Michigan 2017 Annual Report

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2017 ANNUAL REPORT

TABLE OF CONTENTS

ANA-Michigan Board of Directors......................................................... 3

Strategic Plan.......................................................................... 4

ANA-MI Position Statements............................................................. 7

ANA-Michigan Annual Membership Assembly Agenda. ...................................... 11

2016 Annual Membership Meeting Minutes. ...............................................13

President’s Report......................................................................18

Financial Statements................................................................... 20

Executive Director’s Report............................................................. 27

Public Policy Council ................................................................... 30

Government and Legislative Report...................................................... 32

Region Reports

Northern Michigan Region 2 ......................................................... 35

Grand Rapids/Muskegon Region 3.................................................... 36

East Central Region 4 ............................................................... 38

Lansing Region 6................................................................... 39

Metropolitan Detroit Region 7 ....................................................... 40

ANA Membership Assembly............................................................. 42

Coalition of Michigan Organization of Nursing (COMON). .................................. 44

2017 Leadership Elections............................................................... 45

Proposed Bylaws Amendments ..........................................................51

Bylaws............................................................................... 58

Printed and published for ANA-Michigan by:

Arthur L. Davis Publishing Agency

517 Washington St., P.O. Box 216 | Cedar Falls, Iowa 50613

(319) 277-2414

www.ana-michigan.org

Published by:

Arthur L. Davis

Publishing Agency, Inc.

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ANA-MICHIGAN BOARD OF DIRECTORS

Linda Taft

President

Carole Stacy

President Elect

Bridget Leonard

Recording Secretary

Nancy Martin

Treasurer

MaryLee Pakieser

Immediate Past President

Lynne Harris

Region 2

Lisbeth Votruba

Region 3

Peggy Ursuy

Region 4

Mary Zugcic

Region 7

Jeanette Klemczak

Public Policy

Tobi Moore

Executive Director

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ANA-MICHIGAN POLICY ON

PUBLIC POSITION STATEMENTS

POLICY: ANA-MI shall take public positions on legislation and health policy proposals, and recommend

actions based on the following Platform and process.

Purpose: ANA-MI’s position statements articulate the Association’s stand on health care policy proposals

of importance to its membership and the public it serves. Positions are generated in response to trends

and best practices in health care and health policy related to current and emerging issues that impact the

health of the citizens of Michigan, their access to care, standards and excellence in nursing practice; and the

profession of nursing.

All proposed policy positions are first benchmarked to the ANA-Michigan Mission, Vision and Strategic

Values. The Criteria below are also applied to the analysis and recommendation of policy positions to the

Board of Directors.

Platform Issues:

Access to Quality Care

1. Promote accessibility to healthcare for all residents of Michigan

2. Support services for vulnerable populations

3. Ensure nursing care by appropriate licensed providers

4. Assure basic human needs services that impact individual health status

5. Support programs that enhance health literacy

Human Rights/Social Justice

1. Provide for informed healthcare choices through evidence based education of Michigan residents

2. Support legislative proposals that positively impact the health and welfare of Michigan residents

3. Educate legislators when proposals would negatively impact the health and well-being of Michigan

residents

4. Oppose discrimination in health policies/regulations and delivery of care

5. Support competent care for diverse Michigan populations

6. Protect the privacy of Michigan residents in issues of healthcare

Quality and Safety of Health Care

1. Maintain state policies and regulations consistent with national nursing standards

2. Support for programs that address health promotion and maintenance and prevention of disease/

disability

3. Actively collaborate with healthcare organizations within the state for purposes of quality care,

patient safety and nursing input

Advances in the Practice and/or Profession of Nursing

1. Promote the viability of professional nursing organizations

2. Promote statewide communication within the profession

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3. Encourage occupational health and safety of nurses

4. Support public funding for nursing research and education

Process for Position Statement Review

1. Requests for development of an Association positon statement on a policy, issue or legislation may

be made by the Board of Directors, an individual member, or on the basis of member survey results.

2. The request is sent to the Public Policy Council for consideration.

3. The Public Policy Council reviews the issue, evaluates the issue in relation to the ANA-MI Mission,

Values and Impact Statement and the Platform criteria.

4. The Public Policy Council makes a recommendation to the Board using an evidence based review of

the issue and its relevance to the above Platform Criteria. Topic experts may be used to develop the

position statement.

5. The Board determines whether the proposed position statement is adopted by the Association and

made public.

6. The Association positions are reviewed by the Public Policy Council annually.

7. Recommendations for policy changes are made to the Board.

8. Joint positions (e.g. with other healthcare groups) may be developed.

Approved by the ANA-Michigan Board of Directors on September 19, 2015

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ANA-MICHIGAN ANNUAL MEMBERSHIP

ASSEMBLY AGENDA

October 26, 2017 | 3:15 - 5:00 p.m.

The Inn at St. John’s, Plymouth, Michigan

3:15 Call to Order—Linda Taft, President

• Roll Call of the Board of Directors

• Roll Call of Membership by Region

• Declaration of Quorum

• Review and Approval of the Agenda

• November 4, 2016 Annual Meeting Minutes

3:20 President’s Message—Linda Taft, President

3:25 ANA-Michigan Financial Road Map—Nancy Martin, Treasurer

3:35 Executive Director’s Message—Tobi Moore, Executive Director

3:40 Greetings from the Michigan Nursing Students Association

3:45 2017 Proposed Bylaw Amendments—Julie Lavender, Bylaws Chair

4:10 ANA-Michigan Governance Structure and Future Positioning

4:30 Memberships Comment and Open Forum

4:40 Recognition of Outgoing Board Members—Linda Taft, President

4:50 Tellers Report—MaryLee Pakieser, Nominations Chair

• Secretary

• Treasurer

• ANA Membership Assembly Representative

5:00 Announcements and Adjournment—Linda Taft, President

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RN’s and RN Managers

The Center for Forensic Psychiatry

is a 240-bed, maximum security psychiatric

hospital located in Saline, Michigan, just 20 minutes

from Ann Arbor.

We have recently opened an additional 34-bed

inpatient unit and are seeking to fill positions for

unit RN’s and RN Managers. Our positions come

with an excellent benefit package (medical, dental,

vision, life insurance, option for both 401k and 457

retirement plans, ample vacation and sick leave

that accrues, optional long-term disability) and

reasonable work hours. Work with a fascinating

population in a collegial, multidisciplinary team

environment that gives you plenty of opportunity to

make a positive difference in the lives of the severely

mentally ill!

If interested in becoming a part of our team, please

contact Diane Heisel, M.D., Clinical Director at (734)

295-4228 or heiseld@michigan.gov.

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2016 MEMBERSHIP MEETING MINUTES

ANA-Michigan Annual Membership Assembly

November 4, 2016 | 3:12-4:27 PM

Johnson Center at Cleary University, Howell

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Linda Taft, RN

“ANA TAKES CARE OF YOU…SO YOU CAN TAKE CARE OF YOUR PATIENTS” ~ ANA

Being a member of ANA/ANA-Michigan is critically important in these times of rapid

changes in healthcare and nursing. We give voice to your concerns, keep you abreast

of changes in education and clinical practice, advocate for safer practice environments,

and develop tools to improve your skills and knowledge. Building partnerships locally

and nationally has raised our profile and influence. With our participation in ANA’s Value

Pricing Pilot, we now have more than 1700 members and are on track to break 2000

before the end of the year! We are financially healthy as an association with a bright

future ahead.

None of this happens without the support of our members and the hard work of our Board, Councils,

Region Leadership and association management team. We are appreciative of everyone’s contributions

and commitment. Valuable and meaningful engagement with our members is a priority. To that end, much

of our focus this year has been on evaluating our governance structure and we will be determining our goals

and objectives for the future as we update our Strategic Plan. At our Membership Assembly in October, our

members will join this dialog and help shape the future of our association.

ANA-Michigan on the move:

• Established a physical presence for the association with the opening of our new headquarters on

Jolly Road in Okemos, housed within Ngage Management. We now have meeting and hosting space

for association business.

• Celebrated the successful passage of the APRN Scope of Practice legislation, PA 499-2016, which

included the addition of CNS to the APRN roles

with a seat on the Michigan Board of Nursing.

• Monitored work on the Administrative Rules

for Nursing (ARN) as new rules and updates are

proposed and comments sought.

• Worked in partnership with the Michigan

Department of Licensing and Regulatory

Affairs (LARA), Bureau of Health Professions to

address customer service and licensing process

concerns and

ú

PRESIDENT’S REPORT

Raised awareness of the transition of the

Michigan Automated Prescription System

(MAPS) to the Appriss Health PMP AWARxE

software.

ú Participated in process for conversion to

the Accela based Michigan Professional

Licensing User System (MiPLUS) platform

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Pictured above is from MNSA convention where we

gave away the latest edition of Code of Ethics for

Nurses, Nursing: Scope and Standards of Practice.

Winners were Haley Quinn, from Eastern Michigan

University and Nate Manthei from Muskegon

Community College


2017 ANNUAL REPORT

for healthcare license renewal and other services. Nursing is the 1st group of licensees transitioning

to MiPLUS and more information on this process will be provided this Fall.

• Selected as the State Lead for the Nurses on Boards Coalition (NOBC) data set information. A NOBC

Task Force was appointed by our Board to determine the course and dissemination of this important

data.

• Participated as a Partner for ANA’s Healthy Nurse Healthy Nation Grand Challenge.

• Strengthened our relationship with the Michigan Nursing Student Association (MNSA) by continuing

support at the MNSA annual conference, by providing meeting space, and mentorship through

Jeanette Klemczak, our liaison to the MNSA Board.

• Our immediate Past President, MaryLee Pakieser, was recently elected for a two-year term as

Director at Large on the ANA Board of Directors.

• Jeanette Klemczak represented ANA-Michigan as the guest of U.S. Senator Debbie Stabenow in

a nationally televised press conference in June in opposition to proposed elimination of Essential

Health Benefits by the American Health Care Act (AHCA)

It’s an exciting time to be a member of ANA-Michigan! We’ve been working hard to make this association

the home for all registered nurses in Michigan. We’re first in membership growth with ANA. Lansing is

calling. Washington is calling. The public looks to us as the most trusted profession year after year. None of

this is possible without our members and we are here to be your resource, your voice and your home.

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FINANCIAL STATEMENTS

Financial Summary as of September 30, 2017

Reserves:

The financial picture remains stable for ANA-Michigan. The Merrill Lynch investment has had an

unrealized gain this fiscal year of $7,383.92. Since January 1, 2014 gross revenue has increased by 77%.

Operating Revenues:

Membership Dues: At nine (9) months into the fiscal year, we are currently ahead of budget in

membership dues by $11,687 than was projected.

Conference: With early registration ending September 29th and the exhibitor and sponsorship deadline

of October 4th, we will see a bulk of our revenue reported on the October financial statements. We are

ahead of our total budget for conference sponsorship by $3,000 and projected to hit our exhibitor

budget of $5,000 if not exceed it.

Operating Expenses:

With three (3) months remaining in this fiscal year we have a few areas where we are currently over on

our operating expenses from where we budgeted.

Board Insurance: We had an increase in our Director and Officers Insurance policy this year. ANA-MI

saved $850 through Ngage Management by using their bulk purchasing contract.

Councils: We are projected to be over by $1,250 this year for the first time. All four council chair positions

were filled for a majority of the year, which resulted in an increase of mileage reimbursement for

council chairs to attend board meetings and extra cost for hotel rooms when needed. In addition, at the

conference we will be presenting $500 to the poster winners.

Legal Fees: We are over budget by $1,308 as the board brought legal counsel to a board meeting for

some training and contracted with legal counsel on developing a new conflict of interest policy.

Student Nurses Association: Is over budget by $360.34 from the support ANA-MI provided during their

annual conference. This is the only expense associated with the SNA group.

Board of Directors Travel and Meetings: In 2017 we went from four meetings to five meetings plus an

additional day for strategic planning. In addition, a task force and bylaws committee held in-person

meetings which incurred travel and meal expenses. There was additional travel by board members

throughout this year representing ANA-MI at other meetings and events. Increased visibility of the

Association does raise expenses as we increase name recognition within the state. We will be over in

this category this year by $1,500 as we have one additional board meeting remaining in this fiscal year.

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FINANCIAL STATEMENTS

Given these areas that are over budget, we will be under budget in several areas, and are projected to

finish within budget range in the remaining categories, keeping the Association within the projected

year-end budget.

Net profit:

For the September month end the Association has a net income of $19,171.24.

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FINANCIAL STATEMENTS

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FINANCIAL STATEMENTS

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FINANCIAL STATEMENTS

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FINANCIAL STATEMENTS

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EXECUTIVE DIRECTOR’S REPORT

Tobi Lyon Moore, MBA, CAE, CFRE

“Coming together is a beginning; keeping together is progress; working together is success.” Henry Ford

2017 was a year that brought advancement to Nursing in Michigan. We started the year

off on January 24th with Governor Snyder completing the ceremonial signing of Public

Act 499. President Linda Taft was in attendance representing ANA-Michigan. Public Act

499 was enacted into law on April 9, 2017.

Summary of the revisions included in Public Act 499:

• Recognizes Clinical Nurse Specialists (CNSs) in the Michigan Public Health Code,

allowing for specialty certification for their profession and adding a CNS seat to

the Michigan Board of Nursing

• Defines “advanced practice registered nurse” (APRN) as a registered professional nurse who has

been granted a certification in one of the specialty fields (nurse midwifery, nurse practitioner, or

clinical nurse specialist)

• Allows an APRN to order, receive, and dispense a complimentary starter dose drug without delegation

from a physician, and as a delegated act, order, receive, and dispense a complimentary starter dose

of a controlled substance

• Allows an APRN to make calls or go on rounds

• Includes an APRN in the definition of “prescriber” in the Public Health Code

• Allows an APRN to prescribe physical therapy, speech therapy and order restraints autonomously

• Allows an APRN to prescribe Schedule II-V drugs under delegation without restriction to setting or

circumstance

• Allows an APRN to prescribe non-scheduled drugs autonomously

• Includes a CNS among the designated professionals eligible for the State’s Essential Health Provider

Loan Repayment Program

• Increases the RN licensure fees from $30 per year to $60 per year, and increases the application

processing fee from $24 to $75 for new nurse graduates

Signing of Public Act 499

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MEMBERSHIP

Membership growth... 98%. Yes 98% growth since January 1, 2014! We ended September 2017 with 1783

members. Since September 2016 we have had a 30% increase in just 12 months.

On March 1, 2017 the Association became a part of a membership pilot with ANA, called the “value pricing

pilot.” Currently ANA-Michigan has seen a 21.4% growth increase since the inception of the value pricing

pilot and is the leader by netting the highest growth rate compared to other states involved in the current

pilot.

What is the value pricing pilot? The pilot implemented “standard” joint membership for ANA and ANA-

Michigan at $174 annually/$15 monthly pricing. All membership options except joint membership have been

eliminated for the pilot. At value price points, there is not resistance to joint membership, so ANA and stateonly

memberships are no longer needed. This also eliminates all dues discounts. All new members pay the

same price for Standard membership. Eliminating dues discounts has not caused any issues in the current

pilot states. Even the elimination of new RN discounts has not been problematic; in fact, new RN acquisition

has been 20 percent higher in pilot states than in non-pilot states that offer 50 percent discounts to new

RNs, and retention rates are expected to be significantly higher.

NEW BENEFITS

This year we launched our CE Genius smartphone application. ANA-Michigan partnered with Continuing

Education Genius to provide you a smartphone application that quickly and easily records your continuing

education credits. The application, called CE Genius, will automatically update the number of acquired

credits for each state license you have placed into the program, providing a visual summarization of your

progress toward completing your goals. You can enter credits from all providers and maintain individual

privacy. CE Genius has a built-in reminder for continuing education, license requirements and other events.

You can share data whenever you choose to your laptop or other external sources. Nurses from across the

United States can use this application, but ANA-Michigan members get this application at a reduced rate!

In the spring of 2017, we launched an online Legislative Action Center. The Legislative Action Center is a

platform to allow our public policy council and membership to track legislation and keep our membership

updated on ANA-Michigan positions with certain legislation. The other benefit is that we can track when a

member has clicked on an email, visited our page, or taken any action. As we advance our level of advocacy

within the Association this service will be able very beneficial.

MILESTONE

This year marked another milestone for the Association:

ANA-Michigan opened a new office space located at

2501 Jolly Road in Okemos. The new office has a large

conference room and ANA-Michigan has opened its doors

to host the Michigan Nursing Student Association board

meetings and COMON’s quarterly business meetings.

HEALTHY NURSE

“Healthy Nurse, Healthy Nation” Grand Challenge became

a nationwide movement to connect and engage nurses

and organizations to take positive action in physical

activity, sleep, nutrition, quality of life and safety. Will

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you accept the challenge? ANA-Michigan became a partner in the Grand Challenge and showcased two full

days at our annual conference highlighting how nurses are the leaders in creating healthy communities and

healthy work environments.

NOBC

As Executive Director for ANA-Michigan, I became the Michigan contact for the Nurses on Boards Coalition

(NOBC). NOBC represents national and state efforts by nurses and others working to build healthier

communities in America. Our goal is to improve the health of communities and the nation through the

service of nurses on boards and other bodies. The key strategy of the NOBC is to increase nurses’ presence

and influence on corporate, health-related, and other boards, panels, and commissions. The Coalition’s

intent is to ensure that at least 10,000 nurses are on boards by 2020, as well as raise awareness that all

boards would benefit from the unique perspective of nurses to achieve the goals of improved health and

efficient and effective health care systems at the local, state, and national level.

ANA-Michigan continues to look for ways to grow membership and retain the members we have. Thank you

to all the ANA-Michigan members for knowing the importance of your membership, and the hard work that

you put into this organization, and most of all, your dedication to the profession. With every member being

engaged and active, ANA-Michigan will be able to maximize our progress and work together for success in

the profession.

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PUBLIC POLICY COUNCIL

Jeanette Klemczak, BSN, MSN, RN, FAAN, Chair

Strategic Planning

• Council is developed its 2-year strategic plan for advocacy. Goals for its strategic

work include:

ú Developing organizational guidance regarding selection of policy and

legislative positions;

ú Annual review and update of the ANA-MI Policy on Public Position Statements;

ú Refocusing on pro-active advocacy, rather than solely reacting to legislation or

policy;

ú Establish a systematic way to obtain regional member input on key issues

(opioid crisis, end-of-life issues, human trafficking, etc.)

• Regions were solicited via their Public Policy Council representatives. Some areas identified

by Regions include: climate issues, human trafficking, the opioid crisis, mental health.

• Region 2 requested a position statement regarding “safe staffing” in support of work in

their region, as well as in response to current legislative bills that have been introduced. The

Council has drafted a position statement and anticipates a final draft by the annual meeting.

The referenced bills are HB4629, SB387.

Legislative, Policy and Regulatory Advocacy and Action

• Advocacy work continued on HB5400 through final Senate vote in December with successful passage

of the bill and the Governor’s signature establishing P.L. 499 of 2016 that increased APRN functions,

established the CNS role and more than doubled the nursing licensure and re-licensure fee.

• ANA-MI co-Sponsored an Advocacy Day with MONE on March 14 and 15.

ú There was a ½ day session on March 14 as an introduction to advocacy, meeting with your

legislator and/or staff member, etc. This was developed in response to requests from last year’s

participants who requested more preparation time for their legislative visits. Monika Miner

presented at this session.

ú Two members of the Public Policy Council attended the Advocacy Day (Katie Kessler and Linda

ú

Buck).

There was a unique opportunity during the Advocacy Day to see “advocacy in action” due to justin-time

advocacy by ANA-MI and MHA regarding an immediate solution to the problem presented

in the implementation of P.A. 499 of 2016 (establish CNS as a recognized APRN category). Monika

Miner (ANA-MI) and Paige Fults (MHA) left the meeting and went directly to the legislature to

add needed language as an amendment to an unrelated bill. They were successful.

ú The Public Policy Council (PPC) recommended a position of opposition to HB 4425 & 4426 (20170).

These bills were reintroduced again in this legislative session. They provide for removal of the

requirement for parental education prior to providing a waiver of immunization for children.

The bills also propose to reduce the reach of the public health agency to exclude unimmunized

children from school. ANA-MI opposed these bills in the 2015-2016 legislative session.

• The Board accepted the Council’s recommendation of opposition.

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• The Council recommended that the Board support PPC member, Linda Buck, to attend the ANA

Advocacy Institute in 2017. She has been an active member of PPC and attended the 2017 ANA-MI

Advocacy Days. The Board accepted the recommendation.

• There are a number of legislative bills that have been introduced in the first year of the current

legislative session. Topics include: safe nurse staffing, nursing overtime, hospital disclosure of RN-to-

Patient Ratios, opioid issues, immunization restrictions, CRNA scope of practice, POLST (advanced

directives for care outside the hospitals).

ú The Council has discussed the feasibility of monitoring a large number of bills. Future goals for

the Council will address a process for more selective focus on legislative bills and development

of a bill tracker format for key bills.

ú The Council recommends that legislation that identifies task forces, committees or other groups

be monitored and ANA-MI submit proposed members for those groups to provide valuable

nursing perspective.

ú The Council has been informed that HCAM (long term care association) is preparing legislation to

allow CNAs to administer medications. HCAM is open to discussion and participation by ANA-MI.

The Council expresses its appreciation for the new legislative bill monitoring software that is now available

on the ANA-MI website at: http://www.ana-michigan.org/legislative/#/.

2017 Public Policy Council Members:

• Region 2: MaryLee Pakieser and Tammy Putney

• Region 3: Linda Buck and Susan Ercia

• Region 4: Sally Decker and Kathleen Schachman

• Region 6: Jeanette Klemczak and Timothy J. Zlomak

• Region 7: Kathryn Balint and Christine Saltzberg

• At Large: Katie Kessler, Sue Meeker and Susan Wiers

I want to express my appreciation to the members of the Council for their diligence in our work along with

their strong, active participation.

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GOVERNMENT AND LEGISLATIVE REPORT

(as of August 23, 2017)

Monika Miner, Consultant

MBON Rule Revisions Update: The Michigan Board of Nursing is in the process of revising

the administrative rules. To view the proposed rule revisions, please visit: http://w3.lara.

state.mi.us/orr/Files/ORR/1712_2017-037LR_orr-draft.pdf

HB 5400 (PA 499) Now Law: The LARA department, in conjunction with the MBON, has

developed the following Q and A for licensees: http://www.michigan.gov/documents/

lara/Nursing_FAQs_538224_7.pdf

2017 Bill Introductions

Emergency Room Personnel Protection: Senate Bill 33 amends the Michigan Penal Code to extend to

emergency room personnel a prohibition against assaulting, battering, wounding, resisting, or endangering

law enforcement or other emergency personnel. The bill also would require an employer of any of the

people included in that provision to post a sign at any property used by the employer stating that it is a

felony to assault such a person knowing that the person is performing his or her duties. The code prescribes

felony penalties for an individual who assaults, batters, wounds, resists, obstructs, opposes, or endangers a

person whom the individual knows or has reason to know is performing his or her duties. “Person” includes

certain law enforcement personnel, a firefighter, emergency medical service personnel, and an individual

engaged in a search and rescue operation. The definition of emergency room personnel includes physicians,

nurses, intake clerks, and any other individual employed in the emergency department, emergency room,

operating room, or trauma center of a licensed hospital. The bill is awaiting action on the senate floor.

Immunization Bills: In 2015, the Michigan Department of Health and Human Services (MDHHS) implemented

a policy in which parents requesting a non-medical vaccine waiver for a school-age child were required to

receive education and sign a waiver. House Bills 4425 and 4426 (SBs 299-300) would roll back the childhood

immunization standards requiring parents of school-aged children who seek a “non-medical exemption”

to the immunization requirements to have their waiver certified by a local health department. Similar bills

have been introduced in the Senate. Several healthcare organizations are opposing the legislation, as well

as ANA-MI, and the Governor. To date, there has been a hearing only in committee.

Certified Nurse Aide Regulation: Senator Hoon-Yung Hopgood introduced SB 286, a bill that would create

a Nurse Aide Training and Registration Program. According to the Michigan Department of Licensing and

Regulatory Affairs (LARA), there are approximately 52,400 nurse aides active in Michigan. The legislation

also defines the “practice as a nurse aide” as providing nursing or nursing-related services to a patient

or resident. It would not be the practice of nursing as defined in Michigan’s Public Health Code. “Nurse

Aide” would be defined as an individual who held a registration. It would not mean a health professional

licensed under Article 15 (Occupations) of the Public Health Code, a registered dietician, or someone who

volunteered to provide nursing or nursing-related services without pay. The bill passed the Senate and is

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awaiting action in the House Health Policy Committee. Senator Hopgood also introduced SB 285, a bill that

would set nurse to patient ratios in nursing homes.

Bi-Partisan Opioid Package: A bipartisan package of bills was introduced to address Michigan’s opioid

epidemic. Some of the highlights of the legislation includes increased educational efforts to students about

the dangers of opioid medications, requirements that minors get parental consent before being prescribed

an opioid, requirement for prescribers to use MAPS, creates prescribing limits for opioids, and requires pain

clinics to be licensed by the state.

MI-POST: HB 4170 is the main bill and creates a form that allows patients to decide ahead of time if they

want to be resuscitated or not. The form allows patients to choose whether they will receive aggressive

treatment, including intubation and mechanical ventilation if needed, or if they want limited intervention,

like IV fluids only and not intubation. They can also choose only comfort measures, like oxygen and pain

medication. NPs and PAs are included in the legislation. The package also includes HB 4170 also requires the

state Department of Health and Human Services (DHHS) to form a committee to finalize the POST form,

HB 4171, HB 4173, and HB 4174 -- incorporate the POST form into other state laws including the Estates and

Protected Individuals Code, the Adult Foster Care Facility Licensing Act and Michigan Do-Not-Resuscitate

Procedure Act. The bills have passed the House and are awaiting action in Senate Health Policy.

Genital Mutilation Ban: Both the house and senate package of bills prohibit genital mutilation and provide

penalties to those that perform any type of procedure that isn’t considered medically necessary. The

legislation provided exemptions to certain healthcare providers if a procedure is medically necessary. The

bills are now law.

CRNA/Anesthesiologist Assistant: Rep. Vaupel, the Chair of the House Health Policy committee, introduced

HB 4709. The bill provides a definition for certified anesthesiologist assistants, licensure, and regulation as

well as educational program requirements. In addition, the bill also creates a new section of law; section

17215- which is directed at CRNAs and allows critical access hospitals (and hospitals that can show they are

experiencing a shortage of anesthesiologists or can show an anesthesiologist refuses to supervise a CRNA)

to enter into a collaborative agreement between an anesthesiologist and a CRNA for services. In addition, it

still requires an anesthesiologist to be physically present if a patient presents with certain conditions, which

are listed in the bill, such as being under the age of 12 and having a BMI that is greater than 50. If a CRNA is

in a collaborative agreement where the anesthesiologist is not required to be physically present, he or she

must put it in writing for the patient.

Community Paramedics: Sen. Robertson has re-introduced SB 288-289, that would regulate and provide

certification for community paramedics. There is language in the bill that states APRNs operate under

the supervision of a physician for the purposes of providing clinical experience and didactic instruction of

community paramedic programs and allows a community paramedic to provide medical services under a

patient care plan from a physician, or an APRN who is directly supervised by a physician.

Nurse to Patient Ratio: The bill package is as follows: HB 4629/SB 387: 3 yrs. after the effective date of 4

yrs. if it’s a rural hospital, the hospital must establish a committee for each unit (half of members must be

direct care RNs) to determine staffing levels. The minimum direct care Nurse to Patient ratio is in effect

at all times. Assigned RNs must be qualified and competent per each unit assigned. The hospital cannot

impose overtime (unless of an emergency) and a hospital may decrease the number of patients per what is

required. The committee must re-evaluate the staffing plan at 5 yrs., and annually thereafter. The hospital

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2017 ANNUAL REPORT

must post a notice describing the requirements of the law, the rights of RNs and patients, and how to file a

complaint. The dept. must establish a toll-free number for complaints and a person that files a complaint is

protected under the whistleblower act. The hospital must file a plan with the dept. annually or be subject

to fines. The dept. can post the names of the hospitals that are in violation of the law. The bill defines acuity

tool, mandatory overtime, and staffing plan, etc. It also includes ratios. HB 4630/SB 388: Fines hospitals

that force overtime. If an RN works 12 hours, they must have 8 consecutive hours off. This does not apply

to emergencies, or if they were required to work longer than 12 hours due to the patients need and leaving

would have an adverse effect on the patient. An RN can voluntarily accept working overtime, however,

the hospital cannot force, threaten, etc. a nurse that refused to work overtime. A hospital must post how

someone can file a complaint. HB 4631/SB 389: Requires a hospital to maintain records of nurse to patient

ratios, and make it readily available to the dept., RNs and the public.

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2017 ANNUAL REPORT

REGION REPORTS

Northern Michigan - Region 2

Myrna Holland, MSN, RN, President, ANA-MI, Region 2

Meeting/Event Schedule for 2017:

• January 12, “Vaccines: Success and Worries” (22 attendees, including 4 via REMEC)

• February 21, “Who Decides When You’re Not Involved?” (19 attendees including 5

viaREMEC)

• March 9, “Nurses Making Changes with Their Research & EVB Practice”

(12 attendees)

• April 18, Board Meeting only

• May 11, “Services for Vulnerable Populations,” (12 attendees)

• June 10, “Darkness to Light: Child Neglect and Abuse” (18 attendees) 2 contact hours

• August 15, “Simulation Tools in Nursing Education” (16 attendees) at KCC-Grayling.1 contact

• September 14, “Palliative Care” Scheduled

• October 10, “Living with Type 1 Diabetes” Scheduled

• November 9, “The Opioid Crisis” Scheduled

Board meetings are held 1.5 hours prior to program meetings in a local restaurant. With exception of August

15, all program meetings were held at Munson Community Health Center.

On April 29, “2nd Annual Clinical Ethics Conference: Approaching Ethics with Confidence and Courage was

held at the Hagerty Center in conjunction with the Munson Medical Centers’ Ethics Mentors Committee. There

were 134 attendees at the all day multi-disciplinary conference which provided 6.75 contact hours. We met

our goal to increase the number of RN speakers from 1 to 3, which included the key note speaker. We were

able to promote our new dues program at the conference. Plans are underway for the 3rd annual conference.

Officers:

Elections were held in August for the 2017-19 terms of office:

• President – Myrna Holland

• Vice-President – Stacy Slater

• Secretary – Kathleen Birdsall

• State Nominations Committee – Jeanine Easterday

• Administration/Education Council – vacant

• Public Policy Council – Tami Putney

• Nursing Excellence in Practice Council – vacant

• Research and Evidence Based Practice Council – Anne Kreft

• Research and Evidence Based Practice Council – 1 year term vacant

Ethics Conference

There were 2 write in candidates who will be reviewed for appointment at our September board meeting.

Mary Lee Pakieser was elected to the ANA Board of Directors as Director at Large.

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2017 ANNUAL REPORT

Accomplishments/Goals:

Region 2 received the “Region of the Year

Award” at the 2016 annual conference.

Three region board members met with

the new CNO of Munson Medical Center

and attained her support in promoting

attendance at our meetings. Our meeting

with her also resulted in her being able to

clarify the differences between ANA-MI

and MNA during the unionization campaign. We have continued to grow in

membership. At our request the Public Policy Council is working on a white

paper on safe staffing legislation which has been introduced in the Michigan

legislature. We will continue to promote membership, giving particular

attention to the impact of the MNA contract at MMC and through follow up

with faculty of NMC and other regional schools of nursing. We are working

with the producers of “Defining Hope in Life and Death” to have Traverse City

be a premiere site for this documentary which is being promoted by ANA and

the Hospice & Palliative Nurses Association in their joint “Call for Action to lead

and transform palliative care.” We also will continue to do follow up meetings

with our current congressman and set up meetings with our state legislators.

Grand Rapids - Region 3

Lisbeth Votruba, MSN, RN, President, ANA-MI, Region 3

2016-2017 Officers and Council Representatives

ANA in Michigan Officers and Council Representatives: Region 3

Date: November, 2016

Region 3 President Lisbeth Votruba 2015-2017 1st Term

Region 3 Secretary Beth Van Dam 2015-2017 1st Term

Treasurer Julie Bulson 2017-2019 1st Term

Board Liaison Lisbeth Votruba 2015-2017 1st Term

Nominating Committee Linda Bond 2015-2017 2nd Term

Public Policy

Susan Ercia 2015-2017 1st Term

Linda Buck 2017-2019 1st Term

Research & Evidence-based Practice

Kristy Todd 2017-2019 1st Term

Vacant 2017-2019

Nursing Excellence in Practice

Naomi Ervin 2017 Member at large

Jeanette Pollatz 2017-2019 1st Term

Education & Administration

Vacant 2015-2017

Jean Barry 2017-2019 2nd Term

2016-2017 Focus: Region 3 leadership chose to focus on vital community health issues and to raise nursing

awareness around those topics.

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2017 ANNUAL REPORT

Meetings:

February 28, 2017 at GVSU Kirkhof College of Nursing. “Human Trafficking:

What Nurses Need to Know” Joy Washburn, EdD, RN, WHNP-BC. Dr.

Washburn was able to debunk myths around the topic. Everyone left

feeling better equipped to identify potential victims and with some tools

for responding. Region 3 had the best attendance ever with 97 nurses and

nursing students attending!

Joy Washburn

May 11, 2017 at Mercy Health Saint Mary’s. It was a panel discussion on “Opioid Crisis: What Nurses Need to

Know.” Panelists included:

• Dr. Bruce Springer – addictionologist - speaking to recovery and Medical Assisted Therapy (MAT)

options

• Gretchen Schumacher, PhD, GNP-BC, FNP, NP-BC, president of MI council for NPs – spoke to

prescribing practices and MAT, on the State opioid commission, update on policies, funding and

legislation coming from the State of MI. Was very candid about the pressures the prescribers face

trying to treat patients with substance use disorder.

• Megan Williams, MSN, RN, CNL, member of a Kent County task force. She spoke about her interactions

with individual complex patients and updates from challenges and work being done in Kent County.

• Shellie Cole-Mickens, MA, LLPC, CADC-M: spoke powerfully of her own experience as a recovering

addict and her work with women facing dual diagnoses of substance use disorder and mental illness.

Meeting planned for early fall on the topic of

“Homelessness: What nurses need to know.”

Left to right – Bruce Springer, Megan Williams,

Shellie Cole-Mickens, Gretchen Schumacher

Growing membership and attendance in region 3

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2017 ANNUAL REPORT

East Central - Region 4

Karen Brown-Fackler, EdD, RN, CNL, CNE, NEA-BC

President, ANA-MI, Region 4

Members of ANA-Michigan in East-Central Michigan (Region 4), along with members of

Theta Chi, area nurses, and student nurses from SVSU, Delta, and Davenport met four

times over the past year to network, collaborate, obtain CE on topics of interest, and

mentor/welcome students into our profession. The following is the list of programs, topics, and attendance:

October 14, 2016 Dinner meeting at Bay Valley Resort in Bay City, MI

CE topic: Interprofessional Education Across the Nursing Curriculum by Dr.Sally Decker and

Living with a Defibrillator by Tiffanee Wazny-Kohl, RN, MSN Student

Attendance: 12 RNs and 28 Student Nurses

November 30, 2016 Dinner meeting at Bay Valley Resort in Bay City, MI

CE topic: Cultural Competence by Alexis Wood, BSN Student and Michelle VanElsacker, RN, DNP Student

Attendance: 11 RNs and 2 Student Nurses

February 9, 2017 Dinner meeting at Bay Valley Resort in Bay City, MI

CE topic: Pain Management by Tammy Hill, RN, FNP

Attendance: 22 RNs and 50 Student Nurses

April 3, 2017 Dinner meeting at Bay Valley Resort in Bay City, MI

CE topic: Human Trafficking by Melissa Steiner

Attendance: 61 RNs and 73 Student Nurses

For the upcoming year, Region 4 officers include:

President

Treasurer

Secretary

ANA-MI Board Liason

ANA-MI Nominations

Research and Evidence Based Practice Council Representative

Public Policy Council Representative

Nursing Excellence in Practice Council Representative

Karen Brown-Fackler

Peggy Ursuy

Dorothy Lee

Peggy Ursuy

Sally Decker

Molly Stapish

Sally Decker

Janell Jordan-Turner

We are looking for members who might be interested in serving on the Administration and Education

Council on behalf of our region.

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2017 ANNUAL REPORT

Lansing - Region 6

Carole Stacy, MSN, MA, RN, President, ANA-MI, Region 6

Region 6 was a cosponsor of the Capital Area Nurses Week celebration. 115 nurses

gathered at the East Lansing Hannah Community Center on Wednesday, May 10. There

was a program presented by Roxane Chan PhD, RN, AHN-BC from Michigan State College

of Nursing. Are Giver Strategies for Managing Chronic Pain. The audience learned about

integrative modalities for chronic pain, realizing their application and value to address

underlying physiological, emotional and cognitive dis-regulation for use in patient care and self-management.

Participants received 1 CE for the presentation.

ANA-Michigan Region 6 is a member of the Capital Area Nursing Network a committee of the Capital Area

Health Alliance. The focus of the Nursing Network is to:

• Support community health initiatives to ensure safe and quality healthcare for residents of the

capital area.

• Serve as an advocate for quality healthcare with nurses able to practice to the full extent of their

education and training.

• Encourage nurses to achieve higher levels of education through an education system that promotes

seamless academic progression at all levels.

The officers for 2016-17 were:

• President – Carole Stacy

• Treasurer – Kathy Donje

• Secretary – Dawn Schultz

• Public Policy Council Representative – Jeanette Klemczak

Current open positions:

Nursing Research and Evidence Based Practice Council Representative and

Nursing Excellence Council Representative

Marilyn Ketchum winner

of Region 6 Healthy

Nurse Gift Basket

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2017 ANNUAL REPORT

Metropolitan Detroit - Region 7

Joan T. Bickes, DNP, RN, PHCNS-BC, President, ANA-MI, Region 7

ANA-Michigan Officers and Council Representatives Region 7

President Joan Bickes 2015-2017 2nd Term

Treasurer Erin Savela 2016-2018 1st Term

Secretary Angela Brelinski 2015-2017 2nd Term

Board Liaison Mary Zugcic 2015-2017 2nd Term

Nominating Committee Jennifer Paul 2015-2017 2nd Term

Public Policy

Katherine Balint 2015-2017 2nd Term

Christine Saltzberg 2016-2018 1st Term

Research and Evidence-Based Practice

Edith English 2015-2017 1st Term

Elizabeth Twigg 2016-2018 1st Term

Nursing Excellence in Practice

Vera Cigan 2016-2018 1st Term

Denise Bajer 2015-2017 1st Term

Education and Administration

Remy Bruder 2015-2017 2nd Term

Leslie Spencer 2016-2018 1st Term

Our membership increased by 33 new members to 814 in July, 2017.

Our membership increased by 35 new members to 680 in January, 2017.

Region 7 of ANA-MI had five meetings this year for the BOD and the membership.

November 4, 2016

The AMA Michigan Annual Assembly and Conference in Howell, MI, was well attended by Region 7 Officers

and Members. Ten nursing students from Region 7 were sponsored to attend.

December 15, 2016

A telephone conference call was held to determine meeting dates, locations and topics for the upcoming

year. A decision was made to obtain CEUs for Region 7 meeting and combine Board Meetings (6pm-7pm)

and the CEU/Membership Meetings (7pm-8pm).

February 1, 2017

The combined Board and Membership meeting took place at Beaumont Taylor. 1 CEU was offered for the

program on Pain Management in Palliative Care and Hospice presented by Linda Vanni.

April 5, 2017

The combined Board and Membership meeting took place at St. John Providence in Southfield. 1 CEU was

offered for the program Have You Seen Me: Human Trafficking by Karen Frallck RN, MSN.

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2017 ANNUAL REPORT

June 7, 2017

The combined Board and Membership meeting took place at Macomb Public Library. 1 CEU was offered

for a program entitled Moving in New Directions and Taking Bold Actions to Incivility, Bullying and Workplace

Violence.

September 6, 2017

A combined board and membership meeting is scheduled at Beaumont Dearborn with a presentation on

advocacy and public policy planned.

Officers and Council Representatives elected for 2017-2019

President: Angela Brelinski

Secretary: Tracey Connolly

Board Liaison: Edith English

State Nominations Committee: Joan Bickes

Education and Administration Council: Peggy Kearney

Nursing Excellence in Practice Council: Susan Lowry Maher

Public Policy Council: Kristen Munyan

Research and Evidence Based Practice Council: Jannifer McLean

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2017 ANNUAL REPORT

MEMBERSHIP ASSEMBLY

2017 ANA Hill Day and Membership Assembly Report

Linda Taft and Karen Dunn, ANA-Michigan Membership Assembly Representatives

Wednesday, 6/7 ANA Board of Directors Open Session

Open Session of the ANA Board of Directors Meeting attended by Linda Taft, ANA-Michigan President along

with MaryLee Pakieser; ANA-Michigan Immediate Past President and ANA Director At Large candidate, Julia

Schneider; ANA-Michigan Member and ANA Election Observer, and Tobi Lyon Moore; Executive Director,

ANA-Michigan. We were well represented and appreciated the opportunity to observe the ANA Board at

work.

Thursday, 6/8 ANA Hill Day

Close to 430 nurses participated in Hill Day activities to advocate for protection of all patient’s access to

affordable, quality health care and other key issues. Hill Day events began with a briefing breakfast and

update on issues for discussion with our senators and representatives. Topics for discussion included Title

VIII Nursing Workforce Reauthorization Act (S. 1109/HR. 959), The Home Health Care Planning Improvement

Act (S. 445/HR. 825), and proposed Registered Nurse Safe Staffing Act. Our group met with staff for Senators

Stabenow and Peters, Representatives Levin and Trott as well as a personal meeting with Representative

Debbie Dingell.

Friday and Saturday 6/9-10 Membership Assembly

Dialog forums on member engagement and strategies for advocacy were held during the Membership

Assembly, with recommendations approved by the assembly representatives calling on ANA to:

• Highlight and promote the use of policy and advocacy resources

• Emphasize policy development and advocacy as central to the role of all RNs

• Advance mechanisms to heighten the involvement of individual RN members in the generation of

policy and advocacy topics (ANA/NursingWorld)

Eligible voting representatives also deliberated on several bylaws proposals to set the number of voting

seats for the Assembly and whether to allow non-RNs (LPN’s, RRT’s, etc.) in C/SNA’s membership – without

ANA membership status. Assembly representatives adopted bylaws changes to expand the total number

of voting seats for the Assembly and the non-RN C/SNA membership proposals.

The Special Briefing Session, Candidate Forum and Midwest Region meetings were held prior to the

Friday evening ANA PAC Reception at The Whittemore House of the Women’s National Democratic Club

and Museum. Linda Taft, MaryLee Pakieser, Julia Schneider and Tobi Lyon Moore attended the ANA PAC

Reception.

Voting for ANA Board of Director positions and committee members took place Saturday morning. ANA-

Michigan was proud to support the candidacy of MaryLee Pakieser for Director at Large on the ANA Board

of Directors. She was successfully elected to a two-year term beginning January 1, 2018 until December 31,

2019.

Thank you for the opportunity to represent ANA-Michigan!

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2017 ANNUAL REPORT

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2017 ANNUAL REPORT

COALITION OF MICHIGAN

ORGANIZATIONS OF NURSING (COMON)

Linda Taft, RN, ANA-Michigan Representative to COMON

Background

COMON is the organization dedicated to the advancement of Nursing in the state of Michigan, currently

representing more than 40 diverse nursing organizations within the State. It’s mission is “to serve as a vehicle

that gives all nurses the opportunity to collectively work toward achieving mutually agreed upon goals for

nursing in Michigan.” COMON meets quarterly in March, June, September and December and meetings are

open to any interested parties. Current dues for ANA-Michigan are $250.00/year (for organizations with

more than 500 members). I attend meetings on behalf of ANA-Michigan, along with Tobi Moore, ED, as

available.

Updates

COMON’s website, at www.micomon.org, has expanded information, outreach, job postings and

organizational links. Sustainability efforts continue to establish an independent or collaborative framework

moving forward. COMON leadership has been dialoging with the Nursing community over the past year to

assess its role in Nursing advocacy, policy and professionalism.

• COMON leadership met with Michigan Department of Licensing and Regulatory Affairs (DLARA),

Bureau of Professional Licensing (BPL) director and staff quarterly to discuss customer service

and licensing processes with BPL. Collaborative efforts for awareness in the nursing community in

the transition of the Michigan Automated Prescription System (MAPS) to the Appriss Health PMP

AWARxE software and conversion to the Accela based Michigan Professional Licensing User System

(MiPLUS) platform for healthcare license renewal and other services. Nursing is the 1st group of

licensees to transition to MiPLUS, with a transition to full usage over the next several years.

• Office of Nursing Policy (ONP); Deborah Bach-Stante, Director, shared updates from the State of

Michigan on issues affecting healthcare and the citizens of Michigan. Ongoing work of the ONP

includes Transition to Practice, Careers in Nursing, Clinical Placement Pilot, Nursing Licensure Survey

& Workforce Analysis as well as Nurse Mapping projects.

Michigan Board of Nursing (BON); Josh Meringa, Board Chair. Draft changes to the Administrative

Rules for Nursing regarding the addition of Clinical Nurse Specialists to the Board and APRN role, as

well as other changes, were sent to the Joint Committee on Administrative Rules (JCAR) for review

and will be open for comment when announced.

Michigan Center for Nursing; Continued work, along with MPHI co-lead, on the Michigan Action

Coalition with focus on four areas – Education, Leadership, Practice and Diversity. The 2017 Nursing

Summit, The Changing Landscape of Nursing: Views from the Summit is scheduled for October 13-15,

2017 at Crystal Mountain Resort.

Goals for 2017

• Brand promotion, member involvement and relevancy

• Explore relationships with pertinent nursing groups to strengthen COMON and advocacy efforts

• Explore avenues to increase revenue streams; including dues, collaboration opportunities and website

• Increase communication with membership, seek input for strategic initiatives

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2017 ANNUAL REPORT

ANA-MICHIGAN LEADERSHIP ELECTIONS

ANA-Michigan membership will be electing two positions to the ANA-Michigan Board of Directors, Secretary

and Treasurer. In addition, the membership will be electing one member to represent ANA-Michigan during

ANA Membership Assembly Representative. The term for each of the three positions is November 2017

through fall of 2019. Election results will be announced during the Annual Membership Meeting on Thursday,

October 26, 2017 in Plymouth, Michigan.

Thank you to everyone who took the time to submit a consent to serve and special thank you to the

nominating committee: MaryLee Pakieser, Jeanine Easterday, Linda Bond, Sally Decker and Jennifer Paul.

Meet the Candidates

Secretary Candidates

Bridget A. Leonard, DNP, MBA-HCM, RN, CRRN, NEA-BC

Farmington Hills, Region 7

Director PCS Nursing Office Operations-Nursing Rehab at DMC-Rehabilitation Institute of

Michigan

ANA and ANA-Michigan Involvement: Current ANA-Michigan Secretary

Other Professional Organizations: President/CEO Black Nurses Rock, Inc.- Detroit, MI; Current Region 1

Secretary for Michigan Organization of Nurse Executives; Member American Organization of Nurse

Executives; inFORUM member; Leadership Detroit Class XXXVIII Graduate; NAPW- National Association of

Professional Women; Member of Sigma Theta Tau

View Statement on Issues that ANA and ANA-Michigan is Facing: “An issue facing ANA/ANA-MI that keeps

me up at night is how to engage and retain our current nursing workforce. As we all know nurses are aging

and the baby boomers want to retire; we have to find creative ways to show our millennials that they are

our future. Thus, we have to provide the skills they need not only at the bedside, but also in the boardroom

to be a voice for nursing. We have to support our nursing educators and nursing leadership so our nurses

become even more prepared than in the past to deal with complex issues that extend beyond the bedside.

We have to show nurses how to fight for their practice at the unit, hospital, and legislative levels to ensure

our patients get the care they deserve. We have to look at staffing ratios and ensure that nurses are able

to provide safe, quality care. And lastly, we must be mentors and resources for our future so they feel

comfortable being advocates not only for the patients, but themselves. I see great things on the horizon

and love that ANA/ ANA-MI are making things happen!”

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2017 ANNUAL REPORT

Leslie Simons, DNP, ANP-BC

Lansing, Region 6

Nurse Practitioner, Michigan State University

ANA and ANA-Michigan Involvement: I have been an ANA/ANA-MI, Region 6 member since

2002. Although I have not participated in association activities, I do have experience in other

organizations that are relevant to the office of Recording Secretary. My term as President of

the Capital Area Chapter is ending and I want to step and serve ANA.

Other Professional Organizations: Sigma Theta Tau Lambda Zeta Chapter; President of Capital Area

Chapter, Michigan Council of Nurse Practitioners; Gerontological Advanced Practice Nurses Association,

Great Lakes Chapter; Serves on the Nominating Committee for the American Society for Pain Management

Nursing; Secretary for the Faculty Practice Committee, Michigan State University, College of Nursing; Award

Committee, Distinguished Alumni Award, University of Michigan School of Nursing Alumni Society.

View Statement on Issues that ANA and ANA-Michigan is Facing: “Two issues facing ANA/ANA-Michigan are

nursing staffing and pain management in older adults. An example highlighting nurse staffing is hospital’s

executive decision to decrease nursing positions to save money. Michigan has no legislative model to create

staffing plans, producing an ongoing issue. Another issue is treatment of pain in older adults with opioids,

and risk of adverse drug reactions. The older adult population continues to increase and providers need up

to date guidelines to support practice. As an educator, these issues affect students. ANA should be at the

forefront of assisting educators to ensure students are prepared for practice.”

Treasurer Candidates

Julie Bulson, DNP, MPA, RN, NE-BC

Grand Rapids, Region 3

Director of Emergency Preparedness, Spectrum Health

ANA and ANA-Michigan Involvement: Current Region 3 Treasurer

Other Professional Organizations: Michigan Organization of Nurse Executives; American

Organization of Nurse Executive; AHEPP; STTI; ODK; HSIN - HPH Federal Planning Committee; Healthcare

representative appointed to the State Fire Safety Board; Member of the State Disaster Medical Advisory

Committee.

View Statement on Issues that ANA and ANA-Michigan is Facing: “Healthcare is at a critical juncture with

significant changes in how we deliver healthcare. This will occur whether the ACA stays or is repealed.

These changes will dramatically change how we as nurses provide our care and to whom. I believe it is our

responsibility as ANA / ANA-MI to provide support to our nursing forces, be the voice of the nurses and

advocate for what is right for nursing practice and our patients.”

Kathy Dontje, PhD, FNP-BC, FAANP

Bath, Region 6

Associate Professor and Director of DNP, Michigan State University College of Nursing

ANA and ANA-Michigan Involvement: Current Region 6 Treasurer

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2017 ANNUAL REPORT

Other Professional Organizations: Board Member for the Michigan Primary Care Consortium; Nation

Organization of Nurse Practitioner Faculty (NONPF) Education Task Force for Competency Indicators Lead

of Technology and Informatics Workgroup; NONPF Curriculum Leadership Committee; Michigan Health

Council Nursing Education Action Team; 2011 –2015 Sigma Theta Tau, Alpha Psi President; American Academy

of Nurse Practitioners; Midwest Nursing Research Society; National Organization for Nurse Practitioner

Faculty; National Nursing Centers Research; Michigan Council of Nurse Practitioner

View Statement on Issues that ANA and ANA-Michigan is Facing: “At this critical time for healthcare reform,

ANA is advocating nationally for the millions of Americans who could lose healthcare coverage. As a FNP

serving low-income patients I support this as purposed healthcare changes would severely impacted lowincome

individuals. ANA organizationally should support nurses to develop confidence and skills needed

to influence legislative issues advocating for high quality healthcare for all. It is also important to address

legislative issues that limit the ability of nurses to function within their full scope of practice. Finally, we

need to encourage the Healthy Nurse through education and support of nurses across the state.”

Barbara Ruppal Medvec, DNP, RN, NEA-BC

Saline, Region 8

Assistant Professor-Systems, Populations and Leadership, University of Michigan, School of

Nursing

ANA and ANA-Michigan Involvement: Member

Other Professional Organizations: Coalition of Michigan Organizations of Nursing (COMON); American

Organization of Nurse Executives (AONE); Michigan Organization of Nurse Executives (MONE); American

College of Health Care Executives (ACHE); National Arab American Nurses Association (NAANA); Michigan

League for Nursing (MLN)

View Statement on Issues that ANA and ANA-Michigan is Facing: “The opportunity to strengthen and

advance nursing in Michigan is what excites me about the opportunity to serve on the ANA-Michigan Board.

Reinforcing our existing foundation for nursing practice in Michigan is essential. Now is our time to advance

the visibility and voice of ANA-Michigan nurses through our practice, policy, and advocacy. Our strategic

initiatives include assuring a sustainable organization. Employing my prior executive leadership, finance

and board knowledge, and operations experience I welcome the opportunity to improve financial viability.

Through continued improvement of financial practices ANA-Michigan will continue to demonstrate member

value and support for our critical strategic initiatives.”

Stacy Slater, MSN, RN-BC

Traverse City, Region 2

Nursing Faculty, Baker College School of Nursing, Cadillac

ANA and ANA-Michigan Involvement: Vice President of Region 2; Campaign Treasurer for

MaryLee Pa Pakieser Election to ANA Board of Directors; 2015 ANA-MI Conference Planning

Committee; Served on the Council for Nursing Excellence in Practice

Other Professional Organizations: National Alliance on Mental Illness (NAMI) and former Revenue Cycle

Coordinator - Corporate Finance, Munson Healthcare

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2017 ANNUAL REPORT

View Statement on Issues that ANA and ANA-Michigan is Facing: “My vision for leading ANA-MI and

health care into the future involves maintaining a strong financial status for the association and continuing

transparency of financial affairs to the membership. My experience in business and hospital finance has

provided a unique perspective allowing me to view nursing’s contributions to healthcare through a wider

lens. By being engaged on the state and local level I will be able to bring an awareness of the complexity of

the position to our members as well as role model nursing stewardship for my students.”

Mary Zugcic, RN, MS, ACNS-BC

Detroit, Region 7

Clinical Instructor, Wayne State University College of Nursing

ANA and ANA-Michigan Involvement: Currently serving my second term on the ANA-Board

of Directors as Region 7 Liaison

Other Professional Organizations: Nurses Society Research Committee; Director at Large Infusion Nurses

Society from 2007 to 2011; Chair Governance Committee Sigma Theta Tau Lambda Chapter 2007-2009

View Statement on Issues that ANA and ANA-Michigan is Facing: “ANA-Michigan is in the process of

becoming of the ‘Voice of Professional Nursing in Michigan’. Despite significant growth there is still work to

be done before we can truly claim this title. In the current environment of rapid changes in the profession

it is imperative that our organization provide the vision and leadership to ensure nurses have one strong

clear voice to make sure we practice to our highest potential. It is a necessary for us to have the strength of

numbers to navigate the political and financial challenges that are ahead. I feel that my forty plus years of

practice in a variety of settings in various roles give me significant insight into the issues we face.”

ANA Membership Representative Candidates

Karen Brown-Fackler, EdD, RN, CNL, CNE, NEA-BC

Bay City, Region 4

Nurse Educator, Saginaw Valley State University

ANA and ANA-Michigan Involvement: Past President of ANA-Michigan; Current Region 4

President

Other Professional Organizations: Midwest Nursing Research Society; Sigma Theta Tau; Treasurer of STT

local Chapter-Theta Chi

View Statement on Issues that ANA and ANA-Michigan is Facing: “An important issue is keeping ANA

and ANA-Michigan vital and useful to nurses and to healthcare in general. We need to be advocates for

ourselves, our profession, and our communities by engaging members to participate. ANA has always set

the standards and provided resources. Our state constituent organization has done this at the state level,

while locally/regionally, nurses gather to network and continue their education. We need to retain our longstanding

members, while signing up new nurses in all areas of practice. We need to step forward in our

communities and with our legislators to speak up in areas that will promote, protect, and improve the

health of all.”

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Jeanine Easterday, MSN, RN, NE-BC, CRNI

Traverse City, Region 2

Semi-Retired; Appraiser Magnet Recognition Program

ANA and ANA-Michigan Involvement: Have served on numerous Region 2 committees and

Region 2 Board. Currently serving on the ANA-MI Nominations Committee.

Other Professional Organizations: MONE; Sigma Theta Tau; Current Chair of the Watershed Center Grand

Traverse Area; Past President of the League of Women Voters

View Statement on Issues that ANA and ANA-Michigan is Facing: “Listen to members; engage them

professionally; educate and mentor to be spokespersons for the vulnerable and for community health.

Nursing is uniquely educated to be knowledgeable contributors to all aspects of our community from

individual healthcare issues to those of a healthy community. Our government representatives need to hear

from us regularly in order to seek our opinion on a variety of issues facing both our country and our state.”

Nancy C. Martin, DNP, RN

Harbor Springs, Region 2

President of Homecare and Hospice, McLaren Homecare Group

ANA and ANA-Michigan Involvement: ANA-Michigan Treasurer 2013-2017

Other Professional Organizations: Michigan Home Care and Hospice Association; Michigan

Organization of Nurse Executives; American Organization of Nurse Executive; Past Delegate for ANA House

of Delegates

View Statement on Issues that ANA and ANA-Michigan is Facing: “Membership growth; Political advocacy;

Membership engagement; Conference on current and relevant topics; Advancement of nursing with

a unified voice; Non-dues revenue opportunities. For organization viability and the advancement of the

profession ANA-MI needs to be viewed as the organization representing all of professional nursing and be

branded as such.”

Stacy Slater, MSN, RN-BC

Traverse City, Region 2

Nursing Faculty, Baker College School of Nursing, Cadillac

ANA and ANA-Michigan Involvement: Vice President of Region 2; Campaign Treasurer for

MaryLee Pa Pakieser Election to ANA Board of Directors; 2015 ANA-MI Conference Planning

Committee; Served on the Council for Nursing Excellence in Practice

Other Professional Organizations: National Alliance on Mental Illness (NAMI) and former Revenue Cycle

Coordinator - Corporate Finance, Munson Healthcare

View Statement on Issues that ANA and ANA-Michigan is Facing: “I am a passionate advocate for nursing.

My professional goal is to promote and encourage growth and success for nurses at all levels. Being a lifelong

learner, nursing provides constant stimulation and opportunities for learning.

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My personal vision for leading health care in the future and being a strong leader involves continued education

and involvement in issues that affect us all – patient care. Although healthcare and reimbursement may be

evolving the basics of holistic and integrated patient care remain the same. Utilizing all of my knowledge,

life experiences and resources available from my past and present has prepared me to focus on future

goals.”

Julia Stocker-Schneider, PhD, RN, CNL

Pinckney, Region 8

Associate Professor, Informatics, Quality, Systems Leadership, University of Detroit Mercy

ANA and ANA-Michigan Involvement: Election observer for Marylee Pakieser’s campaign

for ANA Director at Large; Attended ANA Member Assembly 2017 as an Observer with ANA-

Michigan Representatives

Other Professional Organizations: Clinical Nurse Leader Association (CNLA), Sigma Theta Tau; Elected and

served as a delegate from Michigan to ANA House of Delegates for over 12 years, from the Individual Member

Division (IMD) for 1 year. Founding member of ANA-Michigan (formerly RN-AIM); appointed member of RN-

AIM Steering Committee for Affiliation with the ANA. Served on RN-AIM Board of Directors for 1 term.

View Statement on Issues that ANA and ANA-Michigan is Facing: “Major issues for ANA/ANA-Michigan

include growing and retaining an active and engaged membership. The Association has transformed in

recent years in an effort to increase organizational effectiveness while maintaining relevance for Registered

Nurses in the United States. ANA leadership must continue to be accountable to members, ensuring a

strong and financially viable Association that serves as the voice for all American nurses. I feel that my

ANA experience and connections make me a strong candidate to represent Michigan at the ANA Member

Assembly. I would be honored to have your vote.”

Lisbeth Votruba, MSN, RN

Ada, Region 3

Vice President of Clinical Quality and Innovation, AvaSure

ANA and ANA-Michigan Involvement: Current President and Board Liaison from Region 3;

Past Chair of Research and Evidence-Based Practice Council 2012 – 2014

Other Professional Organizations: American Organization of Nurse Executives; Currently appointed by

Michigan Department of Nursing as the nursing representative to the Health Providers Recovery Committee

View Statement on Issues that ANA and ANA-Michigan is Facing: “Although Gallup has shown nurses to be

the most trusted profession year after year, we are not considered to be a very influential profession within

healthcare. Because we represent such a large professional group (3.6 million) and we look at health from a

holistic perspective, we need to have a greater influence on health policy. I believe some of the top priority

issues are access to healthcare including mental health, opioid addiction and nurses practicing at the full

level of their practice authority.”

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Table of Contents

Article I—Name, Purpose, Functions and Seal..................................................... 61

Section 1. Name............................................................................ 61

Section 2. Purpose.......................................................................... 61

Section 3. Functions ........................................................................ 61

Section 4. National Affiliation ................................................................62

Section 5. Seal .............................................................................62

Article II—Members, Student Subscribers and Dues ...............................................62

Section 1. Composition. .....................................................................62

Section 2. Qualifications. ....................................................................62

Section 3. Member and Student Subscriber Rights and Obligations...............................63

Section 4. Disciplinary Action ................................................................63

Section 5. Dues.............................................................................65

Article III—Regions............................................................................65

Section 1. Region Definition. .................................................................65

Section 2. Functions ........................................................................65

Section 3. Disqualification .................................................................. 66

Section 4. Reinstatement. ...................................................................67

Article IV—Assembly...........................................................................67

Section 1. Assembly Definition ...............................................................67

Section 2. Composition. .....................................................................67

Section 3. Functions ........................................................................67

Section 4. Meetings and Quorum.............................................................67

Section 5. Removal of Elected Official. ....................................................... 68

Article V—Board of Directors .................................................................. 68

Section 1. Board of Directors Definition. ...................................................... 68

Section 2. Authority. ....................................................................... 68

Section 3. Composition..................................................................... 68

Section 4. Accountability. .................................................................. 68

Section 5. Responsibilities. ................................................................. 69

Section 6. Election and Terms of Office. ...................................................... 69

Section 7. Qualifications. ....................................................................70

Section 8. Vacancies. .......................................................................70

Section 9. Meetings and Quorum.............................................................70

Section 10. Voting and Deadlock. ............................................................. 71

Section 11. Absences. ....................................................................... 71

Section 12. Functions of Officers.............................................................. 71

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Section 13. Executive Committee. ............................................................ 72

Section 14. Association Administrator. ........................................................ 72

Article VI—Councils............................................................................ 72

Section 1. Council Definition.................................................................. 72

Section 2. Composition, Election and Terms of Office............................................73

Section 3. Functions ........................................................................73

Section4. Meetings and Quorum .............................................................74

Section 5. Absences ........................................................................74

Section 6. Funding..........................................................................75

Article VII—Committees. .......................................................................75

Section 1. Committees Definition. ............................................................75

Section 2. Standing Committees shall be ......................................................75

Section 3. Composition of Standing Committees ...............................................75

Section 4. Non-Standing Committees and Task Forces...........................................76

Section 5. Functions ........................................................................76

Section 6. Meetings and Quorum. ............................................................ 77

Section 7. Absences......................................................................... 77

Article VIII—Nominations and Elections. ......................................................... 77

Section 1. Nominations. ..................................................................... 77

Section 2. Elections. ........................................................................ 77

Article IX—Disbursement of Funds ..............................................................78

Section 1. Disbursement of Funds.............................................................78

Article X—Bylaws Amendment. .................................................................78

Section 1. Bylaws Amendment ...............................................................78

Article XI—Dissolution .........................................................................78

Section 1. Dissolution of ANA-Michigan. .......................................................78

Article XII—Parliamentary Authority. ............................................................78

Section 1. Parliamentary Authority. ...........................................................78

Article XIII—Representation at the ANA Membership Assembly.....................................78

Section 1. Representation at ANA Membership Assembly........................................78

Article XIV—Relationship to ANA Membership Responsibilities......................................79

Section 1. Relationship to ANA Membership Responsibilities.....................................79

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Article I—Name, Purpose, Functions and Seal

Section 1. Name

The name of this association shall be ANA-Michigan hereinafter referred to in these Bylaws as ANA-Michigan.

Section 2. Purpose

a. The purpose of ANA-Michigan shall be to create a nursing community of excellence through

networking and collaboration.

b. The purpose of the organization shall be unrestricted by consideration of age, color, creed, disability,

gender, health status, lifestyle, nationality, race, religion, or sexual orientation.

Section 3. Functions

a. Provide an environment that encourages exploration of common interests and develops collaborative

relationships with other nursing groups within the State of Michigan.

b. Promote through appropriate means standards of nursing practice, nursing education, nursing

research, and nursing services as defined by the ANA (American Nurses Association) and other

national nursing organizations.

c. Promote systems of credentialing in nursing.

d. Initiate, influence, and promote legislation and speak for nurses on legislative actions consistent

with the mission of ANA-Michigan.

e. Work collaboratively with other nursing organizations and nursing political action committees on

legislative and public policy issues.

f. Support systematic study, evaluation, and research in nursing.

g. Participate with ANA and other national nursing organizations for the collection, analysis, and

dissemination of information relevant to nursing.

h. Promote high standards for nursing work environments, including Magnet hospital principles and

appropriate compensation.

i. Provide for the continuing professional development of registered nurses.

j. Support affirmative action.

k. Elicit cooperation of all Regions and Councils to ensure securing minority candidates for appointed

and elective positions within the organization.

l. Provide services to Regions.

m. Maintain communication with Members through e-newsletters and other means of communication.

n. Advocate for and provide systematic attention to the human rights concerns of nurses and health

care consumers.

o. Cooperate with other organizations in developing and implementing activities of mutual concern.

p. Represent nurses and act as a voice for ANA-Michigan with state allied professional, community and

governmental groups, and the public.

q. Promote relationships with nursing students by inviting them to participate in the ANA- Michigan

Councils.

r. Annually review reports of nurse resource surveys in Michigan.

s. Advocate for accessible and affordable health care for patients and consumers.

t. Promote nursing practice in Michigan that enhances the health and well-being of individuals, families,

and communities.

u. Develop and influence social and institutional policies for the benefit of all people of Michigan.

v. Promote the professional, intellectual, and leadership development of Michigan registered nurses.

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w. Advance the scholarly development of the nursing profession.

x. Ensure adherence to the Code of Ethics for Nurses established by the ANA.

Section 4. National Affiliation

ANA-Michigan shall be affiliated with the American Nurses Association (ANA) as a constituent member

association (CMA) and shall maintain the qualifications for membership in ANA as defined by ANA bylaws.

The CMA shall remain affiliated with the American Nurses Association until such time as 2/3 of the entire

CMA membership votes to disaffiliate from the ANA. “CMA membership,” for these purposes, is defined as

individual members of the CMA who have ANA rights and privileges of membership as a result of their CMA

membership. The vote may occur by mail or electronic ballot, with appropriate notice and procedures to

protect the integrity and validity of the vote.

Section 5. Seal

The Board of Directors may adopt, alter, or terminate the use of a corporate seal or logo at any time. The

seal or logo may be used by causing it or a facsimile to be impressed, affixed, or reproduced.

Article II—Members, Student Subscribers and Dues

Section 1. Composition

a. Membership in ANA-Michigan shall be composed of:

i. Members who are Registered Nurses licensed in the State of Michigan or another state, District

of Columbia, or territories or possessions of the United States, and does not have a license under

suspension or revocation in any state, or is otherwise entitled by law to practice.

ii. Registered Nurses, who are retired and/or no longer choose to practice, but whose license was in

good standing with the licensing board at the time the nurse made the decision not to maintain

an active license, and who does not have a license under suspension or revocation in any state,

or was otherwise entitled by law to practice.

b. Student Subscribers shall be individuals currently enrolled in an accredited or approved pre-licensure

nursing program. Student Subscribers are not members, but have access to specified ANA-Michigan/

State Only materials and networking opportunities.

Section 2. Qualifications

a. A State/National member is a qualified member of ANA-Michigan and ANA:

i. Who does not have a professional registered nursing license under suspension or revocation in

any state, except the impaired registered nurse who is receiving or has received treatment for

impairment is eligible for membership;

ii. Whose application for membership has been accepted in accordance with the ANA-Michigan

Bylaws;

iii. Whose dues are not delinquent; and

iv. Whose membership is not under revocation for violation of the ANA Code of Ethics for Nurses.

b. A State-Only member is a qualified member of ANA-Michigan

i. Who does not have a professional registered nursing license under suspension or revocation in

any state, except the impaired registered nurse who is receiving or has received treatment for

impairment is eligible for member;

ii. Whose application for membership has been accepted in accordance with the ANA-Michigan

Bylaws;

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iii. Whose dues are not delinquent; and

iv. Whose membership is not under revocation for violation of the ANA Code of Ethics for Nursing.

c. A Student Subscriber is a participant:

i. Who is currently enrolled in an accredited or approved pre-licensure nursing program and

ii. Whose application has been accepted in accordance with the ANA-Michigan Bylaws. In that

Nursing Student Subscribers are not Members, but are encouraged to share ideas; they have

voice but no vote.

d. Membership is unrestricted by consideration of age, color, creed, disability, gender, health status,

income, lifestyle, nationality, race, religion, or sexual orientation.

Section 3. Member and Student Subscriber Rights and Obligations

a. Each State/National member shall have the right to:

i. Receive an ANA-Michigan and ANA membership card and ANA-Michigan e- newsletter;

ii. Be eligible to be a candidate for elected or appointed Region positions and/or to serve on ANA-

Michigan committees and councils of the organizations;

iii. Be a candidate for any ANA-Michigan elected and appointed positions in accordance with ANA-

Michigan and ANA Bylaws and policies;

iv. Be a candidate for ANA elected and appointed positions in accordance with the ANA Bylaws and

policies;

v. Participate as a member at the annual ANA-Michigan Membership Assembly;

vi. Be eligible to be a candidate for the elected positon of representative at the ANA Membership

Assembly;

vii. Participate in ANA-Michigan activities;

viii. Attend the Congress of the International Council of Nurses of which ANA is a member;

ix. Receive ANA news periodicals and other communications.

b. Each State-Only member shall have the right to:

i. Receive an ANA-Michigan/State Only membership card and ANA-Michigan communications;

ii. Be eligible to be a candidate for elected and appointed Region positons and/or to serve on

standing committees and non-standing committees or taskforces;

iii. Participate as a member at the annual ANA-Michigan Membership Assembly; and

iv. Participate in unrestricted ANA-Michigan activates.

c. East Student Subscriber shall have the right to:

i. Received a regular issued ANA-Michigan e-newsletter;

ii. Participate in unrestricted ANA-Michigan activates.

d. Each member and Student Subscriber shall have the obligation to:

i. Abide by the ANA-Michigan and ANA Bylaws; and

ii. Abide by the ANA Code of Ethics for Nurses.

e. Members of ANA-Michigan who reside in Michigan shall be members of a Region where one exists.

Each Region shall require of its members the same qualifications for membership status, rights,

responsibilities and discipline as herein stated. Members residing outside of Michigan, or those in

Michigan who prefer, shall be Members of the Cyber Region.

Section 4. Disciplinary Action

a. Cause for disciplinary action by ANA-Michigan against a Member shall be limited to failure to fulfill

the obligations as cited in these Bylaws and other actions detrimental to the purposes, goals, and

functions of ANA-Michigan.

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b. The procedure for Member discipline is as follows:

i. ANA-Michigan shall recognize the disciplinary action taken by any constituent member association

of ANA against an individual ANA-Michigan member who is also an ANA Member.

ii. All complaints falling in the above categories must be in writing, signed by the complainant and

addressed to the President of ANA-Michigan and the Association Administrator.

iii. Upon receipt of a written, signed complaint, the President or Association Administrator of

c. ANA-Michigan shall, within ten business days:

i. Acknowledge receipt of the complaint;

ii. Notify the accused, in writing, of the complaint;

iii. Provide both the accused and the complainant with a copy of this procedure; and

iv. Forward the complaint to the chair of the Ethics Committee to investigate the complaint and

recommend its dismissal or the issuance of charges.

d. Within a period of fifteen business days after receipt of a complaint, the full Ethics Committee shall:

i. Determine whether additional information is necessary;

ii. Conduct interviews with the complainant and the accused if deemed necessary, or if requested

in writing, by the either complainant or accused; and

iii. Prepare a written report summarizing its investigation for the Board of Directors.

e. Within a period of fifteen business days after receipt of the Ethics Committee’s summary of the

investigation, the Board of Directors shall:

i. Meet in executive session to review and act upon said report;

ii. Recommend either that the complaint be dismissed or that charges be issued against the

accused.

iii. In the event charges are recommended, the Board of Directors shall formulate in writing the

charge(s), and specify the offense(s) the Member is alleged to have committed, along with

supporting facts; and

a) Notify the complainant and the named individual of the action taken in subparagraph. If no

charges are recommended, the complainant and the accused will be notified in writing that

the charges have been dismissed.

f. If charges are issued, the ANA-Michigan Executive Committee shall:

i. Schedule and conduct a full and fair hearing no later than thirty (30) business days after the

decision to issue charges;

ii. Notify the complainant and the named Member, in writing, of the hearing date at least twentyone

(21) calendar days prior to the scheduled date and provide them with the rules governing

conduct of the hearing;

iii. Meet in executive session immediately following the hearing to determine disposition of the

charges; and

iv. Notify involved parties, in writing, within five (5) business days of its determination.

g. A Member’s request for reconsideration or appeal of the Executive Committee’s determination shall

be submitted in writing to the President and the Association Administrator of ANA-Michigan within

thirty (30) calendar days after the Member’s receipt of the written determination. The Member

shall set forth, in writing, the basis for the reconsideration or appeal, documentation to support the

reconsideration or appeal, and the desired outcome or disposition. Such documentation shall be

submitted at the time the request for reconsideration or appeal is made by the Member.

h. In the event a Member requests a reconsideration or appeal, the Board of Directors will appoint an

appeal committee, comprised of at least three (3) but not more than five (5) ANA-Michigan Members

who have had no previous involvement in the processing, investigation, consideration, or review of

the charges, or prior disposition. The appeal committee will process and dispose of a request for

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appeal or reconsideration within fifteen (15) business days of its receipt, by providing the Member

requesting recommendation and the Board of Directors with a written determination on the appeal

or reconsideration. The appeal committee’s written determination shall be final.

i. Members suspended or expelled under provision of this article shall be eligible for reinstatement at

all levels upon application approved by two-thirds secret ballot vote of the Board of Directors.

j. All action taken under these Bylaws shall be in accordance with established policies and procedures

for handling alleged violations.

k. Disciplinary action taken against a member by another professional registered nurse organization or

professional registered nurse specialty organization shall be reviewed and given careful consideration

by the Ethics Committee.

Section 5. Dues

a. ANA-Michigan annual dues shall be established by the ANA-Michigan Assembly and shall include

the dues payment required by the American Nurses Association for those who are members of

both organizations. Increases in ANA dues shall be automatically passed through to ANA-Michigan

Members who are also ANA Members, upon the effective date of the ANA dues increase.

b. Annual dues may be changed by a two-thirds (2/3) majority vote of the Assembly at its annual

meeting.

c. Membership rights shall be forfeited upon failure to pay dues as required by current policy. The annual

dues for an ANA-Michigan/State Only Member shall be for a membership year of 12 consecutive

months, commencing on October 1 of each year. ANA-Michigan and ANA members are billed for

membership by ANA 12 months after they initially became a member.

d. Dues for Regions shall be paid in addition to and at the same time as the dues for ANA- Michigan.

Region dues shall be uniform and established by the ANA-Michigan Assembly.

e. Registered Nurses who are retired may elect to pay 50% of the annual dues of ANA- Michigan.

f. No monies shall be refunded or additional monies collected when a change in dues category is made

within a membership year, including when an individual transfers membership to or from another

constituent members’ association of the ANA.

Article III—Regions

Section 1. Region Definition

a. The ANA-Michigan Board shall designate nine (9) Regions of ANA-Michigan.

b. The nine (9) Regions shall consist of eight (8) Geographic Regions and one (1) Cyber Region.

Geographic Regions shall be defined and recorded by the Board of Directors and may be changed by

a two-thirds (2/3) vote of the Board of Directors, provided such change has been approved by each

Geographic Region and that the total number of Geographic Regions remain at eight (8). Boundaries

of the Geographic Regions are consistent with one or more counties. The Cyber Region shall not

have any geographic boundaries.

Section 2. Functions

a. Require that all of its Members have the qualifications specified in Article II, Section 2.

b. Conform to these Bylaws and policies established by the ANA-Michigan Assembly and Board of

Directors.

c. Each Region shall:

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i. In the month of July, per the schedule set forth below and working with the Association

Administrator, elect a minimum of: three (3) Officers for the Region (a minimum of President,

Secretary and Treasurer); one (1) Liaison to the ANA-Michigan Board of Directors; two (2)

Representatives to each of the Councils; and one (1) Member of the ANA-Michigan Nominations

Committee. To provide for continuity between incoming and outgoing officers and positions,

those officers and positions in place prior to the Annual Assembly shall remain in office until

adjournment of the Annual Assembly, and those officers and positions scheduled to assume

their respective offices/positions at the Annual Assembly shall do so upon commencement of

the Annual Assembly when installed at the Annual Assembly, as applicable.

a) The President and Secretary shall be elected in odd numbered years to serve for two years or

until a successor is appointed or duly elected by the region.

b) The Treasurer and other Officers, as applicable, shall be elected in even numbered years to

serve for two years or until a successor is appointed or duly elected by the region.

c) The Liaison to the Board of Directors shall be elected at the initial annual meeting of the

Assembly; with even numbered Regions electing the Liaison to serve for two years and odd

numbered Regions electing the Liaison to serve for one year, or until a successor is appointed

or duly elected, and thereafter the Liaison to the Board of Directors shall be elected by

odd numbered Regions in odd-numbered years; even numbered Regions to elect in evennumbered

years, with the Liaison to serve for two years or until a successor is appointed or

duly elected by the region.

d) Two Representatives to each of the four Councils shall be elected as follows: one (1)

Representative shall be elected in odd numbered years to serve for two years or until a

successor is appointed or duly elected by the region; one (1) Representative shall be elected

in even numbered years to serve for two years or until a successor is appointed or duly elected

by the region.

e) One member to the Nominating Committee shall be elected in odd numbered years to serve

for two years or until a successor is appointed or duly elected by the region.

f) Elections to a committee of a Region shall be in accordance with the Region’s policies.

g) Maintain operating policies and procedures, which are congruent with those of ANA-

Michigan.

h) Meet as a Region at least two times each year.

i) Annually submit to ANA-Michigan by August 15 or date determined by the Board of Directors,

a standardized form that includes:

(i) Names, addresses and telephone numbers of all Officers, the Liaison to the Board of

Directors, Representatives to the Councils, representative to the Nomination Committee

and other Region committee chairpersons as determined by the Region;

(ii) A statement of Region’s financial status and transactions;

(iii) A statement of the actions taken by the Region to support the functions of the Councils

and/or Assembly.

Section 3. Disqualification

A Region that fails to comply with the requirements of these Bylaws and policies established by the ANA-

Michigan Assembly and Board of Directors may be disqualified by two-thirds vote of the Board of Directors,

provided due notice of the impending disqualification has been given, in writing, to the Region at least

three months before the vote is taken. Upon disqualification, the Board of Directors will then create a new

Region.

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Section 4. Reinstatement

A Region that has been disqualified may be reinstated by a two-thirds (2/3) vote of the ANA- Michigan

Board of Directors. Such disqualified Region shall submit a request for reinstatement, in writing, to the

President and Association Administrator of ANA-Michigan, within ninety (90) days of disqualification. Such

request shall set forth the basis for such reinstatement and address what action(s) have taken place to

address the basis for the disqualification. Such documentation shall be submitted at the time the request

for reinstatement is made.

Article IV—Assembly

Section 1. Assembly Definition

The Assembly shall be the governing and official voting body of ANA-Michigan and shall be composed of

the ANA-Michigan Board of Directors and all other ANA-Michigan Members. The Assembly is accountable

to the membership.

Section 2. Composition

a. All State-Only members, who are in good standing and have been a member for at least sixty (60)

days prior to the Assembly’s annual meeting or special meeting, as applicable, shall have a voice and

vote at the Assembly on matters related only to ANA-Michigan.

b. All State/National members who are in good standing and have been a Member for at least sixty (60)

days prior to the Assembly’s annual meeting or special meeting, as applicable, shall have a voice and

vote at the Assembly on matters related to ANA- Michigan and ANA.

Section 3. Functions

a. The Assembly shall have all power and authority to adopt, initiate, and implement policies, methods,

and measures it deems to be in the interest of registered nurses in ANA-Michigan. In the exercise of

such power and duties, but without limitation thereof, the Assembly shall:

i. Adopt and amend Bylaws for this association;

ii. Determine the criteria for eligibility of the Regions;

iii. Recommend to the Board program priorities for ANA-Michigan

iv. Define requirements and privileges of membership;

v. Determine the structure, policies and objectives of ANA-Michigan;

vi. Involve itself with and advise the public as to the interest of the nursing profession;

vii. Review and determine by vote upon actions and resolutions deliberated upon by the Assembly

at annual meetings and special meetings;

viii. Grant to the Board of Directors, power and duties to implement action between meetings when

prompt action is necessary; and

Section 4. Meetings and Quorum

a. The Assembly shall meet at least annually at the time and place determined by the Board of Directors.

b. Notice of the Assembly’s annual meeting, business matters to come before the Assembly, and

election ballots meeting secret ballot requirements shall be mailed (regular mail or by internet) at

least two months before the first day of the annual meeting. Election ballots and action on business

matters must be returned, per the written instructions, and post marked (or emailed date stamped)

no later than seven (7) days prior to the first day of the annual meeting in order to be valid and

counted. Notices of special meetings shall be mailed at least ten days before the day of the special

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meeting, and election ballots and action on business matters must be returned, per the written

instructions, and post marked (or emailed date stamped) not later than two (2) days before the

special meeting in order to be valid and counted.

c. Special meetings may be called by the Board of Directors, and shall be called upon written request

of a majority of the Regions.

d. The President of ANA-Michigan or President Elect, in the President’s absence, or in the event of a

conflict of interest, in order of rank shall preside at all meetings.

e. Members shall become Members of the Assembly when registered and seated at the meeting of the

ANA-Michigan Assembly.

f. Each Member may vote one time on any business issues under consideration, either in person or by

valid mail or email voting, as applicable to their membership status.

g. All matters initially introduced and presented for a vote at the time of the Assembly shall be decided

on a two-thirds (2/3) vote of the Assembly present.

h. A quorum for the transaction of business of the Assembly shall consist of the presence of a majority

of the Board of Directors, one of whom shall be the President or President Elect, and a majority of

the Members registered for the annual meeting.

Section 5. Removal of Elected Official

Any Officer elected by the ANA-Michigan Assembly may be removed by a two-thirds (2/3) vote of the ANA-

Michigan Members at the ANA-Michigan Assembly whenever such action is deemed to be in the best

interest of ANA-Michigan, or for other cause, with provision for due process and appeal rights. The process

for removal will be consistent with Article II, Section 4.

Article V—Board of Directors

Section 1. Board of Directors Definition

The Board of Directors is the corporate body composed of Officers elected by the Assembly, Liaisons elected

by the Regions, and Representatives elected by the Councils.

Section 2. Authority

The Board of Directors shall have authority delegated to it by the Assembly including the duty and power of

acting for the membership in the intervals between meetings of the Assembly, and other duties and powers

as defined in these Bylaws.

Section 3. Composition

The Board of Directors shall consist of four (4) voting Officers, one (1) non-voting, ex-officio member (Past

President), nine (9) voting Liaisons and four (4) voting Representatives (One from each of the Councils), as

identified below:

a. Officers shall be a President, President Elect, Recording Secretary, and Treasurer (4).

b. The Past President shall serve as an ex-officio member, who shall be given voice without vote at the

Board of Directors.

c. One Liaison shall represent each Region (9)

Section 4. Accountability

The Board of Directors shall report and be accountable to the Assembly.

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Section 5. Responsibilities

The ANA-Michigan Board of Directors shall:

a. Assume responsibility to implement the objective and directives of the ANA-Michigan Assembly and

to transact affairs of ANA-Michigan during the interim between annual meetings.

b. Provide for the operation, evaluation and maintenance of the state headquarters and regional

offices when established, programs and the activities of ANA-Michigan;

c. Adopt an annual budget, provide for the management and surveillance of funds, fix and approve

amount of bond for Officers, Liaisons, Representatives, and staff, and arrange for the annual review

of all books of account by a certified public accountant, with an audit prior to turning the books over

to the newly elected treasurer, or at a minimum of every three years.

d. Make appointments to committees as defined in the Bylaws;

e. Make appointments to reflect cultural and geographical diversity;

f. Appoint, define duties, determine compensation, and conduct annual reviews of the Association

Administrator’s performance;

g. Assume responsibility with regard to Regions as specified in Article III;

h. Appoint Members in good standing to vacancies on committees and Officers of the ANA- Michigan

Board;

i. Establish registration fee, date and place of the annual meeting, and hold meetings as provided in

these Bylaws;

j. Provide for the establishment and dissolution of any component part of ANA-Michigan in accordance

with these Bylaws;

k. Annually recommend to the Governor of Michigan qualified Members willing to serve on the Michigan

Board of Nursing and other relevant commissions;

l. Provide for refunding necessary expenses incurred by Members, Directors and staff in service of

ANA-Michigan, as determined by the Board of Directors; and

m. Receive, review and report on proposals submitted for consideration of the Assembly;

n. Move for hearings on proposals submitted by the Assembly;

o. Recommend action on proposals to be considered by the Assembly;

p. Develop procedures for presentation to and adoption of proposals by the Assembly;

q. Ensure that activities and tasks outline in the ANA-Michigan Strategic Plan are assigned to the

appropriate Councils and Committees;

r. Provide assistance to the appropriate Council and Committee in prioritizing tasks and finances in

completing their assigned activities, and evaluate progress towards completion of such activities;

and

s. Annually submit an updated Strategic Plan to the Assembly.

t. Annually review policies and procedures and update the bi-annual calendar.

u. Exercise the authority accorded to a non-profit Board of Directors for a membership organization

under Michigan law unless specifically constrained by these bylaws.

Section 6. Election and Terms of Office

a. At the annual meeting of the Assembly, in even years, the President Elect shall be elected by the

Membership to serve two years or continue to serve until he/she assumes the President position, or

a successor is appointed or duly elected.

b. Following the President Elect’s term of office, the President Elect will assume the position of

President, for a two-year term, or until a successor is appointed or duly elected.

c. Following the President’s term of office, the President will assume the position of Past President, for

a two-year term, as an ex-officio member with voice but without vote on the Board of Directors.

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d. At alternating annual meetings of the Assembly, the Recording Secretary shall be elected by the

Assembly in the odd numbered years to serve for a two-year term, or until a successor is appointed

or duly elected.

e. At alternating annual meetings of the Assembly, the Treasurer shall be elected by the Assembly

in the odd numbered years to serve for a two-year term, or until a successor is appointed or duly

elected.

f. At the respective annual meetings of the Assembly, the Board of Directors shall appoint members of

the Bylaws, Finance, Ethics, and Conference Planning Committees consistent with Article VII, Section

3 of the Bylaws.

g. All terms of office begin upon election/appointment at the end of the annual meeting of the Assembly.

h. No Officer or Liaison representing a Region shall serve for more than two consecutive terms in the

same office. No Representative representing a Council shall serve for more than four consecutive

terms in the same office. No Officer or Liaison shall serve more than nine consecutive years on

the Board of Directors (except where there are no candidates, in which case a Member may be

appointed to serve in excess of 9 years). A Board member who has served more than half a term

shall be considered to have served a full term.

Section 7. Qualifications

To be eligible to serve on the Board of Directors a person shall be a member in good standing and:

a. Hold a current State/National membership or a State-Only membership if serving as a region liaison

or council representative to the Board.

b. Hold a current State/National membership if serving as an Officer of the board.

c. Not concurrently serve as an Officer or Liaison (or its equivalent) of another organization, if such

participation might result in a conflict of interest with ANA-Michigan, as determined by the Board of

Directors.

d. Hold a current and unrestricted RN license to practice in the State of Michigan.

Section 8. Vacancies

a. In the event of a vacancy occurring:

i. In the office of President, the President Elect shall become President for the remainder of the

President’s term.

ii. In the office of the President Elect, the Recording Secretary shall succeed to the vacant office

until the position is filled by election.

iii. In the event that the President Elect must assume the role of the President within the first year

of the President’s term of office, the President Elect position shall remain vacant until a new

President Elect shall be elected at the applicable annual meeting.

iv. In the case of a simultaneous vacancy in the above offices, the Recording Secretary shall act as

President, and vacant offices shall be filled by a quorum of the remaining Board of Directors, at a

special meeting of the Board.

v. All other vacancies shall be filled by appointments by the Board of Directors, and respective

Regions and Councils, as applicable.

Section 9. Meetings and Quorum

a. The Board of Directors shall meet four (4) times per year, or more often as necessary, to conduct the

business of ANA-Michigan.

b. Special meetings may be called by the President, and shall be called upon the written request of no

less than five (5) Regions, or no less than nine (9) members of the Board of Directors.

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c. A majority of the Board of Directors, two of whom shall be Officers, one must be the President and/

or President-Elect, but excluding the Past President, shall constitute a quorum.

d. Decisions that require immediate action by the Board of Directors may be made, in good faith, by the

Executive Committee. Following such action, the President shall notify the Board of Directors of the

action taken, and shall report for ratification all transactions at the next Board of Directors meeting.

e. Meetings of the Board of Directors may be held by means of conference telephone or similar

communication equipment, provided that all people participating in the meeting can hear and speak

to each other. Participation in a meeting in this manner shall constitute presence at the meeting.

Section 10. Voting and Deadlock

a. Action voted on by a majority of Officers and Liaisons present at a meeting, where a quorum is

present shall constitute authorized action of the Board of Directors.

b. In the event action voted on by a majority of Officers and Liaisons present at a meeting where a

quorum exists, results in a deadlock, then action by a majority vote of the Officers present shall

constitute authorized action by the Board of Directors for only those matters previously not acted

upon due to the deadlocked full Board of Directors.

Section 11. Absences

a. An unexcused absence of an Officer or Liaison from three consecutive meetings during each twelve

(12) month period following election or appointment shall constitute an automatic resignation.

b. Attendance at another ANA-Michigan Region or Council meeting as a Liaison or Representative, held

contemporaneously with a Board of Directors meeting, shall constitute an excused absence.

c. After two consecutive unexcused absences from meetings, notification in writing shall be sent to the

absent Officer or Liaison, stating that an additional unexcused absence shall constitute an automatic

resignation as an Officer or Liaison, as applicable.

d. A resignation resulting from three consecutive unexcused absences may be appealed to the Board of

Directors in accordance with its policies and procedures. The process for appealing such resignation

will be consistent with Article II, Section 4, e.- h.

Section 12. Functions of Officers

a. Officers shall assume duties usually performed by such Officers and as defined by these Bylaws and

by the Board of Directors.

b. The President shall:

i. Preside over the meetings of the Board of Directors and Executive Committee.

ii. Serve as the official representative and spokesperson of the association.

iii. Implement association policies and positions as promulgated and directed by the Board.

iv. Supervise all administrative matters, business, and affairs of the Board, including signing all

contracts and legal documents to be executed on behalf of the Board.

v. Chair the annual assembly and

vi. Serve as an ex-officio member of all taskforces, ad hoc committees, and committees, except the

Nominations Committee.

vii. The president shall also serve as one of the elected C/SNA/CMA representatives

c. President Elect shall:

i. Assume the duties of the ANA-Michigan President in his/her absence.

ii. Serve as a member of the Board of Directors and the Executive Committee.

iii. Assist the President in the performance of his/her duties whenever requested to do so.

iv. Serve as Chair of the annual conference planning committee.

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v. Attend meetings as directed by the ANA-Michigan President.

vi. Represent the association to constituent members and with other associations or organizations

as requested by the ANA-Michigan President.

d. The Past President shall provide counsel and advice to the Board of Directors and serve as a member

of the Nominating Committee.

e. The Recording Secretary shall be accountable for record keeping and reporting of meetings of ANA-

Michigan.

f. The Treasurer shall be accountable for the fiscal affairs of ANA-Michigan and shall provide reports and

interpretation of ANA-Michigan financial condition, as may be requested to the Board of Directors,

the Assembly and the membership.

Section 13. Executive Committee

a. There will be an Executive Committee composed of the Officers, including the ex officio Past

President, of the Board of Directors, which shall have power of the Board of Directors to transact

urgent business between meetings and shall report for ratification all transaction at the next Board

of Directors meeting.

b. Meetings of the Executive Committee may be held by means of conference telephone or similar

communication equipment, provided that all persons participating in the meeting can hear and speak

to each other. Participation in a meeting in this manner shall constitute presence at the meeting.

Section 14. Association Administrator

a. The Board of Directors shall delegate to the Association Administrator, the responsibility to manage

the day-to-day business of ANA-Michigan according to policies established by the Assembly and the

Board of Directors.

b. The Association Administrator shall be accountable to the Board of Directors and report to the

President on a regular basis.

c. The Association Administrator shall employ, direct, promote and terminate staff of ANA- Michigan in

consultation with the Board of Directors.

Article VI—Councils

Section 1. Council Definition

A Council is an organized deliberative body to which the Assembly and Board of Directors assign specific

responsibility related to fulfilling the mission, functions and goals of ANA- Michigan. Each Council will

formulate strategies and action plans designed to address issues of concern to Michigan’s diverse nursing

professionals. Expertise in the areas of research, education, ethics, and human rights based on ANA or

other nursing organizations’ position statements as guidelines shall be represented in the formulation of

these strategies and action plans.

The Councils shall be:

a. Administration & Education

b. Nursing Excellence in Practice

c. Public Policy

d. Research and Evidence Based Practice

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Section 2. Composition, Election and Terms of Office

a. Each Council shall consist of 18 Representatives – two from each Region. Each Region shall elect two

Representatives to each Council in July of the respective calendar year, with one (1) Representative

being initially elected for a one year term and one (1) Representative being initially elected for a

two-year term, thereafter Representatives will be elected for staggered two year terms. The names

of the elected Representatives will be forwarded to ANA-Michigan Association Administrator by

August 1 of the election year. To provide for the continuity between incoming and outgoing officers

and positions, those officers and positions in place prior to the Annual Assembly shall remain in

office until adjournment of the Annual Assembly, and those officers and positions scheduled to

assume their respective offices/positions at the Annual Assembly shall do so upon commencement

of the Annual Assembly when installed at the Annual Assembly, as applicable. No Representative

shall serve more than four consecutive terms in the same Council. A Representative who has served

more than half of a term shall be considered to have served a whole term. If a region is unable to fill

two (2) representative positons the ANA-Michigan Board of Directors has the right to appoint any

At Large member to fill these vacancies. Nursing Student Subscribers are welcome to participate in

any Council, as there are an unlimited number of participation and networking opportunities open

to Nursing Student Subscribers.

b. Prior to the close of the annual meeting of the Assembly each Council shall elect one (1) Representative

to the ANA-Michigan Board of Directors. The Administration & Education and Research and Evidence

Based Practice Councils shall each elect one (1) Representative to the Board of Directors for an initial

one year term, thereafter Representatives for each Council shall be elected for subsequent two

year terms. The Nursing Excellence in Practice and Public Policy Councils shall each elect one (1)

Representative to the Board of Directors for an initial two-year term; thereafter Representatives

for each Council shall be elected for subsequent two year terms. All terms of office shall begin upon

election at the annual meeting of the Assembly. No Representative to the ANA-Michigan Board of

Directors shall serve more than two consecutive terms. A Representative who has served more

than half of a term shall be considered to have served a whole term. If the representative to the

ANA-Michigan Board of Directors is unable to fulfill his/her term the council shall be responsible to

appoint/elect a council member to fulfil the representative responsibilities for the remainder of the

term.

c. Councils shall meet at least quarterly.

d. Councils shall submit an annual informational report and/or an oral presentation at the meeting of

the Assembly.

Section 3. Functions

a. Each Council shall:

i. Assess current and future environmental trends relevant to its focus.

ii. Investigate and identify pertinent issues of concern to ANA-Michigan Members.

iii. Develop and coordinate with other Councils action plans related to educational activities and

strategies.

iv. Recommend and support implementation action plans and strategies to Members, Regions, and

ANA-Michigan Board of Directors.

v. Evaluate outcomes.

vi. Establish coalitions.

vii. Recommend or establish short-term task forces to address specific issues, projects or programs

as needed.

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viii. Develop, clarify and recommend to the Board of Directors positions and issues of concern to the

Members.

ix. Educate and support Members on strategies that will enhance their voices related to public

policy and nursing practice.

b. The Council on Administration and Education shall:

i. Analyze current trends and needs in nursing education.

ii. Analyze emerging health care administration trends and needs.

iii. Recommend educational and administrative models that better match the needs of both.

iv. Promote activities designed to enhance career resiliency, educational advancement, and maintain

an adequate nursing workforce.

c. The Council on Nursing Excellence in Practice shall:

i. Define and clarify nursing practice issues in the State of Michigan.

ii. Identify barriers to creating respectful and professional work environments.

iii. Promote models of work environments that create respectful, collegial relationships and

excellence in health care and promote the practice of safe patient care.

iv. Market these models to the general public, health care systems and policy makers.

v. Set a tone and policy of excellence and ethical conduct throughout ANA- Michigan.

vi. Define and clarify nursing practice in the State of Michigan.

vii. Educate and support Members to implement strategies that will enhance their voice in

organizational policy matters.

d. The Council on Public Policy shall:

i. Develop public policy and legislative initiatives related to ANA-Michigan’s legislative platform.

ii. Analyze public policies and proposed legislation.

iii. Educate and collaborate with legislators and public policy makers.

iv. Alert Members on timely pertinent issues.

e. The Council on Research and Evidence Based Practice shall:

i. Identify nursing research and evidence based nursing issues, projects and trends in Michigan.

ii. Highlight research and evidence based practice results for membership

iii. Promote research and evidence based nursing practices

iv. Educate and mentor Members on research and evidence based practice guidelines, processes

and funding.

Section 4. Meetings and Quorum

a. A majority of the elected Representatives of any Council present shall constitute a quorum.

b. Meetings of the Councils may be held by means of conference telephone or similar communication

equipment, provided that all persons participating in the meeting can hear and speak to each other.

Participation in a meeting in this manner shall constitute presence at the meeting.

Section 5. Absences

An unexcused absence of a Council Representative from three consecutive meetings during each twelve

(12) month period following election or appointment shall constitute an automatic resignation as a Council

Representative. After two consecutive unexcused absences from meetings, written notification shall be

sent to the absent Council Representative, stating that an additional unexcused absence shall constitute an

automatic resignation as a Council Representative. A resignation resulting from three consecutive unexcused

absences may be appealed to the respective Council. The process for appealing of such resignation shall be

consistent with the process, as applied to the Council, set forth in Article II, Section 4, e.–h.

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Section 6. Funding

A Council, upon a verified majority vote of the Council members, may request funds from ANA- Michigan

for furtherance of the Council sponsored activities. Written requests for funding shall be forwarded to the

Board of Directors, along with a summary of the Council sponsored activity, itemized costs to provide such

Council sponsored activity, and any other pertinent information requested by the Board of Directors. The

Board of Directors may approve such expenditure of funds, provided approval is in the best interests of

ANA-Michigan, and such approval would not adversely affect the financial status of ANA-Michigan.

Article VII—Committees

Section 1. Committees Definition

Committees will coordinate related activities and effort throughout ANA-Michigan and shall assume such

duties as are specified in these Bylaws, and such other duties as may be assigned by the Board of Directors.

Committees are accountable to the membership through the Assembly and the Board of Directors.

Section 2. Standing Committees shall be:

a. Bylaws

b. Nominations

c. Finance

d. Ethics

e. Conference Planning

Section 3. Composition of Standing Committees

a. Committees shall consist of the following number of members:

i. Bylaws Committee – five (5) members

ii. Nominations Committee – ten (10) members [One member from each Region, with At Large

members appointed by the Board of Directors to fill any vacant positions if a region is unable to

fill position per Article III, section 2.c.i.e]

iii. Finance Committee – five (5) members

iv. Ethics Committee – five (5) members

v. Conference Planning – six (6) members

b. The Bylaws Committee shall be appointed by the Board of Directors to serve two year terms of office

with a majority being State/National members. Appointment to this committee shall be as follows:

i. Three of five members shall be appointed in even years.

ii. Two of five members shall be appointed in odd years.

c. The Nominations Committee members shall serve for a two-year term. Each Region shall elect

one Representative to the Nominations Committee. Even- numbered Regions will elect their

Representatives in even-numbered years. Odd-numbered Regions will elect their representatives

in odd-numbered years. The tenth member will be the Past President who will preside over this

committee as Chair.

d. The Finance Committee shall be appointed by the Board of Directors to serve two year terms of

office with three-fifths (three of five committee members) appointed in even numbered years, and

the other members (two of five committee members) appointed in odd numbered years.

e. The Ethics Committee shall be appointed by the Board of Directors to serve two year terms of office

with three-fifths (three of five committee members) appointed in the even numbered years, and the

other members (two of the five committee members) appointed in the odd numbered years.

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f. The Conference Planning Committee shall consist of six members of which five members are

appointed by the Board of Directors to serve two year terms of office with three-fifths (three of

the five committee members) appointed in the odd numbered years, and two-fifths (two of the

five committee members) appointed in the even numbered years. The sixth member will be the

President-Elect who will preside over this committee as Chair. All terms of office shall begin upon

election/appointment at the annual meeting of the Assembly.

g. All terms of committee membership shall begin upon election/appointment at the respective annual

meeting of the Assembly

h. Each member of a committee shall be limited to two consecutive terms except where there are no

candidates, in which case a member maybe appointed to serve in excess of two consecutive terms.

i. The members of each committee shall elect a chairperson, (with the exception of the Nominations

and Conference Planning Committee), vice chairperson and secretary at the first meeting following

the annual meeting of the Assembly.

Section 4. Non-Standing Committees and Task Forces

a. The Board of Directors may appoint from time to time non-standing committees and task forces

to address particular business matters of ANA-Michigan. The composition, length of service, and

function of such non-standing committees and task forces shall be determined by the Board of

Directors. The non-standing committees and task forces are accountable to the membership through

the Assembly and the Board of Directors. A majority of the members of any non-standing committee

or task force present shall constitute a quorum. Meetings of a non-standing committee or task force

may be held by means of conference telephone or similar communication equipment, provided that

all persons participating in the meeting can hear and speak to each other. Participation in a meeting

in this manner shall constitute presence at the meeting.

Section 5. Functions

a. The Bylaws Committee shall:

i. Study, prepare and propose amendments of the Bylaws for review by the Board;

ii. Present the proposed amendments to the Assembly for action;

iii. Prepare model Bylaws for Regions;

iv. Provide for review of Bylaws of Regions for brevity, clarity, and conformity of requirements

specified in ANA-Michigan Bylaws;

v. Review changes in standing rules of Regions to comply with these Bylaws;

vi. And review and revise the procedures as necessary and report changes to the next Assembly.

b. The Nominations Committee shall:

i. Perform the relevant duties described in Article VIII and Article IV, Section 4b of the Bylaws and

the procedures adopted by the Board of Directors; and

ii. Oversee nominations for ANA-Michigan awards.

c. The Finance Committee shall:

i. Prepare the budget and summary of expenses and income for ANA-Michigan on a regular basis,

and as requested by the Board of Directors.

ii. Oversee the financial status of ANA-Michigan, and advise the Board of Directors of any issues

that may be brought to or come to the attention of the Finance Committee.

d. The Ethics Committee shall:

i. Oversee the business practices of ANA-Michigan to ensure decisions and actions of ANA-Michigan

are consistent with the mission and function of ANA- Michigan and good business practices.

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ii. Investigate complaints or conflict of interest concerns involving ANA-Michigan and/or its

members, consistent with Article II, Section 4.

iii. Serve as a resource to Regions, Councils and Committees regarding ethics in the practice of

professional nursing.

e. The Conference Planning Committee shall:

i. Plan the annual educational conference

ii. Prepare a three-year strategic plan for regional sponsorships.

iii. Seek input from Members on educational topics and speakers.

iv. Develop an annual Assembly and conference budget to be submitted to the Board of Directors

for prior approval for the following year’s Assembly program and conference.

Section 6. Meetings and Quorum

a. A majority of the members of any committee present shall constitute a quorum.

b. Meetings of the Committees may be held by means of conference telephone or similar communication

equipment, provided that all persons participating in the meeting can hear and speak to each other.

Participation in a meeting in this manner shall constitute presence at the meeting.

Section 7. Absences

a. An unexcused absence of a committee member from three consecutive meetings during each twelve

(12) month period following election or appointment shall constitute an automatic resignation as a

committee member. After two consecutive unexcused absences from meetings, written notification

shall be sent to the absent committee member, stating that an additional unexcused absence shall

constitute an automatic resignation as a committee member. A resignation resulting from three

consecutive unexcused absences may be appealed to respective committee. The process for

appealing such resignation will be consistent with Article II, Section 4, e.-h.

Article VIII—Nominations and Elections

Section 1. Nominations

a. Working within the timeline set forth in Article IV, Section 4 the ANA-Michigan Nominations

Committee shall request names of candidates for elected Board officers (President Elect, Recording

Secretary, and Treasurer, assuring that all nominations are ANA-Michigan and ANA members in good

standing). Notice for election of ANA- Michigan representatives to the ANA Membership Assembly

from among the Members who are ANA-Michigan and ANA Members, shall be provided only to ANA-

Michigan and ANA members via secure internet based ballot.

b. Nominees selected shall have consented to serve if elected and shall have met established

qualifications.

c. The ANA-Michigan Committee on Nominations shall prepare a ballot and attempt to have at least

two nominees for each elected ANA-Michigan or ANA position.

d. This ballot shall reflect cultural and geographical diversity.

Section 2. Elections

a. Elections shall be held by secret ballot before the annual meeting of the Assembly.

b. The Nominations Committee shall determine the length of time voting is open to the membership.

c. The Association Administrator shall be responsible for obtaining certified election results from

the secure internet based ballot company and providing these results in a sealed envelope to

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the Nominations Committee Chair or if the Chair is unavailable to a designated member of the

Nominations Committee who will announce the results at the annual meeting of the Assembly.

d. A plurality of votes will determine the outcome of elections; in case of a tie, the choice shall be

determined by lot.

Article IX—Disbursement of Funds

Section 1. Disbursement of Funds

The Association Administrator shall have authority to disburse funds, as approved by the Board of Directors,

up to an amount of $500.00. For any disbursements, greater than $500.00, two signatures (Association

Administrator and either the President or Treasurer) shall be required for disbursements.

Article X—Bylaws Amendment

Section 1. Bylaws Amendment

a. The Bylaws may be amended at any Assembly meeting by two-thirds (2/3) vote of the Members

of the voting body present and voting. All proposed amendments shall be referred to the Bylaws

Committee for study and be submitted to the Recording Secretary of ANA-Michigan at least two

months before the date of the annual meeting, and shall be appended to the call for the meeting.

b. These Bylaws may be amended, without previous notice at any Assembly meeting, by a ninety-nine

percent of the voting body present and voting, provided such amendment serves to amend or clarify

a bylaw provision previously proposed and submitted, as set forth in subparagraph a. above.

Article XI—Dissolution

Section 1. Dissolution of ANA-Michigan

Upon the termination, dissolution or winding up of ANA-Michigan, the Board of Directors shall, after

paying or making provisions for the payment of all liabilities of ANA-Michigan, distribute all assets of the

association to an organization or organizations as are organized and operated exclusively for one or more

exempt purposes within the meaning of Section 501(c) (6) of the Internal Revenue Code. Any such assets

not so disposed of shall be disposed of as designated by the Board of Directors or as directed by the Ingham

County Circuit Court, exclusively for such purposes.

Article XII—Parliamentary Authority

Section 1. Parliamentary Authority

The rules contained in the current edition of Robert’s Rules of Order Newly Revised shall govern this

association in cases in which they are applicable and to the extent to which they are not inconsistent with

these bylaws, the Articles of Incorporation, or any policies or rules of order the association may adopt.

Article XIII—Representation at the ANA Membership Assembly

Section 1. Representation at ANA Membership Assembly

a. ANA-Michigan is entitled to representation at regular and special meetings of the ANA Membership

Assembly in accordance with ANA Bylaws and policy.

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b. Representatives shall be elected by electronic ballot to serve a two-year term or until a successor is

elected.

i. The President of ANA-Michigan will serve for the two years of the presidency, by virtue of holding

that position, as one of the two representatives granted to the state.

ii. The second ANA representative will be a State/National member and will be elected in odd

number years, by State/National members only. State-Only members cannot participate in the

election of the ANA Membership Assembly representatives.

iii. An alternate representative list will consist of candidates not elected and will be listed in

descending order of votes received. Should either ANA representative not be able to attend the

ANA membership assembly the recording secretary will contact the alternate representatives in

descending vote order to assure adequate representation.


Article XIV—Relationship to ANA Membership Responsibilities

Section 1. Relationship to ANA Membership Responsibilities

ANA-Michigan is a constituent member of the American Nurses Association.

a. ANA-Michigan shall pay dues to ANA in accordance with policies adopted by the ANA Membership

Assembly.

b. ANA-Michigan is responsible to ANA for the payment of dues in accordance with the ANA Membership

Assembly Dues Policy until such time that 2/3 of the entire State/National membership only votes to

disaffiliate from ANA. The State/National membership for these purposes is defined as members of

both the state organization and national ANA.

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80


ADVANCE

YOUR

CAREER

Doctor of Nursing Practice (DNP)

• Post-BSN options to become an Adult Gerontology

Clinical Nurse Specialist or Adult Gerontology Primary

Care NP (12 terms, APRN eligible after Term 6)

• Post-MSN options (6 terms)

• Hybrid format (in seat and online)

Master of Science in Nursing

• * Adult Gerontology Clinical Nurse Specialist (6 terms)

• * Adult Gerontology Primary Care Nurse Practitioner (6 terms)

• Nursing Education (6 terms)

Graduate Certificate

• Quality Improvement in Health Care (QI)

• Teaching in Health Care System (HCS)

*Adult-Gerontology nurses provide care from

adolescence through older-adults

– DNP –

– NURSE PRACTITIONER –

– CLINICAL NURSE SPECIALIST –

– NURSE EDUCATOR –

– CERTIFICATES –

Learn More 734.487.2310

emich.edu/nursing

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