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The Academy's Governance and Practice: Restructuring for the Challenges of the Turn of the 21st Century

Published:October 24, 2012DOI:https://doi.org/10.1016/j.jand.2012.08.001
      AT THE INAUGURAL MEETING of the Academy of Nutrition and Dietetics
      Until January 2012, the Academy was known as the American Dietetic Association; throughout this document, it will be called the Academy.
      low asteriskUntil January 2012, the Academy was known as the American Dietetic Association; throughout this document, it will be called the Academy.
      in October 1917 in Cleveland, OH, Lulu C. Graves, the Academy's first president, remarked that “The future of dietetics is assured. It is the privilege of those of us who are now in the work to conduct it along such lines that in the not very distant future, it will be a recognized part of the medical profession.”
      • Cassell J.A.
      An untold number of practitioners and volunteer leaders have worked tirelessly over the near-century since to make sure Graves' forecast proved true and that dietetics practitioners would attain a recognized and respected role in health care. Activities surrounding the governance and practice functions of the profession have played an important role in making this happen.
      This project was made possible through a generous donation by Alice Wimpfheimer, MS, RD, CDN.
      Tabled 1
      1991 First formal strategic plan (“Achieving Competitive Advantage”) is implemented.
      1992 The Nutrition Services Payment Systems Committee develops the term “medical nutrition therapy” (MNT).
      1993 Academy submits proposal to American Medical Association Current Procedural Terminology Editorial Panel requesting unique codes for MNT coverage.
      1994 Academy publishes its first joint position paper with the Dietitians of Canada.
      1995 The Academy publishes its first position paper (regarding world hunger, malnutrition, and food insecurity) with implications beyond the Academy itself.
      1996 Strategic plan is modified somewhat to focus on policy, member development, and public education.

      The Councils on Practice, Research, and Education are dissolved in favor of establishing a Council on Professional Issues.
      1997 The Academy and Commission on Dietetic Registration jointly review the Code of Ethics and draft a revised code, called the Code of Ethics for the Profession of Dietetics.
      1998 The House of Delegates (HOD) adopts a formal approach to projecting future needs of the Academy via its first environmental scan.

      The HOD updates its process for developing Academy positions to ensure scientific integrity and improve efficiency in messaging.
      1999 Governance is restructured to increase collaboration between the Board of Directors (BOD) and HOD and to give HOD more focus on governing the profession.

      Strategic plan is updated to promote the value of Academy membership and increase the workplace visibility of registered dietitians (RDs) and dietetic technicians, registered (DTRs).

      The Institute of Medicine (IOM) acknowledges RD-provided MNT as a means for improving outcomes and reducing costs.

      Code of Ethics for the Profession of Dietetics is adopted.
      2000 HOD adopts knowledge-based strategic governance model.

      American Medical Association adds MNT-related Current Procedural Terminology codes after Medicare passes Medicare Part B MNT provision.
      2001 HOD adopts the issues management process for dealing with members' concerns.
      2002 Medicare Part B for MNT coverage passes.
      2003 Weight Management, the newest Dietetic Practice Group (DPG) to assemble, is formed.
      2004 Strategic plan is updated to reflect the current health climate and emphasizes outcomes-based, quality care in moving the profession forward.
      2005 Standards of practice (SOP) and standards of professional performance (SOPP) are revised.

      Academy offers decision analysis tool for determining individual scope of practice.

      Scope of dietetics practice framework is released.

      The Academy publishes its first practice paper.
      2006 Phase 2 Future Practice and Education Task Force convenes for the first time.

      The Academy publishes its first evidence-based position paper.
      2007 First official member interest group (LAHIDAN) is recognized by the Academy.

      DPGs celebrate 30th anniversary.
      2008 Strategic plan is updated to highlight the impact members have on the health and nutrition knowledge of the American public and to highlight customer focus, integrity, innovation, and social responsibility as key values.

      Council on Future Practice is established by the Phase 2 Future Practice and Education Task Force.
      2009 Council on Future Practice convenes second meeting, which marks the first time Commission on Dietetic Registration (CDR) and the Accreditation Council for Education in Nutrition and Dietetics (ACEND) have come together to address common goals.

      Council on Future Practice launches Innovations Dietetics Practice and Education program at the Food & Nutrition Conference & Expo (FNCE).
      2010 DPG delegates begin serving on the HOD.

      A new Code of Ethics, wherein categories of principles are established, is implemented (following approval in 2009).

      Academy launches its efforts to obtain Medicare reimbursement for obesity counseling.

      Academy becomes member of the National Quality Forum.

      DPGs enlisted to become more involved when legislative activity affects their respective focus areas of practice.
      2011 Council on Future Practice hosts high-tech 2011 Future Connections Summit on Dietetics Practice, Credentialing, and Education.

      Council on Future Practice publishes its Visioning Report, which includes the Dietetics Career Development Guide; updated definitions of levels of practice; and revised definitions of level of practice.

      The Framework for Quality Dietetics Practice, which adheres to the IOM's six pillars of quality care, is published.

      Academy initiates the update of the SOP and SOPP to clarify role delineations for RDs and DTRs.

      The Academy submits a letter to the Centers for Medicare and Medicaid Services to formally disagree with its decision regarding reimbursement for obesity counseling.
      TIMELINE: Governance and Practice Activities Since 1990
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      Biography

      K. Stein is a freelance writer, a consultant editor for the Nutrition Care Manual, and a former Editor of the Journal, Traverse City, MI.