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First, let me say, Austin is HOT. Goodness, the heat index is high here and I’m pretty sure the temperature went over 100 today! Still I was lucky today, no flight delays and everything smooth. That is always a toss up if I am changing planes in Dallas, but today it seemed to go quick and easy.

The House of Delegates convened tonight from 7 to 9. The first order of business is always adoption of the agenda. It was during this time that it was explained that the item of business on the agenda titled “Blueprint for Great Governance” would actually be the resolutions committee report. Speaker Bonnie Monico stated she wanted to do the resolutions in the order of #1, #3 and then #2. The rationale for this was that the delegates from the Southeast and from Nebraska had not yet arrived. Since Resolution #2 originated with the folks from the Southeast Region, it was felt that proceeding with #2 wouldn’t be fair without that delegate present to speak to it. The maker of any resolution always has the floor first on any issue. This particular delegate did arrive about 7:15, however, the agenda was already approved by then. After the meeting, I did ask if there was a possibility that it would change back to the original order now that the delegate would be present tomorrow for the discussion, however, I don’t see that happening. I believe there is a desire to reply to some of the concerns about the plan and doing resolution #3 first gives that opportunity. Of course, if resolution #3 passes, there is no need to even discuss #2.

Do We Have a Trust Issue?

In the Speaker’s address, she attempted to put on the table what seems to be an unspoken issue of trust in leadership. She asked the question “Do you believe the HOD exists to keep the board in check?” This actually started out to look like it might be a good discussion. Trust of leadership is a huge issue in any organization. One point I thought was good was from a Florida delegate who said she didn’t feel distrust, however, she felt that significant things like bylaws changes shouldn’t be done by a small group like a board of directors, who may not have the time to get direct member input like delegates would. Another delegate brought up hearing that once someone goes to serve on a national level, they abandon their grassroots groups, chapters or states. This frankly sort of derailed the entire discussion about trust. It became more of a discussion about how directors ARE involved in their local components, as well as a discussion about the limited time all volunteers have. One board member did suggest that part of the issue is that once you get on the national level, you “see things differently.” I hope the meaning there was that you simply have information that the general membership doesn’t have and maybe doesn’t even want to deal with. Being the word people we are, one challenge would be that part of the issue IS maintaining the vision of the membership. The option never actually came to the gallery to speak on this issue of trust and after an hour of discussion, a delegate requested that they move on. I think that was actually a good thing.

I did have an opportunity to speak with the Speaker later in the evening. One thing I have shared with her is that I do think the issue of trust needs to be put on the table. I also think that sometimes what perpetuates that is there are times when members ask questions, ask for clarification, or even disagree with leadership and they are told “What’s wrong with you? Don’t you trust your leaders? After all, you elected us.” While I’d like to say this issue of trust is a new one, it really isn’t. It’s been the big unspoken question for most of the time I have been involved in AHDI. What it really comes down to is talking about the perceived or real disconnect between leadership and the general membership. Does it exist? And if there’s a disconnect, and if it is related to a different fund of knowledge, then how do we get that information to everyone? Only by being on the same page can we really move forward.

Membership Numbers

One thing that came up tonight is that the association now has 15,725 members. I did ask on Facebook earlier how many were Associate Members through subscription to the Knowledge Base, and that number was again reported tonight as 10,273. If you subscribe to the Benchmark Knowledge Base product, it comes with associate membership in the association, both for those who have this through an employer and the students who get it as a part of their school program. For some of those with this membership, it is simply because their employer purchased the KB for their use. While it does represent a huge number of potential members to be recruited to professional membership, it also begs the question of how membership in the individual professional category could be stable as reported in recent webinars. At some point not too long ago, I thought we had around 6,000 to 7,000 in the individual professional category. Since, as I understand it, the total number includes all membership categories, that would appear that our categories of members who pay their dues simply for membership is only about 33% of the entire membership. I did also hear reported tonight that students make up 30% of the association’s membership, some in associate student and some in regular student membership. Tomorrow may shed more light on this. There has been some discussion about how to recruit those KB members to full membership and it would appear to offer an opportunity for that. As membership is one of the four initiatives, this would certainly be a good group to start with in recruiting efforts. It would also seem that this needs serious consideration if a dues increase is proposed. Would that mean the KB subscription also increases? Or would the increase only fall to those “regular” members? Lots to think about there!

Resolution #1
Resolution #1 did come before the House tonight. There was a lot of discussion about the value of credentialing, about the impact of credentialing on other professions, etc. A few clarifications were made to the resolution. It is not meant to cover “anyone” who touches health information, only those who have the ability to change or create it, and really boils down to the roles that an MT would have. It also is not a resolution that creates legislation. While that could be an outcome down the road, it’s about impacting the way those outside of our profession view credentialing. It was also pointed out that, with less than 3,000 CMTs total, it’s pretty hard to get employers to require it because there simply aren’t enough CMTs to get the job done.

One thing that came up was the idea that emergent resolutions, no matter what they are, really do not give delegates or anyone the opportunity to really discuss the issues with their membership and receive their feedback. This brought a response from AHDI CEO, Peter Preziosi, who told delegates that THEY are the leaders and if they don’t see the value that MTs bring to the table without having to ask their membership, then we have bigger problems. While I could see his point there, his reference to people “creating emergent resolutions in secret that want to undermine (not sure that was the right word) what others are doing” was, in my opinion, really not called for. It is true that the authors of Resolution #2 did it confidentially until they were sure they had the support to submit it. In doing that, it became an issue of the speaker, as leader of the HOD, feeling blindsided, not something anyone wants to feel in leadership. I’ve been in that role, both as the Speaker of the HOD and as AHDI president, in the past and it’s never a good feeling if you are “left out of the loop” for something significant being presented. I also know that the maker of the resolution wrote an explanation, apologizing for any perceived ill will on the part of those who signed it. It was simply a group attempting to see if there were others who felt the same. We will never all agree, and if we cannot do so with mutual respect, we will always struggle internally.

In the end, resolution #1 was called for a vote and passed unanimously, with 31 delegates voting. I hope there will be some kind of routine reports back to the membership about what is being done on this so we can all see the results of this activity.

At this point, the House was recessed, to be reconvened tomorrow morning at 11 a.m. Tomorrow will be interesting discussion related to the BGG and how we move forward.

The Meetings After the Meeting

Of course, in any meeting, some of the real conversation comes in the “meeting after the meeting.” I see people who are supporting the idea of moving forward with the BGG now. I also see many who are saying let’s see more of a plan first. In reality, with the changes made when the resolution was finally written, all it does now is establish a leadership board and dissolve the House of Delegates. The idea of districts is one that it says we will move forward with, however, it also clearly says the state/regionals and local components will continue to exist, and continue to maintain their separate treasuries. My question on this one is then how do we fund districts? The answer I did get when I asked this was that the district structure will be figured out with the “transition year,” all we’re doing now is establishing the leadership board.

How will tomorrow go? I think it’s anybody’s guess. Is this House ready to dissolve itself? And does the membership want input into that? Is the membership ready to turn over the decision making related to member issues to a body of 13 instead of 35? With the resolution only published three days ago and indeed changing from what had been discussed in the webinars, I’m not sure. In the end, I’m frankly not sure that the plan is a bad one. I do still believe, however, that we haven’t given delegates the time to really get input from the membership. In a membership organization, that could be a dangerous move if we truly want engaged members. I do hear several people saying that. No matter which way it goes, until we really address issues of trust and communication, I am afraid we will continue to spin the same wheels again and again. I hope I’m wrong about that, I really do. At some point for survival of the organization, there needs to be a unified purpose that people can get behind.

Be sure to watch for updates from me on Twitter throughout the day and a recap post here in the evenings. I do see your comments during the day and will look forward to them. So, back to you! Do we have a trust issue? What speaks to you in the happenings of the evening so far?

Related posts:

  1. AHDI Releases Resolutions for House of Delegates
  2. AHDI Meeting Wrap Up
  3. Countdown to AHDI Meeting
  4. AHDI Meeting Update
  5. AHDI Meeting is This Week

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