Call to Order/Presentation of Agenda Minutes Approval Consent ...

B. Medical Liaisons—Purpose & Goals1) The mission of the Academy is to ensure the professional growth, personal excellence, and recognitionof physician assistants, and to support their efforts to enable them to improve the quality, accessibility,and cost-effectiveness of patient-centered health care.2) The vision of the Academy is to be the leader in providing support and advocacy for physicianassistants, the primary organization advancing the profession, a premier participant in health caretransformation, and a passionate champion of patient- centered care.3) To fulfill its mission and vision, it is essential that the Academy have communication and close workingrelationships with national physician and medical specialty organizations.4) This communication is enhanced by the medical liaisons who maintain active working relationshipswith the leadership of these organizations.5) The details of these relationships will be individual to each organization and will vary as circumstanceschange.6) The ultimate goal of having medical liaisons is to elevate the PA profession and the strategicrelationships of AAPA with national physician and medical specialty organizations, and to improve thePA’s practice environment and patient-centered care.7) In general, the pool of medical liaisons will also serve to build a cadre of PA leaders who will havehoned the skills necessary to step into positions of leadership within the Academy.C. Medical Liaisons—Liaison OrganizationsLiaison organizations shall be those national physician and medical specialty organizations with which theAcademy seeks to maintain communication and interaction on a continuing basis.1) The liaison coordinator will work with designated staff overseeing the program to facilitate medicalliaison conference calls, as well as bring forward annual reports on the program, and requests forinclusion or suspension a medical liaison to the External Affairs Committee of the AAPA Board ofDirectors.2) AAPA continues to identify areas of medicine that impact the practice of physician assistants. Should anational physician or medical specialty organization be identified that would require a medical liaisonrelationship to advance the Academy’s strategic plan and mission, the External Affairs Committee willreview and make recommendations to the AAPA Board of Directors.3) The extension of medical liaison relationship will be periodically reviewed by the External AffairsCommittee and approved by the AAPA Board of Directors.4) The medical liaison relationship with any national physician or medical specialty organization may besuspended by the AAPA Board of Directors.D. Medical Liaisons—Duties1) Act as a representative of the PA profession, the AAPA, and the AAPA-recognized PA specialtyorganization.2) Be cognizant that representing the PA profession and the Academy is the overriding responsibility.3) Act as a conduit for information between the national medical specialty organization, the AAPA, andthe PA specialty organization, in collaboration with Academy staff.4) Know and understand AAPA policy relevant to issues being addressed in the national medical specialtyorganization.5) Be knowledgeable and willing to help find ways to work with the national physician or medical and PAspecialty organization to implement AAPA’s strategic plan.6) Participate in medical liaison network conference calls to discuss trends, strategies, and potential policyopportunities for the PA profession and AAPA.7) Prepare realistic goals, objectives, and measureable outcomes at least annually with the nationalphysician or medical specialty organization that relate to AAPA’s strategic plan and mission.

8) Report on liaison activities undertaken on behalf of the Academy, including any significant policydevelopments in the medical and PA specialty that may impact the PA profession and AAPA.9) Complete an annual online self assessment and evaluation of the program.E. Medical Liaisons—Selection Criteria and Terms of Appointment1) Be a current member of AAPA and of the PA specialty organization that nominated the liaison.2) Demonstrated experience with the national physician or medical and PA specialty area.3) Have superior communication skills and awareness of the operations and politics of the nationalphysician or medical specialty and PA specialty organization.4) Interest in advocating on behalf of the PA profession and the AAPA.5) The PA specialty organization will be requested to nominate qualified candidates to the AAPA Board ofDirectors.6) The term of the medical liaison appointment will be two (2) years, (which may be renewed by theAAPA Board of Directors for another 2 year term).7) At the end of the medical liaison’s first term, the PA specialty organization may re-nominate theexisting liaison or propose other candidates.8) Medical liaison nominations will be reviewed by External Affairs Committee, and the appointment willbe made by the AAPA Board of Directors.9) A medical liaison may removed by a majority vote of the AAPA Board of Directors at any time duringtheir appointed term.F. Medical Liaisons—Communication and Interaction Expectations1) Complete an online report relating to the pre-meeting objectives and significant policy developments inthe medical and PA specialty that may impact PAs and AAPA, with a follow-up online report requiredafter travel to a meeting of the national medical specialty organization (and prior to reimbursement beingissued).2) Maintain periodic interaction with the AAPA designated staff advisor and other AAPA leadership tohelp facilitate successful action and completion of goals and objectives with the national physician ormedical specialty organization, and PA specialty organization.3) Participation in the medical liaison network conference calls to discuss trends, strategies, and potentialpolicy opportunities for the PA profession and AAPA.4) Maintain active working relationships with the leadership of the national physician or medical specialtyorganization.5) Document other significant policy developments at other times in the year (through the online reportingform) in the medical and PA specialty that may impact the PA profession and AAPA.6) Complete an annual online self-assessment and evaluation of the medical liaison program as requested.7) Noncompliance with these communication and interaction expectations may result in the removal of themedical liaison or suspension of the formal AAPA liaison relationship with the national physician ormedical specialty organization by the AAPA Board of Directors.G. Medical Liaisons—Travel Approval1) Travel to meetings of the national physician or medical specialty organization must be pre-authorized byAcademy staff overseeing the medical liaison program, as delegated by the AAPA EVP/Chief ExecutiveOfficer, and in consultation with the staff advisor and the chair of the EAC.2) At least three-months prior the national physician or medical specialty organization’s meeting, themedical liaison and staff advisor will hold a conference call or meeting to discuss goals and objectivesfor the meeting and how they relate to AAPA’s strategic plan and mission. These objectives will besubmitted via an online form to initiate the pre-authorization process.3) Once travel is authorized, travel plans are made through AAPA’s travel agent using the appropriatetravel code provided by the staff advisor.

H. Medical Liaisons—Reimbursement1) What AAPA will typically reimburse:Airfare, hotel, ground transportation charges, and meal per diem for up to four days, (as specified underthe annual AAPA Travel Reimbursement Guidelines), and meeting registration fees to the nationalmedical specialty meeting that has been approved in advance following the procedures outlined above.2) What AAPA will not reimburse:• Travel expenses not pre-approved through the procedures outlined above.• Memberships or subscriptions with the national medical or PA specialty.• Spouse, partner, or companion expenses related to travel to the national physician or medicalspecialty meeting.3) Prior to reimbursement being issued, an online report relating to the previously developed meetingobjectives and significant policy developments in the medical and PA specialty that may impact PAsand AAPA will be filed.I. Medical Liaisons—Liaison Coordinator1) The medical liaison coordinator assures that the work of the medical liaisons is accomplished in acoordinated manner and aligned with the AAPA Strategic Plan.2) The term of the medical liaison coordinator will be two (2) years, (which may be renewed by the AAPABoard of Directors for another two year term).3) Medical liaison coordinator nominations will be reviewed by External Affairs Committee, and theappointment will be made by the AAPA Board of Directors.4) The duties of the medical liaison coordinator include:• Mentoring the medical liaisons.• Facilitating medical liaison network conference calls or meetings to discuss trends, strategies, andpotential policy opportunities for the PA profession and AAPA.• Reviewing and providing input for the annual report to the AAPA Board of Directors of the medicalliaison program• Reviewing and providing input for the annual medical liaison self-assessment and evaluation of themedical liaison program.5) The medical liaison coordinator may be removed by a majority vote of the AAPA Board of Directors atany time during their appointed term.J. External Representatives—ChargeThe AAPA will establish and maintain external relationships with non-medical organizations, policymakingbodies, coalitions, quasi-governmental and governmental agencies involved with health care policy,as well as medical and scientific research that have a significant impact on PA practice and the delivery ofcare to patients. These relationships, their priority, and resources allocated to them will be fluid anddynamic to reflect AAPA’s strategic plan.K. External Representatives—Purpose & Goals1) The mission of the Academy is to ensure the professional growth, personal excellence, and recognitionof physician assistants, and to support their efforts to enable them to improve the quality, accessibility,and cost-effectiveness of patient-centered health care.2) The vision of the Academy is to be the leader in providing support and advocacy for physicianassistants, the primary organization advancing the profession, a premier participant in health caretransformation, and a passionate champion of patient- centered care.3) To fulfill its mission and vision, it is essential that the Academy have a PA presence, as well as regularcommunications and develop working relationships with organizations and coalitions impacting healthcare policy, specifically PA practice and patient-centered care.

4) This communication is enhanced by the AAPA nominating PAs to participate in meetings of theseorganizations, and maintain active working relationships with the leadership of these organizations.5) The details of these relationships will be individual to each organization and will vary as circumstanceschange.6) The goal of this program is to effectively include the AAPA perspective in these organizations –elevating the visibility/impact of the PA profession and the relationship of AAPA with eachorganization – and to ultimately improve the PA’s practice environment and patient-centered care.7) In general, the pool of these appointed representatives will be drawn from the cadre of seasoned PAleaders from the Academy that can effectively represent the PA profession.L. External Representatives—External OrganizationsExternal organizations shall be those national policy-making bodies, coalitions, quasi-governmental andgovernmental agencies involved with health care policy, as well as medical and scientific research that havea significant impact on PA practice and the delivery of care to patients with which the Academy seeks tomaintain communication and interaction on a continuing basis.1) The Chair of the BOD External Affairs Committee will work with Academy staff designated byAAPA’s EVP/Chief Executive Officer overseeing the program to bring forward annual reports on theprogram, and recommendations for PA participation in these organizations.2) AAPA continues to identify national external organizations that impact the practice of physicianassistants. Should external organizations be identified to nominate/appoint an AAPA representative toadvance the Academy’s strategic plan and mission, the External Affairs Committee will review andmake recommendations to the AAPA Board of Directors.3) The extension of nominations/appointments to national external organizations will be periodicallyreviewed by the External Affairs Committee and approved by the AAPA Board of Directors.4) AAPA support for an appointment/re-nomination to an external organization may be withdrawn by theBoard of Directors.M. External Representatives—Duties1) Act as a representative of the PA profession and the AAPA.2) Act as a conduit for information between the national external organization and the AAPA incollaboration with Academy staff.3) Know and understand AAPA policy relevant to issues being addressed in the national externalorganization.4) Be knowledgeable and willing to help find ways to work with the national external organization toimplement AAPA’s strategic plan.5) Periodically discuss with the designated AAPA staff advisor and other appropriate staff or leadershiptrends, strategies, and potential policy opportunities for the PA profession and AAPA.6) Discuss with the designated staff advisor and other appropriate staff at least annually realistic goals,objectives, and measureable outcomes with the external organization that relate to AAPA’s strategicplan and mission.7) Discuss with the designated AAPA staff advisor and other appropriate staff at least annually activitiesundertaken on behalf of the PA profession and Academy at least annually, including any significantpolicy developments that may impact the PA profession and AAPA.8) Complete an annual online self assessment and evaluation of the program.N. External Representatives—Selection Criteria & Terms for Appointment1) Be a current member of AAPA.2) Demonstrated experience in the subject matter of the external organization.3) Have superior communication skills and awareness of the operations and politics of the externalorganization.4) Interest in advocating on behalf of the PA profession and AAPA.

5) AAPA staff will solicit nominations of qualified candidates for review or approval of the AAPA Boardof Directors.6) The term of the appointment will most often be determined by the external organization and will betracked by Academy staff.7) Upon possible re-nomination of the PA appointee, the AAPA may or may not support the continuedappointment, or may propose other PA candidates.8) The list of external organizations that the AAPA will propose nominations/appointments will bereviewed by External Affairs Committee, and any official appointment by the Academy will be made bythe AAPA Board of Directors.O. External Representatives—Communication and Interaction Expectations1) Where travel expenses are underwritten by AAPA, complete an online report at least annually on anyobjectives and significant policy developments with the external organization that may impact PAs andAAPA, with a follow-up online report after meetings of the external organization (and prior toreimbursement being issued).2) Maintain periodic interaction with the designated AAPA staff advisor and other AAPA staff orleadership to help facilitate successful action and completion of goals and objectives with the externalorganization.3) Maintain active working relationships with the leadership of the external organization.4) Document other significant policy developments at other times in the year (through the online reportingform) with the external organization that may impact the PA profession and AAPA.5) Complete an annual online self assessment and evaluation of the External Representatives program asrequested.P. External Representatives—Travel & Other Expense Approval (underwritten by AAPA)1) Should the expense for travel to meetings and other financial support not be provided by the hostnational external organization (and agreed to be underwritten by the Academy), they must be preauthorizedby Academy staff overseeing the External Representatives Program, as designated by theAAPA EVP/Chief Executive Officer, and in consultation with the staff advisor and chair of the EAC.2) At least two months prior the national external organization’s meeting, the appointed representative andstaff advisor will hold a conference call or meeting to discuss goals and objectives for the meeting andhow they relate to AAPA’s strategic plan and mission. These objectives will be submitted via an onlineform to initiate the pre-authorization process.3) Once your travel is authorized, make travel plans through AAPA’s travel agent using the appropriatetravel code provided by your staff advisor.Q. External Representatives—Reimbursement1) What AAPA will typically reimburse:Airfare, hotel, ground transportation charges, and meal per diem for up to four days, as well as (asspecified under the annual AAPA Travel Reimbursement Guidelines), and other financial support to thenational external organization meetings that has been approved in advance following the proceduresoutlined above.2) What AAPA will not reimburse:• Travel expenses or other financial support that has not been pre-approved through the proceduresoutlined above.• Spouse, partner, or companion expenses related to travel to the national external organization’smeeting.3) Prior to reimbursement being issued, an online report relating to the external organization’s meeting thatmay impact PAs and AAPA will be filed.

8. REPRESENTATIVES & LIAISONS adopted by substitution 5/26/06A. Liaison CoordinatorDefinition and Appointment• The liaison coordinator reports to the External Affairs Committee and is the liaison between the medicalliaisons and the External Affairs Committee of the AAPA board of directors.• The External Affairs Committee shall review liaison coordinator candidates and nominate oneindividual to the AAPA board of directors. The AAPA board of directors will vote on the proposedcandidate.• The liaison coordinator will be appointed for a two-year term (June 10-June 10).• The individual appointed should be familiar with the policies, procedures, and operations of theAcademy, and possess excellent communications skills. Experience as a current or recent medicalliaison is preferred.• If the current liaison coordinator requests reappointment, the External Affairs Committee shall evaluatehis/her performance. Reappointment will be determined by a vote of the AAPA board of directors.Adopted 5/26/06, amended 2/24/08Duties of the EAC Liaison Coordinator• The AAPA liaison coordinator functions within the structure of, and reports to the board ExternalAffairs Committee.• The liaison coordinator is responsible for mentoring the medical liaisons.• The liaison coordinator assures that the work of the medical liaisons is accomplished in a coordinatedmanner and is in concert with the AAPA Strategic Plan.• The liaison coordinator facilitates communication between the medical liaisons, the EAC, and theAAPA board.• The liaison coordinator is responsible for assuring that the liaisons are aware of their responsibilities andthat they have the information and resources needed for success in their roles.• The liaison coordinator is responsible for assuring that the AAPA board receives needed informationfrom the liaisons in a timely manner and assures that the AAPA board and staff appropriately respond torequests for action or information from the liaisons.• The liaison coordinator communicates with each liaison to assure the submission of a detailed annualreport in April and abbreviated quarterly reports.• Liaison coordinator travel, lodging, and per diem expenses are paid from the AAPA budget.Removing the Liaison Coordinator:• The AAPA board of directors, by majority vote of its members, may remove the liaison coordinatorfrom their duties at any time during their appointed term. Reasons for removal shall include, but not belimited to, failure to adequately perform assigned duties and violation of AAPA bylaws or policy. Anymember of the AAPA board may propose removing the liaison coordinator.• If the liaison coordinator is removed from his/her duties, AAPA president, president-elect, and Speakerof the House shall appoint a new liaison coordinator to complete the remaining term.B. Medical Liaisons—Purpose/goalsA liaison is a channel for communication between groups. (Webster Dictionary)• The mission of the Academy is to ensure the professional growth, personal excellence, and recognitionof physician assistants, and to support their efforts to enable them to improve the quality, accessibility,and cost-effectiveness of patient-centered health care.

• To fulfill this mission, it is essential that the Academy have communication and close workingrelationships with physician and other organizations involved with health care.• This communication is enhanced by the medical liaisons who will attend meetings of theseorganizations, and attempt to maintain working relationships with the leadership of these organizations.• The details of these relationships will be individual to each organization and will vary as circumstanceschange.• The ultimate goal of having medical liaisons is to elevate the PA profession and the relationship ofAAPA with each physician and physician specialty organization, and to improve the specialty practiceenvironment.C. Liaison Organizations—DefinitionLiaison organizations shall be those organizations with which the Academy seeks to maintain communication ona continuing basis.• The type of liaison relationship will be determined by the External Affairs Committee of the board ofdirectors.• AAPA continues to identify areas of medicine that affect the practice of physician assistants. When theAAPA board of directors, staff, or a specialty organization identify a physician organization that isdetermined by the EAC to need a liaison relationship, AAPA will contact the corresponding specialtyorganization to request nomination of qualified candidate(s).D. Medical Liaisons—DutiesMedical liaisons will:• Report to the liaison coordinator and External Affairs Committee, and to the specialty organizationleadership.• Act as representatives of the PA profession, AAPA, and AAPA recognized specialty organization.• Be cognizant that representing the profession and Academy is their overriding responsibility.• Act as a conduit for information between the physician organization, AAPA, and AAPA recognizedspecialty organization.• Be knowledgeable about the AAPA Strategic Plan.• Attend the appropriate meetings of the physician organization.• Attend AAPA meetings as required.• Report quarterly their activities and the important activities of the physician organization to the liaisoncoordinator, External Affairs Committee, and to the specialty organization leadership.• Compile a detailed annual report.E. Medical Liaisons—AppointmentMedical liaisons will be appointed by the board of directors from candidates nominated by the correspondingPA specialty organizations or the External Affairs Committee.• The specialty organization will be responsible to nominate a qualified candidate to the AAPA board ofdirectors.• The criteria for selection of a qualified candidate will be determined by both specialty organization andAAPA.• The term of the Liaison appointment will be two (2) years.• At the end of the liaison term, the specialty organization may re-nominate the existing liaison or proposeanother candidate.• The External Affairs Committee will review the nominations, and the AAPA board of directors willvote on the proposed candidate.

• If the AAPA board of directors has questions/concerns regarding the nominated candidate, the boardwill direct concerns to the specialty organization’s board of directors or the External Affairs Committeefor further discussion and clarification.• Liaisons/liaison teams to physician medical organizations that represent multiple specialties (i.e. AMA,American College of Surgeons, Society of Hospital Medicine), will be reviewed by the External AffairsCommittee. One candidate will be presented to the AAPA board of directors. The AAPA board ofdirectors will vote on the proposed candidate. Adopted 5/26/06, amended 2/24/08F. Medical Liaisons—Additional Support Available• AAPA’s liaison support team, or a team member, may attend the physician organization meeting withthe medical liaison on an as needed basis.• The liaison support team may include the AAPA chair of the board, president, president-elect, Speakerof the House of Delegates, the executive vice president/CEO, or other board designee, and/or other PAsor AAPA staff on an as needed basis.• To ensure that the PA message is unified, time will be allotted preceding the physician organizationmeeting for AAPA, the liaison and the specialty organization to coordinate their work. amended10/31/09G. Medical Liaisons—FundingLiaison travel, lodging, and per diem expenses for approved meetings are paid from the AAPA budget.H. Medical Liaisons—RemovalThe AAPA board of directors, by majority vote of its members, may remove the medical liaison from his dutiesat any time during his appointed term. Reasons for this decision may include, but are not limited to:• failure to follow AAPA board policy and procedures• failure to follow specialty organization board policy and procedures• violation of AAPA bylaws or policy• violation of specialty organization bylaws or policy• failure to attend necessary meetings of the liaison organization• failure to provide required reports• failure to remain in good standing as a member of AAPAAny member of the board or the liaison coordinator may bring the matter of removing the medical liaison to theAAPA board for consideration.In the instance that the medical liaison is removed from his/her duties, the AAPA board and the related specialtyboard will appoint a mutually agreed upon replacement until such time that the new medical liaison can beappointed. The board of directors shall request the specialty organization begin an immediate search for areplacement.I. AAPA Nominated Positions to Certification and Accreditation BodiesJ. AAPA Nominated Positions to Certification and Accreditation Bodies—PurposeAs the only organization representing all PAs at the national level AAPA has the privilege of nominatingindividuals to sit on the National Commission on Certification of Physician Assistants and the AccreditationReview Commission on Education for the Physician Assistant.

K. AAPA Nominee to the National Commission on the Certification of Physician Assistants (NCCPA) –Qualifications• The board External Affairs Committee and pertinent staff will recruit and review NCCPA candidatesand nominate a slate of individuals for presentation to the AAPA board of directors.• A candidate must1. be a fellow member of AAPA in good standing for at least three consecutive years.2. hold a currently valid NCCPA certificate.3. make a commitment in writing, at the time of request for consideration, to attend all meetingsof the NCCPA board of directors, and when specifically requested by the AAPA board ofdirectors, meetings to discuss NCCPA issues, and AAPA and PA/professional perspectives.4. be knowledgeable about the function and duties of the NCCPA, the status of current legislationwith regard to certification5. possess superior verbal abilities and political awareness in order to represent the views ofAAPA as an NCCPA Commissioner.6. provide a short statement describing past and present involvement in AAPA and concept ofissues surrounding the NCCPA.7. have the personal commitment and ability to potentially assume a leadership position within theNCCPA.• The terms of appointment for the AAPA appointed commissioners to the NCCPA shall be four yearswith the potential for being re-nominated by AAPA for a second four-year term. At the completion ofhis/her first term, the AAPA nominee to the NCCPA may be re-nominated at the discretion of theAAPA board.• The board of directors will present a new nominee in the event of a vacancy in an AAPA nominatedposition.• AAPA nominated commissioners to the NCCPA must comply with the bylaws and policies of theNCCPA. Amended 5/23/08L. AAPA Nominated Commissioners to the National Commission on the Certification of PhysicianAssistants — Relationship Framework1. AAPA Nominated NCCPA commissioner responsibilities:• Should work effectively to carry out NCCPA’s mission.• Should fulfill their fiduciary responsibility to the NCCPA.• Should ensure effective communication between AAPA board and the NCCPA on issues related to PAcertification, recertification, and CME logging by:1. discussing agenda issues of mutual interest in a timely manner before meetings of NCCPAcommittees and board.2. soliciting input from AAPA where appropriate.3. submitting periodic reports to AAPA as required.4. working together with AAPA committees and councils.5. communicating AAPA policy to other members of the NCCPA.• The AAPA External Affairs chair will serve as the contact person between the NCCPA appointees andthe AAPA board.• AAPA will ensure its nominees maintain continued familiarity with AAPA policies on certification,recertification, and CME.

M. AAPA Nominated Representatives to the Accreditation Review Commission (ARC) Qualifications• The board External Affairs Committee and pertinent staff will recruit and review ARC-PA candidatesand nominate a slate of individuals for presentation to AAPA board of directors.• A candidate must1. be a fellow member of AAPA in good standing for at least three consecutive years.2. make a commitment in writing, at the time of request for consideration, to attend all meetings ofthe ARC and all AAPA House of Delegates meetings in order to discuss ARC activities, AAPAperspectives, and the relationship of AAPA to the ARC.3. be knowledgeable about the function and duties of the ARC4. possess superior verbal abilities and political awareness in order to represent AAPA to the bestpossible advantage.5. provide a short essay describing past and present involvement in AAPA and a concept of issuessurrounding the ARC.• If at all possible, nominees should represent a balanced proportion of practicing (clinical) PAs andacademic or administratively based PAs and have fair representation of the minorities. Amended 5/23/08N. AAPA Nominees to the Accreditation Review Commission--Responsibilities• Protect the public by assuring minimum standards are established for PA educational programs.• Recommend the accreditation of PA programs, which meet and exceed these minimal standards foreducating PAs.• Monitor the ongoing performance of PA programs to assure that these minimum standards continuallyare met so the program may continue to be accredited.• Fulfill the fiduciary responsibility for the operation of the ARC-PA.O. AAPA Nominees to the Accreditation Review Commission-- Relationship FrameworkAAPA board nominated ARC-PA commissioner responsibilities:• should work effectively to carry out ARC-PA’s mission.• should fulfill their fiduciary responsibility to the ARC-PA.• should ensure effective communication between AAPA board and the ARC-PA on issues related to theeducation or accreditation of physician assistant educational programs by:1. discussing agenda issues of mutual interest in a timely manner before meetings of ARC-PAcommittees and board.2. soliciting input from AAPA where appropriate.3. submitting periodic reports to AAPA as required.4. working together with AAPA committees and councils.5. communicating AAPA policy to other members of the ARC-PA.• The AAPA External Affairs chair will serve as the contact person between the ARC-PA appointees andthe AAPA board.• AAPA will ensure its nominees maintain continued familiarity with AAPA policies on certification,recertification, and CME. 2/25/96, amended 5/23/97, 2/24/0, 5/26/06P. Clinical and Appointed Representatives to health professional and health related organizations—Purpose/goals• The mission of the Academy is to promote quality, cost-effective, and accessible health care, and topromote the professional and personal development of physician assistants.• To fulfill this mission, it is essential that the Academy have communication and close workingrelationships with medical professional and other health related organizations.

• These relationships and communications could take many forms including utilizing clinical andappointed representatives, staff, board members, or others, as appropriate. These individuals willrepresent AAPA to these organizations, and attempt to maintain working relationships with them.• The details of these relationships will be individual to each organization and will vary as circumstanceschange. These relationships may be time limited.• The ultimate goal of having representatives to medical professional and other health relatedorganizations is to improve health care delivery and to elevate the PA profession and the relationship ofthe PA profession and AAPA to these organizations.Q. Medical professional and health related organizations—definitionsIn addition to umbrella physician organizations, and the physician specialty organizations, there are othermedical professional organizations, other health professional groups, and health related organizations withwhich AAPA may want to establish a relationship on a continuing or episodic basis.• The type of relationship will be determined by the board of directors.• Representatives to these organizations may be AAPA staff, board members, or other AAPA membersselected as clinical and appointed representatives.R. Clinical and Appointed Representatives—types and coordinationStaff representatives:• will be selected by AAPA staff procedure.• will coordinate with the appropriate staff with communications being forwarded to the board ofdirectors as appropriate.Representatives from the Board of Directors:• will be appointed by board of directors.• will coordinate with and report to the board of directors.Clinical and Appointed Representatives:• will be appointed by the board of directors. If coordinated by an AAPA committee or council, thatcommittee or council will nominate one individual to fill vacancies in that position. The term ofappointment will be determined by the board of directors.• will be coordinated by AAPA staff, the EAC, or a committee or council and report as determined by theboard of directors.S. Clinical and Appointed Representatives to medical professional and other health relatedorganizations—DutiesRepresentatives to medical professional and other health related organizations will:• report to the appropriate coordinating body and the board of directors.• act as representatives of the PA profession and AAPA.• will be cognizant that representing the profession and Academy is their overriding responsibility.• act as a conduit for information between the organization and AAPA.• be knowledgeable about the AAPA Strategic Plan.• attend the appropriate meetings of the organization and participate in other activities as required orappropriate.• attend AAPA meetings required.• report their activities and the important activities of the organization to the coordinating body and theboard of directors as required.• compile a detailed annual report highlighting the clinical and appointed representative’s key results.

T. Clinical and Appointed Representatives to medical professional and other health relatedorganizations--Additional Support Available• A AAPA liaison support team, a board member, or staff may attend the organization meeting with therepresentative on an as needed basis.• The liaison support team may include the AAPA chair of the board, president, president-elect, Speakerof the House of Delegates, the executive vice president/CEO, or other board designee(committee/council chair), and/or other PAs or AAPA staff on an as needed basis.• To the extent possible, effort will be made to assure that the PA message is unified. amended 10/31/09U. Clinical and Appointed Representatives to medical professional and other health related organizations--FundingRepresentative travel, lodging, and per diem expenses for approved meetings are paid from AAPA budget.V. Clinical and Appointed Representatives—RemovalThe AAPA board of directors, by majority vote of its members, may remove a Clinical or AppointedRepresentative from their duties at any time during their appointed term. Reasons for this decision may include,but are not limited to:• failure to follow AAPA board policy and procedures.• violation of AAPA bylaws or policy• failure to attend necessary meetings of the organization.• failure to provide required reports• failure to remain in good standing as a member of AAPAAny member of the board or the coordinating committee or council may bring the matter of removing a clinicalor appointed representative to AAPA board for consideration.In the instance that a clinical or appointed representative is removed from his/her duties, AAPA board and theappropriate committee or council will appoint a mutually agreed upon replacement until such time that the newclinical or appointed representative can be appointed. The board of directors shall when appropriate request thecommittee or council begin an immediate search for a replacement.W. Clinical and Appointed Representatives to medical professional and other health relatedorganizations—Ending relationshipAt any time it is felt by the board of directors that the relationship with the other organization does not meet theneeds of AAPA and the profession, with appropriate notice, the relationship will be ended. Amended 5/26/063. Renal Physicians Association – Dialysis Clinical Guidelines – SupportMOTION: The AAPA Board of Directors supports the “Shared Decision-Making in the Appropriate Initiationof and Withdrawal from Dialysis Clinical Guidelines.”4.Environmental Health Competencies for Rural Health Providers – ApproveMOTION: The AAPA Board of Directors approves the “Key Environmental Health Competencies forRural Primary Care Providers.”

Internal Affairs Committee Action Items5.HOD Resolutions A-04 (Directors at Large) and A-05 (Secretary Treasurer) – Implementation PlanMOTION: The AAPA Board of Directors implements 2010 A-04 (new director-at-large BOD position) and2010 A-05 (combined secretary-treasurer BOD position) in the following manner:1. The current secretary finishes out his term of office for 2010-2011.2. The current treasurer finishes out his term of office for 2010-2012.3. At the May 2011 Board of Directors meeting, the board votes to temporarily fill the vacant secretaryposition with the current treasurer, thus creating the secretary-treasurer position.4. The Nominating Work Group is directed to solicit candidates for the fifth director-at-large positionbeginning with the 2011-2013-election cycle.5. The Nominating Work Group is directed to solicit candidates for the secretary-treasurer positionbeginning with the 2012-2014-election cycle.6.HOD Resolution A-03. A-12, and A-13 – Transition role for Nominating Committee Chair related tothe General Election and House of Delegates Election processesMOTION: The AAPA Board of Directors approves a transition plan related to the governance changesresulting from HOD Resolutions A-03 (changed role of the Nominating Committee) and A-12 and A-13(elimination of the Elections Committee). Because the Governance Commission will not be established,appointed, and assume its responsibilities until June 10, 2011, the following transition will occur:• The Nominating Committee will be charged to continue soliciting and recruiting candidates for oneadditional year until the Governance Commission is appointed for the 2011-2012 leadership year.• The Nominating Committee chair will be assigned the responsibilities of overseeing the 2011 AAPAGeneral Election and 2011 House of Delegates Election.7. PA Foundation Board of Trustee Officers – officer reappointmentsMOTION: The AAPA Board of Directors approves the PA Foundation Nominating Committee’srecommendation that the following PAF officers be reappointed for a second year of service(June 10, 2010 – June 10, 2011): Agnes Compagnone, President; Lisa Alexander, Secretary;Rick Kilgore, Treasurer; and Barbara Tombros, Chair of the Board.8. PA Foundation Board of Trustees – Roslyn Schneider, new trusteeMOTION: The AAPA Board of Directors approves the PAF Nominating Committee recommendation toappoint Roslyn Fleischer Schneider MD, FACP, FCCP as a trustee to the PA Foundation Board of Trustees for athree-year term effective immediately (July 2010 – June 9, 2013).9. Society for the Preservation of PA History – Ann Bliss, new trusteeMOTION: The AAPA Board of Directors approves the SPPAHx Board of Trustees’ recommendation toappoint Ann A. Bliss BS, RN, MSW, LCSW to an initial 3-year term on the SPPaHx Board of Trustees (July 1,2010 to June 30, 2013).10. Society of the Preservation of PA History – Rhea Katz, reappointed trusteeMOTION: The AAPA Board of Directors approves the SPPAHx Board of Trustees’ recommendation toreappoint Trustee Rea Katz to a 2 nd term (July 1, 2010 to June 30, 2013).

Finance Committee Action Items11. Finance, Budget, Audit Committees of the Board – Amend Board ProceduresMOTION: The AAPA Board of Directors approves the following amendments to the Board Procedure Manualoutlining the new role/responsibilities of the BOD Finance Committee.B. Finance Committee – Vision and MissionTHE FINANCE COMMITTEE SHALL BE SELECTED BY THE BOARD CHAIR WITH THE INPUT OF THEPRESIDENT AND SPEAKER OF THE HOUSE OF DELEGATES. THE SECRETARY-TREASURER WILL BE THEFINANCE COMMITTEE CHAIR.VISION:• TO ASSURE THAT AAPA HAS A SOUND AND SECURE FINANCIAL BASE FROM WHICH TO ACHIEVE ITSSTRATEGIC OBJECTIVES.MISSION:• TO OVERSEE AND REVIEW ON A CONTINUING BASIS:O AAPA FINANCIAL POSITIONS AND MATTERSO AAPA QUARTERLY AND ANNUAL FISCAL YEAR FINANCIAL STATEMENTSO AAPA CAPITAL BUDGETSO AAPA INVESTMENT POLICY AND INVESTMENT PERFORMANCEO AAPA RESERVE FUNDSO AAPA 990 TAX FORMS BEFORE FILED WITH IRS.O PROPOSED FISCAL YEAR BUDGETSO LONG-TERM FINANCIAL PLANNINGO AAPA FINANCIAL CORRESPONDENCE AND RECORD KEEPING ACTIONS ANDPROCEEDINGSO AAPA ACCOUNTING AND FINANCIAL POLICIES AND PROCEDURES• TO PRESENT THE PROPOSED ANNUAL BUDGET TO THE WHOLE BOARD OF DIRECTORS FORAPPROVAL• TO MONITOR THE AUDIT COMMITTEE ACTIVITIES2/20/03, AMENDED 5/22/09B. Budget Committee1. The Budget Committee is composed of the president, president-elect, vice president/speaker, treasurer, immediatepast president, and board chair.2. The Budget Committee performs an initial review of the proposed budget each fiscal year and presents a proposedbudget to the board of directors. 2/25/93, amended 9/13/97, amended 2/24/01, amended 9/21/02, 5/22/09C. Audit CommitteeTHE AUDIT COMMITTEE CHAIR AND MEMBERS SHALL BE APPOINTED BY THE BOARD CHAIR WITH THEINPUT OF THE PRESIDENT AND SPEAKER OF THE HOUSE OF DELEGATES.The Audit Committee is composed of• THE FINANCE COMMITTEE CHAIR.• TWO AAPA MEMBERS WHO ARE NOT MEMBERS OF THE AAPA BOARD OF DIRECTORS.

• AAPA SENIOR MANAGEMENT STAFF, SPECIFICALLY THE EXECUTIVE VICE PRESIDENT/CHIEFEXECUTIVE OFFICER, THE CHIEF FINANCIAL OFFICER, AND THE CHIEF OPERATING OFFICERMAY SERVE AS EX-OFFICIO, NON-VOTING MEMBERS FOR ADVISORY PURPOSES.• Two board of directors members who shall not also be on the Budget Committee ; and• An outside accounting professional who shall have no other connection with AAPA.A board of directors member shall serve as chair.The Audit Committee shall be selected by the board chair with the input of the president and Speaker of the House ofDelegates.The Audit Committee shall:• Annually evaluate the performance of the auditing firm and recommend changes as necessary• Monitor the activities of the Academy’s auditing firm• Meet with the auditing firm annually to discuss the audit results• REVIEW ACCOUNTING AND FINANCIAL POLICIES as needed recommend accounting and financeprocedure changes to the board of directors AND ENSURE COMPLIANCE WITH FEDERAL AND STATELAWS AND ENSURE APPROPRIATE INTERNAL CONTROLS ARE IN PLACE• Review substantive changes to the Academy’s accounting procedures• SEND THEIR REVIEWED DOCUMENTS TO THE FINANCE COMMITTEE FOR APPROVAL PRIOR TOSENDING TO THE WHOLE BOARD• Provide a report to the board of directors at least annually Adopted 9/15/0912. Work Group FundingMOTION: The AAPA Board of Directors approves $32,000 to fund three board work group (ConstituentOrganization Work Group, A-22 House of Delegates/Articles of Incorporation Work Group, Research SteeringWork Group) assignments during FY11.Strategic IssuesInformation Updates• Strategic Plan Status ReportReceived a status report of the work related to the 2010-2012 Strategic Plan.• Constituent Organization Focus Group Results UpdateReviewed results of the constituent organization focus group meetings held at the Atlanta AnnualConference.• AAPA Partner Program (IEG Revenue Generation – SP Goal V, #3Received an update on IEG contacts for generating AAPA non-dues revenue.

• Work Group Assignments Status ReportsReviewed a list of appointees for Work Groups:o Student Academyo Annual Conference Futureo A-22 House of Delegates/Articles of Incorporationo Constituent Organizationso Research Steering Committee• AAPA Partner Program - Revenue Generation Update – SP Goal V, #3Received update on IEG contacts for generating AAPA non-dues revenue; background IEG documentsInternal AffairsExternal Affairs Committee Action Item Extracted from the Consent Agenda13. Commission to End Health Care Disparities – Reappointment of Robert Wooten(Extracted from the Consent Agenda)MOTION: (Ms. DiBaise, Mr. Fichandler) The AAPA Board of Directors approves the reappointment ofRobert Wooten to the Commission to End Health Care Disparities for a three-year term (June 10, 2010 throughJune 10, 2013).Information Updates• Endorsement or Approval of External Organizations’ Position Papers or Clinical PracticeGuidelines Review processReviewed the process that will be used and the Board of Directors’ involvement when organizationsseek AAPA’s public support for policy papers or clinical practice guidelines. Currently, all requests arevetted through staff and appropriate leadership groups. BOD input in the review and approval processhas been variable. Discussion focused on the Board’s level of involvement to rapidly and appropriatelyrespond to these requests.• Annual Conference Work Group Meeting SummaryReceived a summary of the Annual Conference Work Group meeting the day before. There were sixpoints of consensus that will be sent to the Conference Education Program Committee:1. Creation and identification of a re-entry track – for PAs who’ve been out of practice for awhileand want to return to practice or transition from one specialty to another2. Creation of a clearly identified recertification track3. Identification of specialty tracks that escalate in their depth of content – to attract PAs in thatspecialty throughout their career4. Labeling of sessions as core knowledge, rather than “primary care”5. Making use of interactive audience response systems6. Personalization and segmentation of marketing efforts• Operations PlanningReceived an update on national office staff work regarding the Business Process ImprovementProgram; website; AAPA national office facilities; AAPA building sale.

• National Office Facilities• During the February 2010 BOD meeting the BOD passed this motion:MOTION: (Mr. Thibodeau, Ms. DiBaise) The Board of Directors agrees to sell the currentAAPA headquarters and lease 2050 Ballenger Avenue or 1920 Ballenger Avenue at thediscretion of the staff.• A lease was negotiated for the 2050 Ballenger Avenue property, but it was not accepted by thelandlord’s bank (Bank of America).• The possibility of resurrecting the negotiation is nil.• There was discussion about reactivating the Capital Work Group, but in the end it was decidedto trust and authorize staff to find the best space possible for the national office needs.• Good space had been identified in the same geographic location at 2318 Mill Road, Alexandria,VA. It is a building owned by the American Society of Clinical Oncology and Mass Mutual.• The board passed the following motion to authorize the negotiation of a new lease.MOTION: (Mr. Fichandler, Mr. Herman) The Board of Directors empowers the AAPAstaff to negotiate an AAPA headquarters lease in the Carlyle area of Alexandria, Virginia.Fiduciary IssuesFinance Committee Action Items Extracted from the Consent Agenda14. 2010 Dues Increase (Extracted from the Consent Agenda)MOTION: (Mr. Fichandler, Mr. Killeen) The AAPA Board of Directors approves a $25 fellow duesincrease ($250 to $275) that will commence with new fellow members on September 1, 2010 and renewingfellow members notified on or after September 1, 2010.Information Updates• Financials for Year Ended April 30, 2010Received an update on the financial position at the end of FY10 (April 30, 2010). The FinanceCommittee will receive an audit presentation in August.• Annual Conference PerformanceReceived an update on the financial performance of the Atlanta Annual Conference as compared toprevious years.Atlanta FY11San DiegoFY10SanAntonioFY09PhillyFY08Registration $1,787,000 $2,761,000 $2,317,000 $2,056,000CorporateSupport $1,873,000 $2,201,000 $2,157,000 $2,626,000Net profit $1,125,000 $1,456,000 $1,787,000 $1,770,000+ (-) $331,000 $331,000 $17,000 $324,000% decrease 23% 19% 1% 15%

• Annual Conference Hotel Attrition CostsReceived an explanation of the $300,000 attrition costs that were waived by some of the Atlanta hotelsin exchange a commitment to hold the 2016 Annual Conference there. Non-attendees are beingsurveyed to learn why they did not attend the Atlanta conference.New Business15. Tom Godkins Commendation (by acclamation)MOTION: (Mr. Fichandler, Mr. Herman) The Board of Directors adopts by acclamation the followingcommendation and letter of condolence regarding Thomas R. Godkins:Whereas, Thomas R. Godkins, PA, MPH was among the first of the physician assistants in this country,entering the Duke PA Program in 1967 after serving three years as a Navy corpsman,Whereas, he practiced as the first PA at the Mayo Clinic in Rochester, Minnesota and for 15 years at theMayo Clinic and Veterans Administration Medical Center,Whereas, he was a founding member of the AAPA, who, among his many contributions, served twice asPresident of the organization (1972-1973 and again 1975-1976),Whereas, he was the first non-physician President of the Association of Physician Assistant Programs(the forerunner to the current Physician Assistant Education Association) in 1979-1980,Whereas, he served on the faculty of the University of Oklahoma Health Sciences Center for 35 years,including 10 years as Associate Director of the PA Program,Whereas, the Oklahoma Academy of Physician Assistants in collaboration with the University ofOklahoma Physician Associate Program recognized Tom’s many contributions to the program and theprofession by establishing an endowed Annual PA Student Scholarship Award in his name, be itResolved that the AAPA Board of Directors commends Thomas Godkins for his extensive commitmentand service to the AAPA and the PA profession, his dedication to the education of PAs, and for theoutstanding care which he provided to the patients he helped to take care of over the course of hisclinical carreer, and be it furtherResolved, that this commendation be sent to his wife, Lois, with an expression of ourcondolences andour sincerest appreciation for all the time and effort Tom spent assuring the success of the PAprofession.AdjournmentMOTION: (Mr. Herman, Mr. Doll) The July 30, 2010 meeting of the Board of Directors is adjourned.Motion passed.

Reports Filed (Because the leadership year began June 10, 2010, no officer, committee, council, medical liaison, etc.reports were require.))1. Board Reportsa. President (Killeen)b. Speaker/Vice President (Hull)c. EAC Chair (DiBaise)d. IAC Chair (Katz)2. Staff Updatesa. EVP/CEO Board Update (Leinweber)3. Medical Liaisons and Appointed Representativesa. American Medical Association (Ettari)Meeting AttendeesBoard of Directors1. Patrick Killeen, President2. Alan Hull, Vice President/Speaker3. Daniel Thibodeau, Chair of the Board, Secretary4. Robert Wooten, President-elect5. Stephen Hanson, Immediate Past President6. Bruce Fichandler, Treasurer7. Jeff Katz, Director-at-Large8. Michelle DiBaise, Director-at-Large9. Michael Doll, Director-at-Large10. Larry Herman, Director-at-Large11. Jim Delaney, 1 st Vice Speaker12. L. Gail Curtis, 2 nd Vice Speaker13. Mark Shepherd, SAAAPA RepresentativeStaff1. Amy Phillips, Vice President, Meetings and Industry Relations2. Bill Leinweber, Chief Executive Officer/Executive Vice President3. Bob Johnston, Senior Vice President, Finance and Chief Financial Officer4. Bob McNellis, Vice President, Science and Public Health5. Cheryl Holmes, Assistant Director, Science & Public Health6. Chris Doscher, Director, Communications7. Donna Crandall, Executive Assistant to the EVP/CEO8. Greg Thomas, Senior Vice President, Education, Membership, and Resource Development9. Howard Glassroth, Vice President, Communications10. Jim Potter, Senior Vice President, Advocacy & Government Relations11. Ken Brady, Vice President, Membership, Marketing and Strategic Business Development12. Lynn Schoenfelder, Vice President, Human Resources13. Marilyn Fitzgerald, Senior Vice President, Governance and Leadership Development14. Michael Powe, Vice President, Professional & Reimbursement Advocacy15. Raymond Fang, Vice President, Research16. Sabrina Smith, Chief Operating Officer17. Shannon Faherty, Senior Director, Student Academy of AAPA18. Tom Shoemaker, Director, House and Board RelationsDaniel T. Thibodeau, MHP, PA-CSecretary, AAPA Board of Directors