If you are an AHDI member, you may or may not be aware of the upcoming decisions related to governance structure in our association. I had the opportunity to attend a webinar this week about the “Blueprint for Great Governance,” or BGG as it is referred to. As you may know, if you live in a state that has a State/Regional Association, or if you are a member of the Online Association of AHDI, you have a delegate who is elected to represent you in decisions made in the House of Delegates that impact members. What struck me last night is that, other than the webinars being offered by our national leadership, I really don’t see much discussion happening within the general membership about this. The changes are significant, and yet it does not appear that the information is really getting out to the grassroots members as it could for input. So, perhaps we can have some discussion here.

Let me be really clear here. I am not in association leadership this year. This isn’t an “official” AHDI communication. It is simply one member’s attempt to get some discussion going so that informed decisions can be made!

One of the things that this document addresses is that most members really don’t care about governance issues. I agree with that point. Not too many are interested in bylaws and policies and procedures. What I DO think members are interested in, and frankly MTs in general, is a way to continue their education and remain relevant in the healthcare documentation industry. You can read the BGG document here.

One thing that was discussed is whether our membership numbers are dropping. The response was that no, the actual “practitioner” category of membership has stayed pretty steady over the last few years. What IS increasing is the number of “members” we can now count because of the Benchmark Knowledge Base product. Each of those subscriptions comes with an associate membership to AHDI. The hope here was always, again, that we could convert those members to active practitioner members, however, it does not appear that has happened.

One question relates to finances of the changes. Dues would all be collected in one place (perhaps through AHDI). Would that result in a dues increase? No one really has that answer right now. A question that may be raised is whether all of those associate members through the KB will have the benefit of changes paid for with a dues increase to the practitioner. It just isn’t worked out yet.

What this proposes is that we create a “district” structure, where we have six districts across the US and Canada. Within that, the district will elect a board of governors, who will be the leaders for that district. The State/Regional associations and local components, or chapters, will then be under the guidance of that district. The House of Delegates will be dissolved (although, nobody really wants to use that word, still I’m a believer in calling it what it is), and each district will now have a seat on the national board of directors. The idea here is that it will streamline volunteer opportunities and make a better use of resources. The State/Regional associations and local chapter can continue to meet as they always have, although their funds will now be handled by the board of governors for the district. Last night’s meeting also made it clear that the states and local chapters will need to function around one of four main areas–membership, credentialing, education, and advocacy. It appears that many of our components are already doing this, however, based on the reports last night, some are not. There would be no officers per se of the states or local chapters, however, each “community” would now have a leader. This would avoid recycling of leaders, who may then get burned out. I think it is important to note here that the association often sees the same people running for office over and over; at the same time, it is important to note, as someone did at last night’s meeting, that sometimes those volunteers run again because they have a passion for what they do, not because they are “the only one” who can do it. Both are true, I believe.

The House of Delegates is expected to vote on this change in less than two weeks at the meeting in Austin. One question I did pose last night is when we would actually see the resolution they will be voting on as it has not been published yet. HOD policies do say that resolutions should be submitted no less than three weeks prior to the seating of the House, although they also allow for resolutions to be brought forward at the time. One charge to our delegates is to “Familiarize the members of the component association with the issues on
which action is expected, and solicit the opinion(s) of the members on these issues so that the viewpoint of the constituents may be adequately considered during the deliberations of the HOD.” Two weeks does not seem a very long time for any delegate to make this happen if they do not have the actual report yet.

I don’t know how regions will work. Some states now struggle to get attendance at their meetings. What happens when that meeting is now two states away? Will people still show up? I think some will, however, some may not be able to attend.

Another question that was posed was what happens to the “local only” members in the local chapters. The “local only” membership means that you can belong to a local chapter without holding membership in the national association. When it was created, it gave chapters a way to allow someone who was not a national AHDI member a way to get folks engaged. The intent, of course, was always that it would then attract those people to join the national association once they had a taste of what the association was all about. Clearly, with these changes, this category will go away. I must say I had mixed reactions to allowing this in the first place. It felt like we were “giving away” something that should be reserved to members of the national organization. Still, it was an idea that was passed by the House of  Delegates based on membership input. I wonder if the House will now reverse itself on this one.

The timeline, as explained on the webinar, is that the House will vote on whether to move forward with this structure in August. If the vote is to move forward, the appropriate bylaws changes will be made and the actual vote on those bylaws changes, which will enact the change, will then happen in November. It is anticipated that perhaps this will become effective in January.

This year may very well be the last year our association has a House of Delegates. I leave it to you whether that is a good thing or a bad thing. What I think is yet to be seen is whether we will continue to have state/regional associations and local chapters. It would appear with this new structure that, while there may be local “groups” or “communities,” the notion of an actual organization in our local areas will soon be seen as redundant and disappear. What we will have, in the end, may be one national organization, divided into six districts, with multiple committees across the country.

My reason for posting here is that I just haven’t seen much real discussion about these changes and I hope we can have some here. Are you an AHDI member? Are you aware of these proposed changes? And what are your thoughts? I look forward to our discussion!

Related posts:

  1. AHDI Releases Resolutions for House of Delegates
  2. AHDI Meeting: House of Delegates, Day One
  3. Countdown to AHDI Meeting
  4. AHDI Meeting Update
  5. AHDI Meeting Wrap Up

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