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AFFILIATE DELEGATE REPORT
Robert Hughes
Nebraska Affiliate Delegate, 2nd term
June 12-14, 2008
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Delegate Orientation:
The orientation for the delegates is always helpful. Since this was my second time
at the HOD meeting, I was familiar with the format and how voting, amending, etc.
worked. New this year was a clicker system that allowed for a more timely count
of the votes. One item that would be helpful is more information regarding the amendment
process and order of business, when issues are before the house such as in the middle
of a resolution.
House Issues - First Meeting:
There were no major issues presented before the house during the first seating of
the house. The clicker system was tested and rules, agenda, memorial resolution,
and courtesy resolution was passed. There were many updates on activities in the
ASRT and its affiliates such as the Annual Report, Educational and Research Foundation
Report, and Advocacy Awards. These awards went to the Wisconsin affiliate and Kim
Roberts from Illinois for their work regarding legislative issues. One item of note
was that there are 42 affiliates in complete compliance with the ASRT agreement,
7 in partial fulfillment (mostly missing paperwork), and 5 in non-compliance. A
late resolution was introduced regarding the sunset of a resolution enacted last
year pertaining to the professional level of R.T. education. Nominations for the
Speaker and Vice-Speaker were received. Cathie Kucek and Travis Prowent (later withdrew)
were nominated for Speaker and Donna Thaler Long and Susan Cazaux (later withdrew)
were nominated for Vice-Speaker.
Commission Hearing:
The Commission Hearing was an opportunity for the commission to explain the resolutions
and the house members to discuss and debate the issues before the house. The were
four items of note. First was C-07.38 which was introduced last year regarding documentation
of CT and high-rate dose procedures. There was consideration of referring the resolution
back to the commission, creating a task force, and what exactly should be documented
and the procedures that should be included. Second was C-08.01 regarding CT exams
on pediatric patients. This came about due to the Image Gently campaign and it was
noted that there is a similar problem with many other modalities. Third was C-08.27
to C-08.45 which all regarded education and training for modalities and the major
debate was over the wording of each. The last was the late resolution (C-08.45)
regarding the professional level of education. The New York Society gave their rationale
and debate was made about not alienating certificate technologists, how do we move
the profession forward, what the resolutions mean, and how long the HOD worked to
pass the resolution last year.
Open Forum on Bylaws:
There was little debate regarding the bylaw changes. Two changes were withdrawn
by the bylaw committee due to wording/number errors. Those bylaws were Article IV,
Section 6, Letters E and F as well as Article VII, Section 5, Letters E and F and
dealt with removal of members and board members. The major debate regarded Article
IX, Section 1, Letter B which deals with the affiliate agreement of the ASRT. The
major areas of concern were the duties, power, and responsibility of the ASRT and
its affiliates. The largest concern was the removal of some power from the affiliates.
While I believe that the concerns are warranted, there is still an avenue for the
state affiliates to address their concerns, so this change would not be as detrimental
as it first appears.
ARRT Report:
The ARRT gave its annual report. There were four major updates that were discussed.
First was the introduction of the OIDA which is a free digital radiography training
tool that will be available in the fall. This tool should help current technologists
make the transition easier as well as help educators and students by having a consistent
resource. Second was the CQ/2011 which is the new time-limited certification. Of
major note is that this initiative will not affect currently registered technologists.
Third was the introduction of an advanced level career for Nuclear Medicine Technologists
similar to the R.R.A. Last was the announcement of a partnership with SIIM for a
PACS administration pathway.
JRCERT Report:
The JRCERT gave an update of the number of programs accredited by the JRCERT. There
are currently 621 radiography, 84 therapy, 5 dosimetry, and 2 MRI programs. They
are moving to an electronic submission format for all accreditation materials. The
ASRT curriculum must be used by 9/1/08. The Standards are currently being revised
and should be ready for implementation in January of 2011.
ASRT Update:
The ASRT gave an update on a large number of issues. The journal and website have
modality specific content and CE activities and there is work being done to revise
the Scanner to be more relevant to the professionals. The C.A.R.E. bill currently
has 148 co-sponsors in the House and 27 in the Senate. Now is the time to call your
representatives and senators to thank them for their support or ask them for their
support. The CT and Mammography curricula are being revised. The ASRT is collaborating
with the RSNA for their 2009 meeting. There will be virtual poster competitions,
scholarships, grants, and a new website for the Foundation in the fall. There was
also a note that 8 students were taking a service trip to China.
Educational Sessions:
There were three educational sessions held on Saturday. The first was in regards
to parliamentary procedures which was helpful to better define the rules of procedure
and issues that may arise during a house meeting. This was the most beneficial from
a delegate standpoint. The second session dealt with current issues affecting health
care in general and imaging in particular. It was interesting to note the advancements
in EHRs and their impact on imaging and how the systems will all communicate. There
is a large concern over how to integrate PACS networks with the EHR as DICOM standards
do not always integrate into EHR systems. There was also information about new accreditation
standards, advanced modalities, reimbursements, and the use of fusion imaging. All
of these are issues that are not often discussed, but have a major impact on our
profession. The last session dealt with further advancements in technologies and
how advancements have been handled and integrated in the past. There was a discussion
session after the educational offerings. The major item that arose was how to deal
with the advancements in fusion imaging regarding technologists and possible shifts
in educational standards.
Chapter Meeting (Education):
Bill May oversaw the meeting. The largest items of discussion at the education chapter
meeting revolved around clinical hours, sites, distance, and CT experience. There
has been a great concern about distance to some sites and the hours that can be
spent at clinical to lessen the burden of gas prices on the students. The JRCERT
has allowed for increased off-hour and length of clinical days to help in this regard.
There was also discussion of some programs introducing CT clinical and when this
will be required. Discussion was also made of the late resolution and most agreed
that there has been a lot of work to introduce the professional wording and that
the late resolution would take us backwards. Pat Halley form Nebraska was elected
as the Chairman of the education chapter.
House Issues (Second Meeting):
The meeting seating started with a review of the clicker system and the credentials
report for which there were 135 of 166 possible delegates in attendance (89 affiliate
and 46 chapter). Votes on the bylaws changes, the consent agenda which included
non controversial items that would be voted on as a whole, and the resolutions were
conducted (see attached summary form). The major debates in these areas were in
regards to those mentioned in the first house meeting and open forums. Article IX
regarding affiliate agreements showed concern over HOD input, BOD input, and who
should have ultimate control of the agreement. The major debate in the resolutions
was in regards to the sunset of the professional level resolution from the previous
HOD. Many of the same issues were discussed regarding moving the profession forward,
length of time to get the resolution passed, and what the position statement actually
means. There was little discussion of the other resolution except for the proper
wording to use. At the end of the voting, Cathie Kukec was elected and installed
as the Speaker of the house and Donna Thaler Long was elected and installed as the
Vice Speaker of the house.
President's Reception:
At the president’s reception, two Nebraska technologists will continue on the BOD.
Connie Mitchell was installed as the new Board Chair and Jim Temme was installed
as the new Vice President.
Respectfully submitted,
Robert Hughes RT (R)
Nebraska Affiliate Delegate
Bylaw Vote Summary
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Bylaw
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My Vote
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House Vote
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Rationale
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*****
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Yes
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No
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Yes
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No
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*****
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Art. III Sec. 3D
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X
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131
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3
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Art. III Sec. 3B
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X
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134
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1
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Art. III Sec. 4C
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X
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128
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7
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Art. III Sec. 4D
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X
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131
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3
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Art. III Sec. 6E-F
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X
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130
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2
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Art. III Sec. 6E-F
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Sent back to committee with no dissent
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Art. V
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X
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133
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0
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Art. VI Sec. 1A
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X
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132
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1
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Motion to insert
"majority"
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X
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General consent
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Motion to un-strike
"of delegates voting"
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X
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122
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12
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Art. VI Sec. 2B
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X
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133
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1
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Art. VI Sec. 2D #7
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X
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131
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2
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Art. VI Sec. 2D #14
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X
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127
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3
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Art. VI Sec. 5E-F
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Sent back to committee with no dissent
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Art. IX Sec. 1B
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X
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76
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54
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Not a 2/3 majority, so the change does not pass. Discussion revolved around how much control should the ASRT have and how can affiliates have a say in any changes. Ultimately, there is still avenues for affiliates (most notable is the HOD) and that the items for the ASRT are not burdensome for the affiliates.
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Motion to send back to committee
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X
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33
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98
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Art. IX Sec. 1D
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X
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131
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1
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Art. IX Sec. 1
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X
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132
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0
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Art. XII Sec. A
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X
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126
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6
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Art. XII Sec. C
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X
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133
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0
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Resolution Vote Summary
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Bylaw
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My Vote
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House Vote
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Rationale
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*****
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Yes
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No
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Yes
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No
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*****
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Consent Agenda
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X
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130
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2
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Motion to remove 08.20 and 08.17
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No discussion needed, items are pulled if motioned to do so
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Motion to add 08.02, 08.16, 08.04, 08.10, 08.18, 08.19, 08.21, 08.23, 08.24, 08.26, 08.31, 08.33, 08.34, 08.26, 08.27, 08.38, 08.39, 08.40, 08.42, 08.43, and 08.44
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Some removed (below), all others added
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Motion to remove 08.10, 08.31, 08.40, 08.42, and 08.44
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07.26
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Motion to combine with resolutions through 07.30 then adopt/non-adopt, then sunset
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X
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128
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2
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07.26-07.30 adoption
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X
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5
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126
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07.26-07.30 sunset
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X
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134
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0
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07.38 (substitution)
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X
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120
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13
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Motion to substitute amendment that "ASRT recommends documentation of patient dose in CT and Fluoro"
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X
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121
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12
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With recent research, it is important to begin documentation and reduce dose
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08.01
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X
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128
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5
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Motion to strike principles after ALARA
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X
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108
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25
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Redundant wording
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08.03
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X
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131
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1
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08.05
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X
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130
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3
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08.06
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X
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132
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1
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08.09
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X
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130
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1
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Motion to consider 08.45 before remaining
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X
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121
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10
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Others may be worded different depending on this vote
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08.45
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X
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26
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104
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It is important to move the profession forward and the start is with education. Intent is not to eliminate or alienate certificate programs.
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08.10
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X
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108
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23
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08.11
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X
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125
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8
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Motion to substitute "recognizes" for "require"
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X
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17
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112
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Motion to insert "should" after "technology"
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X
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91
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40
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08.12
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X
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124
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7
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Motion to insert "equivalent" after "met"
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X
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62
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70
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08.15
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X
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127
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3
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Motion to un-strike "any unlicensed or uncertified"
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X
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101
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29
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08.17
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X
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121
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7
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Motion to insert "static" before "diagnostic"
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X
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100
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32
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08.20
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X
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124
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8
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08.22
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X
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37
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96
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08.25
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X
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128
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4
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Motion to sunset just passed 08.25
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X
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56
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77
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Will go back to commission
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08.27
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X
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125
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5
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08.28
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X
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131
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1
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Motion to un-strike "diagnostic and interventional"
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X
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124
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10
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08.30
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X
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123
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7
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Motion to insert "interventional" after "diagnostic"
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X
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109
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23
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08.31
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X
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131
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1
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08.32
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X
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130
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1
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Motion to insert "screening, diagnostic, and interventional"
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X
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51
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66
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08.35
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X
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130
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1
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Motion to change "OF" to "FOR" in ARDMS
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X
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129
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3
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Proper terminology
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08.40
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X
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129
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2
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Motion to reconsider 08.30
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X
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21
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113
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It is important to get statements correct and there were concerns over wording of this resolution
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08.42
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X
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122
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