MDE Advisory Committee Meeting Minutes: March 26 and 27, 2013

March 26 and 27,, 2013
Washington, DC

Members Present:
Lisa Iezzoni, Boston CIL (Chair)    
Jeffery Baker,  MTI      
Don Brandon, ADA National Network  
Carol J. Bradley, Sutter Health      
Mark E. Derry, NCIL      
Joseph Drago, Scale-Tronix, Inc.   
Kaylan M. Dunlap, Evan Terry Associates   
Molly Follette Story, FDA (ex officio)  
Dennis Hancher, DVA (ex officio)   
David Hausmann, Hausmann Industries, Inc.
John Jaeckle, GE Healthcare
Tamara James, Duke Univ. & Medical Ctr.
Zita Johnson-Betts, DOJ (ex officio)
June Isaacson Kailes, HFCDHP & DREDF Jack DeBraal, Brewer Company
Renée Kielich, Hill-Rom Company, Inc.
Kleo J. King, United Spinal Association
Rochelle J. Mendonca, Univ. Sciences Phila
Kevin Patmore, Stryker Medical
Mary Ann Spohrer, CRCPD
Jon Wells, Midmark Corporation
Alternates Present:
Bradley Baker, MTI      
Kristen Barry, Equal Rights Center    
Janice Carroll, Sutter Health    
Richard M. Eaton, MITA
Dee Kumpar, Hill-Rom Company, Inc.
Bob Menke, Midmark Corporation 
Glenn Nygard, Hologic, Inc.
Access Board Members and Staff Present:
Rex Pace (Committee DFO)      
Rose Bunales      
David Capozzi
Marsha Mazz
James Raggio
Earlene Sesker
Others Present:
Heather Boyd, Applied Policy   
Mary Lou Breslin, DREDF     
Michelle Lustrino, Hologic, Inc.   
Janice Majewski, DOJ    
Dennis Monty, Beth Israel Deaconess Med. Ctr.  
Chris Palamountain     
Gloria Romanelli, Amer. Coll. Radiology  
Angela Scott, HHS
Jim Scott, Applied Policy
Barbara Silken
Mark Tobolowisk, Foxkiser
Darren Walters, MTI
Kara Webb
Jeff Yanke
Jonathan Young, Foxkiser

Opening Remarks and Approval of Minutes

The Committee Chair, Lisa Iezzoni, opened the meeting.  After roll call the committee approved the agenda for the current meeting and minutes from its February 2013 meeting following several clarifications and agreement on edits.

Decision status chart

Rex Pace reviewed the Decision Status Chart.  He reported that all of the issues listed in the chart have been or are being addressed by the full committee or subcommittees.  He indicated that the “parking lot issues,” intended as place holders, have been added to the bottom of the chart.  Plans are for the committee to discuss parking lot issues but these topics may not result in direct recommendations if not a part of the original proposed standard.    Subcommittees

Each subcommittee chair gave a presentation outlining their deliberations and stating the issues that they have reached consensus on to date.  Subcommittee chairs then led discussions of  unresolved issues with input from committee and subcommittee members.

Imaging Equipment with Transfer Surfaces (Presentation:  Subcommittee on Imaging Equipment with Transfer Surfaces Presentation, March 26, 2013)

John Jaeckle, subcommittee chairperson, described the subcommittee’s recommendations as follows: Unobstructed transfer will not be required to the “foot” or “head” end but will be required on each side of the equipment except designs where transfer is only possible to one side because of necessary component configuration. The 28 inches wide minimum and 17 inches deep minimum transfer surfaces should be positioned along the long dimension of the scanning/imaging bed/table.  The width of the patient scanning/imaging bed/table (side to side) at the designated transfer location will be 28 inches minimum or the maximum possible/practicable, but in all cases a minimum of 17 inches.  The transfer support will be located opposite the transfer side and extend horizontally along the side of the patient scanning/imaging bed/table at least the minimum width of the transfer surface.  The subcommittee intends to adopt the transfer height recommended by the exam tables and chairs subcommittee with exceptions for certain types of equipment such as DEXA. 

 Exam Tables and Chairs (Presentation:  Examination Tables and Chairs Subcommittee Report March 26, 2013)

Kleo King, subcommittee chairperson, reported the following recommendations:  If exam chairs have bolsters or contour corners/sides the transfer surface height should be taken from the highest point and the seat dimensions at the center point.  The memo on mobility device seat height provided to the subcommittee by the IDeA Center was reviewed.    The height of the transfer support above the top of the transfer surface should be as proposed, 6 inches minimum to 19 inches maximum, with 1 ½ inch maximum from side of transfer surface to the transfer support.  Additionally, the transfer support should be a minimum of 15 inches long for tables.

Stretchers (Presentation:  Stretcher Subcommittee Report March 26, 2013)

Renée Kielich, subcommittee chairperson, indicated subcommittee agreement on the following recommendations:  Unobstructed transfer should be required to the sides only and not at the “head” or “foot” end of stretchers. The 28 inches by 17 inches transfer surface will be located with the long dimension parallel to the stretcher sides. Transfer supports should be positioned within the dimensions of the long side of the transfer surface parallel to the patient support surface edge and not more than 3 inches from the patient transfer surface edge.  The 3-inch dimension accounts for the rotating/folding rails used on many designs.  Additionally, transfer supports should be located on at least one side of the patient transfer surface, be at least 15 inches long, conform to the shapes specified in the ADA/ABA Guidelines for grab bars, and be located a minimum of 6 inches and a maximum of 19 inches above the transfer surface.

Mammography Equipment (Presentation:  Proposed Mammography Equipment Features Criteria - MDE Committee March 28, 2013)

Carol Bradley, subcommittee chairperson, reported subcommittee consensus that the proposed overall depth of knee and toe clearance should be increased to 27 inches minimum with 20 inches minimum to the top of the knee under the breast platform.  While the subcommittee is still deliberating on allowances for the base supports of equipment to extend into the knee and toe clearance at the floor level, it is expected that it should be no more than 1½ inch high.  

Weight Scales (Presentation:  Subcommittee on Weight Scales, March 27, 2013)

June Kailes, subcommittee chairperson, reported subcommittee consensus that the platform width should be 32 inches minimum.  Based on the memo addressing wheelbase dimensions of mobility devices provided by the IDeA Center, the subcommittee agreed that the minimum platform length needs to be 36 inches to accommodate wheelchairs but questions about accommodating scooters was still being debated.  Ramps up to a raised platform weight scale should slope no steeper than 1:8 and have 2 inches high minimum edge protection on each side of the ramp surface.

Final Report

Lisa Iezzoni led the discussion on the committee’s final report.  Dr. Iezzoni reviewed the draft outline and addressed several key issues to consider in writing and editing the report.  Ensuing questions and discussions expounded on the issues raised.  It was decided that the subcommittee will submit recommendations and commentary to the editorial committee for completion of the committee’s final report.

Wrap Up and Adjournment

Dr. Iezzoni thanked everyone for their participation and the meeting was adjourned.