Board Meeting Minutes
American Academy of Emergency Medicine
Minutes of Board of Directors Conference Call Meeting
August 16, 2000
IN ATTENDANCE: Robert McNamara, MD; Joseph Wood, MD; Drew Fenton, MD;
Howard Blumstein, MD; William Durkin, Jr., MD; Gregory Hall, DO; Antoine
Kazzi, MD; Christopher Minas, MD; Margaret O'Leary, MD; Tom Scaletta,
MD; George Schwartz, MD; Tobey Williams, MD; Leslie Zun, MD. Staff: Eric
Lanke and Kay Whalen
Dr. McNamara welcomed everyone to the call and drew the Board's attention
to the first agenda item.
I. Approval of June 21, 2000 Board Conference Call Meeting Minutes
Dr. Wood moved and Dr. O'Leary seconded that the minutes of the June
21, 2000 Board of Directors conference call meeting be approved. MOTION
PASSED UNANIMOUSLY.
II. President's Report
Dr. McNamara reported that an AAEM member, Bill Durston, MD, had expressed
interest in an AAEM position statement on firearms injury prevention.
Dr. McNamara then appointed Dr. Durston to chair an AAEM task force on
firearms injury prevention. The task force is charged with drafting a
position statement on this issue for Board approval.
Next, Dr. McNamara reminded the Board that AAEM had asked ABEM to release
their mailing list to us since AAEM fully supported ABEM's mission. During
their July Board meeting, ABEM approved our request. Ms. Whalen is working
with the company that maintains this database to determine the cost of
obtaining this list. Dr. McNamara asked staff to draft a letter to ABEM
thanking them for their decision.
Dr. McNamara then asked the Board if they had seen the 3-page letter
that Michael Rapp, MD, had sent to all EM residents. The letter informed
residents that ACEP had policies that closely mirrored AAEM's Mission
Statement, but did not mention AAEM by name. Although Dr. McNamara did
not believe that the letter merited a direct response, he asked staff
to distribute this letter to the Board and asked the Board to provide
feedback to him.
Next, Dr. McNamara drew the Board's attention to the bill for minority
healthcare issues that had been distributed by e-mail. Dr. Fenton moved
and Dr. Kazzi seconded that AAEM endorse this bill. MOTION PASSED
UNANIMOUSLY. Ms. Whalen will communicate this decision to James Thorne.
III. AAEM Position Statement on Mandatory Error Reporting
Dr. Fenton moved and Dr. Kazzi seconded that the position statement
on Mandatory Error Reporting be approved. Discussion then ensued.
Dr. Minas was opposed to any mandatory error reporting. Other discussion
resulted in several deletions due to redundancy.
Dr. Kazzi moved and Dr. Wood seconded that the sentence, "Mechanisms
should be user- friendly and time-efficient." be added to the bullet
which begins, "Clearly established description of the mechanisms
should be to report . . ." MOTION PASSED UNANIMOUSLY.
Dr. McNamara moved and Dr. Fenton seconded that another bullet point
which reads, "An analysis of medical errors that also evaluates the
board certification status of the physician," should be added. MOTION
PASSED UNANIMOUSLY.
Dr. McNamara then moved and Dr. O'Leary seconded that "Physicians
should be involved in identifying the type of errors to be reported and
in the development of the data registry." should be added to the
first bullet. MOTION PASSED UNANIMOUSLY.
The Board then returned to the original motion which now reads:
AAEM Position Statement on Mandatory Error Reporting
The American Academy of Emergency medicine (AAEM)
supports a national mandatory error reporting system that includes legal
liability protections and the following other additional safeguards:
- Data registry would be managed and analyzed by a non-governmental
agency that could be held responsible for any breach of confidentiality.
Physicians should be involved in identifying the type of errors to be
reported and in the development of the data registry.
- The identity of providers and institutions reporting or responsible
for the error would remain strictly confidential. This would include
masking the source of all reported errors to the individuals who would
process or analyze the data.
- All institutions and providers should first and foremost be provided
with:
- A clear and explicit definition of the categories and the types
of errors that are reportable
- A clearly established description of the mechanisms to report
and to process medical errors, without the risk of it being handled
punitively. Mechanisms should be user-friendly and time-efficient.
- Clearly established guidelines delineating how the data will
be used and who would be able to access that data, and how access
would be granted, and who would grant such access or define its
limits and extent
- The necessary additional human and financial resources to handle
the reporting of such medical errors to the national database
- An analysis of medical errors that also evaluates the board
certification status of the physicians
MOTION PASSED 11-1.
The Executive Committee and staff will be responsible for publicizing
this issue.
IV. 2001 Scientific Assembly Update
Dr. Blumstein reported that he was busy confirming speakers for the 2001
Scientific Assembly. He noted that this year's Assembly featured 3-hour
blocks in which single topics were discussed. He was especially excited
about the unionization session on Sunday. Dr. McNamara asked any Board
members who had suggestions for speakers on the topics identified in the
agenda book to contact Dr. Blumstein as soon as possible.
V. AAEM State Chapters D & O Insurance
Ms. Whalen reported that she had been asked to obtain quotes for a D
& O Insurance policy that would cover all of AAEM's state chapters.
The quote of $1,835 included in the agenda packet was the lowest quote
for the most coverage.
Dr. O'Leary noted that although she believes that AAEM should buy the
policy, the Board needs to remember that many of this year's expenditures
were not included in the budget.
Dr. Blumstein moved and Dr. O'Leary seconded that AAEM purchase the
proposed D & O insurance policy for AAEM state chapters. MOTION
PASSED UNANIMOUSLY.
VI. AAEM Services Update
Dr. McNamara summarized the recent developments in AAEM Services. As
the Board authorized, AAEM engaged the services of a consultant, Bill
Kottmann, to make recommendations to the Executive Committee regarding
the structure of AAEM Services. Mr. Kottmann advised that AAEM purchase
Dr. David Moss' share of AAEM Services, which is also acceptable to Dr.
Moss. Dr. Moss will then serve as an independent vendor to AAEM Services.
The next step in this process is to determine the appropriate responsibilities
and revenue split for the AAEM template project. This issue is currently
being addressed by all parties involved including AAEM, FreeChart and
Dr. Moss and should be resolved shortly.
Mr. Kottmann will be submitting a written report to the AAEM Executive
Committee.
VII. AAEM/eMedicine Possible Conflict of Interest
Dr. McNamara then reminded the Board that an AAEM member was concerned
that the AAEM Board had not followed the proper procedure regarding conflict
of interest when AAEM and eMedicine decided to produce a text for the
lay public on the Internet.
The Board had agreed that we have an outside party review AAEM's decision-making
process on this issue. An outside party reviewed the facts and decided
that appropriate attention had been given to this decision by the Board.
The AAEM Executive Committee will determine if this opinion should be
posted on the web.
VIII. Strategic Plan Update
In the interest of time, and since most of the reports submitted for
the Strategic Plan update were informational in nature, the only strategic
planning issue discussed was the recommendation to dissolve the Preferred
Specialty Society Committee.
Due to the fact that AAEM will become the preferred specialty society
by achieving its other strategic planning goals, Dr. Kazzi moved and Dr.
Fenton seconded that the Preferred Specialty Society Ad Hoc Committee
be dissolved. MOTION PASSED UNANIMOUSLY.
IX. AAEM Proposed Finance and Audit Committee Function
Next, the Board turned its attention to the proposed function of a newly
created AAEM Finance and Audit Committee. Dr. O'Leary stated that the
broad function of the Committee would be to gather financial data which
would be given to the AAEM Executive Committee and the Board. This would
allow decisions with financial implications to be made more readily. Dr.
O'Leary moved and Dr. Fenton seconded that the Board adopt the proposed
functions of the Finance and Audit Committee. MOTION PASSED UNANIMOUSLY.
X. Posting Minutes on AAEM Website
Dr. McNamara had received a request from an AAEM member that the minutes
from the Board meetings be posted on the website. Dr. McNamara moved and
Dr. Fenton seconded that from this point forward, approved minutes
of AAEM Board meetings be posted on the AAEM website. MOTION PASSED
UNANIMOUSLY.
Dr. McNamara moved and Dr. Fenton seconded that the approved minutes
of the June 21, 2000 Board of Directors conference call be posted on the
AAEM website. MOTION PASSED UNANIMOUSLY.
XI. AMA Application
Ms. Whalen noted that the Board had discussed via e-mail the possibility
of becoming a member of the Specialty and Service Society (SSS) of the
AMA. AAEM's previous application had been rejected due to the fact that
not enough AAEM voting members were also AMA members. The AAEM Executive
Committee had already instructed staff to reapply for AMA membership in
the SSS.
XII. AAEM/ACEP Joint Task Force Resolution
Dr. McNamara moved and Dr. Fenton seconded that AAEM adopt the resolution
included in the agenda packet asking that AAEM and ACEP work closely together
to secure the future of the individual specialist in EM.
Dr. Kazzi moved and Dr. Wood seconded that the paragraph which reads,
"such a task force be bound by the AAEM Vision Statement: Blueprint
for Securing Emergency Medicine's Future and the AAEM Mission Statement",
also include "the CAL/ACEP Emergency Physicians Bill of Rights."
Dr. Fenton moved and Dr. Hall seconded that the phrase "AAEM
endorsed" be inserted before "the CAL/ACEP Emergency Physicians
Bill of Rights" in Dr. Kazzi's motion. MOTION FAILED 4-8.
Dr. Scaletta then moved and Dr. O'Leary seconded that AAEM's endorsement
of the CAL/ACEP Bill of Rights be footnoted. MOTION PASSED 11-1.
The previous motion adding the CAL/ACEP Bill of Rights was then voted
on. MOTION PASSED 11-1.
Dr. Minas then moved and Dr. Blumstein seconded that the phrase "including
an organizational merger" be deleted. MOTION FAILED 4-8.
The Board then returned to the original motion to adopt the resolution
included in the agenda book which now reads:
RESOLVED, that the American Academy of Emergency Medicine offer to
participate in a joint task force with the American College of Emergency
Physicians regarding the future of Emergency Medicine; and be it further
RESOLVED, that the representatives of the American Academy of Emergency
Medicine in such a task force be bound by the American Academy of Emergency
Medicine Vision Statement: Blueprint for Securing Emergency Medicine's
Future, the AAEM Mission Statement and the CAL/ACEP Emergency Physicians
Bill of Rights1; and be it further
RESOLVED, that the American Academy of Emergency Medicine will be
open to all possibilities that will secure the future welfare of the individual
specialist in Emergency Medicine including an organizational merger.
1 Endorsed by AAEM on March 9, 2000 Board of Directors
conference call.
MOTION PASSED 11-1.
XIII. JEM Associate Editor Position
Dr. McNamara then informed the Board that a replacement for one of AAEM's
JEM Associate Editors, Jonathan Adler, MD, needed to be found. The Board
agreed that AAEM solicit its membership for possible candidates.
XIV. Common Sense Distribution
The Board then discussed the possibility of providing one copy of Common
Sense to all residents as a membership recruitment tool. It was agreed
that the upcoming issue of Common Sense should be sent to all EM
residents along with a letter asking them to join AAEM.
XV. New Business
Dr. Kazzi then informed the Board that he was continuing discussion with
the European Society of Emergency Medicine (EuSEM). He and Mr. Lanke had
prepared a draft agreement and budget for the two societies to consider.
The EuSEM will be meeting in early September. At that time, they will
decide if they would like to continue to discuss the collaborative meeting.
Dr. McNamara asked staff to forward the preliminary budget information
to the Executive Committee. He also noted that due to the fiscal implications
of this meeting, he felt that the Board should discuss AAEM's approval
of this venture during the October meeting.
There being no further business, Dr. Hall moved and Dr. Zun seconded
that the conference call meeting be adjourned.
Respectfully submitted,
Kay Whalen
Organizational Director
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