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                                                                                                Association of


 Trends                                                U.S. HEALTH CARE CHALLENGES
                                                                                                Schools of
                                                                                                Allied Health
                                                                                                Professions



      HIGHLIGHTS                      Viewed from the perspective of the nation’s investment in health care, the U.S.
                                      has done exceptionally well in many respects, but serious deficiencies exist.
            APRIL 2011                Rather than having a single health care system, services are spread across many
                                      systems that involve different payment mechanisms, patient eligibility for
President’s Message               2   services, and the degree to which the government is involved.
Government Shutdown               3
Calendar of Events                3   Rankings along various measures suggest that the U.S. does poorly in
Board Actions                     4   comparison to other developed nations. Sorting out what the data mean,
Power Point Slides                5   however, is an exercise best done with the concept of ceteres paribus in mind.
The Innovative University         5   Many other nations have more uniformity in their racial and ethnic composition
                                      whereas the U.S. continues to be a complex aggregation of individuals from all
Higher Education Finance          6
                                      corners of the globe. The population continues to grow numerically and its mix
Economic Downturn                 6
                                      undergoes steady alteration. For example, three-year-old non-Hispanic white
Education Statistics              6   children no longer are the majority, according to the 2010 census. Moreover, by
Impediments to Education          6   2050, all non-Hispanic whites will represent only 45% of the total population.
Available Resources               7
Deans’ Memorial Lecture           8   U.S. morbidity and mortality data represent a blend of individuals with many
Call for Abstracts                8   important classifiable differences such as first-generation American or second-
Ads, Sponsors, Exhibits           8   generation, white or non-white, level of education, inner-city or suburb, urban or
                                      rural, employed or unemployed, and high income or low income. Each factor or
                                      combination of factors can be a major determinant of health status. Any subset
                                      of the population could be singled out to demonstrate that a particular group
                                      might be the best healthiest in the world (e.g., white inhabitants of an affluent
                                      suburb) or among the least healthy (e.g., residents of a high-crime, poverty-
                                      stricken section of an inner city).

          Vanguard of
    Allied Health Education
                                      Efforts have been mounted over the decades to: address imbalances in the
                                      availability and quality of health care, compensate for inability to pay for health
  Trends is the official              care, and create a health workforce that more closely mirrors the characteristics
  newsletter of the Association       of the population being served. The U.S. spends more on health care than any
  of Schools of Allied Health
  Professions (Suite 333, 4400        other nation in the world and the percentage of GDP devoted to health
  Jenifer St. NW, Washington,         expenditures steadily increases. The ability for that growth to continue now is in
  D.C., 20015. Tel: 202-237-          jeopardy.
  6481) Trends is published
  monthly and available on the
  Association’s website at
  www.asahp.org. For more             The national debt level is unsustainable. While increasing taxes may help to
  information, contact the            provide needed government revenue, it is apparent that something must be done
  editor, Thomas W. Elwood,           to curb spending. Proposed solutions to fix Medicare and Medicaid cause angst.
  Dr.PH.
                                      Easy remedies are lacking. Uncertainty abounds, the electorate is confused, and
                                      the days ahead promise to be challenging ones.
Trends                                                                                                 Page 2



                           GOVERNMENT SHUTDOWN AVOIDED

                              The possibility of having the government shut down because of an inability
                              to reach agreement on funding for FY 2011 would not have served either
                              Democrats or Republicans on Capitol Hill well. Strangely enough, the
                              fiscal year in question is the one that began last October 1. Democrats
                              originally wanted to preserve every dollar of funding in what the Obama
                              Administration proposed. Republicans viewed the proposal as doing
nothing more than adding another $1.3 trillion in debt to an existing national debt burden of $14 trillion.
Their plan was to push through a reduction of $100 billion, but Democrats have staunchly resisted a cut of
that magnitude.

The situation reveals the advantages and disadvantages of having power divided between the two parties.
If the Democrats controlled both the House and the Senate, they might have been successful in approving
the Administration’s funding requests. Even then, some posturing always is on display. Knowing full well
that Congress will trim Administration requests, typically the latter will overstate the amount needed. If a
program needs $30 million to continue at the same level, then the request might be for $100 million.
Congress reduces it to $35 million and everybody is happy.

This year, such rosy scenarios were much less likely because the Democrats lost control of the House in
the November 2010 election. Even more importantly, issues that resulted in the ouster of more than
80 Democrats all involved voters’ criticism of federal government spending. It is estimated that for every
dollar the government spends, more than 40 cents must be borrowed. This trend cannot go on forever
without serious consequences for the nation. So after all the wrangling, posturing, and finger pointing
came to an end, the budget was reduced by $38 billion. Really? In the grand old tradition of accounting
legerdemain, nowhere near that amount actually is being cut. Now the theater of the absurd switches to
consideration of the budget for the fiscal year that begins next October 1. House Republicans propose
restructuring Medicare by eventually converting it to a voucher program and turning Medicaid into a
block grant program. Only time will tell if such changes ever will see the light of day.


                 2011-2013 ASSOCIATION CALENDAR OF EVENTS
             October 17-18, 2011—Leadership Development Program—Scottsdale, AZ
                     October 19-21, 2011—Annual Conference—Scottsdale, AZ
                      March 22-23, 2012—Spring Meeting—Palm Springs, CA
                      October 24-25, 2012—Annual Conference—Orlando, FL
              March 19-20, 2013—Leadership Development Program—San Diego, CA
                       March 21-22, 2013—Spring Meeting—San Diego, CA
              October 21-22, 2013—Leadership Development Program—Nashville, TN
                     October 23-24, 2013—Annual Conference—Nashville, TN
    Page 3                                                                                              Trends


                                             BOARD ACTIONS

The following actions were among those taken by the ASAHP Board of Directors during a conference call that
was held on April 20:

   ♦   Approved a motion to accept the Treasurer’s Report, along with the Minutes of the Board meeting in New
       Orleans on March 16. An update was provided on the status of investments and on steps taken to preserve
       capital in the Reserve Initiative Account.

   ♦   Discussed a proposed agreement with the firm of Liaison International to develop a Centralized
       Application Service for respiratory therapy, imaging/radiologic technology, and clinical laboratory
       science. Questions were raised and the Board agreed that a conference call should be scheduled in June
       with representatives of the company to clarify certain matters reflected in the proposed agreement.

   ♦   Board Members serve as liaisons to the Association’s various committees and taskforces. Two new task
       forces recently came into existence. Director Ruth Welborn will be the liaison to the Clinical Education
       Task Force and Director Kevin Rudeen will be the liaison to the Interprofessional Task Force.

   ♦   A draft statement by ASAHP on the importance of retaining provisions in the Affordable Care Act was
       discussed. Addition discussion will occur when the Board meets on July 25-26.

   ♦   Board Members agreed that the updated and revised ASAHP Policy & Procedures Manual should be
       placed on the Association’s website.

   ♦   Approved a motion to endorse competencies developed by the Partnership for Health in Aging.

   ♦   Agreed to review during the next conference call in June a proposed Association policy statement on
       allowing doctoral students to query members for dissertation data.

             HEALTH REFORM: PROSPERING IN A POST-REFORM WORLD

While it might be overly dramatic to say that everything has changed with the passage of health reform, it
certainly CAN be said that the health system of tomorrow will not be the same as today. To prosper in the post-
reform world, health executives will need to reassess current strategies and find ways to work together. A
PricewaterhouseCoopers' Health Research Institute report illustrates the mega trends that each health sector will
face as a result of health reform, the provisions in the law that are driving them, and recommendations on how
organizations can turn these challenges into new opportunities.

The report can be accessed on the Web at http://pwchealth.com/cgi-local/xregister.cgi?link=reg/prospering-in-a-
post-reform-world.pdf.
Page 4                                                                                                  Trends


                            CENTRALIZED APPLICATION SERVICE

New ventures typically require advanced planning and attention to detail. Many organizations similar to
ASAHP have been involved in creating centralized application services (CAS). Allied health encompasses a
broad spectrum of professions, some of which already have their own CAS.

In order for ASAHP to be part of this initiative, the focus is on professions that lack such a service. As noted
in the Board Actions segment of this issue of the ASAHP UPDATE, three sets of professions have been
identified, which are clinical laboratory science, respiratory therapy, and imaging/radiologic technology. The
kinds of questions that have arisen thus far and have been addressed are as follows:

Q. Does every institutional member of ASAHP with any of these programs have to participate in the CAS?

A. Absolutely not, participation is voluntary.

Q. What if a school elects to participate, but after doing so is unhappy with the arrangement, will it be
possible to abstain from further participation?

A. Yes, an institution can opt out at any time.

Q. How will member institutions learn about what is involved in becoming part of a CAS?

A. ASAHP will serve as a conduit. Information can be provided in various ways. Staff from the firm offering
the service can meet with interested parties at the Association’s 2011 Annual Conference in Scottsdale, AZ.
Another option would be for the company to host webinars.

Q. The firm will impose a charge on students who apply to academic programs. What happens if a school
relies on student application fees as part of its budget, but is not in favor of having students pay two different
kinds of application fees?

A. Other clients have discontinued the school’s application fee. Instead, as a result of having the firm
   assume responsibility for many administrative details involved in such activities as tracking and
   collecting transcripts and letters of recommendation, a considerable amount of money is saved by
   reducing the number of school personnel needed to carry out such tasks.

Q. Why were these three programs and will they be the only ones selected?

A. ASAHP conducted a survey and these professions reflected the most interest. Others may be added in the
future. No duplication will occur for programs that already have a CAS such as physical therapy.

Details will continue to be ironed out and members will be kept apprised of developments as they occur.
CAS representatives will participate in a conference call on June 17 with the ASAHP Board of Directors.
The occasion will provide an opportunity to clarify all issues of importance. In addition, the board will have
its summer meeting in Boston on July 25-26. CAS headquarters.
Trends                                                                                                      Page 5




                                   TASK FORCE CREATION
                              STATE HIGHER EDUCATION FINANCE
Instead of using the Association’s committee structure, certain situations result in the creation of task forces.
  The State Higher Education Finance (SHEF) report Meeting, it annually by that one Higher Education
As a result of a discussion during the ASAHP Spring is produced was decided the State should be formed to
  Executive Officers involved in includes: an overview and highlights of national trends and the current
deal with challenges (SHEEO). Itplacing students in clinical sites for training purposes. The following status
  of state have agreed to begin an examination of key issues surrounding this topic:
members funding for higher education; a description of the revenue sources and uses for higher education,
  including state tax and non‐tax revenue, local tax support, tuition revenue, and the proportion of this
  funding available for general educational support; an analysis of national trends in enrollment and revenue, in
Ruth Welborn (Dean, Texas State University—San Marcos), ASAHP Board of Directors Liaison
  particular, changes over time in the public resources available for general operating support; and indicators of
Patricia Chute (Dean, New York Institute of Technology)
  relative state wealth, tax effort, and allocations for higher education, along with ways to take these factors
  into account in Maillet (Interim Dean, University of Medicine & Dentistry of New Jersey)
Julie O’Sullivanmaking interstate comparisons.
  The report can be (Dean, Weber State at http://www.sheeo.org/finance/shef_fy10.pdf.
Yasmen Simonian accessed on the WebUniversity)
Patricia Walker (Dean, Sacred Heart University)
  College Presidents On Navigating The Economic Downturn
  Three in 10 private college leaders say their tuition discount rates are "dangerously high." Three quarters of
A suggestion also was made to create a task force on interprofessional education to focus on accreditation
  public college presidents believe online learning can help their institutions increase both enrollments and net
and faculty resistance barriers that make it difficult to offer this kind of teaching. The following individuals
  tuition revenue. About a third of all college chief executives, public and private, say they would alter their
responded:
  tenure policies and mandate the retirement of older professors if they didn't have to worry about political
P. Kevin Rudeen (Dean, University of Oklahoma Health Sciences Center), ASAHP Board of Directors
  blowback on their campuses. Those findings are among the many in the report "Presidential Perspectives"
Liaison
  that was released today.
Halcyon St. Hill (Florida Gulf Coast U.)
  The Skinner be of Arkansas for Medical Sciences)
Dianereport can(U. accessed http://insidehighered.com/content/download/388090/4609375/version/1/file/
Shelley Conroy (Armstrong Atlantic State U.)
  SurveyBooklet.pdf.
 Projections of Education Statistics to 2019
 A new report from the National Center for Education Statistics (NCES) provides the Board of Directors.
Each group will begin its work with a conference call. Progress will be reported to projections for key
 educational information. It includes data on enrollment, graduates, teachers, and expenditures in elementary
                                REDUCING HEALTH DISPARITIES
 and secondary schools, and enrollment, earned degrees, and conferred expenditures of degree-granting
 institutions.
The U.S. Department of Health and Human Services recently launched two strategic plans aimed at reducing
 The report can be accessed by clicking http://nces.ed.gov/pubs2011/2011017.pdf.
 Federal Role In The HHS Jurisdictional Reduce Racial and Ethnic Health Disparities outlines goals and
health disparities.Removing Action Plan to Impediments To College Education
actions HHS will take to reduce health disparities among racial and ethnic minorities. HHS also released the
National Stakeholder Strategy for Achieving Health Equity, a common set of goals and objectives for public
 Written for the Center for and partnerships to help racial and ethnic educational opportunities in multi-state
and private sector initiativesAmerican Progress, a report examines howminorities and other underserved
 metropolitan areas often are unaligned
groups reach their full health potential. with regional economic and social needs due to state-oriented
 policymaking. One way to address this condition is for the federal government to play a larger role in
 coordinating a more regionally based approach to managing public postsecondary education in multi-state
The Action Plan To Reduce Racial And Ethnic Health Disparities can be accessed on the Web at http://
 metropolitan areas.
www.minorityhealth.hhs.gov/npa/files/Plans/HHS/HHS_Plan_complete.pdf.
The National Stakeholder Strategy for Achieving Health Equity can be accessed on the Web at http://
 The report can be accessed by clicking http://www.ihep.org/assets/files/publications/a-f/(Report)
www.minorityhealth.hhs.gov/npa/templates/content.aspx?lvl=1&lvlid=33&ID=286.
 _Easy_Come__EZ-GO.pdf.
 Leading Health Indicators For Healthy People 2020

 For the past three decades, the Department of Health and Human Services (HHS) has issued a national
 agenda aimed at improving the health of all Americans over each 10-year span. Under each of these Healthy
 People initiatives, HHS established health benchmarks and monitored how well people were reaching them
 over time. HHS asked the IOM to review the Healthy People 2020 objectives and recommend leading health
 indicators that could sharpen the focus of the agenda. In particular, the IOM was asked to identify 12 key
Page 6                                                                                               Trends

                 AVAILABLE RESOURCES ACCESSIBLE ELECTRONICALLY
         Complementary And Alternative Medicine: What Individuals 50 And Older Discuss With Their
                                               Providers

 Do Americans aged 50 and older discuss the use of complementary and alternative medicine (CAM) with their
 health care providers? To help answer this question, AARP and the National Center for Complementary and
 Alternative Medicine (NCCAM) conducted a telephone survey of more than 1,000 individuals aged 50 and
 older. Just over half of those surveyed reported using complementary and alternative medicine and over a third
 take some type of herbal product or dietary supplement. Yet, only a third of all respondents and a little over
 half of CAM users said they have ever discussed CAM with their health care providers. The results of the sur-
 vey can be accessed on the Web at http://nccam.nih.gov/news/camstats/2010/NCCAM_aarp%20survey.pdf.

         NIH Launches Web Resource On Complementary And Alternative Medicine For Health Care
                                            Providers

 A new online resource, designed to give health care providers easy access to evidence-based information on
 complementary and alternative medicine (CAM), was unveiled today by the National Center for Complemen-
 tary and Alternative Medicine (NCCAM) of the National Institutes of Health. With this new resource, provid-
 ers will have the tools necessary to learn about the various CAM practices and products and be better able to
 discuss the safety and effectiveness of complementary and alternative medicine with their patients.
 The site can be accessed on the Web at http://nccam.nih.gov/health/providers/.

                                     Geographic Variation In Health Care

 While research on geographic variation in health care use and spending has pushed the twin issues of uneven
 care and costs to the fore, it's ultimately the broader health care system-not geography-that matters most in im-
 proving efficiency and quality, according to a new Policy Analysis from the nonprofit, nonpartisan National
 Institute for Health Care Reform (NIHCR). The report can be accessed on the Web at http://www.nihcr.org/
 Geographic-Variation.pdf.

                             2011 Vacancy Survey Of U.S. Clinical Laboratories

  The primary objective of a survey conducted by the American Society for Clinical Pathology (ASCP) was to
  estimate the rate of shortage within clinical laboratory departments. Overall, the study represents 625 facili-
  ties, 1,719 depart-ments, 16, 274 employees, and 17,674 positions from across the United States. Across the
  nation, vacancy rates were highest for blood banking (11.6%), histology (9.81%), and chemistry (8.62%) de-
  partments. The lowest vacancy rates occurred in the de-partments of cytology (5.14%) and immunology
  (5.56%). Survey results can be accessed on the Web at
  http://labmed.ascpjournals.org/content/42/4/199.full.pdf.

                            Improving Health Care Quality By Crossing The Chasm

 The famed 2001 Institute of Medicine report, Crossing the Quality Chasm, demonstrated that U.S. health care
 suffered from so many shortcomings that it scarcely warranted the name. The report followed the equally
 famed 1999 IOM study, To Err Is Human, which estimated that avoidable medical errors contributed to
 44,000-98,000 deaths at U.S. hospitals annually. How much has been accomplished since then and how much
 remains to be done are the subjects of the "Still Crossing The Quality Chasm," the April 2011 thematic issue
 of Health Affairs, sponsored by the Robert Wood Johnson Foundation. Additional information can be accessed
 on the Web at http://www.healthaffairs.org/.
Trends                                                                                                     Page 7


                        ANNUAL CONFERENCE FUNCTION SUPPORT

 An invitation is extended to increase exposure to academic programs, institutions, and
 services by supporting a function or advertising in the 2011 ASAHP Annual Conference program. The
 following opportunities exist for institutions and organizations to advertise their respective products and
 services:
 • Advertise in the official program.
 • Sponsor a conference event.
 • Exhibit in the registration area.
 All forms and payment must be received no later than August 19, 2011. Additional information is on the
 Web at http://www.asahp.org/annual_support.htm.

                              CONTINUING EDUCATION CREDITS

 ASAHP will not be granting any CE credits for attending Association meetings. Instead, a certificate can be
 provided that attendees could use in their quest to obtain credits from their respective professional
 associations. The certificate will designate specific activities (e.g., concurrent sessions) and the number of
 hours involved for sessions that might be eligible.

                                  JOURNAL OF ALLIED HEALTH

 According to the firm Publishing Technology plc, in the month of March 2011 the Association’s Journal of
 Allied Health ranked 81st of more than 16,200 other publications as measured by the number of downloads
 that were made. ASAHP’s periodical consistently is ranked in the top 90 from month to month.

                             DEVELOPMENTS IN ACCREDITATION

 Given the vast sums of money the federal government spends in the form of student loans and grants, it is
 only natural that members of Congress insist that accreditation be a mechanism that assures sufficient over-
 sight to guarantee that these funds are being spent properly. Over the years, the confidence that accreditation
 can carry out that function effectively occasionally is called into question.

 At a hearing on Capitol Hill, Senator Tom Harkin (D-IA), Chairman of the Health, Education, Labor and
 Pensions Committee, wondered out loud about how accrediting organizations are able to provide rigorous
 judgment of institutions when these operations also provide the funding for accreditors.

 Statements of this kind are of great concern to the Council for Higher Education Accreditation (CHEA). In a
 memorandum dated April 25, officials at that organization made an effort to indicate how accreditation is
 doing a good job. Related questions are: Who Decides? Does doing a “good job” mean that accreditation will
 become a government-compliance activity and not continue as a peer-based effort that not only assures, but
 also improves quality? How will accreditation evolve? Answers are furnished and can be accessed on the
 Web at http://chea.org/ia/IA_2011.04.20.html.

                                            ___________________

								
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