ARIZONA PHYSICAL THERAPY ASSOCIATION BOARD OF DIRECTORS MEETING March 14, 2009

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1 Members Present: Kay Wing, President Steven Ambler, First Vice President Cory Manton, Second Vice President Diane Killeen, Treasurer Linda Duke, Secretary Donna Borden, Region 1 Director Louise Ciarleglio, Region 2 Director Kandra Flora, Region 3 Director Carleen Jogodka, Region 4 Director Charles Casey, Region 5 Director Members Absent: Karen Donahue, Chief Delegate ARIZONA PHYSICAL THERAPY ASSOCIATION BOARD OF DIRECTORS MEETING March 14, 2009 Others Present: Susan Overman, PTA Special Interest Group Carrie Perkins, PTA Caucus Representative Heidi Herbst Paakkonen, Executive Director CALL TO ORDER...Kay Wing Ms. Wing called the meeting to order at 2:19 p.m. SETTING OF ADJOURNMENT TIME.....KayWing The Board members concurred that no adjournment time would be set. ADOPTION OF AGENDA.....Board Ms. Duke moved to approve reordering the agenda to allow Jim Roush to address the Board prior to the Officer and Regional Director reports. Ms. Killeen seconded the motion. The motion carried by a unanimous vote. APPROVAL OF DRAFT MINUTES...Linda Duke January 10, 2009 Ms. Killeen moved to approve the minutes as drafted and as revised by Ms. Duke. Ms. Flora seconded the motion. The motion carried by a unanimous vote. READING OF IDEAL SCENE and 2009 GOALS The Board noted that these tasks were performed during the Leadership Development Workshop. GOOD NEWS Period Physical Therapist Physical Therapist Assistant Physical Therapist Student Physical Therapist Assistant Student February Ms. Herbst Paakkonen advised the Board that the membership totals would be reported on a comparative basis at each Board meeting so a historical perspective and trends could be tracked. MEMBERSHIP VISITS REPORT KayWing Scottsdale Healthcare; Mindy Richardson (Scottsdale) Pam Bosch/Linda Duke Ms. Flora reported that this visit will be scheduled within the next few weeks. Village Physical Therapy; Cheri Raimonde (Sedona) Charley Casey

2 Mr. Casey reported that he has not heard from Ms. Raimonde relative to scheduling this visit but that he will attempt again to contact her. Pima Medical Institute PTA Program; Robyn Wilhelm (Mesa) Kay Wing Ms. Wing reported that she completed this visit in February. She noted that Bob Direnfeld, Past President, visited the Tucson campus in the Fall of 2008 and that she hopes to make another visit in the near future. Ft. Mohave Community College PTA Program; Rhonda Schnabl(Lake Havasu City)- KayWing Ms. Wing reported that she intends to visit this new educational program soon to meet with the students. Ms. Perkins offered to assist her with the arrangements and the presentation as she is a member of the faculty at the College. TREASURER'S REPORT...Diane Killeen Financial Summary Ms. Killen reviewed the new format for the Profit and Loss report that is easier to review in that Committee and Program costs are now reported together rather that separated on the accounting report. Some of the Board members indicated that they had heard reports of many individuals not receiving the Ortho Neuro Update brochure which could result in lower than projected attendance which adversely affects revenue. The Board members noted that this appears to be an ongoing problem. The Board directed Ms. Herbst Paakkonen to poll the Board members approximately one week after the Spring conference brochures are mailed to ascertain whether the members all receive one. The Board discussed moving toward using only the website for meeting registration. Ms. Herbst Paakkonen advised the Board that the online application is up and running and that she tested it by registering for the conference and received a confirmation. Ms. Killeen noted that a payment to the Legislative Liaison for December of 2008 was posted to 2009 in error. She commented that backing out that $2,600 expense changes the loss of $ as of February 28, 2009 to a gain of $ The Board questioned the $2.70 expense for the Newsletter but noted that it was for postage costs. Ms. Wing clarified that $10,000 is budgeted for Payer Relations which mostly consists of travel to APTA training. Ms. Killeen reported that she met recently with the Wachovia investment advisor in an effort to ascertain how the stock market losses have affected the organization. She advised the Board that the AzPTA Scholarship Fund began in 1999 with $50,000. In January 2008 the balance was over $ , in June of 2008 the balance decreased to $99,000, in November 2008 it was $64,000, and currently it is $54,000. She also noted that the Allocated fund balance was $149,000 in January of 2008; in June of 2008 it decreased to $121,000, in November 2008 it dropped to $100,000 and as of March 2009 the balance is $93,823. Ms. Killeen further commented that the Reserve fund balance in January of 2008 was $132,000, in June 2008 it was $104,000, in November of 2008 it fell to $90,000 and currently it is $80,000. Finally, she stated that because the Building fund was only established in 2007 with $56,000, it has decreased substantially from January of 2008 to $54,000, to $33,000 in November of 2008 and to $29,000 in March of Ms. Killeen summarized her discussion with the investment advisor who advises the Board to leave the funds where they are as the losses are unrealized or paper losses. Finally, she announced that the Phoenix PT Directors Group gifted the AzPTA $3,400 for the Scholarship Fund with $2,000 to be invested into the fund and (but not invested in the market) and the remaining $1,400 is to be awarded as scholarships. The Board members concurred that with careful spending, staying true to the organization s longterm objectives, and strong programming the AzPTA can weather the current financial storm. PRESIDENT'S REPORT Kay Wing Liaison Reports: Ethics (Tom Curtis, Chair): No additional report. State Government Affairs (Al D Appollonio, Chair): This report was delivered during the Leadership Development Workshop. SECRETARY S REPORT...Linda Duke Liaison Reports: Federal Government Affair (Phil Tygiel, Chair): Ms. Duke reported that preparations are being made for Committee members to attend and participate in the APTA Federal Advocacy Forum in May. She also noted that four physical therapist students from Northern Arizona

3 University and A.T. Still University will attend this Forum. Ms. Duke explained that one of the benefits of participating in the Forum is the opportunity to meet with the Arizona members of Congress in their offices, educate them about physical therapy issues, and request they support proposed federal legislation that benefits the members of the profession and their patients. Public Relations (Vacant): Ms. Wing reported that Lora Davis has agreed to serve on the Committee and is considering accepting the position of Chair. FIRST VICE PRESIDENT...Steve Ambler Program Report: Mr. Ambler noted that the Ortho Neuro brochure mailing issue has been discussed previously. He reported that he and Ms. Perkins have been brainstorming some ideas for an educational program specific to physical therapist assistants, (e.g. kinesiotaping). Mr. Ambler explained that in the process of offering this educational opportunity with a nominal registration fee to PTA members the non-member registration fee would entice them to join the Association. Report on and Discussion of Upcoming Meetings and Related Issues: o Spring Conference May 1-2, 2009: Mr. Ambler reported that one of the prearranged speakers withdrew, but that John Heick was able to recruit a pediatric speaker as a replacement. Mr. Ambler advised the Board that given what is occurring with respect to budget cuts to state-funded disability services (including physical therapy), he is working with Barbara Womack to identify a knowledgeable speaker, such as someone from the Governor s Council on Disabilities, to open the Town Hall meeting portion of the Spring Meeting in an effort to inform the participants about the impact of those budget cuts. o Pediatric Update June 27, 2009: Ms. Ambler reminded the Board members that the date for this program has been established. He noted that given the fact the pediatric physical therapists are concerned about the state-funded disability services being cut, the Update will take this focus. o Business Management TBD: Mr. Ambler reported that he has contemplated planning a one-day program with a Business Management focus that would potentially take place this summer, but that these ideas will likely be folded into the Fall Meeting rather than a separate meeting. o Electronic Mail and Programming Communication: Mr. Ambler reported that there are a lot of s that are circulating requesting to be speakers, and he asked that we discuss those before Liaison Report: CEU Committee (Cecelia Sartor-Glittenberg, Chair): This report was delivered during the Leadership Development Workshop. Ms. Herbst Paakkonen advised the Board that she has developed the online CEU application and will soon meet with Ms. Sartor-Glittenberg to review it with her in anticipation of activating it from the website within the next several weeks. Program (John Heick): No additional report. SECOND VICE PRESIDENT...Cory Manton Liaison Reports: Membership (Pam Bosch, Chair): This report was delivered during the Leadership Development Workshop. PTA Special Interest Group (SIG) (Susan Overman): Ms. Overman reported that several PTAs again volunteered their services at the Special Olympics events held on February 28, She stated that she has no additional information to report other than her ongoing efforts to engage physical therapist assistants in the efforts of the AzPTA. CHIEF DELEGATE...Karen Donahue Delegation: In Ms. Donahue s absence Ms. Killeen and Ms. Duke reported that the Arizona Delegation will next meet at the office on May 8, 2009 from 5:00-8:00 p.m. They advised the Board that four motions were submitted by the Arizona Delegation in advance of the March 10, 2009 deadline. Publications: Ms. Herbst Paakkonen reported that the files for the first quarterly issue of APTAN have been submitted to the graphic designer. She commented that she is

4 only waiting on one additional full-page advertisement to complete the issue. Ms. Herbst Paakkonen cautioned the Board that the production of the issue may be delayed as the graphic designer was given the AzPTA Member Director, the Spring Conference Brochure, and the APTAN projects all within the same time frame. She reminded the Board that this issue of APTAN is the first to be distributed electronically, and that member will receive in the mail a postcard informing them of where to look for that publication (i.e. their inboxes and on the AzPTA website). EXECUTIVE DIRECTOR UPDATE/REPORT. Heidi Herbst Paakkonen Ms. Herbst Paakkonen advised the Board that she will be submitting a narrative report each month in an effort to provide accountability for her time and effort, and to generate discussion among the Board members with respect to the direction of the administration operations of the AzPTA. She summarized the report topics and commented that the report will likely evolve over time. Ms. Herbst Paakkonen stated that in the future she will likely recommend the Board consider the long-term staffing needs of the AzPTA. The Board members discussed recognizing retiring Executive Director, Pauline Wampler, with an event-based tribute at the Fall Conference and Membership Meeting. The Board members discussed the fact that they do not want Ms. Wampler to transition away from the AzPTA and not be properly recognized. Ms. Wing appointed Ms. Borden, and suggested other members to appoint, to serve on a Task Force to plan a social event and tribute to be held in conjunction with the Fall Conference. REGION DIRECTORS REPORTS Region 1- Western Maricopa...Donna Borden Community Advocacy (Kathleen Ganley, Chair): Ms. Borden reported that the Committee will be presenting their Community Advocacy video at the beginning of the sessions at the Spring Conference and would welcome some new photos and information in form of AzPTA members making contributions to their committees. Nominating (Kathy Brewer, Chair): Ms. Borden advised the Board that this committee is in the process of restructuring its leadership, but the members are currently working on recruiting and preparing the slate of candidates for office for the 2009 election. Ms. Borden further noted that the Nomination Committee has much work to do as there are many offices that are open beginning in January of Region 2- Central Maricopa Louise Ciarleglio Regional Director Report: Ms. Ciarleglio advised the Board that she is developing some ideas for programs for her next regional meeting which she anticipates scheduling within the next days. Practice (Suzanne Kraus, Chair): Ms. Ciarleglio stated that she will be attending the March 24 meeting of the Practice Committee and that she is looking forward to meeting the members. Region 3 Eastern Maricopa... Kandra Flora Regional Director Report: Ms. Flora advised the Board that she is planning a regional meeting, but the speaker she anticipated engaging has been non-committal. She reported that she will has elected to pursue a different speaker on the topic of acute care and hopes to confirm a meeting soon. Bylaws (Kristen Hardison, Chair): Ms. Flora reported that she contacted Ms. Hardison to discuss the proposed bylaws change that if approved would add the Regional Directors to the Membership Committee. Region 4 Southern Arizona...Carleen Jogodka Regional Director Report: Ms. Jogodka reported that she held a successful regional meeting on February 18, 2009 with about 30 participants. She also noted that she is arranging for another meeting in April that will feature Dr. Michael Beck from Northern Arizona University who will discuss practical aspects of evidence-based practice.

5 Archives (Aurelie Babbitt, Chair): Ms. Jogodka indicated that the Committee has not met since the Board retreat but anticipates resuming its work later this year. Ms. Herbst Paakkonen affirmed that some of the archived materials have been transferred to the office. Region 5 Northern Arizona Charles Casey Regional Director Report: Mr. Casey reported that on March 25, 2009 Peg Hiller and Karen Donahue, members of the Practice Committee, will deliver a practice management presentation as an in-service program to the physical therapy staff at Flagstaff Medical Center. He noted that the facility physical therapy department has historically had a low percentage of AzPTA members so he is hopeful that the in-service will inspire some individuals to join, and he will also be in attendance in an effort to recruit new members. Mr. Casey advised the Board that Northern Arizona University (NAU) is hosting a Mock Malpractice Trial for its physical therapy students on Saturday, April 4, He noted that Ms. Herbst Paakkonen issued an blast notification of this program to the Region 5 members as AzPTA members are also invited to attend. Finally, Mr. Casey noted that he is also contemplating the next meeting for his region that he intends to offer within the next few months. Payer Relations (Marlene Derosa, Chair): No additional information to report. UNFINISHED BUSINESS: 1. Task Force on Web Page Advertising Opportunities Jim Roush Mr. Roush commended the Board for adopting the 2009 Goals as they are appropriate for the maintenance of information. He reminded the Board that he was approached to lead this Task Force and noted that he is working with John Heick and Ms. Herbst Paakkonen on this effort. He stated that his proposal will encompass using the website and blast capabilities for advertising continuing education courses, but the intent of the program is not to compete with the existing AzPTA programs (i.e. the Career Center) in the process. Mr. Roush advised the Board that he wants to keep the costs relatively inexpensive. He noted that the AzPTA uses Affiniscape for managing the website, but stated that there may be a need to explore additional options relative to maintaining files. Mr. Roush stated that he will have a written report for the Board s consideration at its next meeting. Ms Wing noted that this effort initially encompassed allowing advertising and promotion through of continuing education courses, but when it came to implementing it, the issue was very complex and requires a lot of thought to flesh-out the details. Ms. Herbst Paakkonen reported that the online registration and payment application on the website appears to be working. Mr. Roush noted that the Members Only component of the website is not currently functioning as a directory and that it is mostly utilized for administrative purposes. He commented that he is looking at some electronic voting applications, and he will work with Ms. Herbst Paakkonen to recommend a vendor for this service. He recommended that the Board determine how the elections will be run. Ms. Borden stated that the Nominating Committee will identify the candidates, and the Board members concurred that the Executive Director will carry out the administration of the election. Would there be a need for the Tellers Committee? The website would take care of that, but the Tellers Committee witnesses the download from the vendor and signs off to verify the results. The President appoints that Committee. Mr. Roush stated that he would like his role to change such that he is a volunteer who supports the Executive Director in updating and maintaining the website. NEW BUSINESS: 1. Proposed Motion: In collaboration with the Tri-Alliance members (Arizona Occupational Therapy Association and the Arizona Speech and Arizona Speech Language Hearing Association) the AzPTA will approve the posting of no more than 2 Alliance partner meetings per annum on the AzPTA website. Ms. Wing explained that she is proposing this motion based on discussions between the Presidents of the Tri-Alliance member Associations. She elaborated on the purpose of these Associations sharing information about their respective meetings and conferences, as well as the benefits of collaborating in this fashion. The Board members debated how those postings would reflect approval or endorsement of the AzPTA; they concluded that a disclaimer would be displayed with the Tri-Alliance member course listing that indicates the

6 course is not one that is approved by the AzPTA (the exact language would be determined by the CEU Committee). Ms. Duke moved to adopt the motion. Ms. Ciarleglio seconded the motion. The motion was approved by a unanimous vote. 2. Mark Cornwall Appointment to the Arizona Board of Physical Therapy Ms. Herbst Paakkonen reported that Governor Janice Brewer is reviewing all of appointments to Boards and Commissions made by former Governor Janet Napolitano in the final months of her term. She explained that Dr. Cornwall is eligible for re-appointment to a second 4-year term on the Board and that his re-appointment is among those that is under review. She discussed with the Board a draft letter that supports the reappointment of Dr. Cornwall. The Board members discussed the importance of the members of the Arizona Board of Physical Therapy belonging to the AzPTA and accordingly possessing an understanding of current professional and practice issues. The Board members made some minor edits to the letter and directed Ms. Herbst Paakkonen to issue the letter to Governor Brewer. 3. American Physical Therapy Association Foundation Split Raffle Request Ms. Wing advised the Board that Marilyn Moffitt of the APTA Foundation recently contacted her requesting the Arizona chapter participate in the Split Raffle. Ms. Moffitt suggested that either the chapter purchase a ticket or ½ of a ticket, or individual Board members participate collectively. The Board noted that the grand prize is $10,000 with several $5,000 prizes and some $1,000 prizes. Ms. Wing explained that the Foundation provides scholarships and grant research in the field of physical therapy. Ms. Killeen moved the Board purchase a Split Raffle Ticket for $1,000. Mr. Ambler seconded the motion. The Board questioned the importance of participating as a chapter, and discussed the fact that in the past Arizona participated in this fundraiser for several years but has not done so in recent years. Ms. Killeen reminded the Board that the fiscal year 2009 budget projects a substantial loss. Ms. Duke offered a friendly amendment to the original motion to purchase ½ of a ticket for $500. Ms. Killeen seconded the friendly amendment motion. The motion carried by a unanimous vote. The amended motion failed. 4. Proposed Revision to the AzPTA Travel Reimbursement Policies Ms. Killen advised the Board that she was introducing proposed new meal reimbursement rates in order to better reflect the actual cost of meals. She noted that the current rates are woefully inadequate. She also reviewed with the Board the updated reimbursement form which can be completed electronically. Ms. Killeen offered a motion that the proposed adjustments to the meal reimbursement rates be adopted. Ms. Flora seconded the motion. The Board members concurred that the current established rates are inadequate. The motion carried by a unanimous vote. Ms. Killeen offered another motion to establish that hotel reimbursement rates be set at 50% of actual costs to encourage sharing of rooms, but with the caveats that opposite sex travelers, sole attendees, or prior approval of the President or Treasurer will set the hotel reimbursement rate at 100%. Ms. Duke seconded the motion. The motion carried by a unanimous vote. Ms. Wing and Ms. Duke reviewed a travel reimbursement proposal that was approved by the Board in 2006 but never implemented. The Board directed Ms. Herbst Paakkonen to implement the policy and update the reimbursement form accordingly. 5. Proposed Guidelines for the Pauline Wampler Service Award: Ms. Borden presented her draft proposed guidelines for this new award category. She asked the Board members for feedback in terms of whether the service categories require additions or editing. Ms. Borden noted that she will add some information that was somehow omitted from the printed version and will send it back to Ms. Herbst Paakkonen for distribution to the Board members for feedback. Ms. Borden advised the members that the final proposal will be on the April 30, 2009 Board meeting for review and approval. 6. Proposed Procedures and Guidelines for Region Directors: Ms. Borden noted that Ms. Herbst Paakkonen had provided the Regional Directors with a Toolkit consisting of a meeting announcement postcard, sign-in sheet, meeting location signs, certificate template, thank-you cards and a survey. She reviewed with the Board the draft preliminary guidelines for Regional Directors and explained that the purpose of the guidelines is to assist new Directors in acclimating to their duties and responsibilities. Ms. Borden informed the Board members that she will bring a final draft to the next meeting for review and approval. Ms.

7 Herbst Paakkonen discussed with the Board members that she has created a wiki for the purpose of sharing files and that she will explore how to use that technology for use by the Board members and the Regional Directors. ANNOUNCEMENTS: Joe Masefield has been appointed the APTA Brand Champion for the Arizona Chapter ( CM/ContentDisplay.cfm) The Web Page Committee has been disbanded and associated duties assigned to Executive Director with support from Jim Roush ADJOURNMENT Ms. Duke moved to conclude the meeting. Ms. Borden seconded the motion. The motion carried by a unanimous vote. The meeting concluded at 5:15 p.m. Prepared by, Heidi Herbst Paakkonen Executive Director Approved by, Linda Duke, PT Secretary