Nurse Practitioners of Oregon General Membership Meeting Minutes SW Boones Ferry Road, Suite 200 Tualatin, Oregon 97062

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Meeting : 17 May 2014 Meeting Location: ONA Headquarters, Tualatin, Oregon Nurse Practitioners of Oregon General Membership Meeting Minutes 18765 SW Boones Ferry Road, Suite 200 Tualatin, Oregon 97062 Attending: JC Provost, Kari Komlofske, LuAnn Cook, Kat Chinn, Corlyn Caspers, James Sims, Larlene Dunsmuir, Pam Hiransomboon- Vogel, Shelda Holmes, Anne Berry-Lever, Susan King, Tara Gregory, Carl Brown, Karen Riesinger, Patti Brandon, Nena Herrera Attending By Conference Call: Roger Fogg, Meg Portwood, Ginny Elder, Pam DeVisser 1. Meeting Called to order by JC Provost at 1000 2. Announcements & Introductions: Topic discussed Follow-up Action(s) Person(s) 2014 Officers: Chair, JC Provost Immediate Past Chair, LuAnn Cook Chair Elect, vacant Secretary, Corlyn Caspers Treasurer, Kari Komlofske 2014 Meeting & Education s: January 21, 2014 March 29, 2014 Pharmacology Conference May 17, 2014 Aug 9, 2014 October 16-18, 2014 at NPO Educational Conference Carl Brown, Director of Professional Services at ONA was present and introduced at this meeting. His current goals include building upon experience with education, research, and practice to increase the education platform of the organization. Particularly becoming an ANCC provider of CE, obtaining ANCC approver status, and developing an education platform for professional nursing via in person, online and virtual modalities. 2.1 Vacancy in Chair Elect Stacy Agee has resigned her position due to health issues. Motion and approval vote for current Chair and immediate past chair to continue their positions for another term. Election to include chair elect position. James Sims has expressed interest in running for chair elect. JC has agreed to remain in Chair position for additional term of service. LuAnn has agreed to remain as Immediate Past Chair for additional term of

Project Access Now reported a successful fundraiser this year. NPO is currently stakeholder and has committed to $10,000 donation for 2015 and 2016 as stakeholder status. For 2015 event NPO will have a table for 10 to fill at the fundraiser auction event. Pisith Kong has been promoted to Education and Research Specialist at ONA. Governor Kitzhaber will be convention speaker at luncheon at ONA convention in Wilsonville on May 20, 2014 service. Donation funding 2015, 2016. NPO presence at event. 3. Treasurer's Report: KARI KOMLOFSKE Summary as of March 2014 Financial Position: Total assets 226,232.50 Liabilities 5,364.57 Fund Balance from June 30, 2012 215,145.91 Profit YTD 5,822.02 Adjusted fund balance 220,867.93 Total liabilities and fund balance 226,232.50 4. Secretary Minutes and Approval: CORLYN CASPERS Motion and approval for the minutes of the January 25, 2014 NPO meeting be approved as written. Post on NPO website ASAP 5. NPO/Nanette Clapper Scholarship Changes Changes have been made to NPO scholarship requirements and expectations of recipients. Application to have significant weighting for past experience in professional organization. The recipient will be required to attend one NPO quarterly meeting and will be required to serve on a committee or in a leadership position for three years following receipt of scholarship. Also, one reference letter must be from a current ONA or NPO member. Changes made to existing application and information for 2014 scholarship. ONA support

6. Committee Reports: 6.1 Legislative Committee Kathy Moon / Susan King 6.1.1 DME (CMS) CMS proposal for MD co-signature and face to face visit implementation for DME was postponed, there has been some movement that this delay could be enacted and be retroactively enforced. ANA has met with CMS with suggestion to narrow or empty list of DME that would need this requirement. Susan King has reached out to both ANA and CMS to work on the new strategy, but as of yet no outcome. 6.1.2 HB 2902 (payment parity) Legislators have established a task force that Mary Grant, ANP and a colleague physician co-chair. At this time some data has been presented that brings in to question whether billing is occurring independently or pursuant to MD. PEBB is questioning whether or not they are included in new regulations and a legal opinion has been requested by NPO. 6.2 Education Committee Larlene Dunsmuir 6.2.1 Annual Conference Fall conference date October 16-18, 2014 at the Sentinel Hotel (formerly Governor Hotel) downtown Portland. There will be workshop charges at the conference this year. NPO is partnering with ONA this year to present the conference. Change occurred to maintain conference as NPO property. Work delegated to the following arms of organization: NPO: Vet and approve all speakers and topics, contracts with venue and make all food and facility arrangements, maintain speaker and conference schedule, final responsibility for all decisions, onsite management of registration desk, introduction of speakers, maintaining flow of conference. ONA: Clerical services including printing, name badges, posters, signs and other duties, work with committee chair for development of all forms, develop call for abstracts and make it available online, follow-up with speakers to ensure that all forms are completed, development of brochure, facilitation of registration process, CE approval through Ohio SNA, contacting and working with vendors and exhibitors as well as onsite work with vendors and exhibitors, AV services. Continue conference planning and actions. Education Committee, 6.2.2 Pharmacology 78 attendees at conference in March. This was record attendance and was too many for current location. Conference was well received with good evaluations. 6.3 Professional Standards James Sims 6.3.1 NP Program discussions Look for new location for 2015 conference that can accommodate larger attendance. Develop recommendation statement regarding what

James Sims will talk with Washington State programs that have developed the idea of post graduate residency training. Goal is to increase the level of functioning of newly graduated NPs. Ideas include partnering with a mentor, paid residency, team and individual training based exposure to specialty and provides additional training. Tacoma currently has this set up. 6.4 Nominating Committee Karla McGee James Sims is interested in Chair Elect position. Corlyn Caspers is interested in Secretary position. Karla McGee interested in Nominating Committee Chair position. 6.5 Membership and Marketing No report 6.6 Independent Practice & Business Owners Shelda Holmes 6.6.1 Survey Motion and approving vote for dispersement of needs assessment to NP business owners list from OSBN list. Survey request to be sent electronically. 6.6.2 IPA discussion Met with Joe henry to review idea of statewide IPA for NPs. proposed training could look like. Review policy paper on NP readiness for practice. Send out needs survey to NP business owners and Shelda 7. Regional and Organizational Representatives Reports: 7. Regional and Organizational Reps Linda Burgel, Bend Karen Riesinger, Portland Ginny Elder, Cove Kat Chinn, Eugene Meg Portwood, Lincoln City Rebecca Bolling, Southern Oregon 7.1 Regional Representatives Meg starts precepting a Gonzaga student this month. Upcoming conference call end of month regarding loan repayment. Working with insurance adequacy group. Rural Health Clinics have had a CMS rule changing regulations requiring MD on site or MD director for these rural clinics. If practicing independent per state law, MD not needed on site. (IE NP independent, PA dependent) Karen was contacted by a coordinator of website asking if NPO interested in joining their site to post state NP events. No action taken. Klamath and Lane County CCO s are closed to new patients due to maximal provider panels. 7.2 Rural Health Coordinating Council Pam DeVisser No report

7.3 AANP Roger Fogg 7.3.1 AANP National Conference Upcoming Conference in Nashville June 2014. JC s award will be presented June 20 th 1645. 7.3.2 JC Awarded Oregon NP State Award 7.3.3 Tracy Klein Elected to Region 10 representative. MN and CT now independent states for NP practice. Total now 19 states. Approach Tracy to agenda for updates from AANP at quarterly meetings. 8. New Business: 8.1 OPCA Request for NP Oregon Primary Care Association representative Laurie Francis is requesting an NP for meeting to discuss burnout and resiliency issues and retention. Karen Riesinger has expressed interest. ONA endorsements: include Nosse Merkley State Telehealth bill has had no movement. ONA continuing to monitor. Federal Telehealth bill defines site as where provider is but no action at this time. Clarifying definitions. DOT training and examinations are expensive and time intensive. May 21, 2014 is deadline for registering to be provider of DOT physicals. NP medical care advisory committee requested NP on workers comp committee. Minimal workload. POLST Forward Karen Riesinger name to Laurie Francis. Full list on endorsements exists on ONA website. NPO to consider partnering for DOT CDL training. Send email and post notice on website. Contact representative for update 9. Adjournment: By JC Provost 1250 Next Meeting : 09 August 2014 Submitted by Corlyn Caspers, ANP-BC, Secretary