counsel ............................................................................................... 32 23 24 25 STRATEGY TEAMS 26 Leadership Development Strategy Team ........................................................................................... 41 27 Membership Development Strategy Team ........................................................................................ 42 28 29 30 COMMITTEES 31 Awards ................................................................................................................................................ 43 32 Bylaws and Resolutions ...................................................................................................................... 44 33 Documents .......................................................................................................................................... 45 34 Editorial Advisory ............................................................................................................................... 46 35 House of Delegates Minutes ............................................................................................................... 47 36 Judicial Council .................................................................................................................................. 48 37 Nominating .......................................................................................................................................... 49 38 State Societies ..................................................................................................................................... 50 39 Strategic Issues Planning .................................................................................................................... 51 40 41 42 TASK FORCES 43 Core Curriculum ................................................................................................................................. 54 44 Occupational Analysis ........................................................................................................................ 55 45 Professional Expansion and Awareness ............................................................................................. 56 46

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BOARDS 1 Certifying Board .................................................................................................................................. 59 2 Continuing Education Board .............................................................................................................. 61 3 4 5 6 PROPOSED BYLAWS AMENDMENTS AND RESOLUTIONS 7 Proposed Bylaws Amendment 12-1 ................................................................................................... 63 8 Proposed Bylaws Amendment 12-2 ................................................................................................... 64 9 Proposed Bylaws Amendment 12-3 ................................................................................................... 65 10 Proposed Bylaws Amendment 12-4 ................................................................................................... 66 11 Proposed Bylaws Amendment 12-5 ................................................................................................... 67 12 Proposed Bylaws Amendment 12-6 ................................................................................................... 68 13 Proposed Bylaws Amendment 12-7 ................................................................................................... 69 14 Proposed Bylaws Amendment 12-8 ................................................................................................... 70 15 Proposed Bylaws Amendment 12-9 ................................................................................................... 71 16 Proposed Bylaws Amendment 12-10 ................................................................................................. 72 17 Proposed Bylaws Amendment 12-11 ................................................................................................. 73 18 Proposed Bylaws Amendment 12-12 ................................................................................................. 74 19 Resolution 12-1 ................................................................................................................................... 75 20 Resolution 12-2 ................................................................................................................................... 76 21 22 23 24 FOR YOUR INFORMATION APPENDIX 25 26 2012 Delegates and Alternates ........................................................................................................... A 27 28 AAMA Endowment Reports 29 Report of the Endowment ..................................................................................................................... E 30 Medical Assisting Education Review Board ........................................................................................ F 31 Maxine Williams Scholarship Committee ........................................................................................... H 32 Ivy Reade Relkin Surveyor Training Fund ........................................................................................... I 33 34 Financial Statements (Information Only) 35 June 30, 2011 Fiscal Year End 36 Statements of Financial Position and Activities ...................................................................................... 37 38 Samples 39 Credential Cards and Motion Forms ......................................................................................................40

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS 1 2

DOUBLETREE PARADISE VALLEY RESORT – SCOTTSDALE, ARIZONA 3 4 5

PRELIMINARY AGENDA 6 7 8 SUNDAY, September 9, 2012 9 10 11 8:00 a.m. HOUSE OF DELEGATES 12 13 Call to Order Nina Watson, CMA (AAMA), CPC 14 Speaker of the House 15 Opening Reflections Nina Watson, CMA (AAMA), CPC 16 17 Presentation of the Colors 18 National Anthem 19 Pledge of Allegiance 20 21 Introductions Nina Watson, CMA (AAMA), CPC 22 23 Report of the Credentials Chair 24 25 Approval of Agenda Nina Watson, CMA (AAMA), CPC 26 27 Orientation of Delegates Paula Purdy, CMA (AAMA) 28 Adoption of House Rules Vice Speaker of the House 29 Appointment of Reference 30 Committees and Tellers 31 32 Supplemental Report Ann Naegele, CMA (AAMA) 33 AAMA President 34 35 Report of the Nominating Committee Betty Springer, CMA-C (AAMA) 36 Nominations from Floor Nina Watson, CMA (AAMA), CPC 37 38 Announcements 39

Recess 40 41

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REFERENCE COMMITTEE SCHEDULE 1 2 1 p.m. Reports 3 4 1:30 p.m. Bylaws 5 6 2:30 p.m. Resolutions 7 8 4:30-5:30 p.m. Polls Open 9 10 11 12 13 7:30 p.m. HOUSE OF DELEGATES RECONVENES 14 15 Call to Order Nina Watson, CMA (AAMA), CPC 16 Report of the Credentials Chair 17 18 Report of the Tellers 19 20 Report of the Reference Committees: 21 • Reports Paula Purdy, CMA (AAMA) 22 • Resolutions Paula Purdy, CMA (AAMA) 23 • Bylaws Nina Watson, CMA (AAMA), CPC 24 25

Unfinished Business Nina Watson, CMA (AAMA), CPC 26 27

New Business Nina Watson, CMA (AAMA), CPC 28 29

Good and Welfare Statements (Please note: only 10 minutes will be allowed) 30 31

Announcements 32 33 Adjournment 34

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS 1 2 3 Dear Delegate or Alternate Delegate: 4 5 Congratulations on your recent election as delegate or alternate to the 2012 House of Delegates of the 6 American Association of Medical Assistants (AAMA). A delegate is a person given authority to act for 7 others and who serves as a decision and policy maker for medical assistants. This is a serious 8 responsibility, which requires preparation, commitment, and performance. 9 10 PREPARATION 11

A. Be sure to bring with you the following: 12 1. Completed Certificate of Election Card (received from your state society president). 13 2. Current AAMA Membership card. 14

You will not be seated as a delegate without your AAMA Membership card. 15 16 B. Become thoroughly familiar with all the materials in the Delegates Packet. 17 18 C. Discuss items in the packet with other members. Be prepared to express your views. Should 19

your opinion not prevail, abide by the majority rule. Parliamentary procedure is designed to let a 20 majority accomplish its ultimate goals. 21

22 COMMITMENT 23

It is your duty to listen, to think objectively, and to consider all issues for the good of the entire 24 membership and profession. Your position requires a commitment to base your decisions on the 25 deliberations of the House, not on personal opinion or the interests of any special group, state, 26 chapter, or individual. 27

28 PERFORMANCE 29

A. Motions must be written on a motion form prior to being presented to the House for 30 consideration. After the motion is made, send the written motion to the Speaker as quickly as 31 possible. 32 33

B. You were elected for your individual knowledge and expertise. When voting on a question, it is 34 not necessary to concur with the other members of your delegation. 35

36 The reference committee hearings are open to everyone, and it is particularly important for delegates and 37 alternates to attend each hearing. These committees provide an opportunity for all members to express 38 opinions and hear the opinions of others. Following the hearings, the reference committees go into 39 executive session to complete written reports to present to the House. Should you not be in agreement with 40 the reports, you will have ample opportunity to express your views during the next session of the House. 41 42 On Saturday all delegates and alternates MUST check in at the Credentials Desk for verification of 43 credentials. DO NOT wait until Sunday to check in. On Saturday, the Credentials Desk will be open 44 outside the room designated for the House of Delegates as follows: 45 46 Saturday, September 8, 2012 5:00 - 7:00 p.m. 47 48 The following protocols must be observed for the House of Delegates: 49

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1 On Sunday, each delegate must check in with the Credentials Desk, prior to each session. The 2

Credentials Desk will be open, outside the House of Delegates, as follows: 3 4

Sunday, September 9 6:30 - 7:45 a.m. 5 Sunday, September 9 6:30 - 7:15 p.m. 6

7 Each delegate must check in with the Credentials Desk prior to each session. 8 Each delegate must be seated in the House 15 minutes prior to each session. 9 Delegates and alternates shall enter the House only through the designated door. 10 If a delegate is not checked in by the Credentials Committee, the delegate cannot be seated in the 11

House and is not eligible to vote, unless the House votes to allow that delegate to be seated. 12 Each delegate must vote within the time frame allowed for voting. No voting will be allowed 13

before or after the designated time. 14 15 All delegates and alternates will receive a Delegates Packet in the mail. Other individuals may request a 16 Delegates Packet in advance or in Scottsdale. The number of Delegates Packets available in Scottsdale 17 will be limited, so please remember to bring your packet. 18 19 There will be an orientation for the House Committees (Reports, Credentials, Tellers and Pages) 20 Saturday, September 8, 2012, 10:30 a.m-12:30 p.m. 21 22 For room locations of conference activities, please check the hotel directory listing or on-site conference 23 program. If you have any questions, please feel free to ask any member of the Board of Trustees. We 24 want to assist you at any time and are looking forward to seeing you in Scottsdale. 25 26 27 Nina Watson, CMA (AAMA), CPC 28 Speaker of the House 29 30 Paula Purdy, CMA (AAMA) 31 Vice Speaker of the House 32

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G U I D E F O R D E L E G A T E S 1 2 3 CREDENTIALING 4 Active or life members whose dues were postmarked by December 31 of the preceding year and who have 5 been duly elected by their constituent societies may be seated in the AAMA House of Delegates. The 6 constituent society shall submit the names of delegates and alternates to the Executive Office at least ninety 7 (90) days prior to the Annual Meeting of the House of Delegates. 8 9 Each delegate and alternate will be required to register with the Credentials Committee (see official program 10 for time and location) and to present the following: 11 12

A. CERTIFICATE OF ELECTION CARD 13 This card must be completed and signed by the respective state society president and/or secretary. 14 This card shall be surrendered to the Credentials Committee, who will keep it on file for the duration 15 of the term. 16

17 The Credentials Committee will check the card, issue a delegate or alternate ribbon as appropriate, 18 and place the name on the official roll. (NOTE: If the delegate or alternate is unable to produce this 19 card, identification may be verified by obtaining a brief note of certification signed by the state 20 president and/or secretary. This note must be presented to the Speaker of the House.) 21

22 B. AAMA MEMBERSHIP CARD 23

The Credentials Committee will verify the delegate’s or alternate’s status in their records. 24 25

This card must be presented at the Credentials Desk for entrance as a delegate into sessions of the 26 House of Delegates or when voting at the polls. 27

28 C. SEATING OF DELEGATES 29

Each delegate and alternate must check in at the Credentials Desk in order to be seated 15 minutes 30 prior to the opening of each session of the House of Delegates. Any delegate not seated 15 minutes 31 prior to the opening of the House will be seated only upon consent of the voting body. 32

33 Entrance to and exit from the House of Delegates will be monitored. 34 35 36 RELINQUISHING DELEGATE CREDENTIALS TO AN ALTERNATE 37 Should illness or an emergency prevent a delegate’s attendance at a House of Delegates session after 38 credentials have been verified by the Credentials Committee, the alternate may be seated as follows: 39

1) Contact the alternate. 40 2) Delegate and alternate present themselves together at the Credentials Desk. (If the delegate is 41

physically unable to be available, another official of the state—such as the president, president-elect, 42 or secretary-treasurer—should appear with the alternate to verify the substitution.) 43

3) Delegate relinquishes the delegate ribbon to the alternate. 44 45 The new delegate's name will be placed on the official roll, and seating of the new delegate (former 46 alternate) will be in order. The newly seated delegate will remain on the roll for the remainder of all House 47 sessions, voting at polls, etc. 48

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GUIDE FOR DELEGATES, cont. 1 2 3 PARLIAMENTARY PROCEDURE IN THE HOUSE 4 It is necessary in an assembly of this size to insist that each individual speaking to an issue be recognized by 5 the Chair, be at a microphone, and be properly recognized. 6 7 The deliberations of the House are governed by Robert’s Rules of Order Newly Revised (current edition). 8 However, the Bylaws of the association and the Speaker's Guide for Delegates may modify Robert’s Rules. 9 This blend of rules is established by tradition and interpreted for the House by the Speaker and Vice 10 Speaker, with the assistance of the HOD Parliamentarian. Parliamentary procedure serves to aid an assembly 11 in the fair, orderly, and efficient conduct of business. 12 13 The majority opinion of the House in determining what it wants to do and how it wants to do it should 14 always remain the ultimate goal. It is the obligation of the Speaker to sense the will of the House, to preside 15 accordingly and to recognize that decisions of the Speaker may be subject to challenge from, and reversal 16 by, the assembly. An appeal against a ruling of the Speaker must be made at once, seconded and then 17 decided by a majority vote of the House. 18 19 The following outline of procedures is offered as a guide, subject to reasonable modification, in the hope 20 that compliance will advance smoothness of operation by reducing confusion and misunderstanding. 21 22 23 INTRODUCTION OF BUSINESS 24 Tradition governs a substantial portion of each formal session of the House of Delegates. Remarks by the 25 Speaker, recognition of distinguished guests, presentations of awards, and similar activities are in this 26 category. It is the prerogative of the Speaker to permit as many of these niceties as may be appropriate 27 without intruding upon the time necessary for the House to accomplish its regular business. 28 29 Reports are routinely received as business of the House when they come from the Board of Trustees, 30 AAMA Special and Standing Committees, Strategy Teams, Liaisons, Boards and certain officials of the 31 association. Except under special circumstances, such reports are referred to appropriate reference 32 committees so that hearings may be held on the substance thereof. The Speaker may request acceptance of a 33 report by unanimous consent or by a vote without referral, but a motion to refer is always in order. 34 35 36 RESOLUTIONS 37 Business is introduced into the House through presentation of resolutions by members, state societies, 38 component chapters, AAMA delegates or the Board of Trustees. Resolutions are submitted to the Board of 39 Trustees, included in the AAMA Delegates Packet, and are referred to the Reference Committee on 40 Resolutions. 41 42 In order to be considered as regular business, each resolution must be submitted to the Executive Office by 43 the required deadline established annually. The deadline date for late submission of emergency resolutions 44 is noon of the day preceding the opening of the House of Delegates. 45

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GUIDE FOR DELEGATES, cont. 1 2 3 PROCEDURE FOR EMERGENCY OR LATE RESOLUTIONS 4 5 A. Copies of the resolution of emergency nature should be in the hands of the Speaker, President, and 6

Executive Director by noon of the day preceding the opening of the House of Delegates. 7 B. The emergency resolution is referred without debate to a reference committee, which considers it and 8

then reports to the House its conclusions as to the validity of the emergency. 9 C. In the event the reference committee does not consider it an emergency, it is not accepted as business of 10

the House. 11 D. If the emergency resolution is upheld by the reference committee, the matter is put before the House 12

with or without consideration and recommendation from the reference committee. 13 E. The emergency resolution requires a three-fourths affirmative vote of the House of Delegates for approval. 14 15 16 PRESENTATION OF RESOLUTIONS TO THE HOUSE OF DELEGATES 17 At the appropriate time, the Speaker will call for the report of the Reference Committee on Resolutions. 18 Opportunity will be given for full consideration by the House. However, the sponsor of the resolution may 19 withdraw it WITH PERMISSION of the House. At the time of introduction of any resolution, it is possible for 20 any delegate to object to its consideration. In the event that the House sustains such objection by a two-thirds 21 vote, the resolution is not accepted as business of the House. 22 23 24 REFERENCE COMMITTEES 25 Reference committees are groups of approximately five delegates selected by the Speaker to conduct open 26 hearings on matters of business of the association. Having heard discussion on the subject before it, the 27 committee draws up a report offering RECOMMENDATIONS to the House. 28 29 Reference committee hearings are open to ALL MEMBERS of the association, nonmember registrants, 30 and the press. Members are privileged to speak on an issue; however, nonmembers may speak only when 31 recognized by the chair of the reference committee. The chair may invite discussion or comment from 32 anyone present who may be willing to share information. Discussion should be permitted as long as those in 33 attendance wish to be heard, within reason, according to the time scheduled for this purpose. 34 35 Equitable hearings are the responsibility of the committee chair. The committee may establish its own rules 36 on the presentation of testimony with respect to limitations of time, repetitive statements, and the like. It is 37 recommended the reference committee chair NOT ask by an informal vote for an expression of the 38 sentiments of those attending. The committee members may ask questions to be sure that they understand 39 the opinions being expressed. The committee listens carefully and evaluates all opinions presented so that it 40 may provide the voting body with a carefully considered recommendation. 41 42 Following its open hearing, a reference committee will go into executive session for deliberation and drafting of 43 its report. It may call into such executive session anyone whom it may wish to hear or question. 44 45 46 REFERENCE COMMITTEE REPORTS 47 Reference committee reports comprise the bulk of the official business of the House of Delegates. 48 REFERENCE COMMITTEE REPORTS SHALL RECOMMEND THE BEST COURSE OF ACTION TO 49 BE TAKEN BY THE HOUSE. They need to be written swiftly and succinctly after completion of the 50

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GUIDE FOR DELEGATES, cont. 1 2 3 hearings in order that they may be processed and made available in written form to the delegates. Reference 4 committees may present RECOMMENDATIONS (to adopt, to not adopt, to table, to refer to the Board of 5 Trustees, to amend, or to consolidate related resolutions). 6 7 When the reference committee offers a RECOMMENDATION, the matter before the House will be the 8 ORIGINAL MATTER, not the recommendation of the reference committee. 9 10 Following are examples of common procedures for reference committee reports. 11 12 1. The reference committee is reporting on informational material provided to the House which 13

encompasses no specific proposal for action. The reference committee expresses appreciation for the 14 report and recommends that the report be filed for information. The Speaker declares the ORIGINAL 15 MATTER before the House for discussion. In the absence of a motion from the floor, and if it appears 16 that there is no debate, the Speaker may declare "It is filed" without the necessity of a formal vote. 17 Such a statement records the action and concludes the item of business. 18

19 2. The reference committee is reporting on a matter which—in its opinion—SHOULD BE 20

ADOPTED, and it so recommends. The Speaker places the ORIGINAL MATTER—NOT the 21 recommendation of the committee—before the House for discussion, making clear that the 22 reference committee has recommended a vote to adopt. 23

24 3. The reference committee is reporting on a matter which—in its opinion—SHOULD NOT BE 25

ADOPTED, and it so recommends. The Speaker places the ORIGINAL MATTER—NOT the 26 recommendation of the committee—before the House for discussion, making clear that the 27 reference committee has recommended a vote to not adopt. 28

29 4. The reference committee is reporting on a matter which it feels should be transmitted for further 30

consideration to the Board of Trustees, or through the Board to an appropriate committee, and it 31 so recommends. The Speaker places the ORIGINAL MATTER before the House for discussion, 32 noting the reference committee's recommendation. The House may wish to follow the reference 33 committee's recommendation and may move accordingly; or the House may take other 34 procedurally appropriate action. 35

36 5. The reference committee is reporting on a matter which it wishes to see AMENDED by addition, 37

deletion, alteration, or substitution, and it RECOMMENDS accordingly. The Speaker places the 38 ORIGINAL MATTER before the House for discussion, noting the reference committee's 39 recommendation. The House may wish to follow the reference committee's recommendation and 40 may move accordingly; or the House may take other procedurally appropriate action. 41

42 6. The reference committee is reporting on two or more related matters, and it wishes to propose a 43

consolidation, or to recommend adoption of one of the items in its own right as a substitute for the 44 rest. The Speaker places the ORIGINAL MATTER before the House for discussion, noting the 45 reference committee's recommendation. The House may wish to follow the reference committee's 46 recommendation and may move accordingly; or the House may take other procedurally 47 appropriate action. 48

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GUIDE FOR DELEGATES, cont. 1 2 3 Clarification for Reference Committee on Reports: 4 According to Robert’s Rules of Order, which is AAMA’s parliamentary authority, the officers and the board 5 of trustees of a society give a written report of the actions taken during their term of office at the annual 6 meeting of the society. This report is considered informing either the general assembly or members of a 7 House of Delegates of what was accomplished during their term of office. Unless there is a recommendation 8 either within the body of the report or at the end of the report there is no action to be taken on the reports of 9 the officers or the report of the Board of Trustees. 10 11 These reports are given to a reference committee for consideration. Robert’s Rules of Order further states 12 that “a society need not endorse the report of its board, and can even decline to allow the report to be printed 13 for future reference, or it can adopt a portion of the report, but whatever it records from the report must show 14 any changes clearly marked.” 15 16 17 NEW BUSINESS 18 New business, other than that which is on the agenda of the Speaker of the House under "New Business," 19 may be introduced at the final meeting of the House only if it meets the following criteria: 20 1. It is presented from the Board of Trustees; 21 2. It is of an emergency nature; or 22 3. It is introduced by unanimous consent of the House of Delegates. 23 24 New business must be in the hands of the Speaker of the House by 8:00 a.m. of the day of the final session. 25 26 27 VOTING 28 29 BALLOTING PROCEDURE IN THE HOUSE 30 Ballots are distributed by the tellers. Do not engage in conversation with the tellers. 31 Delegates holding PROXY cards are required to show the tellers the number of proxy cards authorized. 32 Pencil-marked ballots are acceptable. 33 Make certain any correction on the ballot is legible. Should the ballot be spoiled, return it to a teller 34

who will issue a fresh ballot. After marking the ballot, fold only once. Ballots folded more than 35 once will be rejected. 36

Ballot boxes are passed by the tellers to collect ballots, and it is the responsibility of the delegate to 37 place the ballot into the ballot box. When all voting is completed, the tellers will retire to count the 38 votes. The business of the House will continue until the chair of the tellers indicates the report of the 39 tellers is ready for announcement by the Chair. 40

41 STANDING VOTE OR SHOW OF HANDS VOTE 42 When the Speaker calls for a standing vote (or show-of-hands vote), stand and remain standing (or raise a 43 hand until the tellers have counted), then be seated (or lower the hand). 44 45 BALLOTING PROCEDURE AT THE POLLS 46 The polling place will be opened as designated in the official program. The polling place is presided 47

over by the Tellers and Credentials Committee, assisted by the AAMA Parliamentarian. 48 Campaigning is not permitted in the immediate polling area. 49

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GUIDE FOR DELEGATES, cont. 1 2 3 Delegates with proper credentials will be admitted to the polling place and must register with the 4

Credentials Committee before entering the polls. 5 Proxy cards must be shown to the tellers to obtain a full complement of ballots. 6 Ballots will include names of ALL candidates, including those nominated from the floor. 7 Pencil-marked ballots are acceptable. 8 Mark the ballot by placing an "X" in the adjacent area provided on the right side of your ballot. Do 9

not make notes on an official ballot and make certain that any correction on the ballot is legible. 10 Should a delegate have questions or need to replace a spoiled ballot, consult a teller. Tellers will 11

collect a spoiled ballot and issue a fresh one. 12 Each delegate should place the ballot, FOLDED ONCE, in the ballot box near the polling place 13

exit. Proxy votes must be folded separately and deposited in the ballot box separately. VOTES 14 FOLDED TOGETHER ARE REJECTED. 15

16 17 TELLERS REPORT AND CHAIR'S DECLARATION OF RESULT 18 Upon recognition from the Chair, the Chair of the Tellers shall read the Tellers Report without declaring the 19 results. The report shall include: 20 1. Number of eligible votes; 21 2. Number of legal votes cast; 22 3. Number of rejected votes; 23 4. Number required for election; 24 5. Number received by each candidate. 25 26 The Chair will declare the election of each position. The majority of votes cast is necessary for election of 27 officers and trustees. The Nominating Committee is elected by plurality. 28

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GUIDE FOR DELEGATES, cont. 1 2 3 G E N E R A L R U L E S 4 5 1. ADMISSION TO THE HOUSE OF DELEGATES 6

The AAMA business session may be attended by all individuals wearing a current registration 7 badge, and by AAMA members wearing a special HOD registration badge. 8

9 2. SEATING 10

The voting body shall be seated in the front of the room in assigned seats. To facilitate the work 11 of the House, they will occupy the same seats at all business meetings until final adjournment. 12 The delegates shall be in their seats fifteen minutes before the opening of the business meeting. 13 Alternates may be seated in the gallery. 14

15 3. VOTING BODY 16

Voting delegates must check in with the Credentials Desk, where they will be issued a special 17 ribbon, designating them as delegates or alternates. They shall wear this ribbon during the House 18 of Delegates sessions. 19

20 4. ORDERS 21

Orders of the day for the session will be shown in the official program and, when once adopted 22 by a majority vote, cannot be deviated from except by a two-thirds vote of the House. 23

24 5. MOTIONS 25

Motions may be introduced and voted upon ONLY by members of the voting body. All main 26 motions are to be presented to the Speaker in writing and signed by the maker before the close of 27 the House session at which the motion was made. 28

29 6. DISCUSSION 30

The right to the floor may be granted to nonvoting members by general consent or by a majority 31 of the House of Delegates. The nonvoting member shall address the Chair, give her/his name and 32 state society, and ask permission before proceeding. All remarks will be directed to the Chair. 33

34 7. DEBATE 35

Each delegate shall be limited to two minutes of debate on each question. Additional time may be 36 obtained at the discretion of the Chair or by a two-thirds vote of the House. A delegate has the 37 right to speak twice on the same question on the same day, but cannot make a second speech on 38 the same question as long as any delegate who has not spoken on that question desires the floor. 39 It is out of order to be standing when another delegate has the floor. 40

41 8. POINT OF INFORMATION 42

A delegate who does not understand the question and needs clarification should rise to a 43 "POINT OF INFORMATION." 44

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS 1 2

Report of the Board of Trustees 3 For the Period Ending September 2012 4

5 6 The Board of Trustees (BOT) is entrusted to govern the American Association of Medical Assistant 7 (AAMA) between the meetings of the House of Delegates. The 2010-2012 Board of Trustees consists 8 of six officers and seven trustees. The three education board chairs attend the Board of Trustees and 9 Endowment meetings with voice but no vote. 10 11 The 2011-2012 Board of Trustees has met five times since the 55th Annual AAMA Conference: 12 Indianapolis, Indiana, September 2011, post-HOD meeting 13 Chicago, Illinois, October 2011 Planning Session 14 Chicago, Illinois, February 2012 meeting 15

Chicago, Illinois, June 2012 meeting 16 Scottsdale, Arizona, September 2012, pre-HOD meeting 17

18 Following the 55th House of Delegates, the Board of Trustees approved appointments of committees, 19 strategy teams, task forces, and boards, for 2011-2012. Below are managers, chairs, and liaisons: 20 21 COMMITTEES 22 Awards Debby Houston, CMA (AAMA), CPC 23 Bylaws and Resolutions Joyce Garibay, CMA (AAMA) 24 Documents Patricia Hightower, CMA (AAMA) 25 Editorial Advisory Joyce Garibay, CMA (AAMA) 26 HOD Minutes Christine Hollander, CMA (AAMA) 27 Maxine Williams Scholarship Christine Hollander, CMA (AAMA) 28 Nominating Betty Springer, CMA-C (AAMA) 29 State Societies Charlene Couch, CMA (AAMA) 30 Strategic Issues Planning Lisa Lee, CMA (AAMA) 31 32 STRATEGY TEAMS 33 Leadership Development Debby Houston, CMA (AAMA), CPC 34 Membership Development Julie Flaatten, CMA (AAMA), RN, EMT-B 35 36 TASK FORCES 37 Core Curriculum Karen Minchella, CMA (AAMA), PhD 38 Occupational Analysis Charlene Couch, CMA (AAMA) 39 Professional Awareness and Expansion Christine Hollander, CMA (AAMA) 40 41 In addition, the Board of Trustees approved appointments for the Continuing Education Board and its 42 task forces. (Appointments to the Certifying Board and the Medical Assisting Education Review 43 Board are made by those boards.) 44 45 BOARD CHAIRS 46 Certifying Board Deborah Rossi, CMA (AAMA), MA, BS 47 Continuing Education Board Debra Benson, CMA (AAMA), CPC 48 Medical Assisting Education Review Board Cheryl Startzell, CMA (AAMA), MA 49

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Report of the Board of Trustees, cont. 1 2 3 A partial list of the 2011-2012 Board of Trustees actions follows: 4 5 Approved an update to the History of AAMA document. 6 7 Approved revisions to the following documents: State Management Guide, Chapter Management 8 Guide, State/Chapter Treasurer Guidelines, and State/Chapter Secretary Guidelines. 9 10 Approved the appointments to Annual Conference Committee for the 2013 Conference to be held in 11 Atlanta, Georgia. 12 13 Authorized the Continuing Education Board to approve, in the future, the appointments to the Annual 14 Conference Education Committee. 15 16 Agreed to a one-year corporate membership in PAHCOM and MGMA, to be evaluated at the end of 17 the membership year for effectiveness and return on investment. 18 19 Approved sending Ann Naegele, CMA (AAMA), and Chris Hollander, CMA (AAMA), to staff the 20 AAMA exhibit at the PAHCOM annual meeting in October of 2012 in Florida. 21 22 Approved sending Chris Hollander, CMA (AAMA), and the newly-elected AAMA Vice-President to 23 staff the AAMA exhibit at the MGMA annual meeting in October of 2012 in Texas. 24 25 Approved proposed AAMA Bylaws amendments from the Bylaws and Resolutions Committee to be 26 presented to the 2012 AAMA House of Delegates. 27 28 Reviewed proposed AAMA Bylaws amendments and resolutions submitted by state societies, for 29 submission to the 2012 AAMA House of Delegates. 30 31 Approved the General Fund Budget for Fiscal Year 2012-2013. 32 33 Approved the elimination of the Monday breakfast at the Annual Conference due to costs. 34 35 Approved the appointment of an ad hoc committee to review the structure of the Annual Conference 36 to achieve savings. 37 38 Authorized Membership Director Knight to implement additional insurance options as part of 39 membership benefits. 40 41 Approved the development and promotion of a packet to utilize the Immunization Training Guide & 42 Practice Procedure Manual of the American Academy of Pediatrics as a basis for a voluntary 43 immunization training awareness for medical assisting students in accredited programs. 44 45 Authorized the Continuing Education Board to charge CAAHEP accredited medical assisting 46 programs the non-AAMA approval fee for submitting programs for AAMA CEU credit. 47

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Report of the Board of Trustees, cont. 1 2 3 Approved changes in the judging criteria and process for the Excel Awards. 4 5 Approved addition of social media as a component to the Excellence in Marketing, Promotion, and 6 Recruitment Excel Award. 7 8 Approved the addition of e-newsletters in the Excellence in Publishing Award. 9 10 Approved the creation of an “Excellence in Community Service” award. 11 12 Approved changing the Spirit Award to the AAMA Medical Assistant of the Year Award. 13 14 Approved a new AAMA Vision Statement, for submission to the 2012 House of Delegates. 15 16 Reviewed and referred back to committee a Board of Trustees orientation presented by the Leadership 17 Development Strategy Team. 18 19 Approved a membership presentation from the Membership Development Strategy Team, for use as a 20 tool on the chapter and state society level. 21 22 23 Ann Naegele, CMA (AAMA) 24 AAMA President 2011-2012 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of the President 3 For the Period Ending September 2012 4

5 6 The AAMA President serves as chair of the Board of Trustees, the Budget and Finance Committee, 7 the AAMA Endowment and as ex officio of all boards, committees, strategy teams, and task forces, 8 with the exception of the Nominating Committee. The President also represents AAMA at all official 9 functions as needed during the term of office. 10 11 The President attended the following meetings: 12 Post-HOD Board of Trustees/Endowment, September 2011, Indianapolis, Indiana 13 Board of Trustees Planning Session, October 2011, Chicago, Illinois 14 Continuing Education Board via Live Meetings, January, 2012 15 Medical Assisting Education Review Board Meeting, January 2012, Chicago, Illinois 16 Board of Trustees/Endowment, February 2012, Chicago, Illinois 17 Certifying Board Meeting, February 2012, Chicago, Illinois 18 Continuing Education Board Meeting, March 2012, Chicago, Illinois 19 Board of Trustees/Endowment, June 2012, Chicago, Illinois 20 Pre-HOD Board of Trustees/Endowment, September 2012, Scottsdale, Arizona 21 22 COMMUNICATIONS 23 The President has been in touch with Management Steering Committee (MSC) members and Board 24 of Trustees members via e-mail and phone conference to exchange information and discuss concerns 25 this past year. 26 27 REPRESENTATIVES BUREAU ASSIGNMENTS 28 Minnesota Annual Meeting, April 2012 29 Alaska Annual Meeting, April 2012 30 31 The President appreciated the opportunity to interact with the leadership and members of these state 32 societies. This officer provided installation for new officers of Minnesota and Alaska at the annual 33 conferences. 34 35 PRESIDENT’S MESSAGE 36 The President provided Director of Communications and Marketing Jean Lynch with messages for all 37 issues of CMA Today beginning in October 2011. 38 39 The President would like to thank Executive Director Donald Balasa, MBA, JD, for his wisdom, 40 dedication and guidance to the members and leaders of this association. 41 42 Additional thanks are due to Director of Board Services Kathy Langley, who continues to wear many 43 hats at all times. She is the liaison not only to the President but to many of the BOT committees and 44 strategy teams. Her timely reminders have helped make this officer’s job much easier during my term. 45 46 The President also thanks the AAMA staff members and department directors for their continued 47 dedication and work on behalf of the Board of Trustees and the association members. 48

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Report of the President, cont. 1 2 3 The President thanks the members who serve on the task forces, committees, strategy teams and the 4 education boards (CB, CEB, MAERB) for their contributions and commitment to our members and 5 our profession. Without these dedicated volunteers many of the projects that are accomplished on a 6 yearly basis would not be possible. 7 8 The President would like to extend appreciation to the Past AAMA Presidents who gave guidance 9 and advice whenever called upon. They continue to be the heartbeat of the AAMA. 10 11 This President would like to commend the 2011-2012 Board of Trustees, who have willingly given 12 their time and talents during the last year. Their commitment was exhibited by their preparations prior 13 to the board meetings. They were open to new ideas, controversial issues and discussions, and worked 14 together as a team with global thinking. 15 16 Serving as the 2011-2012 AAMA President has been a privilege. Thank you for the trust that was 17 given throughout this entire year. This officer has experienced what it truly means to be part of a 18 family that’s willing to go above and beyond the call of duty. Thank you for allowing me to serve as 19 your 55th President of the American Association of Medical Assistants. 20 21 Ann Naegele, CMA (AAMA) 22 2011-2012 President 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 Assigned to the Reference Committee on Reports 47

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Report of the Vice President 3 For the Period Ending September 2012 4

5 6 The duties of the Vice President are as follows: 7

Serve as an officer the Board of Trustees and Endowment 8 Serve as a member of the Management Steering Committee 9 Serve as chair of the Maxine Williams Scholarship Committee 10 Arrange Representatives Bureau assignments for annual state conferences 11

12 This officer also was appointed to the following: 13

Chair of the Professional Awareness and Expansion Task Force 14 Member of the Core Curriculum Task Force 15

16 As a matter of AAMA Bylaws, this officer also served as chair of the 2011-2012 HOD Minutes 17 Committee. 18 19 This officer attended the following meetings: 20

Board of Trustees/Endowment, post-HOD, September 26, 2011 – Indianapolis, Indiana 21 Board of Trustees Planning Session, October 28-29, 2011 – Chicago, Illinois 22 Budget and Finance Committee, February 3, 2012 – Chicago, Illinois 23 Board of Trustees/Endowment, February 4-5, 2012 – Chicago, Illinois 24 Occupational Analysis and Core Curriculum Task Forces, June 7, 2012 – Chicago, Illinois 25 Budget and Finance Committee, June 7, 2012 – Chicago, Illinois 26 Board of Trustees/Endowment, June 8-9, 2012 – Chicago, Illinois 27

28 All AAMA Representatives Bureau assignments to state society annual meetings have been fulfilled. This 29 officer served as AAMA Representative to New Hampshire and Texas and will attend Maine’s meeting 30 later this year. 31 32 All correspondence and conference calls have been responded to in a timely manner and all deadlines 33 have been met. 34 35 This officer would like to send a special thank you to Kathy Langley for her tireless dedication to this 36 Board and organization. Also, the officer would like to thank Donald Balasa for his leadership and 37 positive direction to the future. This officer also recognizes the diligence of the Officers and Trustees 38 and the level of life-changing dedication it takes to move this organization forward. 39 40 41 Chris Hollander, CMA (AAMA) 42 Vice President 2011-2012 43 44 45 46 Assigned to the Reference Committee on Reports 47

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Report of the Representatives Bureau 3 For the Period Ending September 2012 4

5 6 Representatives Bureau assignments are made by the Vice President in collaboration with the 7 President and Executive Director. Assignments are based on the availability of the representatives and 8 consideration of the request made by the states. 9 10 Grant monies are available to assist states which are not in a financial position to host a representative 11 to attend their annual conference. 12 13 Availability dates were received from the Board of Trustees within the required time frame. All 14 possible effort was made to comply with the states regarding their first choice requests. A 15 Representative could not be assigned to the Florida annual meeting due to date conflicts. The Florida 16 state society president was contacted and a solution was discussed. 17 18 This officer compliments those state presidents and conference chairs who assisted with contact and 19 additional information that was needed to be provided to representatives. 20 21 Assignments were made as follows (Maine assignment from October 2010): 22 23 AK Ann Naegele, CMA (AAMA) NE Julie Flatten, CMA (AAMA), RN, EMT-B 24 AL Paula Purdy, CMA (AAMA) NH Chris Hollander, CMA (AAMA) 25 CT Nina Watson, CMA (AAMA), CPC NM Betty Springer, CMA-C (AAMA) 26 FL None due to schedule conflict NY Pat Hightower, CMA (AAMA) 27 IL K. Minchella, CMA (AAMA), PhD NC Freda Miller, CMA (AAMA), CPC, PCS 28 IN Betty Springer, CMA-C (AAMA) OH Pat Hightower, CMA (AAMA) 29 IA Paula Purdy, CMA (AAMA) OR Lisa Lee, CMA (AAMA) 30 KY Lisa Lee, CMA (AAMA) SC Debby Houston, CMA (AAMA), CPC 31 ME Chris Hollander, CMA (AAMA) TN Nina Watson, CMA (AAMA), CPC 32 MI Betty Springer, CMA-C (AAMA) TX Chris Hollander, CMA (AAMA) 33 MN Ann Naegele, CMA (AAMA) VA Charlene Couch, CMA (AAMA) 34 MO Debby Houston, CMA (AAMA), CPC WA K. Minchella, CMA (AAMA), PhD 35 MT Freda Miller, CMA (AAMA), CPC, PCS WI Joyce Garibay, CMA (AAMA) 36 37 All representative reports were provided for the Management Steering Committee to review. Issues of 38 concern were addressed to appropriate staff and BOT members. Reports were then forwarded to each 39 state president. 40 41 42 Chris Hollander, CMA (AAMA) 43 Vice President 2011-2012 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of the Immediate Past President 3 For the Period Ending September 2012 4

5 6

This officer was appointed to chair the Nominating Committee in accordance with duties assigned to 7 the Immediate Past President. A slate of candidates was presented with all policies and procedures in 8 good order. The Nominating Committee as elected was actively engaged in the recruitment and 9 review process, showing exceptional dedication to the responsibility of presenting qualified 10 candidates for the leadership roles available on the Board of Trustees. 11 12 This officer attended the February 2012 and June 2012 Board of Trustees/Endowment meetings and 13 was honored to complete AAMA Representatives Bureau assignments in New Mexico, Indiana, and 14 Michigan. 15 16 This officer was permitted to engage in discussions with Directors Knight and Lynch as well as 17 Continuing Education Board Chair Benson regarding the collaboration for an immunization module as 18 completed by the American Academy of Pediatrics. This project was initiated in 2009 when the 19 AAMA supported the AAP in obtaining a grant to accomplish same. Initially, this officer proposed to 20 the Board of Trustees a continuation of the initial project to include an opportunity for the state 21 societies to engage pediatricians as part of the training. The CEB already was proceeding with a plan 22 for CEU products that included multiple link sites, therefore it was determined by this officer that there 23 could be confusion and utilization of more CE Department resource time than would surpass the return. 24 This officer determined an educator and student component to add value to the immunization portion 25 of training already present in the curriculum would be of benefit and assist introduction of 26 immunization to the student population. Cheryl Vineyard, CMA (AAMA), the AAMA representative 27 on the AAP immunization development panel and author of two sections, gave advice and expertise for 28 the educator offering. This student immunization module package will be offered as an option and will 29 be a choice to incorporate into their curriculum. It is felt that programs will be able to inform external 30 organizations such as the medical societies, public health departments, and the Medical Reserve Corps 31 that students were trained in immunization as set forth by the American Academy of Pediatrics, and 32 that this presents an opportunity for recognition, value, and service for new CMAs (AAMA). 33 34 This officer attended to all e-mails and requests for comment, vote, and information exchanges, and 35 assisted upon request. 36 37 This officer wishes to thank Directors Knight and Lynch for service to the mission and Board of 38 Trustees. This officer is grateful to Kathy Langley, Director of Board Services, for efficient, helpful, 39 and courteous assistance during this officer’s Board term. This officer extends sincere appreciation 40 for the patience, guidance, knowledge and consistent leadership of Executive Director Balasa. 41 42 43 Betty Springer, CMA-C (AAMA) 44 Immediate Past President 2011-2012 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of the Secretary-Treasurer 3 For the Period Ending September 2012 4

5 6 The Secretary-Treasurer is charged with the following: 7

Serving as an officer of the Board of Trustees and Endowment 8 Serving as a member of the Management Steering Committee 9 Serving as member of the Budget and Finance Committee 10 Serving as a member of the AAMA Representatives Bureau 11

12 Additionally, this officer was appointed to serve on the following: 13

State Societies Committee – Chair 14 Occupational Analysis Task Force – Chair 15 Bylaws and Resolutions Committee – Member 16

17 MEETINGS ATTENDED 18

Board of Trustees/Endowment, February 2012, Chicago, Illinois 19 Board of Trustees/Endowment, June 2012, Chicago, Illinois 20 Joint meeting of Occupational Analysis and Core Curriculum Task Forces, June 2012, Chicago, 21 Illinois 22

23 REPRESENTATIVES BUREAU ASSIGNMENTS 24

Virginia, March 23-25, 2012 25 26 COMMITTEE/STRATEGY TEAM ASSIGNMENTS 27

The Bylaws and Resolutions Committee has met and corresponded via e-mail regarding AAMA 28 Bylaws and state society bylaws changes and issues. 29 30 The State Societies Committee has met and corresponded via e-mail. 31 32 The Occupational Analysis Task Force has corresponded via e-mail with committee members and 33 Executive Director Donald Balasa. A joint meeting of the Occupational Analysis Task Force and 34 the Core Curriculum Task Force was held on June 7, 2012, with Dr. Robert Shaw of Applied 35 Measurement Professionals, Inc. facilitating. 36

37 This Secretary-Treasurer attended and recorded the minutes of the BOT meeting held February 2012 38 and June 2012. The minutes were distributed to all BOT members. 39 40 All correspondence has been responded to in a timely manner and all deadlines have been met. 41 42 43 Charlene B. Couch, CMA (AAMA) 44 Secretary-Treasurer 2011-2013 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of the Speaker of the House 3 For the Period Ending September 2012 4

5 6

The duties of the Speaker of the House are as follows: 7 Serve as member of the Board of Trustees and the Endowment 8 Preside at the House of Delegates for the Annual Conference 9 Serve as a member of the AAMA Representatives Bureau 10

11 Additionally, this officer was appointed to the following: 12

Awards Committee – Member 13 Documents Committee – Member 14 Strategic Issues Planning – Member 15

16 As a matter of AAMA Bylaws, this officer will serve as chair of the HOD Minutes committee for the 17 2012 House of Delegates. 18 19 This officer attended the Connecticut and Tennessee State Society annual meetings as the AAMA 20 Representative. 21 22 The Speaker of the House has attended four meetings to date. These meetings include the post-HOD 23 Board of Trustees/Endowment, September 26, 2011, in Indianapolis, Indiana; the Board of Trustees 24 Planning Session, October 28-30, 2011, in Chicago Illinois; the Board of Trustees/Endowment on 25 February 3-5, 2012, in Chicago Illinois; and the Board of Trustees/Endowment, June 7-10, 2012, in 26 Chicago, Illinois. 27 28 This officer already is preparing the 2012 HOD scripts for the House of Delegates. This officer 29 worked closely with the Vice Speaker in preparation for the House of Delegates to be held September 30 9, 2012, in Arizona. Reference committees have been selected and notified. 31 32 All correspondence has been responded to in a timely manner and all deadlines have been met. This 33 officer has participated in all discussions initiated through e-mail. 34 35 This officer would like to thank Director of Board Services Kathy Langley for her many hours of 36 dedication and diligent work to make the House of Delegates a productive and efficient meeting. 37 38 39 Nina Watson, CMA (AAMA) 40 Speaker of the House 2011-2012 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of the Vice Speaker of the House 3 For the Period Ending September 2012 4

5 6 The duties of the Vice Speaker of the House are as follows: 7

Serve as a member of the Board of Trustees and Endowment 8 Serve as a member of the AAMA Representative Bureau 9 Assist the Speaker of the House in preparation for the Annual House of Delegates 10

11 MEETINGS ATTENDED 12

September 2011 Annual Conference – Indianapolis, Indiana 13 October 2011 Planning Session – Chicago, Illinois 14 February 2012 Board of Trustees/Endowment – Chicago, Illinois 15 June 2012 Board of Trustees/Endowment – Chicago, Illinois 16

17 REPRESENTATIVES BUREAU ASSIGNMENTS 18

April 2012 Representative Assignment – Alabama Society of Medical Assistants 19 May 2012 Representative Assignment – Iowa Society of Medical Assistants 20

21 COMMITTEE/STRATEGY TEAM ASSIGNMENTS: 22

Endowment – Member 23 State Societies Committee – Member 24 Strategic Issues Planning – Member 25 HOD Minutes Committee – Member 26

27 SPECIAL PROJECTS 28

President Naegele asked this officer to research and present information regarding membership 29 and exhibiting with MGMA and PAHCOM. This task was completed and a report presented to 30 the Board of Trustees. 31

32 The Vice Speaker has been working with the Speaker of the House to ensure that the AAMA House 33 of Delegates runs smoothly at the AAMA Annual Conference in Arizona. All assignments, requests, 34 correspondence, and e-mails have been responded to in a timely manner. 35 36 The Vice Speaker would like to thank President Naegele for her support and encouragement, the 37 AAMA staff for their guidance and valuable input, and Executive Director Donald Balasa, JD, MBA, 38 for the endless hours of work that he devotes supporting the membership and the credential. 39 40 41 Paula C. Purdy, CMA (AAMA) 42 Vice Speaker of the House 2011-2012 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Trustee Report 3 For the Period Ending September 2012 4

5 6 The duties of a Trustee are as follows: 7

Serve as member of the Board of Trustees and Endowment 8 Serve as a member of the AAMA Representatives Bureau 9

10 Additionally, this Trustee was appointed to serve on the following: 11

Membership Development – Chair 12 Awards Committee – Member 13 Documents Committee – Member 14

15 MEETINGS ATTENDED 16

September 2011, post-HOD Board of Trustees/Endowment – Indianapolis, Indiana 17 October 2011 Board of Trustees Planning Session – Chicago, Illinois 18 February 2012 Board of Trustees/Endowment – Chicago, Illinois 19 June 2012 Board of Trustees/Endowment – Chicago, Illinois 20

21 REPRESENTATIVES BUREAU ASSIGNMENTS 22

April 2012 Nebraska State Conference 23 24 This Trustee appreciates the privilege and opportunity to represent the AAMA at these meetings. 25 26 COMMITTEE/STRATEGY TEAM ASSIGNMENTS 27

Membership Development Strategy Team - Members of this committee have collaborated and 28 finalized the PowerPoint presentation, “Membership Matters: The AAMA—Your Partner in 29 Professionalism,” which is intended to promote membership in the AAMA. Please refer to 30 Membership Development Strategy Team report. 31 32 Awards Committee – This trustee has participated in all discussions and responded to all 33 assignments given. 34

35 Documents Committee – This trustee has participated in all discussions and responded to all 36 assignments given. 37

38 This trustee has participated in all discussions and decision making and has responded to all 39 correspondence in a timely manner and all deadlines have been met. This trustee is appreciative of the 40 opportunity to serve and represent the AAMA membership. 41 42 43 Julie Flaatten, RN, EMT-B, CMA (AAMA) 44 Trustee 2011-2013 45 46 47 Assigned to the Reference Committee on Reports 48

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Trustee Report 3 For the Period Ending September 2012 4

5 6 The duties of a Trustee are as follows: 7

Serves as member of the Board of Trustees and Endowment 8 Serves as a member of the AAMA Representatives Bureau 9

10 Additionally, this Trustee was appointed to serve on the following: 11

Bylaws and Resolutions Committee – Chair 12 Editorial Advisory Committee – Chair 13 Core Curriculum Task Force – Member 14

15 MEETINGS ATTENDED 16

September 2011 Post-HOD Board of Trustees/Endowment – Indianapolis, Indiana 17 October 2011 Board of Trustees Planning Session – Chicago, Illinois 18 February 2012 Board of Trustees/Endowment – Chicago, Illinois 19 June 2012 Board of Trustees/Endowment – Chicago, Illinois 20

21 REPRESENTATIVES BUREAU ASSIGNMENTS 22

Wisconsin Society of Medical Assistants Conference, April 26-28, 2012 23 24 This Trustee appreciates the opportunity to represent the AAMA Board of Trustees at the Wisconsin 25 meeting. A Representatives Bureau report was submitted and members’ concerns were addressed or 26 forwarded to the appropriate departments within the AAMA. 27 28 COMMITTEE/STRATEGY TEAM ASSIGNMENTS 29 This Trustee chaired the Bylaws and Resolutions Committee, the Editorial Advisory Committee, and 30 participated in the correspondence and the joint meeting of the Core Curriculum and Occupational 31 Analysis Task Forces. 32 33 This Trustee has participated in all discussions and decision making. Correspondence, e-mails, and 34 requests have been responded to in a timely manner and goals have been met. 35 36 It is an honor to serve the AAMA membership in the capacity of Trustee. 37 38 39 Joyce Garibay, CMA (AAMA) 40 Trustee, 2010-2012 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Trustee Report 3 For the Period Ending September 2012 4

5 6 The duties of a Trustee are as follows: 7

Serve as member of the Board of Trustees and Endowment 8 Serve as a member of the AAMA Representatives Bureau 9

10 Additionally, this Trustee was appointed to serve on the following: 11

Documents Committee – Chair 12 Editorial Advisory Committee – Member 13

14 MEETINGS ATTENDED 15

Pre- and post-HOD Board of Trustees/Endowment, September 22-27, 2011 – Indianapolis, Indiana 16 HOD, September 25, 2011 – Indianapolis, Indiana 17 Board of Trustees Planning Session, October 28-29, 2011 – Chicago, IL 18 Board of Trustees/Endowment, February 3-4, 2012 – Chicago, IL 19 Board of Trustees/Endowment, June 8-9, 2012 – Chicago, IL 20

21 REPRESENTATIVES BUREAU ASSIGNMENTS 22

New York State Society, April 12-15, 2012 – Syracuse, New York 23 Ohio State Society, April 19-22, 2012 – Lima, Ohio 24 25 This Trustee had a very enjoyable experience in both these states, with great interaction with many 26 members. This Trustee appreciates the opportunity to represent the AAMA with these hard- 27 working members. 28

29 All correspondence has been responded to in a timely manner and all deadlines have been met (with 30 the exception of the below-mentioned computer delays). 31 32 COMMITTEE/STRATEGY TEAM ASSIGNMENTS 33

Documents Committee: Chair – see report of Documents Committee 34 35 Editorial Advisory Committee – all required article topic submission assignments submitted, with 36 some delay in March assignment due to computer issues. All requested CMA Today article reviews 37 completed. 38

39 40 Pat Hightower, CMA (AAMA) 41 Trustee 2010-2012 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Trustee Report 3 For the Period Ending September 2012 4

5 6 The duties of a Trustee are as follows: 7 Serve as a member of the Board of Trustees (BOT) 8 Serve as a member of the AAMA Representatives Bureau 9 10 Additionally, this Trustee was appointed to serve on the following: 11

Awards Committee – Chair 12 Leadership Development Strategy Team – Manager 13

14 MEETINGS ATTENDED 15 September 2011, post-HOD Board of Trustees/Endowment – Indianapolis, Indiana 16

October 2011, Board of Trustees Planning Session – Chicago, Illinois 17 February 2012, Board of Trustees /Endowment – Chicago, Illinois 18 June 2012, Board of Trustees /Endowment – Chicago, Illinois 19

20 REPRESENTATIVES BUREAU ASSIGNMENTS 21 Charleston, South Carolina – March 9-11, 2012 22 Joplin, Missouri – April 20-22, 2012 23 24 COMMITTEE/STRATEGY TEAM ASSIGNMENTS 25 Awards Committee, Chair (See separate report) 26 Leadership Development Strategy Teams, Manager (See separate report) 27 AAMA Representatives Bureau Assignment reports completed 28 29 This trustee has participated in all discussions and decision making and has responded to all 30 correspondence in a timely manner and all deadlines have been met. 31 32 Thank you for allowing this Trustee to serve and represent the AAMA membership. 33 34 35 Debby B. Houston, CMA (AAMA), CPC 36 Trustee 2010-2012 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Trustee Report 3 For the Period Ending September 2012 4

5 6 The duties of a Trustee are as follows: 7 Serve as a member of the Board of Trustees and Endowment 8 Serve as a member of the AAMA Representatives Bureau 9 10 This Trustee was appointed to the following committees: 11 Strategic Issues Planning Committee – Chair 12 Bylaws and Resolutions Committee – Member 13 Maxine Williams Scholarship Committee – Member 14 15 MEETINGS ATTENDED 16

September 2011, post-HOD Board of Trustees/Endowment – Indianapolis, Indiana 17 October 2011, Chicago, Illinois: Board of Trustees Planning Session 18 February 2012, Chicago, Illinois: Board of Trustees/Endowment 19 June 2012, Chicago, Illinois: Board of Trustees/Endowment 20

21 REPRESENTATIVES BUREAU ASSIGNMENTS 22

April 19-22, 2012 – Oregon Society of Medical Assistants 23 April 27-29, 2012 – Kentucky Society of Medical Assistants 24

25 This Trustee appreciates the privilege and opportunity to represent the AAMA at these meetings. 26 27 COMMITTEE TEAM ASSIGNMENTS 28

Strategic Issues Planning Committee – Members of this committee have collaborated and finalized the 29 2012-2014 Strategic Issues Plan, which is intended to continue promotion of the AAMA and the CMA 30 (AAMA) credential and is currently in use. 31 32 Bylaws and Resolutions Committee – This Trustee has participated in all discussions and responded to 33 all assignments given. 34 35 Maxine Williams Scholarship Committee – This Trustee participated in all aspects of the selection 36 process for the recipients of the award in a timely and complete manner. 37

38 This Trustee has participated in all discussions and decision making, has responded to all correspondence in 39 a timely manner and all deadlines have been met. This Trustee is appreciative of the opportunity to serve and 40 represent the AAMA membership. 41 42 43 Lisa D. Lee, CMA (AAMA) 44 Trustee, 2011-2013 45 46 47 Assigned to the Reference Committee on Reports 48

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS 1 2

Trustee Report 3 For the Period Ending September 2012 4

5 6 The duties of a Trustee are as follows: 7

Serve as a member of the Board of Trustees and Endowment 8 Serve as a member of the AAMA Representatives Bureau 9

10 Additionally, this Trustee was appointed to serve on the following: 11 Editorial Advisory Committee – Member 12 Maxine Williams Scholarship Committee – Member 13 State Liaison Committee – Member 14 15 MEETINGS ATTENDED 16

September 26, 2011 – post-HOD Board of Trustees and Endowment – Indianapolis, Indiana 17 October 27-29, 2011 – Board of Trustees and Endowment Planning Session – Chicago, Illinois 18 February 3-4, 2012 – Board of Trustees and Endowment – Chicago, Illinois 19 June 8-9, 2012 – Board of Trustees and Endowment – Chicago, Illinois 20 21 REPRESENTATIVES BUREAU ASSIGNMENTS 22 March 22-25, 2012 – North Carolina Society of Medical Assistants 23

A report was sent to the members of the Board of Trustees and the Management Steering 24 Committee. All concerns were addressed or forwarded to the appropriate departments within the 25 AAMA. 26

27 April 20-22, 2012 – Montana Society of Medical Assistants 28 A report was sent to the members of the Board of Trustees and the Management Steering 29 Committee. All concerns were addressed or forwarded to the appropriate departments within the 30 AAMA. 31

32 This Trustee was honored to witness the hard work and dedication of these members and was 33 privileged to represent AAMA at these meetings. 34

35 COMMITTEE/STRATEGY TEAM ASSIGNMENTS 36 All assignments were completed as directed. Please refer to corresponding committee reports. 37 38 This Trustee fully participated in discussions and decision making. Correspondence, e-mails, and 39 requests have been responded to in a timely manner and all goals have been met. This Trustee 40 appreciates the opportunity to serve the membership of AAMA. 41 42 Freda L. Miller, CMA (AAMA), CPC, PCS 43 Trustee, 2011-2013 44 45 46 47 Assigned to the Reference Committee on Reports 48

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS 1 2

Trustee Report 3 For the Period Ending September 2012 4

5 6 The duties of a Trustee are as follows: 7

Serves as member of the Board of Trustees and Endowment 8 Serves as a member of the AAMA Representatives Bureau 9

10 Additionally, the Trustee was appointed to the following: 11

Core Curriculum Task Force – Co-Chair 12 Leadership Development Strategy Team – Member 13 Occupational Analysis Task Force – Member 14

15 MEETINGS ATTENDED 16

September 2011, Indianapolis, Indiana, post-HOD Board of Trustees/Endowment 17 October 2011, Chicago, Illinois, Board of Trustees Planning Session 18 February 2012, Chicago, Illinois, Board of Trustees /Endowment 19 June 2012, Chicago, Illinois, Board of Trustees /Endowment 20

21 REPRESENTATIVES BUREAU ASSIGNMENTS 22

March 23-25, 2012 Washington Society of Medical Assistants 23 April 19-22, 2012 Illinois Society of Medical Assistants 24 25

All concerns were addressed or forwarded to the appropriate departments within the AAMA. 26 27 COMMITTEE/STRATEGY TEAM ASSIGNMENTS 28 All assigned committee and team assignments were completed as directed. 29 30 Participated in discussions, tasks, research, and decision making opportunities. All correspondence 31 has been responded to in a timely manner. 32 33 This Trustee fully participated in discussions, correspondence and decision making during the 2011-34 2012 year, and is appreciative of the opportunity to serve and represent the AAMA membership. 35 36 37 K. Minchella, PhD, CMA (AAMA) 38 Trustee 2011-2012 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS 1 2

Report of the Executive Director and House Legal Counsel 3 For the Period Ending September 2012 4

5 6

The following is a summary of the Executive Director’s activities and accomplishments, and an 7 update on pertinent developments, since the September 2011 meeting of the American Association of 8 Medical Assistants House of Delegates in Indianapolis, Indiana. 9 10 The Executive Director’s focus has been on facilitating the American Association of Medical 11 Assistants’ (AAMA) accomplishment of its Mission by: (1) assisting President Naegele and all other 12 volunteer leaders to achieve their goals; (2) scanning the external environment to discern 13 opportunities and threats; and (3) overseeing the deployment of AAMA resources (e.g., staff and 14 capital assets) in an effective and efficient manner. 15 16 17 FEDERAL/NATIONAL MATTERS 18 19 CMS Regulations about Entering Medication Orders into Electronic Health Records (EHR) 20 The Executive Director has received an increasing number of questions about the regulations of the 21 Centers for Medicare & Medicaid Services (CMS) in regard to the Electronic Health Record 22 Incentive Program and whether the regulations prohibit medical assistants from entering medication 23 orders by computerized physician/provider order entry (CPOE). On December 23, 2011, Mr. Balasa 24 submitted a letter to CMS requesting that wording be changed in its next set of regulations. 25 26 CMS published a Notice of Proposed Rulemaking (NPRM) March 7, 2012, with a May 7, 2012, 27 deadline to submit comments. The following is an excerpt from the comment submitted by AAMA. 28

One of the primary public policy objectives of the American Association of Medical 29 Assistants is to promote patient safety and well-being by protecting the public from 30 substandard allied health services. Therefore, the AAMA agrees with the position of the 31 Centers for Medicare & Medicaid Services (CMS) that it would be unwise and potentially 32 harmful to patients to allow any individual—regardless of education, credentialing, or 33 experience—to enter orders into the Computerized Physician/Provider Order Entry (CPOE) 34 system. However, there are a number of allied health professionals who are not licensed, but 35 who are formally educated in their discipline, have a current accredited certification awarded 36 by a national credentialing body, and have the competence and knowledge to be able to enter 37 orders into the CPOE system as directed by an overseeing healthcare provider, such as a 38 physician, nurse practitioner, or physician assistant. A good example of such allied health 39 professionals are medical assistants who have graduated from a programmatically-accredited 40 postsecondary medical assisting program, and who hold a current medical assisting credential 41 that is accredited by the National Commission for Certifying Agencies (NCCA) and/or the 42 American National Standards Institute (ANSI). 43 Given the reality that a significant number of allied health professionals are not licensed by 44 state law, but are capable of entering orders into the CPOE as directed by the overseeing 45 healthcare provider without endangering the health and safety of patients, the AAMA 46 respectfully requests that CMS alter the wording in its existing and proposed regulations to 47 read as follows: 48

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Report of the Executive Director, cont. 1 2 3

Use computerized physician order entry (CPOE) for medication orders directly entered 4 by any licensed or appropriately credentialed healthcare professional who can enter 5 orders into the medical record per state, local, and professional guidelines. 6

Allowing appropriately credentialed, as well as licensed, healthcare professionals to enter 7 orders into the CPOE system as directed by a healthcare provider would not increase the risk 8 of inaccurate information being entered into the electronic healthcare record, but would allow 9 for enhanced patient care resulting from increased attention to patient needs and greater 10 communication among the healthcare team. It would also lessen disruption of the current 11 division of labor within the healthcare system. Retaining the qualifying clause “who can enter 12 orders into the medical record per state, local, and professional guidelines” provides another 13 safeguard against unqualified personnel entering faulty data into the CPOE system. 14 15

The Executive Director shared his comments with Diane VanderPloeg, CMA (AAMA), MS, of Des 16 Moines Area Community College, which also submitted comments to CMS. He also provided the 17 AAMA’s comments to a health system in Iowa that also responded to the NPRM. 18 19 Mr. Balasa is confident that the above AAMA comment on the NPRM and similar comments from 20 other interested parties will result in CMS changing the current language and reinstating the rights of 21 CMAs (AAMA) to enter medication orders into the EHR. Comments on this Notice of Proposed 22 Rulemaking will be posted on a CMS website set aside for this purpose, and he will monitor the 23 comments and keep the Board of Trustees informed. 24 25 Participation in CMS Call 26 The Executive Director participated in a March 12, 2012, 90-minute CMS national provider call on 27 the proposed rule discussed immediately above. 28

29 Alliance for Quality Medical Imaging and Radiation Therapy (Alliance) 30 The Alliance for Quality Medical Imaging and Radiation Therapy (Alliance) continues to advocate 31 for the enactment of the Consistency, Accuracy, Responsibility, and Excellence (CARE) bill in the 32 United States Congress. The AAMA is a charter member of the Alliance. The CARE bill would 33 establish mandatory federal standards that would, in part, require allied health personnel who practice 34 limited scope radiography to meet educational and credentialing standards. The CARE bill is of 35 interest to the AAMA and the medical assisting profession because, in some states, medical assistants 36 are permitted to perform limited scope radiography duties under direct physician supervision. 37 Enactment of the CARE bill, therefore, would ensure that medical assistants (in states that permit 38 limited scope practice for medical assistants) have adequate education and training in limited scope 39 radiography, and have demonstrated their knowledge and competency by passing an examination on 40 limited scope radiography theory and technique. 41 42 Executive Director Balasa represented the AAMA at a meeting of the Alliance in Chicago on 43 November 30, 2011. There is new hope that the CARE bill will be signed into law before the end of 44 the current session of Congress. Mr. Balasa continues to make sure that the rights of medical 45 assistants who are delegated limited scope x-rays are protected in the body of the CARE legislation. 46

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Report of the Executive Director, cont. 1 2 3 Occupational Outlook Handbook of the Bureau of Labor Statistics 4 The Executive Director was asked by a staff member of the United States Bureau of Labor Statistics 5 to review the draft of the two-page description of the medical assisting profession that will be 6 included in the 2012 edition of the Occupational Outlook Handbook. 7 8 Autism Screening Toolkit 9 The Georgetown University Center for Child and Human Development approached Mr. Balasa and 10 asked for a letter from the AAMA supporting its grant proposal to the Autism Speaks organization. 11 Georgetown is proposing to create a toolkit that would help medical assistants screen toddlers—12 especially children of Hispanic nationality—for autism. The letter of support was approved and sent. 13 14 15 FINANCIAL MANAGEMENT 16 The AAMA continues to do well financially. Based on revenue and expense figures available as of 17 the date of the writing of this report (June 15, 2012), it appears that the two AAMA funds (General 18 Fund and Certification Fund) will finish fiscal year 2012 (July 1, 2011 through June 30, 2012) with 19 an excess of revenue over expense. It is encouraging that the number of AAMA members to date did 20 not decrease from comparable 2011 numbers to date as a result of the dues increase implemented for 21 this membership year. 22 23 24 BOARD OF TRUSTEES PLANNING SESSION (October 2011) 25 Under the excellent leadership and guidance of President Ann E. Naegele, CMA (AAMA), the 26 Executive Director prepared documents and presentations to assist the Board of Trustees in its 27 important two-fold responsibility of “visioning” the long-term trajectory of the American Association 28 of Medical Assistants and addressing immediate strategic opportunities and threats. 29 30 31 OCCUPATIONAL ANALYSIS TASK FORCE AND CORE CURRICULUM TASK FORCE 32 The Board of Trustees established an Occupational Analysis Task Force (OATF) and a Core 33 Curriculum Task Force (CCTF). The charge of the OATF is to determine by survey research what 34 duties CMAs (AAMA) are actually doing in the workforce at the present time. The end result will be 35 the issuance of the 2012-2013 Occupational Analysis of the CMA (AAMA). The charge of the CCTF 36 is to survey medical assisting practitioners and educators, and other appropriate parties, for the 37 purposes of determining what medical assistants need to know, and what they need to be able to do, 38 in order to protect the public and employers from medical assisting graduates of insufficient 39 knowledge and competence. 40 41 Executive Director Balasa wrote a request for proposal that was sent to testing and measurement 42 vendors with expertise in these types of projects. Applied Measurement Professionals (AMP) was 43 chosen, and Mr. Balasa assisted AMP personnel in preparing for the June 7, 2012, meeting of the two 44 task forces in Chicago. He also served as a liaison and resource for the leaders and members of the 45 OATF and the CCTF. 46

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Report of the Executive Director, cont. 1 2 3 LEADERSHIP AND INVOLVEMENT IN NATIONAL AND LOCAL ORGANIZATIONS 4 5 American Society of Association Executives (ASAE) Legal Section Council 6 Executive Director Balasa continued his service on the Legal Section Council (Council) of ASAE—7 the association of association executives. He attended a September 2011 meeting of the Council in 8 Washington, DC, and participated via speakerphone in a subsequent meeting of the Council. Part of 9 his role on the Council includes serving as Chair of the Annual Association Law Symposium in 10 Chicago, May 16, 2012, and writing one “Ask the Legal” article for Associations Now, the monthly 11 journal of ASAE. His article entitled “Keep Committees in Check to Curb Legal Exposure” was 12 published in the September/October 2011 issue of Associations Now, and in the October 25, 2011, 13 issue of the ASAE electronic newsletter Association Law & Policy. His article “Associations Should 14 Heed Rulings on Exam Accommodations” will be published in upcoming ASAE publications. 15 16 National Commission for Certifying Agencies (NCCA) 17 Mr. Balasa is serving his fifth year as an administrative reviewer on the National Commission for 18 Certifying Agencies (NCCA, Commission) and his second year as Chair of the Commission. From 19 November of 2011 to November of 2012, Mr. Balasa will chair four in-person meetings of the 20 Commission and seven conference call meetings. He was one of three presenters for an NCCA 21 webinar entitled “NCCA Accreditation: Demystifying the Application Process and Standards.” This 22 webinar was recorded and will be available on the Institute for Credentialing Excellence website. 23 Also, during the next two years the Commission will be revising its 2004 Standards for the 24 Accreditation of Certification Programs. Mr. Balasa’s position will enable him to exercise influence 25 on this important document. 26 27 Institute for Credentialing Excellence (ICE) (formerly NOCA) 28 By virtue of his position as Chair of the NCCA, the Executive Director has served on the Board of 29 Directors of ICE. Between November of 2011 and November of 2012, he will attend three in-person 30 meetings of the Board of Directors, and participate in six conference call meetings. (Some of the in-31 person meetings of the NCCA and the ICE Board will be held at the same location, and on 32 consecutive days.) Mr. Balasa has also been appointed to the ICE Advocacy Task Force. 33 34 Mr. Balasa attended the ICE Annual Educational Conference in New Orleans, Louisiana, November 35 8-11, 2011. At this conference he attended two excellent presentations: “New Job Analysis: Cosmetic 36 Change or Extreme Makeover,” and “Are Government Mandates for Accreditation on the Horizon? A 37 Discussion of Military Efforts to Certify Service Members.” The hypothesis of the presenter of the 38 second program was the following: “This new wave of service members returning to civilian life may 39 contribute to accreditation requirements for credentials, as the previous wave contributed to 40 accreditation requirements for higher education.” 41 42 Health Professions Network (HPN) 43 The Executive Director gave a PowerPoint presentation entitled “Medical Assistants: Helping 44 Physicians Meet New and Shifting Patient and Staffing Demands,” at a semi-annual meeting of the 45 Health Professions Network, October 12-14, 2011, in Jacksonville, Florida. 46

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Report of the Executive Director, cont. 1 2 3 Chicago Bar Association 4 Mr. Balasa gave an interactive presentation entitled “Overview of Certification Law” at a December 13, 5 2011, meeting of the Trade and Professional Association Committee of the Chicago Bar Association. 6 7 ABHES Annual National Conference on Allied Health Education 8 The Executive Director attended the February 22-24, 2012, Annual National Conference of the 9 Accrediting Bureau of Health Education Schools (ABHES) in Las Vegas, Nevada. He re-established 10 contacts with ABHES leaders and answered questions about the CMA (AAMA) Certification 11 Examination, and the differences between the CMA (AAMA) and other medical assisting credentials. 12 The presentation entitled “The Power of the Medical Assisting Credential: Don’t Get Caught Without 13 It” was of particular interest to him. He perceived that an increasing number of program directors and 14 educators in ABHES accredited medical assisting programs are urging their students and graduates to 15 sit for the CMA (AAMA) Certification Examination. 16 17 CAAHEP Annual Meeting 18 Mr. Balasa attended the Annual Meeting of the Commission on Accreditation of Allied Health 19 Education Programs (CAAHEP) April 29 and 30, 2012, in San Diego, California. He attended the 20 presentations “Certification, Accreditation, and Professional Interests: Creating a Collaborative 21 Relationship While Remaining at ‘Arms’ Length’” and “The Importance of Autonomy in the 22 Accreditation Process” by an attorney he had spoken with at the aforementioned ABHES National 23 Conference. His sense was that CAAHEP continues to have a significant presence in the allied health 24 educational community. 25 26 NCSBN Webinar and Article 27 Based on her reading of Mr. Balasa’s articles on the AAMA website, Mary Pat Olson of the National 28 Council of State Boards of Nursing (NCSBN) met with Executive Director Balasa and asked him to 29 co-present an NCSBN webinar and co-author an NCSBN article on the difference between medical 30 assistants and medication aides. Mr. Balasa agreed. The webinar will take place in June of 2012. 31 32 AHIMA 33 The Executive Director met with Mike Niederpruem, a staff director at the American Health Information 34 Management Association (AHIMA), to discuss collaboration possibilities between AHIMA and the 35 AAMA—especially in the continuing education domain. A report was made to the Continuing 36 Education Board and the Board of Trustees, and these possibilities will continue to be pursued. 37 38 AMA Annual Meeting 39 Mr. Balasa will represent the AAMA at the American Medical Association Annual Meeting June 16-40 20, 2012, in Chicago. 41 42 43 LITIGATION 44 45 Eagen v. Harris School of Business 46 Plaintiffs’ attorney David Sinderbrand of New Jersey asked Mr. Balasa to serve as an expert witness 47 in Eagen v. Harris School of Business, a class action by 74 former medical assisting students against 48

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Report of the Executive Director, cont. 1 2 3 the school they attended. Mr. Sinderbrand asked for a DVD of Mr. Balasa’s presentation before the 4 2011 AAMA House of Delegates on “How the CMA (AAMA) Stands Apart” to assist him in 5 preparing and presenting his case, and the request was granted. The cause of action in this matter is 6 based on the alleged promises to students and graduates of the medical assisting program of this 7 school that they would be eligible for the CMA (AAMA) Certification Examination. This Harris 8 School of Business was not CAAHEP or ABHES accredited, and the graduates were therefore not 9 eligible for the CMA (AAMA) Certification Examination. 10 11 Attorney Jeffrey J. Antonelli 12 Mr. Antonelli has represented several students and graduates of medical assisting programs that were 13 promised eligibility for the CMA (AAMA) Certification Examination by programs that were not 14 CAAHEP or ABHES accredited. Mr. Balasa has assisted Mr. Antonelli in the past. Attorney 15 Antonelli asked permission to post a link to Mr. Balasa’s CMA Today article “How the CMA 16 (AAMA) Standards Apart” on his firm’s website, and this request was granted. 17 18 19 PROTECTING THE MEDICAL ASSISTANT’S RIGHT TO PRACTICE; PROVIDING PUBLIC 20 AFFAIRS VISION AND LEADERSHIP 21 22 Public Affairs Articles in CMA Today 23 Mr. Balasa has continued to write Public Affairs features for CMA Today. These articles have been 24 posted to the AAMA website. “Frequent Questions about Medical Assistants’ Scope of Practice” was 25 published in the March-April 2012 issue of CMA Today. “AAMA Comments on the Proposed CMS 26 Rule” was published in the May-June 2012 CMA Today. “There Are Legal Differences between 27 Working in Inpatient and Outpatient Settings” will appear in the July-August 2012 CMA Today. 28 29 Legal Eye on Medical Assisting Blog on the AAMA Website 30 The Executive Director continues to respond to legal questions that are submitted on his blog on the 31 AAMA website. He wrote Legal Eye posts on the Supreme Court’s review of President Obama’s 32 Patient Protection and Affordable Care Act and on diploma mills such as St. Augustine School of 33 Medical Assistants. The second post generated a lot of interest and many impassioned posts from 34 followers of Legal Eye. (Approximately three years ago the AAMA reported this school to the 35 Federal Trade Commission (FTC). The FTC is continuing its investigation of St. Augustine School.) 36 37 Presentation at the 2011 Annual Conference 38 Mr. Balasa gave a presentation at the 2011 House of Delegates summarizing and amplifying his 39 article “How the CMA (AAMA) Stands Apart: A Comparison of Four Medical Assisting 40 Certifications.” His talk has been posted to the AAMA website for convenient viewing. 41 42 Presentation at Gundersen Lutheran Health System 43 Executive Director Balasa gave a PowerPoint presentation entitled “Medical Assistants in the Current 44 Health Care Environment: Unprecedented Opportunities and New Challenges” at the Gundersen 45 Lutheran Medical Assistant Recognition Event in La Crosse, Wisconsin, October 19, 2011. 46

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Report of the Executive Director, cont. 1 2 3 Washington State 4 A bill clarifying and protecting the practice rights of medical assistants was signed into law on March 5 29, 2012. Mr. Balasa commends the leaders of the Washington State Society of Medical Assistants 6 for this outstanding accomplishment. Work on the drafting of rules to implement the legislation will 7 begin shortly. As is the case with most health and allied health legislation, the writing of the 8 administrative rules will be extremely important. 9 10 Florida Society of Medical Assistants 11 Immediately after the Health Professions Network meeting mentioned above, Executive Director 12 Balasa addressed a meeting of the Florida Society of Medical Assistants in Jacksonville. His 13 presentation summarized his “How the CMA (AAMA) Stands Apart” article, and offered suggestions 14 on how this written piece could help protect the distinctiveness and superiority of the CMA (AAMA) 15 credential. 16 17 West Virginia 18 On October 21, 2011, the West Virginia Board of Examiners for Registered Professional Nurses 19 issued a position statement declaring that Advanced Practice Registered Nurses and Certified Nurse 20 Midwives are permitted to delegate the administration of medication only to medical assistants who 21 have completed “a nationally recognized accredited program of study with a curriculum that included 22 pharmacology and medication administration,” and who have a “current national certification through 23 the American Association of Medical Assistants,” and for whom “related competencies have been 24 verified within the past twelve months.” Although there is no state society affiliated with the AAMA 25 in West Virginia, Mr. Balasa informed a prominent medical assisting educator in West Virginia about 26 this position statement of the Board of Nursing. 27 28 New Hampshire 29 In September of 2011, the New Hampshire Board of Nursing issued a clinical advisory “relative to 30 the role of the [nurse] licensee with regard to supervision and delegation to the medical assistant.” 31 Here are some relevant excerpts from the clinical advisory: 32 33

As an integral role in the office practice settings, the Medical Assistant (MA) presents a 34 unique challenge to the licensed nurse. While many MAs have received structured formal 35 education, the role is unregulated and therefore open to individuals with widely varying 36 backgrounds and education. 37 The following parameters established by the NH Board of Nursing are intended to guide the 38 licensed nurse in his/her supervision of and delegation to the MA. 39 Accountability and Responsibility: Prior to any act of delegation to an MA, the licensed 40 nurse following the Administrative Rules of NUR 404, must determine the competency of the 41 MA to perform the delegated task. 42

… 43 Formal structured education, with recognized certification, is a preferred element in the 44 determination of competency of the MA. In the absence of documented competencies for 45 tasks and screenings, sample competencies are attached. 46 … 47 Delegation of tasks and screenings appropriate for delegation to the MA may vary widely 48

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Report of the Executive Director, cont. 1 2 3

depending on the practice setting. Therefore this document addresses those tasks and 4 screenings by exception as follows: 5 Medication Administration: Medication administration, with the exception of narcotics, may 6 be delegated provided that: 7

• The competency requirement of NUR 404 has been met and documented 8 • Evidence of formal structured pharmacology education is preferred but not required 9 • Any non-unit dose medication requiring calculation must be double checked with the 10

licensee [i.e., the nurse] prior to administration 11 IV medication administration may not be delegated 12 Narcotic administration may not be delegated 13

14 The New Hampshire Society of Medical Assistants is very aware of right to practice issues, and has a 15 very capable group of leaders. The New Hampshire Society wants to pursue licensing of medical 16 assistants. With the permission of the New Hampshire Society leadership, Mr. Balasa has been in 17 touch with Kathryn Bradley, Executive Director of the New Hampshire Board of Medicine. The 18 Board of Medicine plans to contact the Board of Nursing about the above statement. 19 20 Guam 21 Executive Director Balasa analyzed a medical assisting bill in Guam and submitted a letter urging the 22 enactment of the legislation. Unfortunately, this legislation did not move forward. 23 24 Iowa 25 There is controversy in an Iowa podiatric clinic in regard to what duties doctors of podiatric medicine 26 are permitted to delegate to medical assistants and CMAs (AAMA). Mr. Balasa has assisted the 27 practice manager—who is a CMA (AAMA) and a former leader at the Iowa Society of Medical 28 Assistants and the AAMA levels—in framing strategy about how to approach the Iowa Board of 29 Podiatry. He also has written a letter to a company that manufactures wound care equipment. This 30 company refuses to allow CMAs (AAMA) to take the professional education it offers to allied health 31 personnel, and will not permit CMAs (AAMA) to be certified in the use of its main product. 32 33 Connecticut 34 The Executive Director and Holly Martin, CMA (AAMA), of the Connecticut Society of Medical 35 Assistants, participated in a June 4, 2012, conference call with volunteer and staff public policy 36 leaders of the Connecticut State Medical Society (CSMS). CSMS is willing to support legislative 37 efforts to regain the medical assistants’ rights to be delegated intramuscular, intradermal, and 38 subcutaneous injections. Mr. Balasa will be the primary drafter of a written scope of practice request 39 that will be submitted to the Connecticut Department of Public Health for consideration during the 40 2013 legislative session. This written scope of practice request is similar to the document required to 41 initiative sunrise review in other states. 42 43 New York 44 Executive Director Balasa submitted a cease and desist letter to a school in New York that is 45 allegedly advising their students and graduates that they are permitted to use “CMA” after their name, 46 even though the program is not CAAHEP or ABHES accredited, and its graduates are not eligible for 47 the CMA (AAMA) Certification Examination. 48

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Report of the Executive Director, cont. 1 2 3 Ohio 4 A large medical system in Ohio recently decided to only hire CMAs (AAMA). A medical assistant 5 program director of a CAAHEP accredited program spoke to all of the practice managers of this 6 system. At this meeting Mr. Balasa’s presentation at the 2011 House of Delegates was presented to 7 the practice managers via the AAMA website. He was on speakerphone and answered several 8 questions about Ohio medical assisting law. 9 10 11 HOUSE LEGAL COUNSEL RESPONSIBILITIES 12 House Legal Counsel Balasa has continued to provide assistance to state societies and local chapters 13 on questions involving bylaws, parliamentary procedure, suspected or actual misappropriation of 14 funds, record retention, obtaining an Employer Identification Number/Taxpayer Identification 15 Number (EIN/TIN), and the ineligibility of states and chapters for state sales tax exemption. He has 16 assisted in the answering of questions about the Certifying Board Disciplinary Standards and in the 17 reviewing of complaints about CMAs (AAMA). Also, he has helped review petitions from felons 18 seeking a waiver to take the CMA (AAMA) Certification Examination. He has provided standard 19 letter templates and has reviewed and signed cease and desist letters to medical assistants who are 20 using the CMA (AAMA) credential and are not CMAs (AAMA), and to CMAs (AAMA) who are 21 using the credential in connection with employment, even though their CMA (AAMA) is not current. 22 23 Letters to Protect the Intellectual Property Interests in “CMA” and “Certified Medical Assistant” 24 Legal Counsel Balasa assisted General Counsel Nathan J. Breen in drafting two letters to protect the 25 trademark rights of the “Certified Medical Assistant” and “CMA” designations against possible 26 infringements. 27 28 29 Donald A. Balasa, JD, MBA 30 Executive Director, Legal Counsel 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS 1 2

Report of the Leadership Development Strategy Team 3 For the Period Ending September 2012 4

5 6 The Leadership Development Strategy Team was charged with developing an updated Board of 7 Trustees orientation packet to be presented to new members on the Board. 8 9 This team communicated by e-mail with their suggestions, ideas, and ways to update the previous 10 orientation packet. A PowerPoint presentation was reviewed at the June Board of Trustees meeting. 11 After much discussion, the material was referred back to the committee for further revision. 12 13 In order to achieve the requested objective, the team has asked for specific input from the Board 14 regarding what expectations they had when they were new to the Board, and about what should be 15 covered in an orientation program and what information and guidelines about their responsibilities 16 and functions they wanted to know. 17 18 After all input has been reviewed this team will present a revised orientation to the Board of Trustees 19 at the pre-HOD Board meeting in September. 20 21 This chair would like to thank the members of this team for their hard work, suggestions, ideas and 22 valuable input. The chair also would like to thank Kathy Langley for all of her valuable input. 23 24 25 Debby B. Houston, CMA (AAMA), CPC 26 Chair 27 28 Members: 29 K. Minchella, CMA (AAMA), PhD 30 Darcy Atwood, CMA (AAMA) 31 Diana Hughes, CMA (AAMA) 32 Jocelyn Willis, CMA (AAMA) 33 34 Staff Liaison: 35 Kathy Langley 36 37 38 39 40 41 Assigned to the Reference Committee on Reports 42

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS 1 2

Report of the Membership Development Strategy Team 3 For the Period Ending September 2012 4

5 6 This committee is charged with branding AAMA as the resource for the profession by promoting or 7 developing tools that assist members with promoting the profession and the AAMA. 8 9 The team finalized “Membership Matters: The AAMA—Your Partner in Professionalism” a 10 PowerPoint presentation started by the Membership Development Strategy Team last year. The intent 11 is to empower others to talk about the benefits of AAMA Membership. 12 13 The presentation was approved by the Board of Trustees in June 2012. The presentation will be added 14 to the Marketing Materials page (under State & Chapter Support/Marketing): http://www.aama-15 ntl.org/st_chapter/marketing.aspx. The title is linked to the downloadable PowerPoint and Director 16 Jean Lynch has added a short description after the title: “You’ve received an invitation to speak about 17 AAMA membership. Don’t panic! This PowerPoint presentation can help you deliver your important 18 points—just revise the speaker notes to your needs.” 19 20 This team worked with Director David Knight on a letter directed at ABHES programs, to market 21 membership to students. This entailed sending student membership forms and brochures to program 22 directors of ABHES accredited medical assisting programs, along with a letter from Director Knight 23 asking that they distribute the materials to their students. They also were invited to contact Director 24 Knight at any time with questions they may have about membership or the AAMA. 25 26 This chair would like to thank the members of this team for their suggestions and valuable input for 27 the development and completion of these goals. This chair also thanks Director of Communications 28 and Marketing Jean Lynch and Director of Membership David Knight for their support, insight, and 29 guidance in implementing these goals. 30 31 Julie Flaatten, CMA (AAMA), RN, EMT-B 32 Manager 33 34 Members: 35 Mary Dockall, CMA (AAMA) 36 Loxie Kistler, CMA (AAMA), EdD, RN 37 Todd Lasher, CMA (AAMA) 38 Judy Seymour, CMA (AAMA), CCRC 39 40 Staff Liaison: David Knight 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of the Awards Committee 3 For the Period Ending September 2012 4

5 6 The Awards Committee has reviewed the Excel Awards and the awards process. Changes were 7 submitted to, and approved by, the Board of Trustees. These changes will be implemented for the 8 2013 association year. 9

10 Created an “Excellence in Community Service” award 11 Changed the Spirit Award to AAMA Medical Assistant of the Year 12 Added Social Media to the Excellence in Marketing, Promotion, and Recruitment Awards 13 Added e-Newsletters to the Excellence in Publishing Awards 14 Simplified the judging criteria for the Excellence in Marketing, Promotion, Recruitment 15

Award and the Excellence in Website Development Award 16 17 This chair would like to thank team members Julie Flaatten, CMA (AAMA), EMT-B, RN, and Nina 18 Watson, CMA (AAMA), CPC for their suggestions, time, and input in reviewing all the criteria for 19 the awards. 20 21 This chair also would like to say a special thank you to Director Jean Lynch for her time and valuable 22 suggestions, which have assisted the committee in reaching their goals. 23 24 25 Debby B. Houston, CMA (AAMA), CPC 26 Chair 27 28 Members: 29 Julie Flaatten, CMA (AAMA), EMT-B, RN 30 Nina Watson, CMA (AAMA), CPC 31 32 Staff Liaison: 33 Jean Lynch 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of the Bylaws and Resolutions Committee 3 For the Period Ending September 2012 4

5 6 The Bylaws and Resolutions Committee is responsible for notifying state societies of all changes to those 7 sections of the AAMA Bylaws with which state bylaws must be in compliance. The committee then 8 reviews each state society’s bylaws to ensure compliance with those mandated sections. No mandated 9 changes were made to the AAMA Bylaws in September 2011. 10 11 The Bylaws and Resolutions Committee also reviews the AAMA Bylaws and any proposed amendments 12 or resolutions submitted by state societies or the Board of Trustees. Any proposed amendments are 13 presented for consideration by the House of Delegates at the annual meeting. 14 15 The committee is submitting twelve proposed bylaws amendments for consideration by the 2012 16 House of Delegates. Two resolutions also are submitted. 17 18 The chair wishes to thank committee members Charlene Couch, CMA (AAMA) and Lisa Lee, CMA 19 (AAMA), for their continued and active participation in discussions and careful consideration of the 20 AAMA Bylaws and proposed amendments. The chair extends sincere appreciation to Director of 21 Board Services Kathy Langley and Executive Director Donald Balasa, JD, MBA, for their ongoing 22 and able support of this committee’s work. 23 24 25 Joyce Garibay, CMA (AAMA) 26 Chair 27 28 Members: 29 Charlene Couch, CMA (AAMA) 30 Lisa Lee, CMA (AAMA) 31 32 Staff Liaison: 33 Kathy Langley 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of the Documents Committee 3 For the Period Ending September 2012 4

5 6

This committee is charged with updating the History of the AAMA yearly, and with reviewing AAMA 7 documents and recommending any changes and updates. 8 9 The document committee updated the History of the AAMA for the period of September 2010 through 10 September 2011. The update was submitted and approved at the February 2012 Board of Trustees 11 meeting in Chicago, Illinois. 12 13 The following AAMA documents also were reviewed and submitted to the February 2012 Board of 14 Trustees meeting with recommended changes: State Management Guide, Chapter Management 15 Guide, Guidelines for State/Chapter Secretary and Guidelines for State/Chapter Treasurer. All 16 presented recommendations accepted by the BOT. 17 18 The Reference Manual for Delegates and Alternates was reviewed with no recommendations for 19 updates. A report was presented at the June 2012 Board of Trustees meeting in Chicago, Illinois. 20 21 The chair would like to thank Julie Flaatten, CMA (AAMA), RN, EMT-B; Nina Watson, CMA 22 (AAMA); and Kathy Langley. 23 24 25 Pat Hightower, CMA (AAMA) 26 Chair 27 28 Members: 29 Julie Flaatten, CMA (AAMA), RN, EMT-B 30 Nina Watson, CMA (AAMA) 31 32 33 Staff Liaison: 34 Kathy Langley 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of the Editorial Advisory Committee 3 For the Period Ending September 2012 4

5 6 The Editorial Advisory Committee is responsible for assisting CMA Today Managing Editor Jean 7 Lynch and Editorial Assistant Beth Houser with reviewing articles, CMA Today topic development, 8 and suggesting possible interviewees. As of March 2012, this committee no longer is responsible for 9 submitting administrative topics, because the Continuing Education Board is now preparing one 10 administrative and one clinical topic for continuing education credit for each issue of CMA Today. 11 Henceforth, the Editorial Advisory Committee will be responsible for submitting twelve topics, three 12 times each year, December 1, March 1, and June 1. 13 14 During this past year the committee has submitted the following: 15

1. Eight administrative topics concerning issues that would help medical assistants performing 16 administrative duties. 17

2. Twelve clinical topics concerning issues that medical assistants face on the job. 18 3. Twelve office manager topics based on issues that medical office managers confront. 19 4. Twelve “Educators Forum” topics providing medical assisting educators with ideas for 20

teaching specific topics, recruiting students, and promoting graduates. 21 22 Members of the committee also have reviewed eleven manuscripts. 23 24 This chair thanks all committee members for their participation on this important committee and also 25 thanks staff members Jean Lynch and Beth Houser for their continued support. It has been a pleasure 26 working with each one of you. 27 28 29 Joyce Garibay, CMA (AAMA) 30 Chair 31 32 Members: 33 Bryna Adani, CMA (AAMA) 34 Patricia Hightower, CMA (AAMA) 35 Loxie Kistler, CMA (AAMA), EdD, RN 36 Freda Miller, CMA (AAMA), CPC, PCS 37 38 Staff Liaison: Jean Lynch 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of the House of Delegates Minutes Committee 3 For the Period Ending September 2012 4

5 6 The committee received the copy of the 2011 House of Delegates proceedings in a timely fashion for 7 the House Scribe Kathy Langley. 8 9 The minutes were reviewed by all committee members and corrections were sent to Kathy Langley. 10 11 The chair wishes to thank the committee members for their prompt attention to the review of these 12 minutes. 13 14 This chair also would like to recognize the endless hours spent by Director of Board Services Kathy 15 Langley and her dedication to this committee and organization. 16 17 18 Chris Hollander, CMA (AAMA) 19 Chair 20 21 22 Members: 23 Nina Watson, CMA (AAMA), CPC 24 Paula Purdy, CMA (AAMA) 25 Betty Springer, CMA-C (AAMA) 26 27 Staff Liaison: 28 Kathy Langley 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 Assigned to the Reference Committee on Reports 47

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Report of the Judicial Council 3 For the Period Ending September 2012 4

5 6 The Judicial Council exercises jurisdiction in all questions involving membership interpretation and any 7 controversies arising from the interpretation of AAMA Bylaws and/or the Code of Ethics of the 8 association. 9 10 No issues were presented to this Judicial Council for consideration from October 2011 through 11 September 2012. 12 13 14 Kathryn Panagiotacos, CMA (AAMA) 15 Chair 16 17 Members: 18 Boni Bruntz, CMA (AAMA), Vice Chair 19 Rebecca Walker, CMA (AAMA), CPC 20 Mary Dyer, CMA-A, (AAMA) 21 Lee Damon, CMA, (AAMA) 22 23 Staff Liaisons: 24 Donald Balasa, JD, MBA 25 Anna Johnson, CAE 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of the Nominating Committee 3 For the Period Ending September 2012 4

5 6 This officer facilitated and collaborated with the elected members of this committee in preparation for 7 presentation of a slate of candidates for the Board of Trustees 2012-2013. 8 9 Members of the Nominating Committee worked diligently through the process, offered suggestions 10 for improvement, and collaborated on methods to offer delegates good insight as to how to conduct 11 the candidates’ forum. 12 13 This committee reviewed the submissions and qualifications for office and present the following slate 14 of candidates for the positions listed to the 2012 AAMA House of Delegates: 15 16 Vice President: Nina Watson, CMA (AAMA), CPC 17 Speaker of the House: Paula Purdy, CMA (AAMA) 18 Vice Speaker of the House: Lisa Lee, CMA (AAMA) 19 Trustee Joyce Garibay, CMA (AAMA) 20 Trustee Patricia Hightower, CMA (AAMA) 21 Trustee Debby Houston, CMA (AAMA), CPC 22 Trustee Loxie Kistler, CMA (AAMA), EdD, RN 23 Trustee Karen Minchella, CMA (AAMA), PhD 24 Trustee Michael Pfeil, CMA (AAMA), LVN 25 26 This committee recommended that the entire nominations/candidate submission process be converted 27 to total electronic with the appropriate legal terms and clauses inserted with an update to the 28 Nominating Committee Guide, Candidates Guide. The committee’s recommendation was accepted by 29 the Board of Trustees. 30 31 This chair commends the members of this committee for their dedication, diligence, and careful 32 consideration in presenting this slate. This committee wishes to thank Board Services Director Kathy 33 Langley for assistance. 34 35 Betty Springer, CMA-C (AAMA) 36 Chair 37 38 Members: 39 Loxie Kistler, CMA (AAMA) EdD, RN 40 Virginia Thomas, CMA (AAMA) 41 Laura Mitchell, CMA (AAMA), AAS 42 Lisa Noble Johnson, CMA (AAMA) 43 44 Staff Liaison: 45 Kathy Langley 46 47 48 Assigned to the Reference Committee on Reports 49

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Report of the State Societies Committee 3 For the Period Ending September 2012 4

5 6

This committee is charged with identifying states that are struggling and offering assistance to organize or 7 reorganize their membership with AAMA. This committee will remain pro-active at all times. 8 9 This committee will provide a script and a contact letter (template) for State Society members to use. The 10 AAMA mission guidelines will be made available, along with all website resources, mailings and 11 personal contact with interested members for reorganization. 12 13 It is the duty of this committee to offer suggestions on how to: 14

Contact state members at large in the inactive states. 15 Provide a list of CAAHEP/ABHES schools listed in each state to see if the program directors are 16 AAMA members and CMAs (AAMA). 17 Apply for their state number, sponsor a program and obtain speakers if requested. 18

19 As of this date the following states have been contacted. 20

Guam – has been contacted and they are in the process of trying to start a state society. 21 West Virginia – has been contacted in the past but no response at this time as to starting a new state 22 society. 23 Mississippi – currently inactive and the committee is in the process of contacting the current president 24 to ascertain what their desires are on reorganizing. 25 Kansas – currently inactive and the committee is in the process of contacting the current president or 26 treasurer to ascertain what their desires are on reorganizing. 27 Louisiana – on hold until further notice for organization of state society. 28

29 The committee held a phone conference with David Knight, Director of Membership, to ascertain if there 30 is a checklist that the Membership Department uses for state societies who may be struggling, and to 31 gather useful information on timelines for these states to use. 32 33 This chair wishes to thank Paula Purdy, CMA (AAMA), and Freda Miller, CMA (AAMA), CPC, 34 PCS, for their valuable input and guidance. This committee also wishes to thank Director of 35 Membership David Knight, Director of Board Services Kathy Langley, and Executive Director 36 Donald Balasa, JD, MBA, for their invaluable assistance. 37 38 39 Charlene Couch, CMA (AAMA), Chair 40 41 Members: 42 Paula Purdy, CMA-A (AAMA) 43 Freda Miller, CMA (AAMA), CPC, PCS 44 45 Staff Liaison: David Knight 46 47 48 49 Assigned to the Reference Committee on Reports 50

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Report of Strategic Issues Planning Committee 3 For the Period Ending September 2012 4

5 6 The charge of the Strategic Issues Planning Committee is to look at the trends in the medical 7 community with an eye towards advancing the AAMA, the profession of medical assisting, and the 8 CMA (AAMA) credential, and then formulating a working plan to achieve these goals. 9 10 This committee has worked with AAMA staff and has developed a Strategic Issues Plan which is 11 currently being utilized. A copy of the plan is attached to this report. 12 13 The chair would like to thank the team members for their contributions, time, and communication in 14 developing this plan. 15 16 The chair also would like to thank the AAMA staff for their valuable insight and assistance with the 17 development of this plan. 18 19 20 Lisa D. Lee, CMA (AAMA) 21 Chair 22 23 Members: 24 Paula Purdy, CMA (AAMA) 25 Nina Watson, CMA (AAMA), CPC 26 Darcy Atwood, CMA (AAMA) 27 28 Staff Liaison: 29 Donald Balasa, JD, MBA 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 Assigned to the Reference Committee on Reports 47

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2012-2014 STRATEGIC ISSUES PLAN 1 2 The following goals and objectives have been established for the advancement of the association, the 3 profession, and the CMA (AAMA) credential. These action areas were identified by the AAMA 4 Board of Trustees and staff directors and were based on an analysis conducted to capture the 5 association’s current strengths, weaknesses, opportunities, and threats. 6

7 8 9 Goal: Provide rapid and relevant communications 10

Objective: Use social media and electronic communications to inform and engage members 11 and external audiences. 12 Objective: Retain members by improving communications according to a targeted timeframe. 13

14 Goal: Advance technology 15

Objective: Enhance membership services. 16 Objective: Increase productivity. 17 Objective: Increase available data for decision making and prioritization. 18 Objective: Evaluate potential cost savings. 19 Objective: Investigate technology needed to conduct meetings. 20

21 Goal: Brand the AAMA as the resource for the profession 22

Objective: Promote AAMA-approved logo products. 23 Objective: Collaborate and network with health care organizations and societies. 24 Objective: Promote or develop tools that assist members with promoting the profession and 25 the AAMA. 26

27 Goal: Promote the CMA (AAMA) as the preferred credential 28

Objective: Brand the “CMA (AAMA) Advantage” for such team-based care initiatives as the 29 Patient-Centered Medical Home movement. 30 Objective: Market the CMA (AAMA) to national health care clinics and corporate medicine. 31 Objective: Encourage CMAs (AAMA) to promote the profession and credential to employers. 32

33 Goal: Implement a formal national leadership training program 34

Objective: Prepare future leaders to transition from state to national leaders. 35 Objective: Continue to refine the Board of Trustees orientation program. 36

37 Goal: Enhance virtual community for members 38

Objective: Continue to refine social media services so members can interact with and learn 39 from each other. 40

41 42 AAMA Mission 43 The mission of the American Association of Medical Assistants is to provide the medical assistant 44 professional with education, certification, credential acknowledgment, networking opportunities, 45 scope-of-practice protection, and advocacy for quality patient-centered health care. 46

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2012-2014 Strategic Issues Plan, cont. 1 2 3 CMA (AAMA) Core Values 4 Actively participate in the delivery of quality health care. 5 Promote patient safety and well-being. 6 Contribute to a positive health care experience for patients. 7 Demonstrate integrity and respect, and protect patient confidentiality. 8 Advocate the essential value of certification and continuing education. 9 Embrace change, growth, and learning. 10 11 Definition of the Medical Assisting Profession 12 Medical Assistants are multi-skilled members of the health care team who perform administrative and 13 clinical procedures under the supervision of licensed health care providers. 14

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Report of Core Curriculum Task Force 3 For the Period Ending September 2012 4

5 6 The purpose of the Core Curriculum Task Force (CCTF) is to develop a core curriculum with the 7 partnership of the Certifying Board (CB), the Continuing Education Board (CEB), the Medical 8 Assisting Educational Review Board (MAERB), the Occupational Analysis Task Force (OATF) and 9 the Accrediting Bureau of Health Education Schools (ABHES). 10 11 January 16, 2012 – distributed formal participation e-mail invitation to CB, CEB, MAERB, OATF, 12 and ABHES. 13 14 February 2012 – participation acceptance received by CB, CEB, MAERB, OAFT, and ABHES. 15 16 March 2012 – approved Applied Measurement Professionals (AMP) as the consulting service to 17 assist with facilitation of the Core Curriculum. 18 19 April 26, 2012 – e-mailed invitation to CB, CEB, MAERB, OATF, and ABHES to participate in a 20 joint meeting between the OATF and the CCTF. 21 22 June 7, 2012 – first face-to-face meeting in Chicago, Illinois. Meeting facilitated by AMP consultant 23 Dr. Robert Shaw, with the primary focus on the OATF. 24 25 Thank you to AAMA Executive Director Balasa for all efforts to date. 26 27 28 K. Minchella, PhD, CMA (AAMA), Co-Chair 29 Cheryl Startzell, CMA (AAMA), MA, Co-Chair 30 31 Members: 32 Debra Benson, CMA (AAMA), CPC 33 Joyce Garibay, CMA (AAMA) 34 Michelle Heller, CMA (AAMA) 35 Christine Hollander, CMA (AAMA) 36 Deborah Rossi, CMA (AAMA), MA, BS 37 38 Ex Officio: Ann Naegele, CMA (AAMA) 39 40 Staff Liaison: 41 Donald A. Balasa, JD, MBA 42 43 44 45 46 47 Assigned to the Reference Committee on Reports 48

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Report of Occupational Analysis Task Force 3 For the Period Ending September 2012 4

5 6 This task force is charged with reviewing and refining the draft data from a Role Delineation Study into a 7 final proposal for the Board of Trustees to consider, taking into consideration input from the MAERB, the 8 CB, the CEB and other committees directly related to this project. 9 10 Other documents that will be reviewed for consideration are the current entry level competencies for the 11 medical assistant from the 2008 Standards and Guidelines, drafts of the new 2013 Standards and 12 Guidelines, the content requirements for CAAHEP accredited medical assisting programs, Mr. Balasa’s 13 relevant articles, and input from other projects. 14 15 The team will review all documents and will present a draft of the new Occupational Analysis for 16 consideration by the Board of Trustees. This publication will incorporate data from all the documents and 17 will represent the new analysis of the medical assisting profession. 18 19 This task force has contracted with Applied Measurement Professionals, Inc., to perform an occupational 20 analysis of the profession of medical assisting through survey results. The Occupational Analysis Task 21 Force and the Core Curriculum Task Force met with Dr. Robert Shaw in a face-to-face meeting on June 22 7, 2012. The timeline developed for this project indicates the finalization and distribution of the survey in 23 August 2012. A second meeting of the Occupational Analysis Task Force will take place in November 24 2012 to review the study results. The final report will be distributed in December 2012. 25 26 The chair would like to thank Executive Director Donald Balasa, JD, MBA for his guidance and support 27 during our e-mail discussions and face-to-face meeting. In addition, the chair would like to thank task 28 force members K. Minchella, CMA (AAMA); PhD; Michael Pfeil, CMA (AAMA), LVN; Deborah 29 Novak, CMA (AAMA); Steffanie Lafors, CMA (AAMA), BA; Deborah Rossi, CMA (AAMA), MA, BS; 30 Cheryl Startzell, CMA (AAMA), MA; and Debra Benson, CMA (AAMA), CPC; for their valuable input 31 in the initial stages of this task force. 32 33 34 Charlene Couch, CMA (AAMA), Chair 35 36 Debra Benson, CMA (AAMA), CPC 37 Steffanie Lafors, CMA (AAMA), BA 38 K. Minchella, CMA (AAMA), PhD 39 Deborah Novak, CMA (AAMA) 40 Michael Pfeil, CMA (AAMA), LVN 41 Deborah Rossi, CMA (AAMA), MA, BS 42 Cheryl Startzell, CMA (AAMA), MA 43 44 Ex Officio: Ann Naegele, CMA (AAMA) 45 46 Staff Liaison: Donald Balasa, JD, MBA 47 48 49 Assigned to the Reference Committee on Reports 50

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Report of the Professional Expansion and Awareness Task Force 3 For the Period Ending September 2012 4

5 6 The task force was developed in 2007-2008 and is assigned with expanding professional awareness of 7 the CMA (AAMA) credential and the CMA (AAMA) as a professional in the health care arena. 8 9 This year the committee has been working on two projects: 10 Revise the AAMA Vision Statement 11 Gather information on the benefits of PAHCOM and MGMA corporate membership 12

13 At the 2011 AAMA House of Delegates, Resolution 11-1 – Vision Statement was not accepted. The 14 committee discussed several concerns expressed by the delegates during the Reference Committee 15 Hearing and the evening session of the HOD. The Board of Trustees agreed at the post-HOD meeting 16 to remove the outdated Vision Statement, leaving the AAMA without a Vision Statement during the 17 2011-2012 year. 18 19 The committee discussed several ideas for a new Vision Statement. The committee felt the previous 20 proposed statement was good but needed some clarification. The newly proposed Vision Statement 21 submitted to the June 2012 BOT meeting read: The AAMA will see CMAs (AAMA) providing 22 excellent health care in every medical setting while collaborating with other health care professionals. 23 24 However, the Board felt this proposal still did not meet the criteria as a vision to the future. 25 Subsequently another Vision Statement was submitted to the Board of Trustees at the meeting. The 26 Board approved the statement which is presented for the approval of the 2012 House of Delegates, 27 under the Delegates Packet section on Resolutions. 28 29 At the February 2012 meeting the Board of Trustees approved corporate membership in PAHCOM 30 and MGMA and assigned this task force to assess and report to the Board on the benefits AAMA 31 would gain from these memberships. After diligent research and discussion, the committee reported 32 the following benefits of corporate membership: 33 Diverse global exposure in states that are more prominent by both organizations 34 Better exposure through social media connections 35 Information on current health trends 36 Opportunity for speaking arrangements 37 Connecting local/state chapters and networking 38 Inclusion in corporate directory (PAHCOM) will promote AAMA affiliation and any 39

programs to offer 40 Opportunity (PAHCOM) for bulk mailings and campaigns to other corporate members 41 Opportunity for journal article submission (PAHCOM) to educate members 42 Valuable benchmarking data (MGMA) provided through surveys that can be used for future 43

planning in variety of areas 44 Variety of discounts with fellow corporate organizations and products 45

The Board of Trustees approved AAMA exhibits at the PAHCOM annual meeting (October 16-18, 46 2012, in Clearwater, Florida) and the MGMA annual meeting (October 21-24, 2012, in San Antonio, 47

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Report of the Professional Awareness and Expansion Task Force, cont. 1 2 3 Texas) and approved the task force’s submissions for Board members who will staff the exhibits. 4 5 This chair would like to thank the task force for their input, discussion, and ideas to move these 6 projects forward. 7 8 9 Chris Hollander, CMA (AAMA) 10 Chair 11 12 Members: 13 Marsha Benedict, CMA (AAMA), MSA, CPC 14 Kelly Charland, CMA (AAMA) 15 Dina McFeeley, CMA (AAMA) 16 Lisa Strauss, CMA (AAMA) 17 Deniece Jozefiak, CMA (AAMA) 18 19 Staff Liaison 20 Don Balasa JD, MBA 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 Assigned to the Reference Committee on Reports 49

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Report of the Certifying Board 3 For the Period Ending September 2012 4

5 6 The Certifying Board (CB) remains diligent in its responsibilities with regard to the CMA (AAMA) 7 Certification/Recertification Exam, in addition to revising and updating its policies, procedures, and 8 strategic plan. 9 10 The CB revised its mission statement to the following: 11

The mission of the Certifying Board is to certify Medical Assistants in order to validate the 12 knowledge and critical thinking and problem-solving skills required by employers and 13 patients. This is accomplished by overseeing the preparation, administration, and evaluation of 14 the CMA (AAMA) Certification Examination for graduates of CAAHEP and ABHES 15 accredited medical assisting programs. This also is accomplished by overseeing the 16 recertification process for the CMA (AAMA) credential. 17

18 Other activities in progress and/or completed this year include the following: 19 20 Additional language was added to the existing Special Accommodations Application of the 21

CMA (AAMA) Certification/Recertification Exam. The purpose of adding more detailed 22 content is to further clarify the requirements for candidates to submit documentation to meet the 23 criteria to be awarded Special Accommodations status. 24

The CMA (AAMA) branding brochure was made available through the AAMA website. 25 Members are encouraged to use the brochure to promote the CMA (AAMA) credential and to 26 highlight their role as a Certified Medical Assistant (AAMA). 27

The electronic scheduling permits for the CMA (AAMA) Certification Examination were 28 implemented. Candidates with the 90-day testing period having a start date of February 1, 2012 29 or later can view and print their scheduling permits online. This will eliminate some of the 30 problems associated with the Scheduling Permits that were mailed to the candidates who often 31 reported they had lost, misplaced, or never received them. One advantage for the 32 implementation of the electronic Scheduling Permits is that the candidate has the ability to 33 reproduce the document at any time. 34

Changes were made to the CMA (AAMA) Exam Application as a result of the adoption and 35 implementation of the electronic scheduling permit. 36

The General Guidelines for Felony Waiver Review and the Procedures for the Enforcement of 37 the CMA (AAMA) Candidate/Certificant Code of Conduct were merged. 38

The information on the AAMA Certifying Board’s Candidate/Certificant Code of Conduct is to 39 be added to the Certification page on the AAMA website. 40

The development of a Task Force for Test Construction (TFTC) recruitment brochure was 41 approved and is under development. 42

The Committee to Develop a Self-Assessment Examination continues to move forward with the 43 item rewrites, review of rewrites, and documentation of references, under the leadership of Vice 44 Chair Diane VanderPloeg. This chair would like to recognize this committee’s members for their 45 role in assisting the CB to achieve its goals, through their dedication to the certification process. 46

Negotiation and finalization of the contract with the National Board of Medical Examiners 47 (NBME) to develop and administer the CMA (AAMA) Certification/Recertification Exam. 48

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Report of the Certifying Board, cont. 1 2 3

continues. Two conference calls were held with the CB Executive Committee, AAMA 4 Executive Director, Director of Certification and staff at NBME to discuss the contract terms. 5

6 This year, NBME implemented the use of an electronic room for the Task Force for Test Construction 7 members to participate in. This is a secure file-sharing website in which the transfer of assignments, 8 including the submission of completed test items, took place. 9 10 The CMA (AAMA) Certification/Recertification candidate and examinee statistics for 2011: 11 12

22,569 Total exam applications received 21,553 Total initial CMA (AAMA) certificant applications received 434 Total recertification CMA (AAMA) applications received 14,949 Total initial CMA (AAMA) certification candidates who tested

and were eligible to receive scores 368 Total recertification CMA (AAMA) certification candidates

who tested and were eligible to receive scores 10,095 New CMAs (AAMA) – 67.5% pass rate 360 Recertificants by exam – 96 % pass rate

13 A total of 17,197 candidates to date have applied for testing periods with 2012 start dates. It is 14 estimated that an additional 5,000-6,000 applications will be received for testing periods 15 requesting 2012 start dates. 16 17 The increase in the number of eligible applicants to take the CMA (AAMA) examination over the 18 past two years illustrates that individuals are interested in earning the CMA (AAMA) credential. 19 Increased employer demand to hire medical assistants who have a nationally recognized credential 20 has also contributed to the higher applicant pools. The Certifying Board is optimistic that the creation 21 and dissemination of the publication How the CMA (AAMA) Stands Apart, written by Executive 22 Director Donald Balasa in collaboration with the CB, will also increase the number of employers 23 interested in only hiring credentialed CMAs (AAMA). 24 25 The Certifying Board continues to experience significant accomplishments through the efforts of 26 its dedicated, knowledgeable and visionary members. This chair wishes to extend her heartfelt 27 thanks and appreciation to each of them for their hard work, support, and commitment to the 28 mission of the Certifying Board and the certification process. Special thanks and recognition are 29 given to CB Vice Chairs Jan Frederick and Diane VanderPloeg for their leadership, support and 30 vigilant focus in protecting and promoting the CMA (AAMA) credential. 31 32 This chair would like to thank TFTC Chair Linda Allensworth and Vice Chair Susan Hawes for 33 their leadership and hard work. This chair also would like to extend sincere thanks to all the 34 members of the TFTC for their commitment to maintaining the quality of the CMA (AAMA) 35 Certification/Recertification Examination. 36

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Report of the Certifying Board, cont. 1 2 3 This chair wishes to offer thanks to the Director of Certification Lee Rumpel and the 4 Certification Department staff for their continued support of the Certifying Board. Appreciation 5 and gratitude are also extended to Executive Director Donald Balasa for his interest in, advocacy 6 for, and support of the CMA (AAMA) credential as the “gold standard” for certification. 7 8 Deborah D. Rossi, CMA (AAMA), MA 9 Chair 10 11 Members: 12 Janis Frederick, CMA (AAMA) - 1st Vice-Chair 13 Diane VanderPloeg, CMA (AAMA), MS - 2nd Vice-Chair 14 Linda Allensworth, CMA (AAMA), CPC, TFTC Chair 15 Susan Hawes, CMA (AAMA), MBA, CMPE, TFTC Vice Chair 16 Charles Reed, MD 17 Judy Ellis, PHR, Public Member 18 Rita Michel, CMA (AAMA) 19 Tom Grothe, MPA, PA-C 20 Berlene Farthing, CMA (AAMA) 21 22 23 Staff Liaison: 24 Lee Rumpel 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 Assigned to the Reference Committee on Reports 47

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Report of the Continuing Education Board 3 For the Period Ending September 2012 4

5 6 The focus of the Continuing Education Board (CEB) for 2012 has been to be sensitive to member needs, 7 to streamline processes, and to look toward the future. Included in this report are the areas of 8 responsibility of the CEB and the actions taken and decisions made during this association year to fulfill 9 those responsibilities. 10 11 12 ASSIST WITH CE PROGRAM PLANNER TRAINING AND DEVELOPMENT 13 The CEB has revised the Program Planners Guide into a more simplified, user-friendly document. This 14 will be made available under a new “Program Planners Toolkit” on the AAMA website. 15 16 Also as part of this toolkit, the CEB wanted to assist chapter and state society program planners with 17 other continuing education resources. After discussion with the Board of Trustees, a process is being 18 developed to access the American Academy of Pediatrics website to allow them to use the Immunization 19 and Training Guide and Practice Procedure Manual. This manual was completed with the involvement 20 of AAMA Past President Cheryl Vineyard, CMA (AAMA). Suggestions for how it may be used are being 21 developed. Negotiation also is ongoing with the Centers for Medicare and Medicaid (CMS) for use of 22 their MedLearn education modules. 23 24 25 DEVELOP AND ADMINISTER SELF-STUDY PROGRAMS 26 REVIEW AND APPROVE PROGRAMS FOR CONTINUING EDUCATION UNIT (CEU) CREDIT 27 The CEB reviewed 15 of the 54 courses on the Electronic Learning Center (ELC). “Medicare Consults” 28 was eliminated from the ELC as no longer timely. A new course on ICD-10 has been added, and four 29 other products are under editorial review for the ELC. A free ELC article was made available for Earth 30 Day, with 996 participants. At a future date, ELC topics will be reorganized under work categories so that 31 members can access their area of interest quickly. 32 33 The CEB reviewed and approved a new self-study course, Basic Mathematical Concepts Used in 34 Performing Pharmaceutical Calculations. A current course, Accounts Receivable for the Medical 35 Practice, is being updated. 36 37 Thirteen topics were reviewed and denied as not appropriate for CEU products. 38 39 In response to feedback from members, the “Coding Edge” CEU articles in CMA Today have been moved 40 to the ELC, freeing up space in CMA Today for articles on topics that will serve a greater number of 41 CMAs (AAMA). All CEB members developed twelve topics for CMA Today in different categories. 42 43 The CEB assessed the regional meeting conducted in the past by the Leaders in Education and Practice 44 Task Force that has been held in the past and determined that it was of benefit to an insufficient number 45 of educators to make it viable. It will be replaced by an on-line program will be the most beneficial to 46 those members, as sessions can be accessed on the educator’s downtime and will eliminate travel costs 47 and time away from school. It is anticipated that details will be forthcoming by the end of the year. 48

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Report of the Continuing Education Board, cont. 1 2 3 DEVELOP, IMPLEMENT AND MONITOR A CEB STRATEGIC PLAN 4 The CEB reviewed and streamlined its Strategic Plan and will continue to review it yearly. 5 6 7 OVERSEE TOPIC DEVELOPMENT FOR THE ANNUAL CONFERENCE 8 Conference topic forms have been revised to be more efficient and to collect more data. Topics and 9 sessions are in place for the 2012 Annual Conference. Topics for the 2013 Annual Conference have been 10 developed and finalizing of speakers is well under way. Over 70 topics are being reviewed for the 2014 11 Annual Conference. CEB members each developed six topics for the 2014 conference. 12 13 The CEB and the Board of Trustees collaborated to refine Annual Conference Guidelines to assist 14 conference education committees with the annual process. These guidelines were shared with the local 15 conference committees in Arizona and Georgia. Communication has been ongoing. A General Session 16 speaker has been secured for 2013 Annual Conference. 17 18 19 BOARD GOVERNANCE 20 All task force chairs have been charged with developing more specific task guidelines for their groups for 21 future use, as well as for mentoring the CEB members who will be taking over the task forces. 22 23 24 This chair would like to thank Donald Balasa, JD, MBA, for his wisdom and advice, David Knight for his 25 guidance and willingness to answer questions, Kathy Langley for keeping the CEB on track, Jean Lynch 26 for the hard work needed to get CEB products edited, and the Board of Trustees for collaboration and 27 communication. 28 29 30 Deb Benson, CMA (AAMA), CPC, CPMA, Chair 31 32 Members: 33 Rose Gutzmer, CMA (AAMA), BS, Vice Chair 34 Leaders in Education and Practice Task Force Chair 35 Tracy Anderson, CMA (AAMA), EMT 36 Pat Devoy, CMA (AAMA), BS 37 Candy Miller, CMA (AAMA) 38 Conference Continuing Education Task Force Chair 39 Mary Sherod, CMA (AAMA) 40 Terri Slinker, CMA (AAMA), CPC 41 Practice Managers Task Force Chair 42 43 Staff Liaison: David Knight 44 45 46 47 48 49 Assigned to the Reference Committee on Reports 50

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PROPOSED BYLAWS AMENDMENT 12-01 3 4 5 Proposed by Iowa State Society of Medical Assistants 6 7 ARTICLE III — ORGANIZATIONAL POLICY 8 9 CURRENT WORDING 10 AAMA is hereby declared to be nonprofit. It is not nor shall it ever become a trade union or collective 11 bargaining agency. No person otherwise qualified for membership in AAMA shall be denied 12 membership because of race, religion, sex, national origin, or political affiliation. No person who 13 participates in the activities of organizations whose purpose is to overthrow the government of the 14 United States shall be a member of AAMA. 15 16 17 PROPOSED WORDING 18 AAMA is hereby declared to be nonprofit. It is not nor shall it ever become a trade union or collective 19 bargaining agency. No person otherwise qualified for membership in AAMA shall be denied 20 membership because of race, creed, color, religion, sex, national origin, age, physical or mental 21 disability, sexual orientation, gender identity, or political affiliation. No person who participates in 22 the activities of organizations whose purpose is to overthrow the government of the United States 23 shall be a member of AAMA. 24 25 26 27 RATIONALE 28 Nondiscrimination has been recognized as a core human right, one that is essential to ensuring human 29 development, well-being, and dignity. CMAs (AAMA) strive to protect the well-being and dignity of 30 all their patients. Therefore the professional organization which represents CMAs (AAMA) should 31 have up-to-date, inclusive categories of nondiscrimination. 32 33 Other organizations such as the Medical Group Management Association and the American Medical 34 Association have revised the language of their bylaws to include wider protection against 35 discrimination. 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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PROPOSED BYLAWS AMENDMENT 12-02 3 4 5 Proposed by Nebraska State Society of Medical Assistants 6 7 ARTICLE VI — MEMBERSHIP 8 9 10 CURRENT WORDING 11 12 SECTION 2. Qualifications. 13 A. ACTIVE—An active member shall be one of the following: 14

1. An AAMA Certified Medical Assistant (CMA) whose CMA (AAMA) credential has not been 15 revoked as provided by the AAMA Certifying Board Disciplinary Standards and Procedures for 16 the CMA (AAMA). 17

18 19 PROPOSED WORDING 20 21 SECTION 2. Qualifications. 22 A. Active—An active member shall be one of the following: 23

1. An AAMA Certified Medical Assistant (CMA) whose CMA (AAMA) credential has not been 24 revoked as provided by the AAMA Certifying Board Disciplinary Standards and Procedures for 25 the CMA (AAMA) and: (1) whose CMA (AAMA) is current; or (2) who has retired from 26 medical assisting. 27

28 29 30 RATIONALE 31 It is a matter of professional identity and of promoting patient safety for practicing CMAs (AAMA) to 32 keep their professional credential current. Those who have retired from working as medical assistants 33 may wish to remain actively involved in their professional association, but do not have the same 34 necessity to maintain current medical assisting skills. 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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PROPOSED BYLAWS AMENDMENT 12-03 3 4 5 Proposed by New York State Society of Medical Assistants 6 7 ARTICLE VI – MEMBERSHIP 8 9 10 CURRENT WORDING 11 12 SECTION 2. Qualifications. 13 C. SUSTAINING—Anyone who has been an active or associate member for at least two years, who 14 has retired from medical assisting, and who has not entered into another field is eligible for sustaining 15 membership. This membership shall be forfeited if not renewed annually. 16 17 18 PROPOSED WORDING 19 20 SECTION 2. Qualifications. 21 C. SUSTAINING—Anyone who has been an active or associate member for at least two years who 22 has retired from medical assisting, and who has not entered into another field is eligible for 23 sustaining membership. This membership shall be forfeited if not renewed annually. 24 25 26 27 RATIONALE 28 Those who have retired from medical assisting may have entered another field but they are still 29 interested in the profession and in maintaining active membership in their local chapters and state 30 societies. Today, many retired medical assistants have taken part time jobs in other fields, sometimes 31 due to economic reasons. If they choose to maintain active membership, they would need to continue 32 paying full dues. Removal of this restriction would enable retired medical assistants to still work with 33 and for the association as a participating member at a reduced fee since sustaining membership fee is 34 one-half active membership fee. 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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PROPOSED BYLAWS AMENDMENT 12-04 3 4 5 Proposed by Nebraska State Society of Medical Assistants 6 7 ARTICLE VI — MEMBERSHIP 8 9 10 CURRENT WORDING 11 12 SECTION 2. Qualifications. 13 D. ASSOCIATE—An associate member shall be a medical assistant who is not yet a CMA (AAMA) 14

and who does not fall under any other category. 15 16 17 PROPOSED WORDING 18 19 SECTION 2. Qualifications. 20 D. Associate—An associate member shall be a medical assistant who is not yet a CMA 21

(AAMA), or whose CMA (AAMA) credential is not current, and who does not fall under any 22 other category. 23

24 25 26 RATIONALE 27 It is a matter of professionalism and of ensuring patient safety for practicing medical assistants to 28 keep their professional credential current. Those who do not maintain a current credential should not 29 be afforded full active membership status in the AAMA. 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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PROPOSED BYLAWS AMENDMENT 12-05 3 4 5 Proposed by New York State Society of Medical Assistants 6 7 ARTICLE VI — MEMBERSHIP 8 9 CURRENT WORDING 10 11 SECTION 3. Privileges. 12 Active and life members who are CMAs (AAMA) holding current status are eligible to serve as 13 officers and trustees. Any active or life member may serve as a delegate or committee chair. 14 Privileges on a society and chapter level will be determined by those entities respectively. 15 16 17 18 PROPOSED WORDING 19 20 SECTION 3. Privileges. 21 Active and life members who are CMAs (AAMA) holding current status are eligible to serve as 22 officers and trustees. Any active, sustaining, or life member may serve as a delegate or committee 23 chair. Privileges on a society and chapter level will be determined by those entities respectively. 24 25 26 27 RATIONALE 28 Many sustaining CMAs are still active in local chapters and state societies where they hold office 29 and/or serve as committee chairs. We would like for the sustaining member to be able to serve in 30 some capacity in the AAMA, as well. They could be delegates to the convention and serve on AAMA 31 strategy teams, or task force committees. However, they would not be eligible to serve as AAMA 32 officers or trustees. 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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PROPOSED BYLAWS AMENDMENT 12-06 3 4 5 Proposed by AAMA Board of Trustees 6 7 ARTICLE VII—DUES 8 9 10 CURRENT WORDING 11 12 SECTION 1. Annual dues for all classes of members shall be fixed by the House of Delegates upon 13 recommendation by the Board of Trustees. Dues shall become due and payable November 1 and shall 14 be delinquent if not postmarked by December 31. 15

A. Full dues will be assessed for active, associate, and affiliate members. 16 B. Half dues will be assessed for sustaining members. 17 C. International members will be assessed $25. 18 D. Student members will be assessed $25. 19 E. Life and honorary members are not required to pay dues. 20

21 22 PROPOSED WORDING 23 24 SECTION 1. Annual dues for all classes of members (active, life, sustaining, associate, 25 international, student, honorary, affiliate) shall be fixed by the House of Delegates upon 26 recommendation by the Board of Trustees. Dues shall become due and payable November 1 and shall 27 be delinquent if not postmarked by December 31. 28

A. Full dues will be assessed for active, associate, and affiliate members. 29 B. Half dues will be assessed for sustaining members. 30 C. International members will be assessed $25. 31 D. Student members will be assessed $25. 32 EC. Life and honorary members are not required to pay dues. 33

34 35 36 RATIONALE 37 Dollar amounts do not belong in Bylaws. 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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PROPOSED BYLAWS AMENDMENT 12-07 3 4 5 Proposed by AAMA Board of Trustees 6 7 ARTICLE VIII – OFFICERS AND TRUSTEES AND THEIR QUALIFICATIONS 8 9 10 CURRENT WORDING 11 12 SECTION 3. A candidate for office or trusteeship shall be a CMA (AAMA) holding current status 13 and shall: 14

A. be an active or life member in good standing; 15 16 17

PROPOSED WORDING 18 19 SECTION 3. A candidate for office or trusteeship shall be a CMA (AAMA) holding current status 20 and shall: 21

A. be an active or life member in good standing; whose membership has not been revoked, as 22 delineated in Article VI, Section 4. 23

24 25 26 RATIONALE 27 Provides clarification/definition of the phrase “in good standing.” 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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PROPOSED BYLAWS AMENDMENT 12-08 3 4 5 Proposed by AAMA Board of Trustees 6 7 ARTICLE IX – NOMINATIONS AND ELECTIONS 8 9 10 CURRENT WORDING 11 12 SECTION 2. Elections 13

B. If a state of emergency, as defined by the Board of Trustees, precludes the holding of an annual 14 conference, the Board of Trustees shall supervise and conduct the election by mail in accordance 15 with Article XV, Section 5. 16

17 18

PROPOSED WORDING 19 20 SECTION 2. Elections 21

B. If a state of emergency, as defined by the Board of Trustees, precludes the holding of an annual 22 conference, the Board of Trustees shall supervise and conduct the election either electronically or 23 by U.S. mail in accordance with Article XV, Section 5. 24

25 26 27 RATIONALE 28 Recognizing that circumstances (e.g., labor strikes) could interrupt U.S. mail service, and with the 29 option of electronic communication, it is appropriate and prudent to allow an alternative method of 30 voting. 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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PROPOSED BYLAWS AMENDMENT 12-09 3 4 5 Proposed by AAMA Board of Trustees 6 7 ARTICLE XIII – BOARDS AND COUNCILS 8 9 10 CURRENT WORDING 11 12 SECTION 4. Judicial Council. 13 A. The Judicial Council shall consist of five past presidents of AAMA who are in good standing. 14 15 16 PROPOSED WORDING 17 18 SECTION 4. Judicial Council. 19 A. The Judicial Council shall consist of five past presidents of AAMA who are in good standing. 20 whose membership has not been revoked, as delineated in Article VI, Section 4. 21 22 23 24 RATIONALE 25 Provides clarification/definition of the phrase “in good standing.” 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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PROPOSED BYLAWS AMENDMENT 12-10 3 4 5 Proposed by AAMA Board of Trustees 6 7 ARTICLE XIV – COMMITTEES/STRATEGY TEAMS 8 9 10 CURRENT WORDING 11 12 SECTION 2. Committee/strategy teams shall consist of members in good standing in sufficient 13 number to carry out the duties of the committee/strategy team. 14 15 16 PROPOSED WORDING 17 18 SECTION 2. Committee/strategy teams shall consist of members in good standing whose 19 membership has not been revoked, as delineated in Article VI, Section 4, in sufficient number to 20 carry out the duties of the committee/strategy team. 21 22 23 24 RATIONALE 25 Provides clarification/definition of the phrase “in good standing.” 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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PROPOSED BYLAWS AMENDMENT 12-11 3 4 5 Proposed by AAMA Board of Trustees 6 7 ARTICLE XV – HOUSE OF DELEGATES 8 9 10 CURRENT WORDING 11 12 SECTION 2. The composition of the House of Delegates shall be as follows: 13

C. Each constituent society shall be entitled to two delegates for the first 100 active and associate 14 members or fraction thereof plus one delegate for each additional 400 active and associate 15 members or fraction thereof. 16 1. Delegates and alternates shall be active or AAMA life members in good standing with 17

AAMA. 18 19 20 PROPOSED WORDING 21 22 SECTION 2. The composition of the House of Delegates shall be as follows: 23

C. Each constituent society shall be entitled to two delegates for the first 100 24 active and associate members or fraction thereof plus one delegate for each additional 400 25 active and associate members or fraction thereof. 26 1. Delegates and alternates shall be active or AAMA life members in good standing with 27

AAMA. whose membership has not been revoked, as delineated in Article VI, Section 28 4. 29

30 31 32 RATIONALE 33 Provides clarification/definition of term “in good standing.” 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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PROPOSED BYLAWS AMENDMENT 12-12 3 4 5 Proposed by New York State Society of Medical Assistants 6 7 ARTICLE XV—HOUSE OF DELEGATES 8 9 10 CURRENT WORDING 11 12 SECTION 2. The composition of the House of Delegates shall be as follows: 13

C. Each constituent society shall be entitled to two delegates for the first 100 14 active and associate members or fraction thereof plus one delegate for each additional 400 15 active and associate members or fraction thereof. 16 1. Delegates and alternates shall be active or AAMA life members in good 17

standing with AAMA. 18 19 20 PROPOSED WORDING 21 22 SECTION 2. The composition of the House of Delegates shall be as follows: 23

C. Each constituent society shall be entitled to two delegates for the first 100 24 active and associate members or fraction thereof plus one delegate for each additional 400 25 active and associate members or fraction thereof. 26 1. Delegates and alternates shall be active, sustaining, or AAMA life members in good 27

standing with AAMA. 28 29 30 31 RATIONALE 32 Many sustaining CMAs are still active in local chapters and state societies where they hold office 33 and/or serve as committee chairs. We would like for the sustaining member to be able to serve in 34 some capacity in the AAMA, as well. They could be delegates to the convention and serve on AAMA 35 strategy teams, or task force committees. However, they would not be eligible to serve as AAMA 36 officers or trustees. 37 38 39 40 41 42 43 44 45 46 47 Assigned to the Reference Committee on Bylaws 48

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RESOLUTION 12-1 3 4 5 INTRODUCED BY: The New York State Society of Medical Assistants 6 7 SUBJECT: CPR training and an overview of automated external defibrillations should be 8 required for high school graduation. 9

10 WHEREAS: Cardiac arrest is a leading cause of death in the United States, and research 11

has shown that any attempt at CPR can improve the odds of survival, and 12 effective CPR circulates a small but vital amount of oxygen-rich blood to the 13 heart and brain, which can keep a victim alive until an AED is available and; 14

15 WHEREAS: If CPR is started promptly after a victim collapses, the chances of survival 16

can double, if not triple, and research has shown that when bystanders have 17 CPR training, they are much more likely to take action, and bystanders who 18 phone 911 and begin CPR provide the first essential links in a strong, 19 interdependent chain of survival which will dramatically increase the survival 20 rate which is currently seven to nine percent and; 21

22 WHEREAS: Training of all secondary education students will add a million trained rescuers 23

to the population every few years, and those students will be ready, willing, and 24 able to act for many years to come whenever they witness an emergency within 25 the community; and students trained as rescuers might help save lives at home 26 where most sudden cardiac arrests occur, and trained students could respond to 27 cardiac arrests at school and at public places such as malls, health clubs, 28 swimming pools, or at events such as family gatherings and; 29

30 WHEREAS: Most students age 13 or older have the physical size and strength necessary to 31

deliver effective chest compressions, and hands-only CPR takes only 30 32 minutes to learn, and the cost to a school district is minimal and; 33

34 WHEREAS: A legislative mandate and support for training in schools would have a 35

significant impact, and that state legislatures should make sure that everyone 36 graduating from high school should know the psychomotor skills of CPR and 37 how to use a defibrillator and; therefore be it 38

39 RESOLVED: That the AAMA encourage state societies to take the initiative to advocate for 40

their legislators to mandate CPR training for every high school student. 41 42 BUDGETARY 43 IMPACT: None. 44 45 46 47 Assigned to the Reference Committee on Resolutions 48

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RESOLUTION 12-2 3 4 5 INTRODUCED BY: AAMA Board of Trustees 6 7 SUBJECT: Revised Vision Statement 8 9 WHEREAS: Vision statements reflect the positive reality, both currently and as it will be 10

fully realized in the future; 11 12 WHEREAS: Vision statements should be inspirational, aspirational, and challenging, but 13

also tied to, and reflecting the ultimate accomplishment of, the current goals, 14 objectives, and strategies of the organization; 15

16 WHEREAS: The current AAMA Mission is as follows: 17

The mission of the American Association of Medical Assistants is to provide 18 the medical assistant professional with education, certification, credential 19 acknowledgment, networking opportunities, scope-of-practice protection, and 20 advocacy for quality patient-centered health care; 21

22 WHEREAS: The successful accomplishment of the AAMA Mission—both as a whole and 23

in its specific components—will result in “CMAs (AAMA) protecting 24 patients by providing excellent health care;” therefore be it 25

26 RESOLVED: That the American Association of Medical Assistants adopt the following as 27

its Vision Statement: 28 CMAs (AAMA) protecting patients by providing excellent health care 29

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS 1 2012 DELEGATES AND ALTERNATES 2

[CURRENT AS OF JUNE 20, 2012 – SUBJECT TO LATER REVISION] 3 4 5 STATE DELEGATES ALTERNATES 6 7 ALABAMA Marquita Breeding, CMA (AAMA) Tracie Fuqua, CMA (AAMA) 8

Regina Sadler, CMA (AAMA) Janie Rogers, CMA (AAMA) 9 Jennifer Wood, CMA (AAMA) 10 11

ALASKA Karen Ebanez, CMA (AAM) Christa Bartlett, CMA (AAMA) 12 Amy Samuel, CMA (AAMA) 13

14 ARIZONA Darcy Atwood, CMA (AAMA) Katherine Edwards, CMA (AAMA) 15 Phyllis Davis, CMA-AC (AAMA) 16 Mary Dockall, CMA (AAMA) 17 18 CALIFORNIA Cori Burns, CMA (AAMA) Virginia Marquette, CMA (AAMA) 19 Kathleen Ham, CMA (AAMA) 20 Betty Thang, CMA (AAMA) 21 22 COLORADO Rose Gutzmer, CMA (AAMA) 23

Alice Kneebone, CMA (AAMA) 24 Rebecca Norman, CMA (AAMA) 25

26 CONNECTICUT Jennifer Amaral, CMA (AAMA) Barbara Bendici, CMA (AAMA) 27

Georjan DeLucia, CMA (AAMA) Jane O’Grady, CMA (AAMA) 28 Tracy Karelus, CMA (AAMA) Barbara White, CMA (AAMA) 29

30 FLORIDA Marsha Benedict, CMA-A (AMA) Theresa Errante-Parrino, CMA (AAMA) 31

Heidi Fortin, CMA (AAMA) Carol Francis, CMA (AAMA) 32 Mary Morris, CMA (AAMA) Christine Petsalis, CMA (AAMA) 33 Judy Seymour, CMA (AAMA) Ruth Lapio, CMA (AAMA) 34

35 GEORGIA Sherrill Barge, CMA (AAMA) 36

Kathleen Moore, CMA-ACP (AAMA) 37 Nikal Redwine, CMA (AAMA) 38 Sue Sims, CMA (AAMA) 39 40

HAWAII Lynn Hamada, CMA (AAMA) Dolores Willing, CMA (AAMA) 41 Dorothy Mack, CMA (AAMA) 42 43 IDAHO Cindy Baird, CMA (AAMA) Robin Terrell, CMA (AAMA) 44 Kathy Mooso, CMA (AAMA) 45 Cheri White, CMA (AAMA) 46 47 ILLINOIS Marion Fleetwood, CMA (AAMA) Mary Frances Burton 48

Julie Stoffregen, CMA (AAMA) 49 Donna Radzun, CMA (AAMA) 50 Sharon Strutzenberg, CMA (AAMA) 51

52 INDIANA Jennifer Begley, CMA (AAMA) Jodie Fuqua, CMA (AAMA) 53

Tamara Daily, CMA (AAMA) 54 Joyce Edds, CMA (AAMA) 55 Pamela Neu, CMA (AAMA) 56

57

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STATE DELEGATES ALTERNATES 1 2 3 IOWA Jolene Hall, CMA (AAMA) Judy Frits, CMA (AAMA) 4

Carol Hartig, CMA (AAMA) Jeanette Roam, CMA (AAMA) 5 Abigail Miller, CMA (AAMA) 6

Deanna Schnebbe, CMA (AAMA) 7 Lucinda Wilson, CMA (AAMA) 8

9 KENTUCKY Carol Gross, CMA (AAMA) Cindy Comley, CMA (AAMA) 10 Mary Miller, CMA (AAMA) Jannie Washington, CMA (AAMA) 11

Sharon Shannon, CMA (AAMA) 12 13 MAINE Susan Hawes, CMA (AAMA) Katherine Libby, CMA (AAMA) 14

Inga Pollard, CMA (AAMA) Gloria Yawn, CMA (AAMA) 15 Ann Salisbury, CMA (AAMA) 16

17 MARYLAND Maggie Burkhead, CMA (AAMA) 18 Monica Jameson, CMA (AAMA) 19 Roxanne Sealing, CMA (AAMA) 20 21 MASSACHUSETTS Dawn Jordan, CMA (AAMA) Jean Lynam, CMA (AAMA) 22 Patricia Mascis, CMA (AAMA) Linette Warren, CMA (AAMA) 23 Matthew Phillips, CMA (AAMA) Sophie Williams, CMA (AAMA) 24 25 MINNESOTA Teresa Flanagan, CMA (AAMA) Julene Bredeson, CMA (AAMA) 26 Cristen Ollinger, CMA (AAMA) Dawn Schuttemeier, CMA (AAMA) 27 Susan Tapp, CMA (AAMA) 28 Kathy Tettam, CMA (AAMA) 29 30 MONTANA Angie Knowles, CMA (AAMA) 31

Rita Nixon, CMA (AAMA) 32 Linda Sannes, CMA (AAMA) 33

34 NEBRASKA Nicole Dvorak, CMA (AAMA) Linda Allensworth, CMA (AAMA) 35

Lori Kounovsky, CMA (AAMA) Carol Hipke-Muske, CMA (AAMA) 36 Andrea Stewart, CMA (AAMA) Terrie King, CMA (AAMA) 37

Debra Potratz, CMA (AAMA) 38 Janet Ueding, CMA (AAMA) 39

40 NEW HAMPSHIRE Catherine Chevalier, CMA (AAMA) Lise Morin, CMA (AAMA) 41

Theresa Dionne, CMA (AAMA) 42 Stephanie Grassett, CMA (AAMA) 43 44 NEW JERSEY Terry Silvia, CMA (AAMA) 45

Marianne Van Deursen, CMA (AAMA) 46 47 NEW MEXICO Belinda Callaway, CMA (AAMA) Cheryl Vineyard, CMA (AAMA) 48 EmmaLee Knadle, CMA (AAMA) 49 50 NEVADA Carol Cohen, CMA (AAMA) 51 52 NEW YORK Joann Fisher, CMA (AAMA) Cynthia Ryder, CMA (AAMA) 53

Paula Guidozzoli, CMA (AAMA) 54 Susan Vetter, CMA (AAMA) 55

56

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STATE DELEGATES ALTERNATES 1 2 3 N. CAROLINA Katherine Edwards, CMA (AAMA) Paula Cooke, CMA (AAMA) 4

R. Glen Grady, CMA (AAMA) Stella Gallop, CMA (AAMA) 5 Lois Graham, CMA (AAMA) Maria Van de Bovenkamp, CMA (AAMA) 6 Lisa Johnson, CMA (AAMA) 7 Betty F. Jones 8 Shannon Mitchell, CMA (AAMA) 9 Shirley Sawyer, CMA (AAMA) 10 11

OHIO Sherry Brewer, CMA (AAMA) Dawna Pyle, CMA (AAMA) 12 Mary Browder, CMA (AAMA) Diana Rogers, CMA (AAMA) 13 Loxie Kistler, CMA (AAMA) 14 Tammy McClish, CMA (AAMA) 15 Lora Wilson, CMA (AAMA) 16

17 OKLAHOMA Billie Acree, CMA (AAMA) 18 Christine Mennecke, CMA (AAMA) 19

Laura Mitchell, CMA (AAMA) 20 21 OREGON B. Joy Cundiff, CMA (AAMA) Sylvia Aldrich, CMA (AAMA) 22 Karan Drahn, CMA (AAMA) Kathleen Puckett, CMA (AAMA) 23

Diana Hughes, CMA (AAMA) 24 Jocelyn Willis, CMA (AAMA) 25 26 PENNSYLVANIA Donna Firn, CMA (AAMA) Kyran Harper, CMA (AAMA) 27 Mary Lou Ninehauser, CMA (AAMA) 28 Rhonda Snyder, CMA (AAMA) 29 30 S. CAROLINA Gail Alewine, CMA (AAMA) Patricia Licurs, CMA (AAMA) 31

Deborah Babb, CMA (AAMA) 32 Melissa Burbage, CMA (AAMA) 33

34 S. DAKOTA Shelly Johnson, CMA (AAMA) Teresa Laleman, CMA (AAMA) 35

Suzie Weir, CMA (AAMA) Jo Penning, CMA (AAMA) 36 Amy Zobel, CMA (AAMA) 37

38 TENNESSEE Carol Clapp, CMA (AAMA) Carol Brown, CMA (AAMA) 39 Sandra Laws, CMA (AAMA) Patsy Wilson, CMA (AAMA) 40

Monica Oxendine, CMA (AAMA) 41 42 TEXAS Donna Gibbins, CMA (AAMA) Sherry Bogar, CMA (AAMA) 43 Cynthia Lundgren, CMA (AAMA) Mary Dyer, CMA-A (AAMA) 44 Michael Pfeil, CMA (AAMA) 45 46 UTAH Mary Comrie, CMA (AAMA) Kirsten Rond, CMA (AAMA) 47 Sherri McMillan, CMA (AAMA) 48 Jill Shelton, CMA (AAMA) 49 50 VIRGINA Carolyn Johnson, CMA (AAMA) Jodi Wyrick, CMA (AAMA) 51 Virginia Thomas, CMA (AAMA) 52

Diane Vandevander, CMA (AAMA) 53 54

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STATE DELEGATES ALTERNATES 1 2 3 WASHINGTON Katy Denooyer, CMA (AAMA) Dallas McDaneld, CMA (AAMA) 4

Michele Kaszewicz, CMA (AAMA) Tom Wolf, CMA (AAMA) 5 Lori VanLith, CMA (AAMA) 6 Lori Wentz, CMA (AAMA) 7

8 WISCONSIN Denise Dorsey-LaCanne, CMA (AAMA) 9

Barbara Hruby, CMA (AAMA) 10 Julie Lorscheter, CMA (AAMA) 11 Gail Luttenberger, CMA (AAMA) 12 Cynthia Ruebl, CMA (AAMA) 13 Connie Hantula, CMA (AAMA) 14

15

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS ENDOWMENT 1 2

Report of the AAMA Endowment 3 For the Period Ending September 2012 4

5 6 The AAMA Endowment is the corporation in which the Medical Assistance Education Review 7 Board and the Maxine Williams Scholarship Committee are situated. 8 9 There are three directors/officers of the Endowment: the President, Vice President and 10 Secretary-Treasurer. These officers are elected by the members of the Endowment. 11 12 The President serves as presiding officer for all Endowment meetings and serves as ex officio 13 to all functions of the Endowment. 14 15 The Endowment also approved the appointments of Maxine Williams Scholarship Committee 16 members and the appointment of Christine Hollander, CMA (AAMA), as chair of the 17 committee. 18 19 20 Ann Naegele, CMA (AAMA) 21 AAMA Endowment President 2011-2012 22

23

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS ENDOWMENT 1 2

Report of the Medical Assisting Education Review Board 3 For the Period Ending September 2012 4

5 6 The Medical Assisting Education Review Board (MAERB) is one of 23 Committees on Accreditation 7 (CoA) that are approved as members of the Commission on Accreditation of Allied Health Educational 8 Programs (CAAHEP). CAAHEP states that the “CoA for each discipline reviews the self-studies, 9 schedules the site visits and prepares recommendations for the consideration of the CAAHEP Board of 10 Directors.” 11 12 MAERB currently is composed of eleven members representing administration, practitioners, educators 13 for public and private institutions, physicians, and the public. Program accreditation action reviews 14 completed during the period June 1, 2011, through May 31, 2012, included the following: 15 16

Initial Accreditation Reviews 9 Continuing Accreditation Reviews 29 Four-month Initial Accreditation Expiration Reviews 26 Twelve-month Review of Initial Accreditation Actions 24 Progress Reports 35 Requests for Reconsideration 12 Voluntary Withdrawals of Accreditation 16 Focused Site Visit Review(s) 1 Annual Report Form (ARF) Status Reports (Fall 2010/Spring 2011) 115 Annual Report Form (ARF) Reviews (Fall 2011/Spring 2012) 616 ARFs Meeting All Thresholds (Fall 2011/Spring 2012) 413 ARF Reviews Pending Adverse Recommendations (Fall 2011/Spring 2012) 35 ARFs Requiring Monitoring Only or Status Reports (Fall 2011/Spring 2012) 168

17 Of the 616 that submitted ARFS in Fall 2011 and in Spring 2012, there were 413 (67%) that met all 18 thresholds for the current reporting year. The total number of graduates for the five year report period 19 was 94,654. Breakdowns by thresholds for the 600 + programs are shown below: 20 21

Outcome Threshold Average of all programs Retention 60% 68.79% Job Placement 60% 70.66% Graduate Survey Participation 30% 55% Graduate Satisfaction 80% 95.89% Employer Survey Participation 30% 39.52% Employer Satisfaction 80% 94.84%

22 MAERB meetings held: 23 August 4-6, 2011 – Chicago, Illinois 24 November 11-12, 2011 – Chicago, Illinois 25 January 26-28, 2012 – Tempe, Arizona 26 May 22-24, 2012 – Tempe, Arizona 27 Several webinar meetings to discuss program complaints. Participants are the MAERB Chair and 28

Vice Chairs, the Executive Director of Accreditation and the Director of Accreditation. 29 30

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Report of the Medical Assisting Education Review Board, cont. 1 2 3

MAERB representatives attended the following CAAHEP meetings: 4 January 20-21, 2012 in Orlando, Florida – Chair Startzell and Vice Chair Spegal 5 April 29-30, 2012 Annual meeting in San Diego, California – Chair Startzell, Executive Director of 6

Accreditation Anna Johnson; Director of Accreditation Judy Jondahl; CAAHEP Commissioner 7 Rebecca Gibson-Lee, AAMA and Executive Director Donald Balasa 8

July 20-21, 2012 CoA Summer Workshop in Las Vegas, NV – The MAERB meeting will be held on 9 July 17-19, 2012 in Las Vegas to allow the MAERB members to attend the Workshop. 10

11 Accreditation Workshops were conducted by MAERB on September, 2011 in Indianapolis, Indiana, 12 and on May, 2012 in Tempe, Arizona. 13 14 On September, 2011 in Indianapolis, Indiana, the MAERB conducted a Surveyor Training Workshop. 15 16 The MAERB has set aside $50,000 earmarked for surveyor training after the next revision to the 17 CAAHEP Standards and Guidelines for the Accreditation of Educational Programs in Medical 18 Assisting is completed. This reserve fund will offset the expense of additional meetings and the 19 retraining of surveyors trained under the 2008 Standards and Guidelines. 20 21 On behalf of the MAERB this Chair expresses appreciation to the Accreditation Department for their 22 dedication and invaluable expertise. 23 24 This Chair is deeply grateful to the MAERB Vice Chairs and the MAERB members for their excellent 25 service and tireless devotion to the MAERB and the accreditation process. 26 27 28 Cheryl Startzell, CMA (AAMA) MA, Chair 29 30 Members: 31 Cheryl Hutchison, CMA (AAMA), CPC, AAS, Vice Chair 32 Jennifer Spegal, CMA (AAMA), MT, MEd, Vice Chair 33 Mary Dey, CMA-AC (AAMA), CPC 34 George Fakhoury, CMA (AAMA), MD, DORCP 35 Mary Frances Hash, CMA (AAMA), MA 36 Diane Morlock, CMA (AAMA), MS 37 Molly Bilyeu, CMA (AAMA) 38 Michael Centeno, MD 39 Hal Buntley, CMA (AAMA), MHA, MBA 40 Annemarie Dirndorfer, CMA (AAMA) 41 42 Ex Officio Member: Joyce Hardee, CMA-A (AAMA) 43 44 Staff Liaisons: 45 Anna L. Johnson, CAE, Executive Director of Accreditation 46 Judy Jondahl, RN, MS, Director of Accreditation 47

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS ENDOWMENT 1 2

Report of the Maxine Williams Scholarship Committee 3 For the Period Ending September 2012 4

5 6 This committee was charged with reviewing the Maxine Williams Scholarship applications and 7 selecting recipients. 8 9 This year there were 282 applications received. Of these, 115 were ineligible and 167 were 10 eligible for the review process. Each committee member selected five applications for final 11 consideration from their group. The final 15 were then reviewed by the committee members 12 with three recipients chosen, each receiving a $1000 scholarship. Each recipient also receives a 13 one- year free student membership in AAMA. 14 15 The 2012 recipients of the Maxine Williams Scholarship are as follows: 16 17 Nina J. Barlow University of Alaska Anchorage Alaska 18 Lisa J. Robison Des Moines Area Community College Iowa 19 Amanda Pfitzer College of Southern Idaho Idaho 20 21 This chair wishes to thank the committee members for their review of the applications and 22 Director of Board of Services Kathy Langley for her assistance with the processes involved. 23 24 25 Chris Hollander, CMA (AAMA) 26 Chair 27 28 Members: 29 Lisa Lee, CMA (AAMA) 30 Freda Miller, CMA (AAMA), CPC, PCS 31 32 Staff Liaison: 33 Kathy Langley 34

35

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AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS ENDOWMENT 1 2

Report of the Ivy Reade Relkin Surveyor Training Fund 3 For the Period Ending September 2012 4

5 6 The Ivy Reade Relkin Surveyor Training Fund was initiated by Ivy Reade Relkin, who had the 7 insight to realize that all potential surveyors would not be able to pay the expenses for training. 8 This fund has been used throughout the years to ensure that qualified surveyors represent the 9 Commission on Accreditation of Allied Health Education Programs (CAAHEP) and the 10 Medical Assisting Education Review Board (MAERB) while performing on-site surveys of the 11 institutions. 12 13 Funds from the Ivy Reade Relkin Surveyor Training Fund are partially used to provide grants 14 for individuals to participate in Surveyor Training Workshops that are held during the AAMA 15 Annual Conference. At the current time, due to diminishing available funds, MAERB is 16 providing only one $500 grant each year to defray expenses for an individual to attend a 17 Surveyors Workshop. 18 19 The 2011 grant was awarded to Doniel Noble, CMA (AAMA), RMA, who is a practitioner 20 from Plover, Wisconsin. At the time of this report no winner has been selected for the 2012 21 Surveyors Workshop to be held on September 10th in Scottsdale, Arizona. 22 23 The MAERB encourages all AAMA members to contribute to this fund that is used to educate 24 CAAHEP/MAERB surveyors who ensure that the educational foundations of medical assisting 25 education are being followed. The fund will continue to be promoted in CMA Today and the 26 MAERB Report. 27 28 29 Cheryl Startzell, CMA (AAMA), MA 30 Chair, Medical Assisting Education Review Board 31