MDE Advisory Committee Meeting Minutes: January 22 and 23, 2013

January 22 and 23, 2013
Washington, DC

Members Present:
John LaViola, Hologic, Inc.
Kevin Patmore, Stryker Medical
Jon Wells, Midmark Corporation
Elisabeth George, Philips Healthcare
Kat Taylor, Equal Rights Center
Molly Follette Story, FDA
Mark E. Derry, NCIL
Maureen Simonson, PVA
John Jaeckle, GE Healthcare
Joseph Drago, Scale-Tronix, Inc.
Rochelle J. Mendonca, Univ. Sciences Phila
Jack DeBraal, Brewer Company (via teleconference)
Don Brandon, ADA National Network (via teleconference)
Mary Ann Spohrer, CRCPD (via teleconference)
Tamara James, Duke Univ. & Medical Ctr.
Lisa Iezzoni, Boston CIL (Chair)
Renee Kielich, Hill-Rom Company, Inc.
Kleo J. King, United Spinal Association
June Isaacson Kailes, HFCDHP & DREDF
Zita Johnson-Betts, DOJ
Hans Beinke, Siemens Medical Solutions
Kaylan M. Dunlap, Evan Terry Associates
Jeffery Baker, MTI
Carol J. Bradley, Sutter Health
JB Risk, MPI  (via teleconference)
Alternates Present:
John Metellus, Siemens Medical Solutions
Bob Menke, Midmark Corporation
Glenn Nygard, Hologic, Inc. (via teleconference)
Sarah DeCosse, DOJ
Janice Carroll, Sutter Health
Richard M. Eaton, MITA
Access Board Members and Staff Present:
Rex Pace (Committee DFO)
David Capozzi
James Raggio
Earlene Sesker
Matthew McCollough
Marsha Mazz
Rose Bunales
Others Present:
Darren Walters, MTI
Michelle Lustrino, Hologic, Inc.
Heather Boyd, Applied Policy
Jim Scott, Applied Policy
Dennis Monty, Beth Israel Deaconess Med. Ctr.
Jonathan Young, Midmark Corporation
Gloria Romanelli, Amer. Coll. Radiology
Dee Kumpar (via teleconference)
Christian Hendrickson (via teleconference)
Cathy Ellis, National Rehab. Hospital
Mary Adams, DOJ
Douglas Coldwell, Univ. of Louisville
Irene Bowen, ADA One, LLC
Janice Majewski, DOJ
Jim Bostrom, DOJ
Paul Farber (via teleconference)
Cara Brickley (via teleconference)
Theresa Branham, Amer. Coll. of Radiology
Alexa Rosenbloom (via teleconference)
Angela Scott (via teleconference)
Barbara Ridley, Alta Bates Summitt Med. Ctr. (via teleconference)
Lauren Snowden, Kessler Institute for Rehab. (via teleconference)
Michael Yochelson, MedStar National Rehab. Network
Willa Crolius, Instit. for Human Centered Design
Nuket Curran, UPMC Ctrs. for Rehab. Services (via teleconference)

Opening Remarks and Approval of Minutes

The Committee Chair, Lisa Iezzoni, opened the meeting.  The committee approved the minutes from its December meeting and did a roll call.

Exceptions and Transfer Supports: Presentation and Discussion

Rex Pace gave a PowerPoint presentation explaining how exceptions are used when writing accessibility guidelines and reviewing the proposed requirements for the transfer supports.

Presentations and Discussion

Medical practitioners, clinician and manufactures were in attendance to present information to the committee.  The presenters were Willa Crolius (Institute for Human Centered Design), Barbara Ridley (Alta Bates Summit Medical Center), Cathy Ellis (National Rehabilitation Hospital), Michael Yochelson (MedStar National Rehabilitation Network), Lauren Snowden (Kessler Institute for Rehabilitation, N√ľket Curran (UPMC Centers for Rehabilitation Services), Elisabeth George (Philips Healthcare), Michelle Lustrino (Hologic), John LaViola (Hologic),John Jaeckle (GE Healthcare), John Metellus (Siemens Healthcare), Douglas Coldwell (University of Louisville) and Theresa Branham (American College of Radiology).  The practitioners and clinicians provided information on how people transfer onto medical diagnostic equipment.  The manufacturers described current mammography, DEXA and other radiological equipment highlighting elements that currently comply and those that may not be able to comply with the proposed standards.

Based on the presentations each committee member stated their current thoughts concerning the 28 inches versus 30 inches minimum width and the minimum height of 17 inches.  The committee questioned their authority to mandate alternate methods to obtain accessibility to equipment requiring redesign.  They expressed concerns that requiring redesign taking 5 to 10 years where alternate method can be achieved in a shorter period of time.  Jim Raggio explained the scope of the Access Board work, based on statute, as mandating specification for the equipment.   Mr. Raggio discussed alternate methods  as something that will possibly be decided by FDA and/or DOJ.  Several committee members felt that how the industry defines medical equipment (space in room included/ancillary pieces) and is different than how it may be defined for this standard.  Zita Johnson-Betts Several clarified that although the committee can discuss alternate means of providing accessibility the Access Board does not have the authority to write standards addressing alternate means of accessibility.

Subcommittees

After a discussion, the committee decided to proceed with the subcommittees on mammography and weight scale equipment.  The committee decided that the proposed subcommittees for  imaging equipment with bores and other imaging equipment should be combined into a committee named radiological equipment.  Additionally it was decided that beds are not usually for diagnosis thus the subcommittee proposed for stretchers and beds would focus only on stretchers.  Mr. Pace agreed to start scheduling dates for the subcommittee meetings.

Public Comment

Dennis Monty from the Beth Israel Deaconess Medical Center in Boston stated that he found the presentations to be very informative but wanted to remind the committee that ensuring proper weight capacity is important no matter what other specifications are mandated

Wrap Up and Adjournment

The Chair thanked everyone for their participation and reiterated how important it is to start subcommittee meeting as soon as possible.  The meeting was adjourned at approximately 2:07.