Proposed Amendment to the Bylaws – Summary of Key Changes OVERVIEW To reflect both changes in the makeup of the AMDA membership, and increasing efficiencies in operations, the Board has unanimously approved a Bylaws amendment and now recommends adoption of the amended Bylaws by the House of Delegates. A number of Bylaws changes were in the nature of updates to reflect current language and/or practice; a few are more substantive in nature. This summary provides a description and rationale of the substantive changes. A listing of all Bylaws changes, along with a redlined version and a “clean” version of the amended Bylaws, are enclosed. We ask that you familiarize yourself with this proposed amendment before the House of Delegates meets on Saturday, March 18, 2017 in Phoenix, AZ. PROCESS The Board of Directors will provide the State Chapter presidents the opportunity to provide comments on the proposal at their open mic call scheduled on February 22nd, as well as at the State Chapter meeting on Thursday morning, March 16th in Phoenix. The proposed amendment is also posted on the House of Delegates website in accordance with our notice provisions. The Bylaws will be presented as an “omnibus” action at the House of Delegates, with the Board asking for a single up-ordown vote to approve or not to approve the amended Bylaws. The Board felt this was an appropriate course of action given the mechanical nature of many of these changes to the Bylaws, and the opportunity for Chapter and House review and comment prior to the House meeting. The final decision on how to consider the proposed amendment will belong to the House. SUMMARY OF SUBSTANTIVE CHANGES PROPOSED The table below summarizes only the substantive changes in the proposed Bylaws amendment. Old language ARTICLE II – MISSION AMDA: The Society for Post-Acute and Long-Term Care Medicine is dedicated to excellence in patient care and provides education, advocacy, information and professional development to promote the delivery of quality post-acute and longterm care medicine. New language Rationale ARTICLE II – MISSION We promote and enhance the development of competent, compassionate, and committed medical practitioners and leaders to provide goalcentered care across all post-acute and long-term care settings. Dedicated to defining and improving quality, we advance our mission through timely professional development, evidence-based clinical Page 1 of 5 The new mission statement was approved by the Board of Directors in September 2016 as part of the new strategic planning cycle. Proposed Amendment to the Bylaws – Summary of Key Changes Old language ARTICLE IV – STATE CHAPTERS New language guidance, and tireless advocacy on behalf of members, patients, families, and staff. Rationale ARTICLE IV – STATE CHAPTERS Section 1. Structure Section 1. Structure State chapter status may be granted to any organized group of licensed physicians, nurse practitioners and/or physician assistants within a state who have an interest in or who provide professional medical services in full or in part in postacute and long-term care. AMDA’s Board of Directors alone is empowered to grant and, if necessary, to revoke state chapter status. The Board of Directors may grant state chapter status to any organized group of licensed physicians, nurse practitioners and/or physician assistants within a state who have an interest in or who provide professional medical services in full or in part in postacute and long-term care. Clarifies that the Board is the chartering authority for AMDA’s State Chapters New Section 1 d: d. Revocation – the AMDA Board of Directors may revoke chapter status if a chapter (a) remains inactive for a prolonged period of time; (b) fails to comply with the requirements described above for chapters; and/or (c) acts in a manner detrimental to its members or AMDA’s members, or undermines approved policies. ARTICLE VII – BOARD OF DIRECTORS ARTICLE VII – BOARD OF DIRECTORS The Board of Directors is responsible for the implementation of policy based on input from the House of Delegates, the State Presidents Council and state chapters as well as the AMDA membership at large. The Board of Directors is responsible to develop, approve and promulgate AMDA policy based on input from the House of Delegates, the State Presidents Council and state chapters as well as the AMDA membership at large. Clarifies that, as the Board can grant chapter status, the board can also revoke chapter status, and frames the causes of revocation. Re-states that the Board is the sole policy-making body of AMDA. ARTICLE XI – SECTIONS - NEW ARTICLE XI - Section 1. Definition a. Sections shall be established by the AMDA Board of Directors to help AMDA advance its vision, mission and goals by providing a forum for a Page 2 of 5 This new Article defines Membership Sections, describes their structure and Proposed Amendment to the Bylaws – Summary of Key Changes Old language New language segment of AMDA members to pursue a specific set of interests. b. Each Section shall have an appointed Advisory Council of no fewer than three and no more than seven members, to assist section members in identifying areas of special focus and to pursue these interests with AMDA committees and programs. The Section Advisory Councils will keep minutes of their meetings, will have an ex-officio, non-voting liaison to the AMDA Board of Directors, and may appoint liaisons to AMDA Committees and work groups. Section 2. Structure and Purposes AMDA’s Section(s) are listed below. a. The Practice Management Section provides a forum for physician practice groups. Its purposes are to position AMDA as the recognized national forum for practitioner-led PA/LTC population management; to establish a membership program that accommodates PA/LTC physician practice groups as well as individual PA/LTC practitioner members; to develop recommended practice management models; and other purposes as defined by its Advisory Council with the approval of the AMDA Board of Directors. Section 3. Appointments. The President, with the advice and guidance of the Board, and consistent with policy, shall appoint and revoke the appointment of members of the Section Advisory Council for a term identified by the Board. Page 3 of 5 Rationale purposes, and their governance, and names them. Proposed Amendment to the Bylaws – Summary of Key Changes Old language ARTICLE XI – COMMITTEES New language Rationale Section 4. Meetings. Section meetings shall be held in accordance with Board-approved guidelines. ARTICLE XII – COMMITTEES Section 1. Definition Section 1. Definition a. Standing committees shall be established to help the Board of Directors, House of Delegates, and State Presidents Council implement AMDA’s mission and goals. Committees shall function in an advisory capacity, recommending programs and policies in the major areas of interest to which they are assigned. a. Committees shall be established to help the Board of Directors, House of Delegates, and State Presidents Council implement AMDA’s mission and goals. Committees shall function in an advisory capacity, recommending programs and policies in the major areas of interest to which they are assigned. This amendment provides additional flexibility to the board of directors by reducing the number of standing Committees – i.e., b. The Board of Directors may establish those that are b. The Board of Directors may establish standing committees and ad-hoc named in the ad hoc committees as needed. committees as needed. Bylaws – to four: Executive, Section 2. Structure and Duties Section 2. Structure and Duties Finance, Governance, and AMDA’s standing committees are listed AMDA’s standing committees are listed below. Each committee shall keep minutes below. Each committee shall keep minutes Nominating. All other committees and make a report to the Board of and make a report to the Board of Directors at the time of the annual business Directors at the time of the annual business are “ad-hoc” committees. Admeeting and may request or be requested meeting and may request or be requested hoc committees to make a report at other times. to make a report at other times. may have an a. The Executive Committee is composed a. The Executive Committee is composed ongoing charge, of the President, Immediate Past of the President, Immediate Past workplan, and President, President-Elect, Vice President, President-Elect, Vice assignment in our President, Treasurer and Executive President, Treasurer and Executive strategic plan, as Director. Its purpose is to decide on Director. Its purpose is to decide on they do now. the agenda items to be taken up at the agenda items to be taken up at Board meetings and to make necessary Board meetings and to make necessary Board-level decisions between Board Board-level decisions between Board meetings. meetings. b. The Finance Committee shall oversee b. The Finance Committee shall oversee and make recommendations about and make recommendations about AMDA’s financial matters, including but AMDA’s financial matters, including but not limited to, AMDA’s budget, fiscal not limited to, AMDA’s budget, fiscal policies, dues structure, revenues and policies, dues structure, revenues and expenses, the annual independent expenses, the annual independent audit and required federal financial audit and required federal financial filings. filings. Page 4 of 5 Proposed Amendment to the Bylaws – Summary of Key Changes Old language New language c. The Membership Committee shall oversee all matters related to membership, including members’ use of AMDA programs, products and services. c. The Nominating Committee shall nominate candidates for national offices and the Board of Directors. d. The Governance Committee shall advise the Board and the Executive d. The Nominating Committee shall Director about all aspects of nominate candidates for national governance, including Board and offices and the Board of Directors. Committee roles and function, state chapter structure and function, and e. The Public Policy Committee shall AMDA’s bylaws, and shall address identify and advise the Board about the issues concerning the ethical conduct political, economic, legal, regulatory of AMDA and its members. and other factors and issues that affect AMDA and its members. f. The Communications Committee shall help develop and advise the Board about outreach programs and materials that promote AMDA’s mission and goals, as well as the interests of its membership. g. The Education Committee shall develop and advise the Board about AMDA’s educational programs, products and services and shall be responsible for the educational program of the AMDA Annual Symposium. h. The Clinical Practice Committee shall identify issues concerning patient care and medical and other clinical practices, including desired approaches and quality issues, and shall help develop appropriate materials, including publications, consistent with AMDA’s mission and goals, as approved by the Board. i. The Governance Committee shall advise the Board and the Executive Director about all aspects of governance, including Board and Committee roles and function, state chapter structure and function, and AMDA’s bylaws, and shall address issues concerning the ethical conduct of AMDA and its members. Page 5 of 5 Rationale
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