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
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Published by:
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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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2017 ANNUAL REPORT
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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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2017 ANNUAL REPORT
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