House of Delegates Report

Winter 2019 Meeting

New Orleans, LA

Connie Dills and Kerry McNiven - Delegates

House of Delegates Information

Student Mentorship Committee:

2020 deadlines

    • Summer HOD: Application deadline (45 days prior): June 1, 2020
    • Winter HOD: Application deadline (45 days prior): September 28, 2020

Policy HD016 – Chartered Affiliates’ Financial Reporting Obligations

This was discussed and passed.

States will report their information triennially.

If there is an issue, you need to contact the Charted Affiliates Committee

Compliance will probably be a letter from an accountant. The committee does not want a state’s financial information.

The committee is looking for state to volunteer to begin this process.

House Awards

2019 Delegate of the Year - Julie Jackson

Bill Lamb Award of Exceptional Volunteering and Mentoring - Earnestine (Micki) Thompson (FL)

Best Practices

Maintaining AARC Membership Among New Graduates - Steve Smith, (NY)

State society paid the schools money so that a scholarship could be set up at each of the schools (gave up t $250 to the 13 CoARC approve programs in NY)

Grassroots Advocacy for Our Patients and Profession: A Panel Presentation           Representatives from Iowa, Colorado, Oklahoma and Wisconsin

Award for the person who signed up the most new advocates.

WI – created a contest amongst the schools and the school that signed up the most students got a pizza party. They also gave extra credit for advocacy activities. One hour of community service was offered to discuss advocacy on campus.

OK – talked to their constituents by changing the location of the board meeting

Iowa – Had everyone take out their phones during the state meeting to advocate. They challenged managers to have staff bring their phones to the safety huddles and learn to advocate and then the RTS advocated to the RNs and MDs.

House of Delegates Election Results

AARC Bylaws Committee – 2 positions

Dennis Guillot (LA) – Chair elect

Lanny Inabnit (NC) - Chair

AARC Elections Committee – 1 position

Jerry Edens (Ohio)

AARC Membership Looking Forward by Looking Back Special Guest – Tom Lamphere

2008 -12 averaging over 40,000 members

After 2012 membership has been under 39,000

% of membership vs licensed RTs

Nation wide 22% are AARC members (used to be at 35-40% in Dec 2008)

Need to get to 51% membership to truly represent the RTs in the state

  We in CT are at 40% (active members, not students). Only state higher than us is PA

Retention is the issue

What should CT do?

      • Identify the objective
      • Focus on selling LOCAL – not national information – benefit of state membership instead of AARC membership “join the AARC and receive all the benefits of CT membership FREE…”
      • Do your members know who the board members are? Should introduce yourselves and put pictures on the web site.
      • Discounted membership – GROUP memembership ($83- it is slightly less but PA puts a little extra on). You purchase the memberships in advance. This is $6 less than thru the AARC. The state gives the offer of the discount.
      • Fun events with discounts for members (bus to NYC, theater tickets, museum tickets) - just because you offer it, not a lot of people have to use it to show that you are offering them something. The events are NOT money makers so does not affect your tax status.
      • Communication is the key via e mail.
      • Offer free conference registration for managers? Meet with managers? Are they all members?
      • Don’t give a membership with conference registration but make the cost VERY high. These members do not renew. If they don’t want to be a member, they won’t.

The FACES Foundation and The PHIL* Award presented by Director Sharman Lamka

*Pulmonary Health and Illness of the Lung

This is the only hospital-based recognition program dedicated to honoring outstanding RTs as nominated by patients, family members, and other care givers

Accepting nominations in Jan for the next year

Hospitals recruit, retain good RTs as a result of this award

Similar to a Daisey award for RNs

Currently partners in 29 states

Facesfoundation.org 877-505-2075

Past Speaker Update

Ca, Or, LA bylaws were approved

Position Paper Committee will be working on the e cigarette and other position papers that involve smoking to be updated.

Former Post-Acute Care committee is now the Ambulatory Post-Acute Care Committee

Former Diversity Committee will now be called the Diversity and Inclusion Committee

The FAARC policies for selections of fellows has been updated.

Leadership Boot Camp Travel Assistance Policy has been approved and will be in effect in Jan

Revenue totals collected from HOD donations from the summer and winter 2019 meetings

(Total donations = $29,050.00)

  1. AARC-Disaster Relief: $ 18,850
  2. ARCF-General Fund: $700
  3. ARCF-Bill Bitzel Fund: $1,050
  4. ARCF-International Fellowship: $5,900
  5. ARCF-Research: $2,050
  6. ARCF-Billy Lamb: $500

Open Mics

Jerry Edens (OH) – schools in area cannot put out enough RTs. Got a community college to create a cohort program. The hospital will pay for their education if the employee signs a 5-year commitment to work after graduation and passing exams. The student must still be able to be accepted into the program.

President’s Karen Schell’s Town Hall Meeting

  1. Recruit new people into the profession and tell the media about our profession

Suggestions included being consultants on medical shows, corporate sponsor for a TV ad like the Johnson & Johnson nursing ad, ads on Facebook or other social media sites, use YouTube as a media to reach younger folks, develop a game that kids can learn about RTs, reaching out to HOSA groups

  1. How can we grow membership?

Suggestions included: adding it to clinical ladders, add it conference fee to pay for memberships, incentive if you recruit a new member when you renew, there are memberships tools on the AARC website – if you have other suggestions of other resources, let the AARC know.

AARC Executive Update

Revenue Sharing Specific for Congress

$5 is given to the state for every person who attends the AARC Congress. The expectation is that the states promote the meeting on their web sites and on their social media. This did not happen.

Moving forward in 2020 – states will be reimbursed for each promo code that is used. It will be state specific. This will get the state $5 per participant. If they register thru the state’s web site, via a hyperlink on the state society’s page, and use the code. For participants it will cost less than on the AARC web site. Currently this is not in place for the summer forum. These changes will come out in the Jan revenue sharing contract. This information will be disseminated via the President’s connect site.

Membership

At the end of September 2019, our total membership numbers were 44,911, which is above the 40,000-member goal. Starting Jan 1, 2020, that will mean an additional $1/member in revenue sharing. This will continue to happen unless the quarter membership level drops below the 40,000 level.

The AARC hopes to begin the autorenewal process of AARC membership in early 2020.

AARC Times is Going Digital

Dec 2019 will be the last printed issue of the magazine. In early 2021, a new, on-line, web-based format of the magazine will be launched that will not only include the best of what the magazine brings to the table, but real-time, newsworthy content currently published on the AARC website.

Respiratory Care Journal

Beginning an RT internship opportunity to work with the journal.

Partnerships Between AARC and Other Organizations

Working with Allery and Asthma group with allergies and airline travel

Working with NAMDRC to get long term oxygen available to our patients and home ventilators with the competitive bidding process

Working with COPD foundation and completed the OSA/COPD overlap study

Working with ATS about a CPG about oxygen

Sept 2020 – Patient Safety March in Washington, DC

AARC hopes to have a big presence at this event

Virtual Museum

This is changing and will be a little more user friendly

2030 Position Paper

Recommendation is BS, RRT as entry into practice

Once a month, in 2020, there will be a pod cast with schools and RTs who have made this change.

Advanced Practice RT

Needs assessment completed and the manuscript has been submitted to CHEST for publication.

Leadership Institute

Scholarships will be made available to new managers of RT

The courses were updated in late 2019.

Journal Conferences

COPD current evidence and Implications for Practice will be the topic of the 2020 Journal Conference

Products

AARC is targeting an update to the Uniform Reporting Manual product in the 1st quarter of 2020. The AARC is preparing materials to survey the respiratory care community for their time standards input.

Leadership Boot Camp

The AARC has secured space that will allow more attendees in 2020 and 2021. Future events will be March 21 - 23, 2020 and March 20 - 22, 2021.

The 2019 Specialty Practitioner of the Year recipients are listed below:

  • Adult Acute Care: Karsten Roberts, MS, RRT, RRT-ACCS
  • Diagnostics: James P. Sullivan, BA, RPFT
  • Education: Donna “De De” Gardner, DrPH, RRT RRT-NPS, FAARC
  • Management: Margarete (Margie) Pierce, MS, RRT
  • Neonatal-Pediatrics: Sara Wing Parker, MPH, RRT, RRT-ACCS, RRT-NPS, AE-C
  • Post-Acute Care: Michael W. Hess, BS, RRT, RPFT
  • Sleep: Beth Brooks, RRT, RRT-SDS
  • Transport: Scott May, BHS, RRT, RRT-NPS, C-NPT

Future Summer Forum Destinations

  • 2020 – Snowbird, UT
  • 2021 – Bonita Springs, FL
  • 2022 – Desert Springs, CA

Future Congress Destinations

  • 2020 – Orlando, FL
  • 2021 – Phoenix, AZ
  • 2022 – New Orleans, LA
  • 2023 –Nashville
  • 2024 – OPEN
  • 2025 – OPEN
  • 2026 – New Orleans, LA

AARC Election Results

Adult Acute Care Section: Maria Madden MS, RRT-ACCS, RRT

Diagnostics Section: Ralph Stumbo Jr., RRT, CPFT

Education Section: Jennifer Anderson, EdD, RRT-NPS, RRT

Management Section: Kimberly Bennion MHS, RRT

Officer and Directors

President-Elect

Sheri Tooley, BSRT, RRT-NPS, CPFT, AE-C

Directors at Large

Kerry McNiven MS, RRT, FAARC

Raymond Pisani, BS, RRT-NPS, RRT-ACCS, FAARC

Legal Representation

AARC has hired a legal firm to help with legal issues

Free 20 minutes consultation time if your state has some legal issue. If it runs over that time, the cost will be greatly discounted.

Changes to the Annual Business Meeting

Starting in 2020, the annual business meeting will take place on the second day of the House of Delegates Meeting, after lunch. (The day before Congress begins.) This will decrease the costs for delegates to attend both the House meeting and the annual business meeting.

Be an RT

New promotional web site for individuals interested in respiratory care.

To be able to access the educational information, you must be part of the AARC education section.

Part of this was premiered at the meeting.

Legislative Update

16 sponsoring organizations for HR 2805

CONNECT for Health Act 2019

Improve access and will save money

120 organizations support this legislation

Want language of BREATHE act in this act

HR 4945 – The SMART Act

Remove ventilators from competitive bidding for the next 5 years.

CMS still wants to move forward with the competitive bidding process and that is why this Act is being pushed to pass.

HR 2339 – Reversing the Youth Tobacco Epidemic Act

89 co-sponsors

There will be multiple potential actions on the AARC PACT page. So you could write letters for each of the above issues.

HR 4838 – The Sustaining Outpatient Services (SOS)

This bill is to prevent programs will be paid for at the physician fee schedule rate and not at the Hospital Outpatient Rehab Rate. This is significantly less than what they pay for outpatient cardiac rehab and pulmonary rehab.

NBRC Update

Credential Maintenance Program f/k/a Continuing Competency Program

Highlights of the changes include incorporating an assessment to each program in which the content will focus on competencies that put the public at risk when performed incorrectly and whose practice changes rapidly. Practitioners can access a dashboard to check their progress which is based on responses to assessment items. References to learning resources for each assessment item are available through the dashboard and linked to each assessment item to which the participant has responded. The dashboard will be updated each year showing a participant whether it is likely that he or she will be required to document continuing education credits in his or her final year.

Full implementation of the new CMP will occur in January 2020. If individual does well, then do not need to submit CEUs to NBRC but you will still need to have them for the state license. If you do not do well, then you will have to provide the CEUs.

Don’t have to participate but it is highly encouraged.

These assessments will be mobile friendly. 5 minutes/questions. CRT/RRT is 10 questions, specialty credentials 5 questions.

Annual renew ($25) is a credentialing maintenance fee. Some of those fees are used as a give back for other organizations.

Pulmonary Disease Educator Credential Being Explored

NBRC conducted a viability study to determine if there is a need for pulmonary disease educator credentialing program. The study group concluded that the NBRC’s Specialty Examinations Committee should make a recommendation to the NBRC Board of Trustees to proceed to step two (a personnel survey) of the NBRC’s policies for examination development. The Specialty Examinations Committee and the Board of Trustees will consider this recommendation in December. This would be multi disciplinary.

Request to Recognize JRCRC

The NBRC board and committees are evaluating if they will recognize the newly formed Joint Review Committee for Respiratory Care accredited programs for NBRC examinations. No decision has been made yet.

Examination Statistics – January 1 –September 30, 2019

Examination Pass Rate

Therapist Multiple-Choice Examination – 11,996 examinations

  • First-time Candidates                       Exceed High Cut-Score – 67.6%

Exceed Low Cut-Score – 78.3%

  • Repeat Candidates                           Exceed High Cut-Score – 26.7%

Exceed Low Cut-Score – 45.3%

Clinical Simulation Examination – 8,948 examinations

  • First-time Candidates                       63.8%
  • Repeat Candidates                           51.5%

Adult Critical Care Examination – 712 examinations

  • First-time Candidates                       67.1%
  • Repeat Candidates                           48.7%

Neonatal/Pediatric Examination – 827 examinations

  • First-time Candidates                       63.7%
  • Repeat Candidates                           42.9%

Sleep Disorders Specialty Examination – 108 examinations

  • First-time Candidates                       82.8%
  • Repeat Candidates                           66.7%

PFT Examination – 373 examinations

  • First-time Candidates                       Exceed High Cut-Score – 32.8%

Exceed Low Cut-Score – 65.2%

  • Repeat Candidates                           Exceed High Cut-Score – 17.5%

Exceed Low Cut-Score – 61.7%

Repeat Exam Policy

Individuals make take the TMC or clin sim 3 times. If they continue to be unsuccessful then they must wait 120 days before attempt 4 and another 120 days before attempt 5

Specialty exam – 2 attempts and then 180 days before repeat

TMC and CSE Content Changes

Ethical questions will begin to appear in test questions

Jan 2020  - detailed content outlines on NBRC website

Virtual calculator will be available in 2020

CoARC Report

Program Closures

Since January 1, 2018 to July 31, 2019, there have been 25 program and program options that have withdrawn: 20 base programs. 3 satellites, and 2 PSG certificate option. The programs came from 13 states (AL, AR, AZ, CA, IL, KY, MI, MO, NJ, OH, PA, TX, VA). 9 AAS, 1 AOS, 6 AS, 6 BS*, 1 MS, 2 PSG Cert

*2 BS (VA and NJ) were the only BS Entry programs in that state

Stated Reasons for Withdrawal:

7 low enrollments (5/9 AAS [AR, AZ, IL, MI, MO], 1 BS [VA], 1MS (AL))and adverse action by institutional accreditor (4); Suspend admissions (4); Sat to base conversion (1); limited hiring opportunities (1); others were non-specific.

Update on High Cut Score Threshold

Due to delays in the release and submission of the 2018 Annual Report of Current Status (RCS), the CoARC is postponing the establishment of a threshold until 2020. After the data from the 2019 RCS have been reviewed and a threshold established, all accredited programs will be informed. Compliance with the TMC threshold will be required for the annual reports due July 1, 2020.

Respectfully submitted,

Connie Dills and Kerry McNiven

November 2019