These are exciting times for AHDI and all of our industry professionals. As many of you know, we had an eventful ACE this year in Austin. The House of Delegates moved forward with some amazing resolutions to make our association, and our industry as a whole, more purposeful and relevant to its members and the clinical documentation industry.
A resolution was passed unanimously by the HOD, supporting the requirement of a credentialed workforce in healthcare documentation. As we have said many times in the past, we prove our value to the industry by proving it to ourselves first - by obtaining and maintaining the RMT or CMT credential to indicate our education and experience in the allied healthcare arena.
Perhaps our most talked-about initiative was to create two steering committess to outline the restructuring of AHDI as we move into the future of healthcare in America. With so many changes in healthcare as a whole, the reform movement reaches us as we decide how our professional association can best serve its members and the documentation industry.
A steering committee was formed to work on bylaws, policies and procedures, and a timeline for restructuring the organization. As we evolve, so must our professional association, and dedicated members have volunteered to review the current structure and work on how that structure can be changed to involve more members, promote important initiatives, and provide timely communication and information to its members. This committee has already begun holding bi-weekly meetings. In the interest and spirit of transparency, these meetings are open to any member who wants to attend in the gallery, to see how we restructure the organization to better meet member needs.
The second steering committee is charged with outlining how we work on the four most important initiatives of our association - credentialing, member development, advocacy, and continuing education. This committee is also holding open bi-weekly meetings so that members can be involved and see how we progress as we develop programs and initiatives to help components and individual members work with the national organization to promote these important endeavors.
For more information, you can visit http://www.ahdionline.org/ and find out when the meetings are being held, and stay informed about these exciting and important changes.
AHDI has been instrumental to me throughout my career and I am honored to be a part of the current progress. There are a few hard-working individuals who continue to make this association relevant to all of its members, and I would encourage all of you to find out how you can become involved - we can all contribute our expertise and know-how in the spirit of cooperation to ensure our place in the future of healthcare documentation.
Aside from the initiatives noted above that began at ACE, keep in mind that AHDI is also active on a daily basis in Washington, DC, helping to shape healthcare reform. Advocacy is such an important part of what we do, and there are many ways you and your local component can help in that effort. AHDI has detailed information on what you can do to be a part of this by writing letters or speaking with your representatives about how important the narrative is in creating a patient's story.
In that regard, there is also the important work being done with The Health Story Project. You can read about that at http://www.healthstory.com/ and find out how tireless work is being done to ensure patient safety and how the narrative story is a vital part of EHR/EMR implementation.
This is only the tip of the iceberg when it comes to what your association is working on - so for those who say "What can AHDI do for me?" I would answer: "Become informed and find out how much AHDI is already doing for you, and what the future holds." As our theme for 2010 ACE in Austin stated, "No Limits" is the answer! Join the effort and feel the satisfaction of being a vital part of these efforts!
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Thursday, September 9, 2010
Saturday, March 6, 2010
Moving into the Future!
We are traveling to Shreveport, LA in a couple of weeks to meet with the Louisiana members and hopefully Arkansas members that can attend the Louisiana Symposium. We will be discussing the formation of a regional association and hope to include Oklahoma members, as well, to form a south central regional association of AHDI. If you want to be a part of these exciting times for our region, visit the website at www.la-ahdi.org and make plans to attend! As we become more and more global in every way, we all seem to feel a regional association will give us strength, provide more opportunities for leadership, and include everyone in making the organization better...stay tuned for more details!
Monday, January 25, 2010
Moving Forward in 2010
Happy 2010, everyone! We are continuing to make progress in the southern sector. Texas, Louisiana, and Arkansas are working together to discuss formation of a regional association of AHDI so that our states can work together to increase membership, advocacy, involvement, and leadership opportunities. We are definitely living in a global world, and I believe we all see the benefit in including area partners to work on AHDI initiatives and help each other move into the future of our organization.
You may or may not know that AHDI-West is hosting a conference and advocacy day entitled "Phoenix Rising!" in April. I think we can all benefit from joining this dynamic group of individuals who are taking the lead on action and advocacy. Their event will be April 15-17, 2010 in Phoenix. Please visit their website at www.ahdi-west.org to get more information. I am planning to attend, and hope that many of you will, as well.
I'll be posting more as we go through the process of regional association discussions, so stay tuned.
You may or may not know that AHDI-West is hosting a conference and advocacy day entitled "Phoenix Rising!" in April. I think we can all benefit from joining this dynamic group of individuals who are taking the lead on action and advocacy. Their event will be April 15-17, 2010 in Phoenix. Please visit their website at www.ahdi-west.org to get more information. I am planning to attend, and hope that many of you will, as well.
I'll be posting more as we go through the process of regional association discussions, so stay tuned.
Tuesday, October 20, 2009
For the Record articles, October 12, 2009
Most of those reading these posts are involved in transcription and editing of medical records, but the challenges facing coders and administrators are very applicable to the challenges in our field, as well. It is my hope that all of you are AHDI members, actively involved in the future of our industry - if not - please consider adding your expertise by joining and helping in this effort. Also, if you are not an AHIMA member, I would urge you to join that organization as well, to keep up with how solutions are being found.
Today, I received the current edition of For the Record, a magazine produced for the health information industry. Just at first glance, there is an article on AHIMA's recent grant from the Office of the National Coordinator for Health Information Technology - a $1.2 million grant provided for a one-year study to improve and implement health information exchange. This definitely applies to the transcription/editing industry, and shows what can be accomplished when we all work together for a common goal, and how our current Administration is serious about assisting with the effort.
Another article by Lindsey Getz discusses how computer-assisted coding helps with processing records and claims, how 1 out of 4 coders now work from remote locations, but how they are still vital in the process (CAC - It Still Needs the Human Touch) and I am sure that our industry can relate to that, with all of the changes in our own part of the process of producing quality medical records for individuals.
It seems that lately, transcriptionists and editors feel they are being pushed aside, so it is important to educate ourselves on how every part of the healthcare documentation process is being affected, usually in very similar ways, and how individuals in our industry are solving problems and having conversations about how we get to an EHR that is useful and practical, how those of us with expertise in the field can be involved and provide meaningful solutions. Even if you are not a coder or healthcare administrator, articles such as these are helpful in understanding the big picture, and how all facets of this industry are embracing change and finding new ways to provide quality to all patients.
Today, I received the current edition of For the Record, a magazine produced for the health information industry. Just at first glance, there is an article on AHIMA's recent grant from the Office of the National Coordinator for Health Information Technology - a $1.2 million grant provided for a one-year study to improve and implement health information exchange. This definitely applies to the transcription/editing industry, and shows what can be accomplished when we all work together for a common goal, and how our current Administration is serious about assisting with the effort.
Another article by Lindsey Getz discusses how computer-assisted coding helps with processing records and claims, how 1 out of 4 coders now work from remote locations, but how they are still vital in the process (CAC - It Still Needs the Human Touch) and I am sure that our industry can relate to that, with all of the changes in our own part of the process of producing quality medical records for individuals.
It seems that lately, transcriptionists and editors feel they are being pushed aside, so it is important to educate ourselves on how every part of the healthcare documentation process is being affected, usually in very similar ways, and how individuals in our industry are solving problems and having conversations about how we get to an EHR that is useful and practical, how those of us with expertise in the field can be involved and provide meaningful solutions. Even if you are not a coder or healthcare administrator, articles such as these are helpful in understanding the big picture, and how all facets of this industry are embracing change and finding new ways to provide quality to all patients.
Thursday, October 15, 2009
Texas AHDI news 10-09-09
Friday, October 9, 2009 – Meeting with Don Carr and Meet & Greet
Advocacy on the Move in Texas Continues!
Texas members continued to benefit from Peter Preziosi’s visit here last week in Dallas. On Friday, we met with Don Carr, RHIA, Manager of Transcription for Texas Health Presbyterian Hospital. Visiting Don were Peter, myself, Diana Anderson, Cindy Liesenfelt, and Jerry Shoemaker. We initially talked about the organizations name change to AHDI and the reasoning behind it, recognizing the changing roles in healthcare documentation delivery, and why we are healthcare documentation specialists, encompassing all of the emerging technologies in the system. We also explained how the House of Delegates reinforces the contributions we make to healthcare delivery, the integrity of the patient record, and ethical considerations that must be addressed on an ongoing basis.
Peter presented Don with a recent study of errors occurring in records compiled using new technologies. Don mentioned that this was part of what he wanted to address in his presentation the next day at the Greater Dallas Chapter’s annual symposium. We gave Don information on the new Speech Recognition Technology training developed in conjunction with 3M and TRS Institute, and how this can help increase production and reduce errors. The program is not specific to any particular platform, but rather gives an overview of how SRT Editors manage the production of reports. For more information on that program, feel free to visit http://www.trsinstitute.com/store/speech_rec.shtml. It is a $450.00 course, but reduced to $395.00 for AHDI members. If you do not yet have experience with SRT, it would be well worth the investment!
On the subject of credentialing, Don Carr agreed with us that education and credentialing are key to going forward in our industry. We talked about being the only part of the healthcare delivery process that does not yet require a credentialed workforce, and how that fact continues to perpetuate the theory, in some peoples’ opinions, that we are not “professionals” and do not bring enough knowledge and expertise to the table in this ongoing EHR process. Don agrees that if we can continue to commit to lifelong learning, as all other healthcare professionals do, and move toward required credentialing, we will have a better stake in the changes and decisions to come.
We went on to discuss the Joint Commission’s coalition of 18 healthcare systems who are involved in studying and improving patient safety. The first problem they identified as a patient safety risk was hand hygiene (or lack thereof) and the second was the hand-off communication between professionals and facilities. As we already know, inaccurate or untimely communication is a serious patient care risk, and discussions are being held to improve this across the entire healthcare spectrum. If you would like to read more about these findings, please visit http://www.jointcommission.org/AccreditationPrograms/LaboratoryServices/Standards/09_FAQs/NPSG/Communication/NPSG.02.05.01/hand_off_communications.htm and read the questions and answers from December 2008. As Peter said in the meeting, “Even among hospital systems, the practices, demands, and workloads differ, so the Joint Commission is setting up standards” in cooperation with the participating facilities.
Dictation Best Practices was also discussed, and Don said that they often have success in actually taking sample dictation to difficult dictators, asking them to listen to their own dictation. He said that they often have physicians who did not realize how difficult it was to hear them or how unclear their dictation could be. Don said that this works well for them, and he feels it is important for administrators and even healthcare documentation specialists to be able to approach physicians with these problems, to clarify and streamline the documentation process. We also discussed the importance of narrative notes in patient records, and having a specialist involved in the process. The Health Story Project was reviewed and the efforts to incorporate that narrative, how to approach it, and how to standardize reports across the system. If you are not familiar with The Health Story Project, please take a few moments to visit http://www.healthstory.com and become familiar with what is going on with that endeavor.
We also discussed issues regarding HL7, quality control issues with outsourcing and offshore practices, preparing the changes that ICD-10 will bring involving a greater level of specificity. There was a great discussion regarding KB Benchmark, how AHDI partnered with Stedman’s and InterFix to produce this program that helps provide greater value and productivity, and less errors in clinical documentation. Peter offered an explanation of our movement toward the credentialing process and the potential advent of a third level of expertise in our field, in accordance with RMT and CMT certification, which could possibly add a Health Data Analyst role, adding data integrity specialists to the list of current healthcare documentation roles. As you can see, this was an extremely productive meeting, and Don Carr was very receptive and in agreement with AHDI’s initiatives and goals for the future.
Later that evening, we hosted a Meet and Greet event, where everyone was invited to come and meet Peter and have an open discussion on pending issues and ask any questions they may have had. While the turnout was smaller than we had hoped for, it was productive, nonetheless. Many great questions were asked and Peter, Laura Bryan, and myself were able to discuss the above mentioned issues as well as others that were raised by attendees. The event went very well, and we enjoyed the informal nature of a general discussion among healthcare documentation specialists and representatives from local, state, and national representatives.
Check back soon for information on the Greater Dallas Chapter’s symposium on Saturday, October 10th, and learn how a round-table type presentation energized the attendees and gained focus for AHDI initiatives and goals. AHDI is continuing to have meetings like the one described here, and the one the previous day with John Wood of Senator Cornyn’s office, to ensure that our future in healthcare documentation is bright, secure, and recognized across the healthcare spectrum. As we move toward more education and credentialing requirements, we are sure to show our value in the healthcare delivery process, and we all need to stand up and speak out, continue our education, and continue to gain more visibility for our expertise and backgrounds. Look for more information soon!
Cynthia C. Alder, CMT
Texas AHDI President, 2009-2010
AHDI Ethics Committee Member, 2009
AHDI Compliance Outreach Council, 2009
Advocacy on the Move in Texas Continues!
Texas members continued to benefit from Peter Preziosi’s visit here last week in Dallas. On Friday, we met with Don Carr, RHIA, Manager of Transcription for Texas Health Presbyterian Hospital. Visiting Don were Peter, myself, Diana Anderson, Cindy Liesenfelt, and Jerry Shoemaker. We initially talked about the organizations name change to AHDI and the reasoning behind it, recognizing the changing roles in healthcare documentation delivery, and why we are healthcare documentation specialists, encompassing all of the emerging technologies in the system. We also explained how the House of Delegates reinforces the contributions we make to healthcare delivery, the integrity of the patient record, and ethical considerations that must be addressed on an ongoing basis.
Peter presented Don with a recent study of errors occurring in records compiled using new technologies. Don mentioned that this was part of what he wanted to address in his presentation the next day at the Greater Dallas Chapter’s annual symposium. We gave Don information on the new Speech Recognition Technology training developed in conjunction with 3M and TRS Institute, and how this can help increase production and reduce errors. The program is not specific to any particular platform, but rather gives an overview of how SRT Editors manage the production of reports. For more information on that program, feel free to visit http://www.trsinstitute.com/store/speech_rec.shtml. It is a $450.00 course, but reduced to $395.00 for AHDI members. If you do not yet have experience with SRT, it would be well worth the investment!
On the subject of credentialing, Don Carr agreed with us that education and credentialing are key to going forward in our industry. We talked about being the only part of the healthcare delivery process that does not yet require a credentialed workforce, and how that fact continues to perpetuate the theory, in some peoples’ opinions, that we are not “professionals” and do not bring enough knowledge and expertise to the table in this ongoing EHR process. Don agrees that if we can continue to commit to lifelong learning, as all other healthcare professionals do, and move toward required credentialing, we will have a better stake in the changes and decisions to come.
We went on to discuss the Joint Commission’s coalition of 18 healthcare systems who are involved in studying and improving patient safety. The first problem they identified as a patient safety risk was hand hygiene (or lack thereof) and the second was the hand-off communication between professionals and facilities. As we already know, inaccurate or untimely communication is a serious patient care risk, and discussions are being held to improve this across the entire healthcare spectrum. If you would like to read more about these findings, please visit http://www.jointcommission.org/AccreditationPrograms/LaboratoryServices/Standards/09_FAQs/NPSG/Communication/NPSG.02.05.01/hand_off_communications.htm and read the questions and answers from December 2008. As Peter said in the meeting, “Even among hospital systems, the practices, demands, and workloads differ, so the Joint Commission is setting up standards” in cooperation with the participating facilities.
Dictation Best Practices was also discussed, and Don said that they often have success in actually taking sample dictation to difficult dictators, asking them to listen to their own dictation. He said that they often have physicians who did not realize how difficult it was to hear them or how unclear their dictation could be. Don said that this works well for them, and he feels it is important for administrators and even healthcare documentation specialists to be able to approach physicians with these problems, to clarify and streamline the documentation process. We also discussed the importance of narrative notes in patient records, and having a specialist involved in the process. The Health Story Project was reviewed and the efforts to incorporate that narrative, how to approach it, and how to standardize reports across the system. If you are not familiar with The Health Story Project, please take a few moments to visit http://www.healthstory.com and become familiar with what is going on with that endeavor.
We also discussed issues regarding HL7, quality control issues with outsourcing and offshore practices, preparing the changes that ICD-10 will bring involving a greater level of specificity. There was a great discussion regarding KB Benchmark, how AHDI partnered with Stedman’s and InterFix to produce this program that helps provide greater value and productivity, and less errors in clinical documentation. Peter offered an explanation of our movement toward the credentialing process and the potential advent of a third level of expertise in our field, in accordance with RMT and CMT certification, which could possibly add a Health Data Analyst role, adding data integrity specialists to the list of current healthcare documentation roles. As you can see, this was an extremely productive meeting, and Don Carr was very receptive and in agreement with AHDI’s initiatives and goals for the future.
Later that evening, we hosted a Meet and Greet event, where everyone was invited to come and meet Peter and have an open discussion on pending issues and ask any questions they may have had. While the turnout was smaller than we had hoped for, it was productive, nonetheless. Many great questions were asked and Peter, Laura Bryan, and myself were able to discuss the above mentioned issues as well as others that were raised by attendees. The event went very well, and we enjoyed the informal nature of a general discussion among healthcare documentation specialists and representatives from local, state, and national representatives.
Check back soon for information on the Greater Dallas Chapter’s symposium on Saturday, October 10th, and learn how a round-table type presentation energized the attendees and gained focus for AHDI initiatives and goals. AHDI is continuing to have meetings like the one described here, and the one the previous day with John Wood of Senator Cornyn’s office, to ensure that our future in healthcare documentation is bright, secure, and recognized across the healthcare spectrum. As we move toward more education and credentialing requirements, we are sure to show our value in the healthcare delivery process, and we all need to stand up and speak out, continue our education, and continue to gain more visibility for our expertise and backgrounds. Look for more information soon!
Cynthia C. Alder, CMT
Texas AHDI President, 2009-2010
AHDI Ethics Committee Member, 2009
AHDI Compliance Outreach Council, 2009
Texas AHDI news 10-08-09
Texas-AHDI recently had the privilege of having Peter Preziosi in Texas this week. Today, Peter, myself, and Laura Bryan met with John C. Wood, North Texas Regional Director for Senator John Cornyn (R) of Texas. We were able to discuss with Mr. Wood the initiatives in our industry and the importance of bringing AHDI and MTIA to the table in the current discussions regarding the current Administration’s healthcare initiatives. I am happy to report that Mr. Wood was very receptive to our ideas and said that he would be happy to take our concerns and suggestions to the Senator. We are already well represented in Washington, DC by Peter and Greg Doggett, and it was beneficial for all of us to know that by speaking out and bringing our concerns to our legislators, we can make a difference. Knowing that, consider attending Lobby Day in Washington, DC next year – every voice counts, and our legislators are happy to listen!
We discussed the importance of the healthcare documentation specialist in the overall framework of a patient’s healthcare record. Mr. Wood listened to our concerns and agreed that we have a vital role in the ongoing process of the advent of the electronic health record. Tomorrow, Peter and I will be going to Texas Health Resources Presbyterian Hospital of Dallas to meet with their HIM Director, Don Carr, and thanks to the wonderful efforts of Jerry Shoemaker, President of the Greater Fort Worth Chapter, Cindy Liesenfelt, President of the Greater Dallas Chapter, and Diana Anderson, President-Elect of the Greater Dallas Chapter, Peter will be interviewed by a local news reporter after our meeting with the HIM Director of Texas Health Presbyterian Hospital of Dallas. We are excited about the momentum that seems to be sweeping Texas and all of the nation, and are grateful to everyone who continues to make that happen.
We will be attending the Greater Dallas Chapter of AHDI’s symposium on Saturday, and plan to have an extended round-table discussion among local MTs about current initiatives, and what our national representatives are doing to make sure we are at the forefront of clinical documentation.
I will be happy to keep you posted over the coming days about our initiatives here in Texas, and we hope that it gives everyone renewed vigor to get our message out there, to ensure the continued integrity of the patient health record and our role in that effort. We look forward to seeing all of you at the ACE event in Austin in 2010 – August 4th through 7th. We really do things bigger in Texas, and we hope the spirit here is contagious!!
Cynthia C. Alder, CMT
President, Texas AHDI 2009-2010
Member, AHDI Ethics Committee 2009
Member, AHDI Compliance Outreach Council 2009
We discussed the importance of the healthcare documentation specialist in the overall framework of a patient’s healthcare record. Mr. Wood listened to our concerns and agreed that we have a vital role in the ongoing process of the advent of the electronic health record. Tomorrow, Peter and I will be going to Texas Health Resources Presbyterian Hospital of Dallas to meet with their HIM Director, Don Carr, and thanks to the wonderful efforts of Jerry Shoemaker, President of the Greater Fort Worth Chapter, Cindy Liesenfelt, President of the Greater Dallas Chapter, and Diana Anderson, President-Elect of the Greater Dallas Chapter, Peter will be interviewed by a local news reporter after our meeting with the HIM Director of Texas Health Presbyterian Hospital of Dallas. We are excited about the momentum that seems to be sweeping Texas and all of the nation, and are grateful to everyone who continues to make that happen.
We will be attending the Greater Dallas Chapter of AHDI’s symposium on Saturday, and plan to have an extended round-table discussion among local MTs about current initiatives, and what our national representatives are doing to make sure we are at the forefront of clinical documentation.
I will be happy to keep you posted over the coming days about our initiatives here in Texas, and we hope that it gives everyone renewed vigor to get our message out there, to ensure the continued integrity of the patient health record and our role in that effort. We look forward to seeing all of you at the ACE event in Austin in 2010 – August 4th through 7th. We really do things bigger in Texas, and we hope the spirit here is contagious!!
Cynthia C. Alder, CMT
President, Texas AHDI 2009-2010
Member, AHDI Ethics Committee 2009
Member, AHDI Compliance Outreach Council 2009
Monday, October 12, 2009
Apathy? Not for me.
Here in Texas, serving as the President of the Texas Association for Healthcare Documentation Integrity, I am starting this blog to try to reach out to industry professionals, healthcare documentation specialists, to urge them to become involved in the efforts of so many of us out here working hard for you.
We are scheduling and attending meetings, making phone calls, sending out Constant Contact blasts, posting on Facebook and Twitter, talking to local newspaper and television reporters about our initiatives, meeting with senators and congressmen to discuss upcoming healthcare reform and the role we play in it. This is truly an exciting time for our industry, and I believe the possibilities are endless going forward, with new roles emerging, additional education and training opportunities available, opportunities to serve on committees and participate in initiatives and campaigns. There is more going on right now at AHDI and Texas AHDI than ever, and every single person who works in healthcare documentation needs to lend a voice and a hand in the effort.
As AHDI's current Power of 10 campaign states, 10 people speaking make more noise than 10,000 who remain silent. I want to urge you to stop sitting on the sidelines. Stop waiting for legislators to decide your value in the healthcare delivery system. Stop waiting for others to speak for you - especially if you have no idea what they are saying. As the saying goes, if you are not part of the solution, you are part of the problem. That's just truth. Stop telling everyone the sky is falling, when it is just a few rocks being thrown our way, which we can deflect if we take some action.
I have full faith in every member of this profession to be able to speak about it to everyone who will listen - reporters, legislators, representatives - about our value in the overall spectrum of healthcare. I read Barb Marques' blog from a couple of months ago, which basically said to stop yelling "stop" and "caution" and instead go full-speed ahead into what promises to be a very bright future for our industry. We, as much as anyone else involved in the process, can provide valuable insight into healthcare documentation delivery - who better to provide ideas, suggestions, advice, and initiatives going forward? I say no one - now join the effort - overall, this needs to not be just a small initiative or campaign - it needs to be a movement. Join the effort. Find out what you can contribute, how you can help, and what talents you already have that will move us all forward!
We are scheduling and attending meetings, making phone calls, sending out Constant Contact blasts, posting on Facebook and Twitter, talking to local newspaper and television reporters about our initiatives, meeting with senators and congressmen to discuss upcoming healthcare reform and the role we play in it. This is truly an exciting time for our industry, and I believe the possibilities are endless going forward, with new roles emerging, additional education and training opportunities available, opportunities to serve on committees and participate in initiatives and campaigns. There is more going on right now at AHDI and Texas AHDI than ever, and every single person who works in healthcare documentation needs to lend a voice and a hand in the effort.
As AHDI's current Power of 10 campaign states, 10 people speaking make more noise than 10,000 who remain silent. I want to urge you to stop sitting on the sidelines. Stop waiting for legislators to decide your value in the healthcare delivery system. Stop waiting for others to speak for you - especially if you have no idea what they are saying. As the saying goes, if you are not part of the solution, you are part of the problem. That's just truth. Stop telling everyone the sky is falling, when it is just a few rocks being thrown our way, which we can deflect if we take some action.
I have full faith in every member of this profession to be able to speak about it to everyone who will listen - reporters, legislators, representatives - about our value in the overall spectrum of healthcare. I read Barb Marques' blog from a couple of months ago, which basically said to stop yelling "stop" and "caution" and instead go full-speed ahead into what promises to be a very bright future for our industry. We, as much as anyone else involved in the process, can provide valuable insight into healthcare documentation delivery - who better to provide ideas, suggestions, advice, and initiatives going forward? I say no one - now join the effort - overall, this needs to not be just a small initiative or campaign - it needs to be a movement. Join the effort. Find out what you can contribute, how you can help, and what talents you already have that will move us all forward!
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