Michigan 2018 Annual Report

2018 ANNUAL REPORT 

TABLE OF CONTENTS 

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

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

ANA-Michigan Policy Position Statements. .................................................. 7 

ANA-Michigan Annual Membership Assembly Agenda. ..................................... 9 

Meeting Rules and Parliamentary Procedure. .............................................. 10 

2017 Annual Membership Meeting Minutes. ................................................ 12 

Financial Statements. ........................................................................ 15 

President’s Report. ........................................................................... 21 

Executive Director’s Report. ................................................................. 23 

Membership. ................................................................................. 25 

Public Policy Council. ........................................................................28 

Government and Legislative Report. ........................................................30 

Nursing Research and Evidence-Based Practice Council. .................................. 33 

Administration and Education Council. .....................................................34 

Region Reports 

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

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

East Central Region 4. ................................................................... 37 

Lansing Region 6 ........................................................................38 

Metropolitan Detroit Region 7. ..........................................................39 

ANA Membership Assembly. ............................................................... 40 

Coalition of Michigan Organization of Nursing (COMON). ..................................42 

2018 Leadership Elections. ...................................................................43 

Proposed Bylaw Amendments ............................................................. 48 

Printed and published for ANA-Michigan by: 

Arthur L. Davis Publishing Agency 

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

(319) 277-2414 

www.ana-michigan.org 

Published by: 

Arthur L. Davis 

Publishing Agency, Inc. 

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AGENDA 

ANA-Michigan Annual Membership Assembly 

October 26, 2018 

1:15 – 3:00 p.m. 

Royal Park Hotel, Rochester, Michigan 

1:15 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 

• October 26, 2017 Annual Meeting Minutes 

1:20 President’s Message—Linda Taft, President 

1:30 ANA-Michigan Financial Road Map—Stacy Slater, Treasurer 

1:35 Executive Director’s Message—Tobi Moore, Executive Director 

1:40 Michigan Nursing Students Association—Andrea Corrie, President 

1:45 Michigan Board of Nursing—Joshua Meringa, Chair 

1:50 Office of Nursing Policy—Deborah Bach-Stante, Director 

2:00 2018 Proposed Bylaw Amendments—Julie Lavender, Bylaws Chair 

2:35 Memberships Comment and Open Forum 

2:45 Recognition of Outgoing Board Members—Linda Taft, President 

2:50 Tellers Report—MaryLee Pakieser, Nominations Chair 

• President-Elect 

2:55 Passing of the Gavel to the Incoming President 

3:00 Announcements and Adjournment—Carole Stacy, President 

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___________________________________________ 

Meeting Rules 

Rule 1: Registered members must wear their name 

badges during the business session. All 

membership in good standing may vote. 

Rule 2: In making a motion or speaking to a 

question, a delegate shall move to the 

floor microphone, address the Chair, 

await recognition of the Chair, and give 

the delegate’s name and region. 

Rule 3: The correct form to use in making a 

motion is “I move that...” 

Rule 4: All motions and amendments should be 

written and signed by the maker of the 

motion or amendment and then given to 

the Chair. 

Rule 5: A member may not speak against her/his 

own motion, but may vote against it. 

Rule 6: No member shall speak more than once, 

or longer than three minutes, on the same 

question until all have spoken who wish 

to express and opinion. 

Rule 7: All reports and supplements to reports 

shall be written and shall not be read. 

Rule 8: Only currently paid members of the 

Association are entitled to vote at the 

polls upon verification of their current 

dues being in good standing according 

to the most current membership rosters 

provided to the tellers. 

Rule 9: The Association staff shall report the 

number of members registered after the 

opening ceremonies. Supplementary 

reports may be given later as the Chair 

may direct. 

Rule 10: A member should raise her/his hand to 

indicate she/he cannot hear. 

Rule 11: The member will act only on the resolves 

of a resolution. Questions of clarification 

will be handled according to parliamentary 

procedure. 

Rule 12: All sessions of the Annual Business 

Meeting shall be open to the public unless 

the Chair declares an executive question. 


Membership Meeting Rules and Parliamentary Procedure 

Parliamentary Information 

___________________________________________ 

Robert’s Rules of Order, Newly Revised is the 

parliamentary authority that shall govern the ANA- 

MI Business Meeting. The chair, as the presiding 

officer, rules on all matters relative to parliamentary 

law and procedures. The Parliamentarian serves 

only in an advisory capacity to the presiding officer 

and members. 

Member participation in the business session is 

governed by the standing rules. 

The motions that follow are defined in terms of 

action a delegate may desire to propose. Rules 

governing these motions are listed in Table 1. 

A main motion introduces a subject to the Business 

Meeting for consideration and is stated: “I move 

that....” 

FILLING OUT A MOTION FORM 

Motion forms are at the registration table and 

will be available on tables during the Business 

Meeting. Please fill them out completely before 

bringing forward a motion for consideration at 

the Business Meeting for discussion. 

You must sign your name and Region and get 

the signature of a person to second the motion 

before bringing it up. 

An amendment (primary) is a motion to modify the 

working of a motion. The motion to amend may be 

made in one of the following forms, determined by 

the action desired: “I move to amend by....” 

• striking (word(s), phrase, paragraph).” 

• inserting (word(s), phrase, paragraph).” 

• adding (word(s), phrase, or paragraph at 

the end of the motion).” 

• substituting (paragraph or entire text of a 

resolution or main motion and inserting 

another that is germane). 

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An amendment to an amendment is a motion to modify 

the wording of the proposed amendment and is made 

as follows: “I move to amend the amendment 

by....” The same forms for making an amendment are 

applicable for making a secondary amendment. 

The motion to commit or refer is generally used to 

send a pending motion (also called “the question”) to 

a small group of selected persons - a committee, board, 

or cabinet, for example - so that the question may be 

studied and put in better condition for the assembly 

to consider. The motion is stated: “I move to commit 

the question to..........for further study.” 

The motion to close a debate (previous question), if 

seconded and approved by a two-thirds vote, stops 

discussion on the pending question and is stated: “I 

move the previous question.” 

A division of the assembly may be called by any 

member if the chair’s decision on a voice vote is in 

question. The member proceeds to the microphone 

and states: “I call for a division of the house.” The 

chair then takes a standing or roll call vote. 

A division of the question may be called when 

a pending motion relates to a single subject but 

contains several parts, each capable of standing as 

a complete proposition. The parts can be separated, 

and each considered and voted on as a distinct 

question. The motion is stated: “I move to divide 

the question........as follows....” 

The motion to reconsider enables a majority of the 

assembly to bring back for further consideration a 

motion that has already been voted. The purpose of 

reconsidering a vote is to permit correction of hasty, 


ill-advised, or erroneous action, or to consider added 

information or a situation that has changed since the 

vote was taken. (Note exception on the Table - Rules 

Governing Motions) 

Parliamentary inquiry is a question directed 

to the presiding officer to obtain information on 

parliamentary law or the rules of the organization 

as relevant to the business at hand. A member 

addresses the chair and states: “I rise to a (point) 

of parliamentary inquiry.” 

Point of information is a request, directed to 

the chair or through the chair to another officer or 

member for information relevant to the business and 

hand. The request is not related to parliamentary 

procedure. The member addresses the chair and 

states: “I rise to a point of information.” 

The motion to appeal the decision of the chair is 

made at the time the chair makes a ruling. If it is made 

by a member and seconded by another member, 

the question is taken from the chair and vested in 

the voting body for a ANA-Michigan decision. The 

motion is stated: “I move to appeal the decision 

of the chair.” 

Before a member can make a motion or address the 

assembly on any question, it is necessary that he 

or she obtain the floor through recognition by the 

presiding officer. The member must: 

• rise and proceed to the microphone. 

• address the chair by saying, “Madam 

Chairperson” 

• await recognition 

• give name and region 

• state immediately the reason for rising 

Rules Governing Motions 

___________________________________________________________________________________________________________ 

Interrupt Speaker Recognized by Chair Requires a Second Debated Vote 

Main motion NO YES YES YES Majority 

Amendment NO YES YES YES Majority 

Amendment to amendment NO YES YES YES Majority 

Limit Debate NO YES YES NO Two-thirds 

Close debate (previous quest.) NO YES YES NO Two-thirds 

Divide the Question NO YES YES NO Majority 

Reconsider NO YES YES YES Majority* 

Point of parliamentary inquiry YES NO NO NO Chair Decides 

Point of Information YES NO NO NO Chair Decides 

*Majority vote except when the motion being reconsidered required a two-thirds vote for its passage; then the motion to 

reconsider requires a two-thirds vote. 

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MINUTES 

ANNUAL ASSEMBLY 

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

The Inn at St. John’s, Plymouth, MI 

Executive Board: 

Regional Liaisons: 

Council Chairs: 

Executive Director: 

Absent: 

Linda Taft; Carole Stacy; Nancy Martin; Bridget Leonard; MaryLee Pakieser 

Lynne Harris; Peggy Ursuy; Mary Zugcic 

Jeanette Klemczak; 

Tobi Lyon Moore 

Lisbeth Votruba 

3:24 Call the Meeting to Order Taft, President 

Roll Call of the Board of Directors - Quorum achieved 

Roll Call of Membership by Region - done 

Declaration of Quorum - 3:27 

Agenda approved as presented - 3:28 

3:29 November 4, 2016 Annual Meeting Minutes Taft, President 

• Motion to approve the minutes- Motion carried 

3:30 President’s Message Taft, President 

• Written report included in the 2017 Annual Report. Some highlights include: 

Established of a “bricks & mortar” home to house ANA-MI at Ngage Management, Inc. 

Celebrated passage of the APRN Scope of Practice legislation PA 499-2016, including 

addition of CNS to APRN role 

Worked in partnership with LARA to address customer service and licensing process 

concerns 

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

Participation as a Partner for ANA’s Healthy Nurse Healthy Nation Grand Challenge 

Strengthened relationship with Michigan Nursing Student Association (MNSA) 

Immediate Past-President, MaryLee Pakieser, was elected for a two-year term as Director 

at Large on the ANA Board of Directors 

3:35 ANA-Michigan Financial Road Map Martin,Treasurer 

• Financials in Book of Reports; reviewed 

• From 901 to 1783 members in 9 months 

• Net profit $19,171 YTD 

• MOTION to accept the financial report as written - Motion carried 

3:44 Executive Director’s Message Lyon Moore, Executive Director 

• CE Genius app for Contact hours now available, with discount to ANA members 

• Legislative Action Center allows ANA-MI to see call to actions, tracks and monitor bills 

• 98% growth since 2014, retention rate 71% 

• Value Pricing Pilot participation – standardizes membership options for members 

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• Nurses on Boards Coalition- ANA-MI is the lead state contact, goal is 10,000 nurses on 

boards nationally by 2020 

• Thanked members for letting her serve them 

3:53 Greetings from the MI Student Nursing Students Association Corrie, MNSA President 

• Andrea Corrie, MNSA President, brought greetings from MNSA and acknowledged two 

other MNSA board members in attendance 

• Presented goals for MNSA to achieve 

• Thanked Jeanette Klemczak and Carole Stacy for their support 

• Thanked ANA-MI members for welcoming them 

3:58 2017 Proposed Bylaws Amendments 

• Presented to membership August 25, 2017; no comments received. Proposed Bylaws 

Amendments in Book of Reports pages 51-57. 

MOTION to adopt proposed Bylaws amendment # 1 per Bylaws Committee Carried 

MOTION to adopt proposed Bylaws amendment # 2 per Lynne Harris/ MaryLee Pakieser, 

2nd Carried 

MOTION to amend Bylaws amendment # 3 per Julia Stocker-Schneider/Margaret Flatt 

“All proposed amendments shall be referred to the Bylaws Committee for study and be 

submitted to the Recording Secretary of ANA-Michigan at least 60 days before the date of 

Annual Assembly or the Board of Directors meeting, and shall be appended to the call for the 

meeting. The Bylaws may be amended at any Assembly meeting by 2/3 vote of the Members 

present and voting. Technical changes may be amended by ¾ vote of the current members of 

the Board of Directors. Carried 

MOTION to adopt proposed Bylaws amendment # 4 per Bylaws Committee Carried 

ANA Bylaws as amended be adopted, motion adopted at 4:48pm 

4:49 ANA-MI Governance Structure and Future Positioning Taft, President 

• The ANA-Michigan Board of Directors convened a Governance Task Force (GTF) in early 

2017 and adopted the recommendations of the GTF to pursue modernization of association 

structure to best serve our membership and association. 

• Brief presentation on “Engaging from the Outside In – Governance Restructuring and 

Positioning for the Future” 

• Overview of Strategic Planning exploring varied models of governance in ANA 

MOTION that the Board create a Restructuring and Bylaws Revision Task Force to bring a 

proposed governance structure and proposed Bylaws to the 2018 Membership Assembly per 

Julia Stocker-Schneider/S. Keep 2nd Carried 

5:07 Memberships Comment and Open Forum 

• No Comments 

5:08 Recognition of Outgoing Board Members Taft, President 

• Nancy Martin - Treasurer 

• Lisbeth Votruba - Region 2 President & Board Liaison (not present at meeting) 

• Mary Zugcic - Region 7 Board Liaison 

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5:10 Teller’s Report Pakieser, Nominations Chair 

• MaryLee Pakieser, Nominations Chair, thanked her committee and asked them to stand and 

be recognized. 

• 1697 ballots sent out. Election certified; 9.54% of members voted 

• Election results, with introduction of the following: 

Recording Secretary: Bridget Leonard 

 

 

Treasurer: Stacy Slater 

ANA Membership Assembly Representative: Julie Stocker 

• 1st Alternate: Lisbeth Votruba 

• 2nd Alternate: Nancy Martin 

• 3rd Alternate: Karen Brown-Fackler 

5:12 Adjournment and Announcements Taft, President 

Mission 

Advancing the nursing profession in Michigan. 

Vision 

ANA-Michigan is a vital community of professional nurses in Michigan. Together, we are the experts in 

nursing practice. Our strength is our solution-focused thought leadership, our long-term view of the 

nursing profession in a dynamic healthcare environment, and our impact on quality care and patient safety. 

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Operating Revenues: 


FINANCIAL STATEMENTS 

September 30, 2018 Financial Summary for ANA-Michigan 

Membership Dues: With us being nine (9) months into the fiscal year, we are currently ahead of 

budget in membership dues by $12,789.89 then what was projected. 

Non-Dues Revenue: We are behind budget by $4,160 but expect to make up for this before the 

fiscal year end, as we have one quarter payment yet to receive for the print publication, two payments 

from the career center and in October we will receive NSO $3,000 royalty payment. A donation in the 

amount of $1,000 was received from Arthur Davis Publication Scholarship fund to be applied to our 

awards program. 

Conference: With early registration ending September 28th and exhibitor and sponsorship deadline 

of October 5th, we will see the final conference revenue coming in October financial statements. 

Operating Expenses: 

The Associations’ expenses are over budget, but it is because of purchases made in Q1 and Q2 that 

will be used for revenue that will be realized later in the year. In addition, ANA-Michigan pays their 

affiliation membership dues and purchases most of the marketing items at the beginning of the year. 

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. 

Accounting: over budget by $648. ANA-Michigan was required to file a 990 long form rather than 

the 990EZ due to the level of income ANA-Michigan had in 2017. The fee included an audit of controls 

and 2017 expenditures. 

Dues and Subscriptions: over budget by $1,143 as we had an increase of payroll deduct membership 

dues that have been collected in 2018 compared to prior years. Once we collect payroll deduct dues 

we process a payment to ANA for their portion of the dues. 

Printing and Copying: over budget by $536 due to the increase in marketing of membership materials 

and increase of communication coming from the Association. 

Technology Hosting: over budget by $3,061 due to achieving (scanning) documents into electronic 

records. 

Net Profit: 

The Association closed the month with a net loss of $673.46. 

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PRESIDENT’S REPORT 

Linda Taft, RN – President 

As I reflect on my two years as ANA-Michigan President, I’m humbled yet proud of 

all we’ve accomplished. More importantly, I’m excited about our future! Along with 

our Board of Directors, Councils and Committees, Regional leadership and all of our 

members, we have made great progress in putting ANA-Michigan on the map. We’re 

over 2200 members strong and growing, from 1700 members at this time last year! 

Although we have been in the midst of ongoing restructuring of our association, we 

have continued to innovate, educate, network and convene in meeting the needs of our 

members. We’ve leveraged our social media presence, virtual meeting capabilities and other strategies to 

be relevant and responsive to our membership. 

We will continue to build on those strategies to facilitate interactions on a variety of levels, with development 

of partnerships and programming to build both our skills and knowledge for valuable and meaningful 

engagement with nurses and our communities. 

2017-2018 ANA-Michigan Highlights: 

• Hosted our first virtual Candidate Forum for our four President Elect Candidates. All who participated, 

candidates and members alike, voiced positive commentary on the process and we hope to expand 

our audience in the future. Plans to hold member forums related to our proposed Bylaws changes 

will also be held in this format prior to the Annual Assembly in October. 

• Formalized a Memorandum of Understanding with the Michigan Nursing Student Association 

(MNSA) for continued support of their association, providing meeting space, conference support 

and mentorship through Jeanette Klemczak, our liaison to the MNSA Board. 

• Launched a media-based Membership Campaign, #ChangingNursing, highlighting our members 

and their perspectives on the value of ANA-Michigan membership. 

• Worked with the Michigan Department of Licensing and Regulatory Affairs (LARA) in the successful 

launch of the new Michigan Professional Licensing User System (MiPLUS) platform for healthcare 

license renewal and other services by keeping our members informed and up-to-date as the process 

unfolded. 

• Provided valuable feedback and commentary to the Board of Nursing and LARA related to proposed 

changes in the Administrative Rules for Nursing (ARN). Initial ARN changes were approved by the 

Board of Nursing, with a new opening of the ARN for follow up revisions in a secondary process 

that is ongoing. 

• Hosted the Coalition of Michigan Organizations of Nursing (COMON) quarterly meetings. Continued 

support of this vital nursing coalition and its initiatives is critical to the voice of Nursing. 

• Supported Public Policy Council member Susan Wiers in attending the ANA American Nurses 

Advocacy Institute (ANAI), an intensive three-day program to immerse participants in advocacy 

activities and training. Only 24 ANA members nationally are selected to attend the ANAI annually, 

and we have been fortunate to have several members selected to attend ANAI in the past as well. 

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These are only a few of the wonderful highlights of the past year. Throughout this Annual Book of Reports, 

you will find many more examples of the accomplishments of ANA-Michigan on behalf of its members and 

we are proud to share them with you. 

I want to thank you again for the honor and privilege to serve as your President these past two years. I’ve 

made so many dear friends, widened my perspectives, forged new partnerships and relationships – learning 

much along the way and cherished for always. As a bedside nurse my entire career, I truly appreciate the 

opportunity to help shape the future of ANA-Michigan. I look forward to watching us continue to lead and 

innovate as the premier Nursing association in Michigan! 

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EXECUTIVE DIRECTOR’S REPORT 

Tobi Lyon Moore, MBA, CAE, CFRE 

“Life is a series of natural and spontaneous changes. Don’t resist them-that 

only creates sorrow. Let reality be reality. Let things flow naturally forward.”— 

Lao Tzu 

2018 was a year that brought many changes to ANA-Michigan. On January 1, 2018, 

ANA-Michigan signed a three-year contract with Ngage Association Management 

that brought additional staff and resources in finance, marketing, communication and 

administrative support services. 

ANA-Michigan partnered with NSO to offer professional lability insurance to Michigan Nurses. For over 

40 years, Nurses Service Organization (NSO) has been helping defend RNs, nurse practitioners, LPN/ 

LVNs, CNSs, nursing aids and student nurses from medical malpractice lawsuits. Over 550,000 nursing 

professionals safeguard their careers with professional liability insurance through NSO. 

This fall, ANA-Michigan launched a membership campaign with seven (7) members to better promote 

and brand the association and the value that membership brings to nursing. This campaign has been 

spotlighted on the national level and will be submitted for a Membership Award from the Michigan Society 

of Association Executives. Thank you to all the members who participated by providing testimonials and 

were a part of this success. 

The way members engage is changing, and ANA-Michigan changed the way we communicated with 

our members by holding virtual forums related to the President-Elect candidates and participating in 

bylaw hearings. Over 235 members listened to the forum, and this technology permitted us to record the 

candidate forum, allowing members to be able to replay the forum before they voted. Because of this new 

process, this year’s elections resulted in the highest voting in Association history. 

This year, the Public Policy Council drafted three position statements that were board approved: Safe 

Nursing Staffing to Improve Quality of Care; Enhanced Nurse Licensure Compact and Medication Aides in 

Long Term Care and Skilling Nursing Care Facilities. Thank you to all the members who worked tirelessly 

to create these positions! ANA has spotlighted both our Enhanced Nurse Licensure Compact and Staff 

Nursing Staffing to Improve Quality of Care. 

To extend ANA-Michigan organization’s reach and influence, we enhanced our awards celebration. By 

recognizing excellence in nursing or simply saying ‘thanks,’ awards are a creative way to bring everyone 

together for an evening of feel-good fun. In addition to giving awards, we wanted to facilitate additional 

networking to the Association’s one-day conference and annual meeting. The opportunity to meet others 

in the nursing sector shows an increase in member participating and ensures attendees will be willing to 

attend subsequent events. Networking remains one of the top ten reasons that members join associations. 

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

pilot.” Membership growth... 54.0%. Yes 54.0% growth since March 1, 2017! We ended September 

2018 with 2,229 members. ANA-Michigan is seeing a 2.4% average monthly growth in membership. 

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 

state-only 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 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. Retention rates are significantly higher as well. During the June 2019 ANA Membership Assembly, 

members will be voting on whether to make the pilot permanent or discontinue this type of dues structure. 

ANA-Michigan current governance structure caters to less than 4% of our membership; the ability to 

reach and increase our engagement for the entire membership has been the goal of the board for the past 

two years. The hours of research and listening to the 96% of our membership is what has brought about 

six (6) of the nine (9) 2018 proposed bylaw amendments. 

Personally, I’m excited about the possibility that ANA-Michigan can offer organizational affiliate membership 

following the outcome of proposed amendment #4. ANA and numerous other states have been doing this 

for years. ANA-Michigan is referred to being the “convener of conversations” here in Michigan. Allowing 

this option will better position ANA-Michigan to fulfill our commitment of being that go-to convener. 

By working together with other specialty and healthcare associations, we can collaborate in finding 

solutions to issues that face the nursing profession, regardless of specialty. We must continue to push 

ANA-Michigan’s vision of all registered nurses as a powerful, unified force in engaging consumers and 

transforming health and health care. Our ability to achieve that vision is significantly strengthened by the 

knowledge and experience our affiliates bring; from contributing to our publications to sharing specialized 

knowledge at meetings and events. While each organization maintains its autonomy, the nursing profession 

and the patients we serve benefit from a shared voice that speaks on health care issues from a position of 

unrivalled experience and expertise. 

What do I see coming in 2019? 

• I see new education programing provided in three different geographic areas across Michigan. 

• The ability to provide a leadership institute to promote the continuation of professional nursing 

growth in the state. 

• The ability to be collaborative, nimble and efficacious in our grassroots engagement strategies. 

• No longer functioning in region silos. 

• Enhancing our structure to better support our members. 

It’s an amazing time to be a nurse in Michigan, and even bigger and better things are on the horizon. 

Thank you for continuing to support ANA-Michigan and the nursing profession. 

“It’s amazing. Life changes very quickly, in a very positive way, if you let it.”—Lindsey Vonn 

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MEMBERSHIP 

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MEMBERSHIP 

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MEMBERSHIP 

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PUBLIC POLICY COUNCIL 

Jeanette Klemczak, BN, MSN, RN, FAAN, Chair 

2018 Goals 

• Finalize and disseminate ANA-MI Legislative Bill Tracker Tool 

• Identify nursing and healthcare issues requiring policy, legislative or regulatory 

advocacy 

• Prepare and recommend ANA-MI positions on proposed or introduced legislative 

bills for Board action 

• Review the ANA-MI Policy Platform for updates and relevancy to organizational 

vision, mission and priorities 

Council Members and Region 

• MaryLee Pakieser (2), Linda Buck (3), Katherine Moran (3), Sally Decker (4), Kristen Munyan (7), 

Christine Saltzberg (7), Katie Kessler (At-Large), Susan Wiers (At-Large), Katherine Balint (At-Large), 

Crystal Frazer (At-Large), Jeanette Klemczak (6), Council Chair. 

Outcomes 

• Public Policy Council met for eleven (11) regular monthly meetings and four (4) special task force work 

sessions. The August meeting was cancelled due to the Candidate Forum. 

Additional ANA-MI members were recruited for the MI Board of Nursing Administrative Rules 

revision review task. This provided more member engagement. 

Regions were asked to provide the Council with priority advocacy issues to inform the agenda. 

Region 2 recommended development of an ANA-MI position statement on safe nurse staffing. 

Other regions suggested work on the opioid crisis. 

A candidate for the 2018 ANA Advocacy Institute was recruited and successfully recommended to 

the Board. 

Participated in collaborative sponsorship and planning for the Annual Advocacy Day with the MI 

Organization of Nurse Leaders. 

• Position Statements Developed by the Council and Approved by the Board: 

ANA-MI Position on Safe Nurse Staffing to Improve Quality of Care 

ANA-MI Position on the Enhanced Nurse Licensure Compact 

ANA-MI Position Statement on Medication Aides in Long Term Care and Skilled Nursing Care 

Facilities (submitted for Board approval at the September Board meeting). 

• Regulatory Reform Responses (MI Department of Licensing and Regulatory Affairs): 

ANA-MI Recommendations on the MI Board of Nursing Administrative Rules Revision 

ANA-MI Response to Proposed Midwifery Rules to establish the MI Board of Midwifery. 

• This year has yielded some good results from the organization’s advocacy efforts toward a recognized 

nursing voice and visibility. External organizations such as MiDLARA, the Michigan State Medical 

Society, as well legislators have approached ANA-MI to request review and comment regarding the 

organization’s views and perspectives in advance of their own positions. 

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Next Steps 

ANA-MI PPC has primarily focused in a reactive mode to issues, legislative bills and regulations. The 

organization has grown and developed in its advocacy to the point of developing a proactive advocacy 

agenda on issues important to its members. 

One proactive advocacy need that is becoming apparent is that of “title protection” for nurses. 

The term “nurse” is used by individuals or on behalf of individuals who are not qualified by education or 

licensure to use the title. Michigan is one of only 10 states without title protection for registered nurses. 

It is incumbent for the well-being and safety of Michigan residents, as well as the nursing profession, that 

title protection is enacted in our state. This will require an active strategy and strong advocacy action both 

inside the profession, as well as by affected professional and consumer organizations. 

Appreciation 

Appreciation is expressed to the active members of the Council for their competent and tireless work both 

during and between meetings. We also recognize the wisdom and wise counsel offered by the ANA-MI 

Government and Legislative Senior Advisor, Monika Miner. The support of Tobi Lyon Moore and her entire 

team is deeply appreciated. 

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GOVERNMENT & LEGISLATIVE REPORT 

(as of September 4, 2018) 

Monika Miner, Consultant 

Michigan Board of Nursing Rules: 

The Michigan Board of Nursing is in the process of making additional revisions to the 

administrative rules that recently went into effect. The proposed changes include various 

revisions to nursing education. To view the proposed rule revisions, please visit: http:// 

dmbinternet.state.mi.us/DMB/ORRDocs/ORR/1814_2018-033LR_orr-draft.pdf 

Michigan Board of Midwifery Rules: 

The purpose of the Board of Midwifery Rules is to regulate the pre-licensure education, 

licensure, practice, conduct and classification of conditions, licensure renewal, relicensure, and continuing 

education for licensed midwives. Part 171 of the Public Health Code, MCL 333.17101 through MCL 

333.17123, effective April 4, 2017, established the formation of the Board of Midwifery and required the 

Board to enact rules within 24 months after the effective date of Part 171. To view the proposed rules, 

please visit: http://dmbinternet.state.mi.us/DMB/ORRDocs/ORR/1812_2018-031LR_orr-draft.pdf 

Pending Legislation: 

CRNA/CAA Regulation: 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. The bill had a testimony only hearing House Health Policy 

committee in September 2017. 

CRNA Scope of Practice: Senator Kowall has re-introduced legislation that would allow CRNAs to practice 

without physician supervision. SB 550 requires a CRNA to collaboratively participate in a patient care team 

that is defined as a group of health care professionals, including but not limited to a physician or a podiatrist, 

who directly or indirectly care for a patient by each contributing his or her specialized knowledge, skill, 

and experience to the patient. The bill was referred to the Senate Michigan Competitiveness Committee. 

Enhanced Nurse Licensure Compact (eNLC): Rep. Whiteford, RN, has introduced HB 4938, which would 

join Michigan with 26 other states participating in the NLC to allow an RN to obtain a multi-state license 

and have privileges to practice in any other NLC state. The bill was referred to the House Health Policy 

committee. 

30


ER Personnel Protection: SB 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 bill would include in the definition emergency room personnel, including 

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: 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. 

To date, there has been a hearing only in committee. 

Community Paramedic: 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 Ratios: The bill package is as follows: 

HB 4629/SB 387: Three yrs. after the effective date or four 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 five yrs., and annually thereafter. The hospital 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. and includes the ratios. 

HB 4630/SB 388: Fines hospitals that force overtime. If an RN works 12 hours, they must have eight 

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. 

31


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. 

Sexual Assault Prevention: A bi-partisan 18-bill package was introduced in the House of Representatives 

that aims to prevent sexual assault. While many of the bills apply to K-12 and institutions of higher education, 

some apply to health professionals. For example, HB 5783 requires a licensed health professional to 

expressly state in a medical record if a procedure performed on a patient was invasive a licensee must keep 

and maintain a patient record for 15 years. This provision does not apply to a service that primarily relates 

to a patients gastrointestinal, urological, reproductive, gynecological or sexual health or if it is performed 

for rectally administering a drug or medicine or for measuring temperature. It also provides penalties 

for violations. In addition, the bill requires the Boards of Medicine, Osteopathic Medicine, Chiropractic, 

Athletic Trainers and Physical Therapists to create a guidance document for licensees on generally accepted 

standards of medical practice for medical services involving invasive procedures other than those that deal 

with a patient’s gastrointestinal, urological, reproductive, gynecological or sexual health, or if its performed 

for the purpose of rectally administering a drug or medicine or for measuring temperature. 

HB 5793: requires a licensee or a registrant that performs a medical treatment, procedure or exam on a 

minor that involves an invasive procedure to meet all of the following: 

• Must be within the scope of practice of the licensee or registrant’s health profession 

• There must be a medical assistant, licensee or registrant in the room during the medical treatment, 

procedure or exam that is being performed unless the person providing consent waives this requirement. 

• The licensee or registrant must obtain written consent from a parent, guardian, etc. prior to the 

medical treatment, procedure or exam is given to the minor (only requires one consent form if 

repeated more than once within 6 months). Emergencies, sexual assault exams, and treatment as 

it primarily relates to a patient’s gastrointestinal, urological, reproductive, gynecological or sexual 

health are exempt, as are procedures performed for the purpose of rectally administering a drug or 

medicine or for measuring temperature. 

• The bill also provides penalties for violations. 

• Requires the department to create a standard consent form. 

Medication Aides: Representative Ben Fredrick has introduced HB 6037, a bill that would recognize 

medication aides in the Public Health Code. The legislation defines a medication aide as someone who 

administers routine medication other than controlled substances or injectable forms of medication to 

residents of a nursing home or a skilled nursing facility under the supervision of an RN or LPN. A medication 

aide is prohibited from administering an initial dose of medication to a patient. A medication aide must 

first be registered and have practiced as a nurse aide, and must take a competency test upon completion 

of a state approved medication aide program. The bill has been referred to the Health Policy Committee. 

Certified Nurse Aides: 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 is now law; Public Act 172 

of 2017 (Effective: 2/19/2018). 

32


NURSING RESEARCH AND 

EVIDENCE-BASED PRACTICE COUNCIL 

Members 

Region Member Term 

Chair Lisbeth Votruba 2018 

Region 2 Anne Kreft 2019 

Region 2 Vacant 

Region 3 Kristy Todd 2018 

Region 3 Julie Bulson 2019 

Region 4 Molly Stapish 2019 

Region 4 Shawn Roberson 2018 

Region 6 Kathy Dontje 2018 

Region 6 Vacant 

Region 7 Jannifer McLean 2019 

Region 7 Shereen Patten 2018 

At-Large Nadine Wodwaski 2019 

Lisbeth Votruba, 

MSN, RN, Chair 

This year the Research and EBP has strong representation from every active region in Michigan. The work 

of the council has been focused on poster presentations for the fall meeting. In the spring, the council 

reviewed and revised the timeline and call for abstracts. Over the summer everyone was especially engaged 

in using their own professional networks to recruit poster presenters. They were very gratified to receive 

17 poster abstracts this year. The council is looking forward to reviewing the posters and interviewing the 

presenters during the conference on October 26, 2018. 

33


ADMINISTRATION AND 

EDUCATION COUNCIL 

2018 Goals 

• Participate in the National and Statewide Nurses on Boards Coalition (NOBC) 

relevant to organizational vision, mission and priorities 

• Develop and disseminate a survey to RNs in MI regarding the current Board 

positions and interest in becoming members of various boards 

• Compile data and determine how to support the NOBC initiative 

Council Members and Region 

• Chair—Nancy Martin 

• Region 2—Tim LaGasse 

• Region 3—Jean Barry 

• Region 4—Tara Neeb and Rachel Peltier 

• Region 6—Carole Stacy 

• Region 7—Leslie Spencer and Peggy Kearney 

• At-Large—Katie Kessler 

Nancy C. Martin, 

DNP, RN, Chair 

Outcomes 

• The council met for monthly meetings except for August 

• Multiple states were contacted regarding the survey sent out to ANA state members and RNs 

• A survey was developed to distribute to ANA-MI members 

• Results were compiled indicating current Board membership and desire to become members of 

additional Boards 

• National data was compiled and distributed 

• Results of the surveys were discussed by Council members re: relevance and usefulness of the 

survey data 

• Data needs to be sorted in a more structured presentation to determine usefulness in determining 

how it should be used to support the NOBC effort 

Next Steps 

• ANA-MI needs to determine if there is enough statewide membership interest and support for the 

NOBC initiative. 

• ANA-MI needs to determine the relevance of this project based on the quality of the data, the 

way in which it is organized and the process for compiling and distributing the information to the 

members. 

• ANA-MI needs to develop a process and procedure to assist and support RNs who are interested in 

serving on Boards. 

Appreciation 

Appreciation is expressed to the active members of the Council for their participation in this project. 

The support of Tobi Lyon Moore and her entire team is deeply appreciated. 

34


REGION REPORTS 

Northern Michigan—Region 2 

Myrna Holland, MSN, RN, President Region 2 

Meeting/Event Schedule for 2018: 

• January 11- “Climate Change: Health Impacts, Solutions and Role of Healthcare 

Professionals” 23 attendees (1 via REMEC) 

• February 13- “Civility and the Voice of Nursing” (13 attendees/ 2 via REMEC) 

• March 8, “Gun Violence is a Public Health Issue” (12 attendees) 

• April 20, Co-sponsor of 3rd Annual Ethics Conference-“Substance Use Disorders,” 

7 Contact Hours; attended by over 180 healthcare professionals from across the state. 

• May 10, “The Year of Advocacy,” Nurses Week Dinner meeting (24 attendees) 

• June 12, “Defining Hope” free public screening. (32 attendees) 

• August 14, “Nursing Salon” (15 attendees) 

• September 13, “Long Term Recovery Is Possible” to be presented by NAMI 

• October 9, “Chronic Care Management” scheduled 

• November 8, TBD 

Board meetings are held 1.5 hours prior to program meetings in a local restaurant. 

Officers: 

Elections in August for 2019-20 terms. 

Treasurer – Karen Paulosky 

Board Liaison – no nominees, Lynne Harris to be reappointed. 

Public Policy – Jeanine Easterday 

Excellence in Practice – Traci Moore 

Educ/Adm – no nominees 

Research/Evidence Based Practice – Maria Andriyakhova 

Accomplishments/Goals: 

Region 2 membership has increased 36% from June 2017 to June 2018 

(52 members). Have sent welcome notes to new members and have done 

some follow up with canceled members. Are exploring ways to be more 

consistent in follow up and do better analysis of our information. Have 

brought two recent graduates onto our board. Have promoted 

nurses and nursing in the region through regular contributions 

to the ANA-Michigan print newsletter, (seven articles in last four 

issues) and nomination of members for state awards. Offered 

free public screening of “Defining Hope.” Will continue to 

look for opportunities to link the association with addressing 

community health issues. 

35



Grand Rapids/Muskegon—Region 3 

Suzanne Keep, PhD, RN, President Region 3 

Officers: 

• President/Board Liaison—Suzanne Keep 

• Secretary—Beth Van Dam 

• Treasurer—Julie Bulson 

• Public Policy—Kathy Moran and Linda Buck 

• Research & Evidence-Based Practice—Kristy Todd and Julie Bulson 

• Nursing Excellence in Practice—Naomi Ervin 

• Education & Administration—Jean Barry 

Meeting/Event Schedule for 2018: 

• February 20, 2018, “How Nurses Can Promote Health in our Community” presenter Kathy Moran 

RN, DNP, CDE 

• Tuesday, May 8, 2018, “What you can do about Workplace Violence” presenters Dave VanderArk 

RN, NP (psych NP at MHSM) and Carrie Mull RN PMU, MHSM nurse manager 

• October 16, 2018, “Infant Mortality and the Opioid Crisis” presented by Joann Hoganson RN 

36



East-Central—Region 4 

Karen Brown-Fackler, EdD, RN, CNL, CNE, NEA-BC, President Region 4 

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

Theta Chi (SVSU’s chapter of Sigma Theta Tau), and students nurses from Delta, SVSU, 

and Davenport met four times over the last year to network, collaborate, obtain CE on 

topic of interest, and to mentor/welcome students into our profession. The following is 

a list of the programs, topics, and attendance: 

October 11, 2017, Dinner meeting at Bay Valley Resort in Bay City, MI. 

CE topic: DNP Project presentations by Tammy Hill, DNP, RN, FNP, 

Lindsey Elias, DNP, RN, FNP, and Cynthia Hupert, DNP, RN 

Attendance: 14 nurses and 39 students 

December 4, 2017, Dinner meeting at Bay Valley Resort in Bay City, MI. 

CE topic: DNP Project presentations by Marcie Welker, DNP, RN, FNP, Tara Neeb, DNP, RN, and 

Smriti Pant, DNP, RN, FNP 


February 7, 2018, Dinner meeting at Bay Valley Resort in Bay City, MI. 

CE topic: Pain Management Using Pain Scales by Rebecca Toth, DNP, RN, FNP 


April 12, 2018, Dinner meeting at Bay Valley Resort in Bay City, MI 

CE topic: Human Trafficking by Diane Baumgartner, RN 


For the upcoming year, Region 4 officers include: 

• President—Karen Brown-Fackler 

• Treasurer—Peggy Ursuy 

• Secretary—TBD 

• ANA-MI Board Liaison—Peggy Ursuy 

• ANA-MI Nominations—Sally Decker 

• Research and Evidence Based Practice Council—Molly Stapish 

• Public Policy Council—Sally Decker 

• Nursing Excellence in Practice Council—TBD 

• Nursing Administration and Education Council—TBD 

We are looking for members who would be interested in 

serving in positions and hope to recruit some new officers. 

37



Lansing—Region 6 

Katherine Dontje, PhD, FNP-BC, FAANP, President Region 6 

Officers 2018: 

• President/Board Liaison—Katherine Dontje 

• Treasurer/Secretary—Debra Nault 

• Nominating Committee—Kris Allen 

• Public Policy—Jeanette Klemczak 

• Research and Evidence Based Practice—Katherine Dontje 

• Administration and Education—Carole Stacy 

• Nursing Excellence in Practice—Vacant 

Elections were held in August 2018 the following will be taking office for 2019 

• President/Board Liaison—Katherine Dontje 

• Treasurer/Secretary—Debra Nault 

• Nominating Committee—Jeanette Klemczak 

• Public Policy—Jeannie Lacopetti 

• Research and Evidence Based Practice—Sara Smid 

• Administration and Education—Mathew McDonell 

• Nursing Excellence in Practice—Linda Keilman 

Region Six had an event on April 24th, 2018 where there was a showing of the movie Defining Hope with 

over 50 people who attended the event. In addition to the movie we had two speakers that discussed issues 

related to end of life. Members brought in personal hygiene items that were taken to a local women’s shelter. 

Presently work is being done on developing some educational offerings for the Lansing area. 

38



Detroit - Region 7 

Angela Brelinski, RN, President Region 7 

Meeting/Events held this year: 

• October 26-27, 2017, The ANA-Michigan Annual Assembly and Conference in Plymouth, MI, was 

well attended by Region 7 Officers and Members. Region 7 was pleased to also provide sponsorship 

for four nursing students from Region 7 to attend. 

• Thursday December 7, 2017, “Pain Management” Presented by Dr. Julia M. Libcke, DNP, RN, CRRN, 

NEA-BC, 1.0 Free Continuing Education Contact Hour provided. 

• Thursday, February 1, 2018, “Overview of Dementia” Presented by Mary T. Johnson, RN, MSN, 1.0 

Free Continuing Education Contact Hour provided. 

• Thursday, April 5, 2018, Screening of “Defining Hope,” 1.25 Free Continuing Education Contact 

Hours provided. 

• Thursday June 5, 2018, “Human Trafficking” Presented by Dr. Danielle Bastien, 1.0 Continuing 

Education Contact Hour provided. 

Scheduled Board meetings were held immediately prior to educational programs and are open to all 

Region 7 members. 

Region 7 was also pleased to be able to sponsor the Keynote Speaker Luncheon at the Michigan Nursing 

Students Association Annual Convention held January 26-27, 2018. 

ANA-Michigan Region 7 Officers and Council Members 

President Angela Brelinski 2017-2019 

Treasurer Erin Savela 2016-2018 

Secretary Tracey Connolly 2017-2019 

Board Liaison Edith English 2017-2019 

Nominating Committee Joan Bickes 2017-2019 

Public Policy Kristen Munyan 2017-2019 

Christine Saltzberg 2016-2018 

Research and Evidence-Based Practice Jannifer McLean 2017-2019 

Shereen Patten 2017-2018 

Nursing Excellence in Practice Susan Lowry Maher 2017-2019 

Vera Cigan 2016-2018 

Education and Administration Peggy Kearney 2017-2019 

Leslie Spencer 2016-2018 

39


2018 ANA HILL DAY & MEMBERSHIP ASSEMBLY 

ANA Membership Assembly Representatives 

Linda Taft, Carole Stacy and Julia Stocker-Schneider 

Wednesday, June 20, 2018 

Linda Taft and Tobi Moore attended 

the Open Session of the ANA Board 

of Directors Meeting. The opportunity 

to observe the ANA Board at work is 

appreciated and a valuable experience 

in the tremendous work the ANA Board, 

ANA Enterprise executives and team 

provide for the membership. 

Thursday, June 21, 2018 

Our 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) 

and proposed Registered Nurse Safe 

Staffing Act. Hill Day participants were 

also encouraged to speak to their 

representatives about funding gun 

violence research by the Centers for Disease Control and Prevention (CDC), current immigration 

issues regarding the separation of migrant families and children, the growing incidence of workplace 

violence, and the importance of inclusion of APRN as providers for medication assisted treatment 

(MAT) for substance use disorders in the opioid crisis. Our group, Linda Taft, Julia Stocker-Schneider, 

MaryLee Pakieser and Tobi Moore, met with staff for Senators Stabenow and Peters, Representatives 

Levin, Bergman, and Bishop. Additionally, we had the opportunity to observe a session of the House 

of Representatives, courtesy of Representative Fred Upton. More than 300 nurses from 45 states 

participated in Hill Day activities. 

40


Friday, June 22, 2018 

Opening Session of the Membership Assembly was held. The Membership Assembly is comprised of 

representatives from ANA’s constituent and state nurses associations, the Individual Member Division, 

and specialty nursing organizational affiliates as well as the ANA Board of Directors. Annual updates 

and reports were presented, and attendees participated in three dialogue forums: Secondary Opioid 

Exposure Considerations in Caring for Patients with Overdose; ANA Presidential Endorsement Process; 

and An Ethics Debate: The Right to Die. 

Evening events included the Candidate Forum and the Midwest Region meeting, followed by the ANA 

PAC Reception at The Whittemore House of the Women’s National Democratic Club and Museum. 

Linda Taft, Carole Stacy, Julia Stocker-Schneider, MaryLee Pakieser and Tobi Moore attended the ANA 

PAC Reception. 

Saturday, June 23, 2018 

Voting for various ANA positions took place Saturday morning. Ernest Grant, PhD, RN, FAAN, of the 

North Carolina Nurses Association was elected as the association’s next president and is the first male 

to lead ANA. His term, as well as the other newly elected Board of Directors At Large members, will 

begin January 1, 2019. 

New ANA Enterprise Chief Executive Officer Loressa Cole, DNP, MBA, RN, NEA-BC, FACHE addressed 

the Membership Assembly for the first time as well. A Policy Café was held to discuss a variety of 

healthcare and nursing topics. By acclamation, the Membership Assembly endorsed an updated ANA 

board statement on the Administration’s practice of separating children from families at the United 

States border. 

Thank you for the opportunity to represent ANA-Michigan! 

41


COALITION OF MICHIGAN ORGANIZATIONS 

OF NURSING (COMON) 

Annual Report to ANA-Michigan 

October 26, 2018 

Linda Taft, RN 

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. The Accela based Michigan Professional Licensing User System 

(MiPLUS) platform for healthcare license renewal and other services was successfully launched. 

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. 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 approved. Additional clarifications and corrections were sent to the 

Joint Committee on Administrative Rules (JCAR) for review and are awaiting approval. 

COMON Goals 

• 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 

42


2018 LEADERSHIP ELECTIONS 

ANA-Michigan membership will be electing the office of President-elect, term serving November 2018 

through 2020 and then transitioning to President for a two-year term in 2020. 

Election results will be announced during the Annual Membership Meeting on Friday, October 26, 2018 

in Rochester, 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 (Chair), Jeanine Easterday, Sally Decker, Kris Allen and Joan 

Bickes. 

Margaret M. Calarco 

BSN, MSN, Ph.D., NEA-BC 

PLYMOUTH, MI – Region 8 

Current Position: Director for Clinical Innovation, University of Michigan School of 

Nursing 

“The issues facing our profession continue to be the need to create and sustain safe 

and empowering practice environments which enable professional nurses to flourish 

and practice at the top of their license and education. The growing threat of increasing violence in the 

work setting, the opioid epidemic, and professional bum-out are very real threats to our profession 

internally. Externally, health care and health care reform have never been more fragmented and tenuous. 

Our communities are yearning for better ways to prevent illness, maintain health and navigate their health 

and illness care successfully and in sustainable ways. The prevention of illness, the maintenance of health 

and the coordination of care have always been the hallmarks of nursing science so there is no better time 

than now to come together as professional nurses, joining our communities to co-create new models of 

health care. For much of our history we have practiced in the shadow of others and this is the time to 

demonstrate the significant impact of nursing care and health care to society. 

“During the last 20 years of my career, I have focused on bringing thousands of professional nurses 

together to cocreate a strong and empowered professional practice environment, by engaging our patients, 

families, and colleagues in all the processes we created. This work was done within our organization and 

influenced the nursing profession at-large through our nurses’ practice and scholarship. I am now seeking 

to serve the nursing profession in a much broader and more impactful way by serving as the President- 

Elect. In this role, I am confident that I can join the other leaders of ANA-Michigan and most importantly 

the members to co-create innovative models of caring for and developing each other, as well as, joining 

the diverse communities we serve to co-create better and more sustainable models of health care.” 

43


What activities are you currently involved with or have been in the past related to ANA or ANA- 

Michigan? (including Region or Council involvement) 

I have been a member of the ANA since I graduated in 1978 but have not been involved in any specific 

ANA committees. When the Washtenaw-Livingston-Monroe District Nurses Association existed, I was a 

member of the Board of Directors and was the Chair of the MNA Cabinet on Administration and Education 

and an MNA delegate in the early to mid-1990’s. 

What other professional organizations are you involved in? 

I am actively involved in the Rho Chapter of Sigma Theta Tau International, serving as the President-Elect, 

President, and Past-President from 2013 to 2017. I have also held positions on the Educational Committee 

for the American Association of Nurse Executives (AONE) from 2013 to 2015. I have held Board positions 

on the University of Michigan Health System Board, the Washtenaw Community Health Organization 

(WCHO) Board and the Michigan Visiting Nurses Association’s Board, serving as the Chair from 2003 to 

2007. 

What other elected or appointed offices and community activities have you been involved in 

that would be relevant to this position? 

My elected positions are noted above. I recently had the privilege of serving as the Chief Nurse Executive 

of the University of Michigan Health System for the past 17 years, leading a professional community of 

over 6000 Registered Nurses. I retired from that position in December 2017 and will begin a new role at 

the University of Michigan, School of Nursing to bring nurses together to co-create innovative models of 

health care. These experiences provide an important foundation for leading the profession into our future. 

Katherine Dontje 

Ph.D., RN, FNP-BC, FAANP 

BATH, MI – Region 6 

Current Position: Associate Professor, Michigan State University 

“A key issue facing nursing is safe staffing ratios. Solutions including developing 

flexible staffing ratios based on patient acuity to innovative ideas focused on 

reimbursement for nursing services. I would work with stakeholders to support the 

best solution for Michigan. Defining, protecting and advancing the scope of practice for all nurses in 

Michigan’s restrictive practice environment is another key issue. I would address this through legislative 

and regulatory means. Membership growth is essential. I would work with the organization to explore 

ways to engage and grow membership through strategies such as educational offerings and topic focuses 

task forces.” 

“ANA-Michigan’s mission is to advance the nursing profession in Michigan. I am passionate about the 

role of nursing and the importance of supporting and expanding the scope of nursing practice. Nurses 

are the key to providing high-quality care for all individuals in Michigan. In order to do that we need 

a strong nursing organization to support the profession of nursing. My background and experience in 

health systems, outpatient clinics and academia provide me with the tools necessary to serve and provide 

leadership to the organization. I hope you will support my candidacy for President-Elect of ANA-Michigan.” 

44




• Region Six President and Board Liaison 

• Member of the Evidence-Based Practice Council 

• Past Treasurer of Region Six 


• Sigma Theta Tau Alpha Psi Chapter 

• American Association of Nurse Practitioners 

• Michigan Council of Nurse Practitioners 

• National Organization of Nurse Practitioner Faculty 

• Midwest Nursing Research Society 

• American Nurses Association 



• Past President of the Alpha Psi Chapter of Sigma Theta Tau 

• I serve on several subcommittees for the NON-PF at the national level 

• Past chair of the Shared Decision-Making Sig within MNRS 

• Past President of the local chapter of Michigan Council of Nurse Practitioners 

Matthew M. McDonell 

RN, BSN, MSN, FNP-C 

LANSING, MI – Region 6 

Current Position: Lead APP Sparrow Emergency Department, ER Fellowship 

Director, Emergency Physician Medical Group 

“I think the greatest issue facing the ANA and Nurse Practitioner Education Programs 

are exclusive online for-profit NP programs. I feel these programs do not prepare 

Nurse Practitioners for the working environment and the programs need to be evaluated and critiqued 

more to ensure we are having properly educated Nurse Practitioner graduates. Today’s Nurse Practitioners 

must be educated to practice medicine on top of the licensure.” 

“I feel I am best suited to serve as President-Elect because I am heavily involved with the education of 

Nurses and Nurse Practitioners who rotate through the Emergency Department. I am also a Lead Advanced 

Practice Provider for EPMG’s Sparrow Campus as well as part of the Leadership and Management Forum. 

In addition to the Lead APP position, I am also the Fellowship Director for new graduate APPs who wish 

to pursue a career in Emergency Medicine. I lead the APPs in education and training to practice at the top 

of the license.” 



I have not had much involvement with the ANA, however, I have had involvement with the ANCC. I have 

been elected for a volunteer position for an expert panel reviewer for their NP certification exam. I am a 

reviewer and a question composer for the exam. 

45



Michigan Council of Nurse Practitioners 



I have volunteered for the Michigan Special Olympics Medical Team in the past as well as being the APP 

Medical Education Coordinator for Sparrow Hospital Emergency Department. 

Julia Stocker Schneider 

Ph.D., RN, CNL 

Pinckney, MI – Region 8 

Current Position: Associate Professor & Coordinator, Health Systems Management & 

Clinical Nurse Leader Programs, University of Detroit Mercy 

“Continued membership expansion and engagement is important for ANA-Ml, as 

the association strive to be more visible and more relevant to nurses throughout 

Michigan. Strategies to attract nurses of all generations should be continued, and the restructuring plan 

that will allow new ways for nurses to engage and be active in ANA-Ml should be embraced. It is through 

member engagement that the work of the association is best accomplished. This will allow us to strengthen 

our presence as the professional voice for nursing in Michigan and allow us to coordinate that voice with 

other nursing and interprofessional stakeholders statewide.” 

“I have gained much from my involvement in ANA-MI and would like other nurses to benefit from 

the opportunities for networking, advocacy, and leadership development. I would like to use the 

leadership skills I have gained to help lead ANA-Ml in continued growth, presence, and influence 

in the state. I have past association leadership experience and have grown over the years in my 

knowledge of governance and advocacy. I can apply the knowledge and skills that I teach related to 

quality improvement as we strive together to make our Association stronger. I would be honored to 

serve as President-Elect of ANA-MI.” 

What activities are you currently involved with or have been in the past related to ANA or 

ANA-Michigan? (including Region or Council involvement) 

• ANA MI Membership Representative to ANA (2017-2019) 

• Attended ANA Member Assembly 2017 as an Election Observer for Marylee Pakieser in her campaign 

for ANA Board of Directors 

• Appointed Member of Registered Nurse Association in Michigan (RN-AIM) Steering Committee for 

affiliation with ANA (2011) (RN-AIM became ANA-MI after ANA affiliation when finalized) 

• RN-AIM Board Member from Cyber Region (2006-07) 

• Steering Committee Member and Founding Member of RN-AIM (2005-06) 


• Recently appointed by the Commission on Nurse Certification (CNC) as Item Writer for the Clinical 

Nurse Leader (CNL) Exam 

• Member Clinical Nurse Leader Association (CNLA) 

• Reviewer and member of the Editorial Board for Home Healthcare Now (formerly Home Healthcare 

Nurse) 

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I served as delegate to ANA House of Delegates for over 12 years. I served on the Michigan Nurses 

Association (MNA) Board of Directors as Secretary and Vice-President in the early 2000s. I served as 

Reference Committee Chair and member for MNA, and served on the Strategic Planning Committee. I 

was also involved in regions/districts in the Kalamazoo and Ann Arbor areas. I provided testimony for ANA 

to a Congressional Subcommittee regarding funding for nursing education and research. 

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Michigan 2018 Annual Report

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