Past Minutes

PAST MEETING MINUTES

April 4, 2012 FMC Training Center, Alameda, CA

2011-2012
Officers present - Chair: Caley McCarthy , Chair Elect: Kim Gehrke/Catrina Morefield, Corresponding Secretary: Kim Gehrke, Recording Secretary: Vidyut Lingamneni, Treasurer: Catrina Morefield
Officers not present: Historian: Sue Dickey, Publications: Suzanne Gibson, Marketing/WEB: Laurie Sanft, Legislation: Joyce Ezaki-Yamaguchi

Meeting Agenda:
Sponsor: CRN
Presenter: Connie Schroepfer MS, RD, CSR
Topic: Intrigued by Vitamin K: Roles in bone formation and inhibiting vascular calcification
Business:
Minutes from Nov 1, 2011 meeting were presented by Caley McCarthy. Meeting Minutes were sent online to all members. Kim Gehrke moved a motion to approve these minutes and this was seconded by Catrina Morefield. An Officers meeting was held recently due to the resignation of the Chair-elect and this position needed to be filled. Job descriptions will be written and posted online, so as to encourage members to volunteer for upcoming vacancies.
NKF Updates were presented by Patty McCormac of NKF
Patty announced the two upcoming KEEP clinics - April 20th in San Leandro and April 28th in Fresno. Announcement of the upcoming Kidney Walks was also made and flyers were available for these events: San Francisco Walk is on May 6, 2012 and the Silicon Valley walk is on June 9, 2012. Registration encouraged and Volunteers may contact her for more information.
The NKF Spring Symposium has been canceled for now due to lack of funds and administrative staffing. New Division President appointed - Nicole Friedland. Administrative work includes writing of Grant applications and the CME Applications.
Discussion held on how CRN could help? - NKF may be able to provide training on 'grant app writing' and RDs could help by volunteering their time. NKF symposium fee could also be raised to help with funds needed to conduct the symposium.
Legislation - no update, Joyce Ezaki-Yamaguchi
Treasurer Report - no update, Catrina Morefield.
Publications- Suzanne Gibson still looking for a member volunteer to take this position
Historian- no update, Sue Dickey
Marketing/Web: - Laurie Sanft, CRN directory is available online
Ongoing Business:
Kim Gehrke announced that CRN Membership forms and Renewal for 2011-2012 continue to be available.
Members were encouraged to send Speaker/Topic Ideas and CRN Program Questionnaire to Kim/Catrina
New Business:
Officers Meeting held recently concluded and applauded Kim Gehrke as Chair-elect and Catrina Morefield as Associate Chair-elect due to the vacancy created and the need to fulfill this year's obligations to CRN. They continue to work their current positions as Corresponding Secretary and Treasurer, respectively. Caley, thanked CRN member and past president, Betsy Hennessey for her hard work in obtaining the CEUs approved for today's lecture presentation.
Sandy Wallace moved a motion that the Chair elect position be shared by two members, so that the position is shared as: Chair-elect and Associate Chair-elect. This was seconded by Caley McCarthy.
Caley requested members to have an open discussion regarding Open Officer Positions/Ideas for Position Improvements. Hence, a discussion was held on Spring Clinical Meeting Stipends - Current bank balance is approximately $3500 in the checking a/c and $28000 in the savings a/c. Currently CRN Chair can receive a stipend of $1000 and there are two additional $500 stipends each for two CRN member applicants. CRN Member, Faith Tootell's proposal was to increase stipend amount to cover high cost of attendance and to add an incentive for CRN Chair/Chair elects to receive the entire cost of attending the Spring Clinical Meeting each year. A defining vote was deferred and Members were encouraged to bring their thoughts and suggestions to the next CRN Meeting to be held on Thursday, May 17, 2012 at 11:00 am. Venue: Kingfish Restaurant, 201 South B Street, San Mateo, CA 94401.
Job Openings: Please see website: www.crn-norcal.org
Next Meeting: Thursday, May 17th - 2012 at 11:00 am. Venue: Kingfish Restaurant, 201 South B Street, San Mateo, CA 94401. Topic: The role of Sensipar in the management of SHPT, hosted by Amgen.
"Thank You" to Connie for presenting.

September 29, 2011, Satellite Healthcare Conference Rm, 11 Floor - 345 Convention Way, Redwood City

CRN -Council for Renal Nutrition Meeting Minutes
Sponsor: CRN
Membership drive

Topic presenter: Sana Ghaddar, PhD, RD
Topic: RD Role in Anemia management

Updates from the NKF Spring Clinical Meeting April 26-30, 2011 in Las Vegas, NV - Given by two members who received stipends from CRN.
Erin Grande and Amy Shiau presented an overview of topics they found interesting and ones that they attended at the Spring Clinical.

Chairperson: : Erin Grande
Chair elect: Caley McCarthy
Corresponding Secretary: Kim Gehrke
Recording Secretary: Vidyut Lingamneni
Treasurer: Catrina Morefield
Historian: Sue Dickey
Publications: Suzanne Gibson
Marketing/Web: Laurie Sanft
Legislation: Joyce Yamaguchi
CRN Display: Catrina Morefield.

Business:
Erin Grande announced that Caley is on maternity leave. Minutes of the last meeting were sent to everyone via email. Catrina moved the motion to approve Minutes from last meeting and Kim Gehrke seconded. Minutes were approved.
Kim Gehrke announced that the directory will be sent via email as CRN board members want to be 'green'. Deadline to be included in the directory will be November, 2011. Please send in completed membership forms with check for $25.00 to Catrina Morefield, Treasurer.

Stipend requests for attending Spring Clinical in Washington DC May 9-12 may be sent in also. Forms are available on the CRN website . Chairperson is allowed $1000 and 2 other members $500 each.

4-5 Meetings per year will be held, either sponsored or paid for by CRN

Focus this year will be to increase membership and at a later date discuss having another CRN symposium such as the one organized in 2009.

Catrina presented the budget for 2011-12. Sue Dickey moved the motion to accept the budget and Kim Gehrke seconded.
Members who were present unanimously voted to send a donation to NKF $1200 for general use for the year 2010-2011 and $1500 for 2011-12.

Next Meeting: on November 1, 2011 - Location TBA

June 30, 2011 Mossimo's 5200 Mowry Avenue, Suite M, Fremont CA 94538
Sponsor: Genzyme
Meeting 11:00 am-1:00 pm
2010-2011 Officers:
Chairperson: Erin Grande, Chair Elect: Caley McCarthy, Corresponding Secretary: Kim Gehrke, Recording Secretary: Vidyut Lingamneni, Treasurer: Catrina Morefield, Historian: Sue Dickey (not present), Publications: TBA
Marketing/Web: Laurie Sanft (not present), Legislation: Joyce Yamaguchi (not present)

Business:
Erin Grande, Chair (present) made an announcement that we now have Chair Elect: Caley McCarthy. The box containing CRN archived material was shredded in error by colleague, who was 'spring cleaning'. The CRN info saved digitally/electronically will be retrieved and filed. This information will need updating.
Minutes from the previous CRN meeting were approved by Kim Gehrke and seconded by Kristie Snider.
Nutrition pocket Guides - extra copies provided by Shire - available for anyone who needs them.
Please continue to submit Speaker and topic ideas to Caley McCarthy
Topics suggested: Exercise-CKD, Micronutrients-CKD. Meeting locations will continue to be rotated throughout the bay area to ensure continued good attendance.
There was discussion on CRN meetings being Sponsored vs Inviting speakers who will be paid by CRN. This has been previously voted on by CRN Members. Hence, members who were present agreed to vote again. It was unanimously voted to use a Sponsor (not necessarily a pharmaceutical company with an interest in CKD-MBD) instead of turning a sponsor away. Minutes from previous meetings regarding this to be reviewed also.
CRN website needs to be updated also.
Kim Gehrke provided information on the publication "Dialysis Dining on the Go!" The authors will e-mail a brochure to Kim for distribution to CRN members who may be interested in purchasing. Single copies are $9.95 +S&H, but if ordered in bulk (>250copies) are $7.95 + S&H.

Erin Grande introduced the speaker:
Topic presenter: Anthony A. Portale, MD. Chief - Pediatric Nephrology, UCSF
Topic: Emerging evidence in CKD-MBD and the role of FGF-23

Job Openings: 32 hour/week and 8 hour/week positions available at DaVita. Contact: Chhaya Patel, RD, CSR
Please see website: www.crn-norcal.org

Next Meeting Date: Thursday, September 1, 2011
Topic: Anemia management + presentations from
2 CRN members who attended NKF Spring
Clinicals Location: TBD

"Thank You" Genzyme for sponsoring this meeting

March 31, 2011, DaVita Oakland, 5354 Claremont Avenue, Oakland, CA 94618
CRN -Council for Renal Nutrition Meeting Minutes

Meeting 11:00 am-1:00 pm
2010-2011 Officers:
Chairperson: Erin Grande, Chair Elect: Caley McCarthy, Corresponding Secretary: Kim Gehrke, Recording Secretary: Vidyut Lingamneni, Treasurer: Catrina Morefield, Historian: Sue Dickey, Publications: Suzanne Gibson (not present), Marketing/Web: Laurie Sanft (not present), Legislation: Joyce Yamaguchi (not present)

Business:
Erin Grande, Chair (present) made an announcement that we now have Chair Elect: Caley McCarthy

Kim Gehrke announced that CRN directories are available and for members to sign when collecting a copy and to sign in names of coworkers/friends also when collecting a copy on their behalf.
Discussion on whether non-members can attend CRN meetings and costs of these meetings, led to: Sue Dickey passing the motion to allow non-CRN members to attend meetings at a fee of $10.00 per meeting. This was seconded by Catrina Morefield and Kristi Snyder.

Jennifer Castillo of NKF announced:
There are no KEEPs scheduled until new funding is received. She also announced and encouraged members to register for the NKF Symposium on April 15th in Foster City and also for the NKF San Francisco Walk on May 7th 2011.

Erin Grande introduced the speaker:
Topic presenter: Kari Petersen, LCSW: Karipetersen@davita.com
Topic: Motivational Interviewing

Please continue to submit Speaker and topic ideas to Caley McCarthy

Job Openings:
Please see website: www.crn-norcal.org

Next Meeting Date: TBA

November 8, 2010, Davita Union City, 32930 Alvarado Niles Rd., Union City, CA

Sponsor: CRN
Meeting Agenda:
Presenter: Chhaya Patel, MA, RD,CSR
Topic: Adapting the Renal Diet for Different Cultural Foods
Presenter: Heidi Kiehl, MS, RD, CSR
Topic: Scope of Practice for Dietitians in California: Past, Present and future.
Presenters: Samantha Reek and Maria Tointon
Topic: Update from the 2010 NKF Spring Clinical Meeting.

Chairperson: Erin Grande
Chair elect: TBD
Past Chair: Susie Fazlollahi
Corresponding Secretary: Kim Gehrke
Recording Secretary: Vidyut Lingamneni
Treasurer: Catrina Morefield
Historian: Sue Dickey
Publications: Suzanne Gibson
Marketing/Web: Laurie Sanft
Legislation: Joyce Yamaguchi
CRN Display: Catrina Morefield

Business:
Erin Grande, new chair, announced that minutes of the last meeting were sent to everyone via email. Susie Fazlollahi passed the motion to approve the minutes and Catrina Morefield seconded. Minutes were approved.

Stipends are available for anyone interested in going to the 2011 NKF Spring Clinical meeting in. Please email Kim Gehrke to request an application.

NKF updates provided.

CRN Chair elect position is open. Please submit nominations to Erin Grande at erin.grande@davita.com

Ongoing Business:
Please submit speaker and topic ideas, to Erin Grande
erin.grande@davita.com

Job Openings:
Please see website: www.crn-norcal.org

Next Meeting:
TBD
Special 'Thank You' to Davita Union City for allowing CRN to utilize their conference room.

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October 5, 2010, Fresenius Medical Care, - 2430 Mariner Square Loop, Alameda, CA

Sponsor: Nutrepletion Resources
Meeting Agenda:
Topic presenter: Elaine Reid, MS, RD.
Topic: Intradialytic Parenteral Nutrition (IDPN)

Chairperson: Susie Fazlollahi
Chair elect: Erin Grande
Corresponding Secretary: Kim Gehrke
Recording Secretary: Vidyut Lingamneni
Treasurer: Catrina Morefield
Historian: Sue Dickey
Publications: TBA
Marketing/Web: Laurie Sanft
Legislation: Jennifer Clary and Joyce Yamaguchi (not present)
CRN Display: Catrina Morefield

Susie Fazlollahi, Chair (present) made some announcements:

Business:
Susie announced that Minutes of the last meeting were sent to everyone via email. Kim Gehrke passed the motion to approve Minutes from last meeting and Sue Dickey seconded. Minutes were approved.

Affiliation application and roster are due every two years and were submitted on 9/29/10. Discussed the possibility of developing our own bylaws with our specific timeline of elections and change of officers (October-November) versus continuing to utilize the national CRN bylaws. The decision was made to continue with the national CRN bylaws until re-affiliation is due in two years.

Treasurer Report:
Catrina passed out the CRN Budget report and as of 9/30/2010 total of checking /ac + savings a/c = $32,287.60, which includes money received from Membership dues, pamphlets, cook/cultural foods books, symposium, etc. Expenses include directory mailing, NKF donation and stipends, postage, web page, meetings-refreshments, etc.

Susie announced that Joyce sent a message and encourages members to stay in touch with local CDA at district meetings for updates and seeks volunteers for district legislative contacts. The next DVDA meeting is on October 13th 6 PM at Kaiser Walnut Creek Medical office bldg, in Walnut creek, CA. Speakers: Lorri Holzberg (current CDA President) and Heidi Kiehl (Professional Practice Rep for CDA) - 'Update on Dietitian Licensure'.

Susie and Erin hopes to have more CRN Meetings in the future, up to six. This year we will have four meetings.

New Business:

Membership renewal forms were distributed at the meeting.
An announcement was made for new elections and change of officers - Chair elect, Publications, Legislation, etc). Nominations were requested.
Please send nominations to Susie Fazlollahi at sodabeh@comcast.net

Ongoing Business:

Please continue to submit Speaker and topic ideas, to Erin Grande
erin.grande@davita.com

Job Openings:
Please see website: www.crn-norcal.org

Next Meeting Date: November 8, 2010. Location: TBA Speakers: Chhaya Patel and Heidi Kiehl.

Special 'Thank You' to Nutrepletion Resources for sponsorship and lunch and to Fresenius for hosting the meeting.

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June 2, 2010, El Camino Hospital, 2500 Grant Road, Mountain View, CA 94040

Sponsor: CRN
Topic presenter: Josel Cabaccan, MD.
Topic: Inpatient Glycemic Control

Suzie Fazlollahi, Chair (present) made some announcements:

Business:
Suzie announced that Minutes of the last meeting were sent to everyone via email. Lynne Oehler passed the motion to approve Minutes from last meeting and Elaine Rogers seconded. Minutes were approved.

NKF Updates:
Contact Patty McCormac, RN, for further information at patty.mccormac@kidney.org or 415.543.3303, x. 104

Upcoming Events -
Saturday, June 5, Silicon Valley Kidney Walk -- not too late to join in the fun. San Jose City Center Plaza.
Monday, June 4, Catta Vadera Golf Tournament (near Sacramento)
Tuesday, July 13, Laugh for Life -- The Improv - funny-draiser for NKF!

Upcoming Programs - Volunteers always needed!
Saturday 6/19 KEEP - Stockton - postponed (updated)
6/20 - 6/26 Kids Camp at The Painted Turtle (www.thepaintedturtle.org)
Sunday, July 25th, NKF Peer Training -- please refer any patients you think would be good mentors - Redwood City. Lodging the night before or after is covered as needed.
August 2010 KEEP San Jose
Sunday 9/19 Network 17 - NKF Symposium - The Evolution of ESRD Care - Innovations for the New Decade, Crowne Plaza Burlingame (attached flyer)
Saturday October 2, KEEP Fresno
RDs in private practice - if you would like to give your contact info to NKF we will put you on the list of RDs we refer callers to who would like private consults
RD volunteers - - if you would like to volunteer to take the occasional NKF caller inquiry, either by email or by phone, please contact Patty

Treasurer Report:
Catrina passed out the CRN Budget and explained that symposium informationwas bundled into 2008-2009 budget.
There was discussion about proposed the proposed budget for 2009-2010.
1) Honorarium for speaker at CRN Meetings would be approximately $500.00 to $1000.00 for each speaker.
2) Line item budget needed for cookbook reprinting, hence itemized now.
3) Meeting rooms have been provided free of charge at El Camino Hospital and if anyone else has meeting rooms available, please contact Erin Grande
erin.grande@davita.com

Voted to give $1000.00 for Kids Camp and Transplant Games every other year ie. One year toward Kids Camp and the next year toward Transplant Games.
Voted to have 3 meetings sponsored each year by CRN and 2-3 meetings each year sponsored by pharmaceutical companies.
The votes were unanimous among members who were present.

New Business:
NKF Spring clinical Meeting in Florida. Two members who received stipends will present summary at next meeting.

If anyone is interested in volunteering for Kids Camp, please contact Marilyn Mayfield

Ongoing Business:
A publications chair is needed. If anyone is interested, please contact Susie Fazlollahi at sodabeh@comcast.net
Storage space will be available at the NKF and it can be arranged through Patty McCormick : patty.mccormac@kidney.org or 415.543.3303, x. 104

If you have Speaker and topic ideas, please contact Erin Grande
erin.grande@davita.com

Job Openings:
Please see website: www.crn-norcal.org

Next Meeting: TBA

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February 16th, 2010 Straights Café, San Jose

Sponsor: Genzyme
Topic presenter: Dr. Luis Alvarez, MD.
Topic: 'KDIGO and CKD-MBD Update'

Chairperson: Susie Fazlollahi
Chair elect: Erin Grande (new)
Corresponding Secretary: Kim Gehrke
Recording Secretary: Vidyut Lingamneni
Treasurer: Catrina Morefield (new)
Historian: Sue Dickey (new)
Publications: TBA
Marketing/Web: Laurie Sanft
Legislation: Jennifer Clary and Joyce Yamaguchi (new)
CRN Display: Catrina Morefield.

Suzie Fazlollahi, Chair (present) made some announcements:

Business:
Suzie also announced that Minutes of the last meeting were sent to everyone via email. Kim Gehrke passed the motion to approve Minutes from last meeting and Sally Mertes seconded. Minutes were approved.

CRN is now under 'national ' NKF and the CRN funds will be held by NKF in a separate account, but funds have to be requested through NKF for any purpose, such as donations for KidsCamp, etc. This process will be handled by our treasurer, Catrina Morefield.

The directories were picked up by the members present at the meeting and the rest will be mailed out.

Rachel Tassan from NKF announced that the NKF Symposium this year will be held on Friday, April 9th at Sofitel Hotel in Redwood City, CA.

New Business:
RD:Patient ratio guidelines published by CRN were discussed. 1:80-100.

Jennifer and Joyce Yamaguchi sent email regarding Legislation Day March 8th and a reminder to write to your representative. Kim will send out another email reminder in the near future.

Ongoing Business:
CRN budget: the plan is for the chair, chair elect, current treasurer and last year's treasurer to get together and set the budget for the year as indicated by the CRN guidelines.

Erin Grande -chair elect will be setting up speakers/topics for upcoming CRN meetings. She requested everyone to send in their suggestions to her at
erin.grande@davita.com

A publications chair is needed. If anyone is interested, please contact Susie Fazlollahi at sodabeh@comcast.net

Job Openings:
RAI Bancroft - 16 hrs/week position available for new hire. This position will have potential for increased hours in the future.
RAI - San Leandro has an 8 hour/week position open at this time.

Next Meeting: TBA

Thank you! Genzyme for sponsoring this meeting!
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Nov 12th, 2009 El Camino, Mountain View

Sponsor Toni Wong from Shire
Topic presenter: Kathy Rickets
Topic: 'The challenge of balancing nutrition and phosphorus in CKD Stage 5 patients'

Betsy, Chair (present) approved Minutes from May meeting
She thanked outgoing officers and welcomed in-coming 2009-2010 officers and presented:

Slate of new officers for 2009-2010 announced and accepted by all members .
Chairperson: Susie Fazlollahi
Chair elect: Erin Grande (new)
Corresponding Secretary: Kim Gehrke
Recording Secretary: Vidyut Lingamneni
Treasurer: Catrina Morefield (new)
Historian: Sue Dickey (new)
Publications: TBA
Marketing/Web: Laurie Sanft
Legislation: Jennifer Clary and Joyce Yamaguchi (new)
CRN Display: Catrina Morefield.

2009 CRN Symposium report was given by Hema Master-Chair
The symposium was a huge success with > 190 registrants, several vendor exhibits, etc. NKF is changing the way they do their business and managing funds. They do not want CRN to have a separate bank account. CRN Councils will be a part of NKF and funds will be managed centrally by NKF. So the money collected for registration by credit card payment about $8500.00 would have been set aside in a separate account @ NKF & all the CRN expense payments to be handled by them. The money will belong to CRN. The CRN members, the President & Treasurer of CRN will then let the NKF know how the money is to be spent. This in a way left us in tough spot to pay for all our expenses for the Symposium, especially large amount for catering etc. After discussion with Chris Kelley it was decided that at present they will transfer the money to our CRN account by check. After all the income & expenses for the Symposium are cleared, Chris Kelley, CRN president & CRN treasurer will get together & help decide how to manage the funds. So on the books we have made profit of about $13,500 but till all the accounts are settled we cannot close the book regarding the Symposium. We will be able to complete & have report ready by the next meeting.

Salary Survey: Marilyn Mayfield will send out survey, which will be sent electronically to all members.

New Business:
CRN Membership forms and renewals for 2009-2010 was requested. Catrina Morefield is the new treasurer.

Medicare bundling proposal was presented by Marilyn Mayfield. A request was made to send comments to CMS before the rules are made final. This could be done electronically via the internet at http://www/regulations.gov or by mail to CMS -Baltimore, MD. Comments were due by November 16, 2009.

Ongoing Business:
Permission to reprint education material developed by NCCRN was requested by Patricia Berton, RD (Clifton, NJ) was discussed by the members present. Motion passed by Kim Gehrke to maintain all education material with only on-line access to members instead of printing new material. This was seconded by Catrina Morefield.

Susie Fazlollahi-Chair elect (present) Betsy presented Betsy Hennessy (outgoing chair) with a 'thank you' gift/card.
Alison Rigby, RD presented her nomination for Area V and reminded everyone to vote for CRN National Council.

Job Openings: Please see website: www.crn-norcal.com

Next Meeting: TBA
Special 'Thank You' to Shire for sponsorship and lunch and to El Camino Hospital for hosting the meeting.

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September 9, 2009 DaVita Claremont 5354 Claremont Ave Oakland, CA

Susie Fazlolahi (Chair Elect): Welcomed members and informed the group of the late cancellation of our scheduled speaker. Thanked Catrina Morefield for agreeing to present on short notice.
Due to the upcoming CRN Symposium we will not officially change CRN officers until the November meeting. It was announced that we are still searching for a new Historian and Treasurer.
NKF Announcements (Robert): Volunteers needed for the following KEEP Clinics:
9-13-09 (Fresno)
9-24-09 (Sacramento)
9-30-09 (San Leandro)
10-3-09 (Watsonville)
11-1-09 (Modesto)
Information is available on the website or Patty McCormack can be contacted.
Hema Master thanked Robert and the NKF for their help with the upcoming CRN Symposium.
Treasure Report (Susie Uyeda): Reviewed. Copies of the report were available.
Corresponding Secretary (Kim Gehrke): Stated that she would be e-mailing the group information on membership renewal in the next week.
CRN Symposium Discussion and Update: Hema Master and Marilyn Aaron
Date: Thursday October 29, 2009 at the Palm Event Center at Casa Real in Livermore, California.
Hema urged members to take extra pamphlets and pass them out. She also encouraged members to sign up via the website or mail in the pamphlet.
The topics and speakers were reviewed. Marilyn Aaron provided information on the fundraising status (copies available).
Presentation: Enteral Supplement Update: One Size Does not Fit All- Catrina Morefield, MPH, RD, MS (presented): Slides passed out
Next Meeting anticpated for November. Topic is TBD.

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February 25th, 2009, DaVita, Union City, CA

Meeting Minutes

Betsy Hennessy- Chair: ( Presented) Welcomed members and introduced the first Presenters.
Carol Gee Shak, Kim Gehrke and Cece Pesa.
Topic: Updates from 2008 Spring Clinical Meeting: Cece thanked people involved including the Medical Director of RAI San Leandro/Eastmont where they had conducted their campaign: Staying alive with serum phosphorus below or equal to 5.5. A multidisciplinary team campaign with two hemodialysis clinics to improve phosphorus outcomes. Kim explained the methods used and Carol presented the results of their campaign, with both clinics exceeding their goals for serum Phosphorus (70% <5.5) and their observation of a significant improvement in overall serum phosphorus levels.
Their conclusion was that an intensive multidisciplinary team approach that provides extra patient education, reinforcement and awards, is successful in achieving significant improvement in serum phosphorus control and patient compliance.

NKF Announcements: The second presenter was Andres Lozano from NKF - California Transplant Donor Program, who gave us an update on Organ donation and the Transplant Donor Network. Talked about educating people to make an informed decision. Encouraged us to 'spread the word' about their website and the registering online either on their website or through the DMV.

The third presenter was Erika Frank of NKF, who spoke about the upcoming 'Kidney Walks'. Encouraged individual or team sign-ups for the walk to raise funds for the NKF since it is an empowering experience.

Volunteers NEEDED: For KEEP Clinics - March 14th in Sacramento and March 28th in Visalia.
4 NKF Walks: Posters and announcements were distributed.
1. San Francisco
2. San Jose
3. Sacramento
4. Stockton
Champion of Hope is Thursday April 23rd, at Yoshi's Jazz Club in San Francisco . The event honoring Linda McCann

Treasure Report: Susie Uyeda (Presented) Report Reviewed. Copies of the report were available.

Historian Report: Marilyn Mayfield (Presented)
Salary Survey update: Wanted to know if she should continue her efforts in collecting salary surveys, etc.
Marilyn expressed some disappointment w/ the lack of involvement/ responses.
Satellite HealthCare salaries are available through Linda McCann

Susie Fazlollahi- Chair Elect
Reminded members to send in Topic ideas. She is currently working on the next meeting, possible topic is Condition of coverage or Diabetes. She would like members to send her more topic ideas as well as possible speakers.

Betsy Hennessy - Chair
New Business:
Member, Faith Tootell proposed that CRN as an organization honor Linda McCann.

Motion was passed by Cece to send a check to NKF for $250.00 for page to honor Linda McCann for the Champions of Hope Event at NKF in April. Seconded by Marilyn.

Kim Gehrke brought in printed copies of CRN directories for members and to save postage, she suggested that copies could be taken for co-workers, who are members and to check off the names.

Legislative Day March 9th - an announcement was made

Old Business:
CRN Symposium Discussion and Update: Hema Master and Marilyn Aaron -Symposium Co-chair: (Presented)

Date Finalized: Thursday October 29, 2009 at the Palm Event Center at Casa Real in Livermore, California.
Discussion: Fundraising Letter and Vendor list in progress. Vendor Check for $500.00 received. Symposium costs and speaker honorariums were discussed. The Registration fee may have to be >100.00 to defray costs, etc.

A special 'Thank You' to Susie Faziollahi for sponsoring this meeting and also to Sarah Winnick of DaVita for hosting the Meeting.

Next Meeting Scheduled for April 29th. Location TBD. Topic: Changes in CFC by
Maria Karalis

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December 16th, 2008 Compton Place Hotel, San Francisco

Meeting Minutes

Betsy Hennessy- Chair: ( Presented) Welcomed members, minutes- approved. Announced that Directories are almost complete and Kim Gehrke will bring to next meeting. Next Meeting TBA.

Susie Fazlollahi- Chair Elect: (Introduced Speaker )

Guest Speaker: Alison Rigby, PhD, MPH, RD; Topic: VIT D Update:

Special "Thank You" to Abbott for sponsoring our meeting

Alison passed out a couple article titles she thought the would interest the members

Articles:
1. Editorial Review: Nutritional vitamin D: the benefits of supplementation. Current Opinion in Nephrology & Hypertension. 17(4):345-347, July 2008.
Bushinsky, David A a; Silver, Justin b
2. Editorial Review: Myles, Wolf- Active Vit D vs Mortality
Journal of American Society of Nephrology 19! 1439-1443 2008

Susie Fazlollahi- Chair Elect: ( presented)
Reminded members to send in Topic ideas. She is currently working on the next meeting, possible topic is Condition of coverage or Diabetes. She would like members to send her more topic ideas as well as possible speakers.

NKF Announcement: Patty McCormac (Presented)
Volunteers NEEDED: There will be 9 KEEP clinics this year so far.
4 NKF Walks:
1. SF
2. SJ
3. SAC
4. Stockton
Medical Symposium is Sat Jan 31st - Foster City
Champion of Hope is Thursday April 23rd, at Yoshi's Jazz Club in San Francisco . The event honoring Linda Linda McCann

Treasure Report: Susie Uyeda (Presented)
Membership Dues Reminder: there are still member that need to pay their Dues $25.00 for 2009.
We have less money b/c Symposium Total: $10474.69

Historian Report: Marilyn Mayfield (Presented)
Scope of practice: Marilyn and Jane are working on a Scope of Practice project- They provided a Handout Defining a Renal Dietitians
Salary Survey update: Handout passed out.
Marilyn expressed some disappointment w/ the lack of involvement/ responses she has received regarding the salary survey and Scope of Practice project.. She has only received 5 salary surveys completed and has had no feedback on the work Jane Wilson and she did for Scope of Practice

Suzanne Gibson: Publications ( presented) Discussed the need to bring CRN educational brochures to meetings. She will talk with Lauire Sanft about making the barouches downloadable on the Website for members.

CRN Symposium Update: Marilyn Aaron -Symposium Co-chair: (Presented)
Date Finalized: Thursday October 29, 2009 at the Palm Event Center at Casa Real in Livermore, California.
We have 5 Topics and speakers, need at least one more Topic,
Fundraising Letter and Vendor list in progress.
Susie Uyeda was voted in as Treasure for the Symposium

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July 2, 2008 Westin, Palo Alto

Sandy Wallace-Chair (present) Next meeting will be in September. Location TBD. Announcement made regarding Linda McCann and circulating Get Well Card for her. Motion passed by Marilyn to send flowers and this was seconded by Sandy. Slate of new officers for next year announced and accepted by all members.
Chairperson: Betsy Hennessy
Chair elect: Susie Fazlollahi
Recording Secretary: Vidyut Lingamneni
Treasurer: Susie Uyeda
Historian: Nicki Rabier
Publications: Suzanne Gibson
Marketing/Web: Laurie Sanft
Legislation: Jane Wilson
Display: Catrina Morefield.
Salary Survey: Marilyn
Marilyn announced that NKF Run/Walk was well represented this year and most number of staff from Satellite participated. There will be no 'family camp' or 'kids camp' this year due to lack of funds. Hence, NKF is 'holding' our CRN donation till next year.

Sandy presented 'Appreciation Certificates to all prior year officers.

Betsy Hennessy-Chair elect (present)
Betsy presented Sandy (outgoing chair) a 'thank you' gift/card.
There was discussion about future format for meetings and how do we proceed in the future? Discussion was open to time, days, topics and locations of future CRN meetings. Members wanted variety of topics and locations, which is sometimes not easy. Fancy lunch meetings sponsored by Corporations Vs Dinner meetings in hospital with just coffee/sandwiches was discussed. Since sponsored speaker meetings are expensive (upto $1500.00), we could use local RNs/RDs as speakers as well.
Vidyut Lingamneni -Recording secretary (present)
Susie Uyeda- Treasurer (present) Hard copies available at meeting.
Megan Tichy- Historian (not present), no updates
Suzanne Gibson- Publications (not present), no updates
Laurie Sanft- Marketing/web (not present), no updates
Wanda Yu- Legislation (present)
Katrina Morefield- CRN Display (not present)

Guest Speaker: Dr. Luis Alvarez
Topic: Renvela - the new phosphate binder. A look at the past, present and the future of Sevelamer

Special 'Thank You' Genzyme for sponsoring the meeting.

CRN UPDATE: Given by Hema Master
We have made progress - the following locations were screened and still open to suggestions. Pros and Cons being evaluated with reference to costs, proximity to public transportation, cleanliness and space enough for meeting hall/breakout rooms, restrooms, vendors, etc.
1. Crown Plaza - SFO airport - Clean and near BART
2. Embassy Suites - SFO Airport - not very clean or conducive
3. Greek Orthodox Church, Oakland - Nice location but suitable for weddings/personal gatherings rather than an educational meeting
4. UC Berkeley - Hall will accommodate <200. Traffic problems during school year, may make it difficult to access easily
5. Winery in Livermore - Casa Real -7 miles from 680, with nice meeting facilities, fairly easy accessibility, etc.
6. Newark Hilton - Not near BART, but off 880 easy to access with ample parking space.
Costs mostly in the same range for most facilities - approx. $10-12,000 with catering included.
Programs Committee is well organized with 4-5 speakers/topics already lined up. Suggestions were given to use local well-known speakers such as Linda McCann for Vit D, Elaine Rodgers for Renal Nutrition in acute care setting, Dr. Guest - PD/HD home dialysis options/modality choices, Trish McCarley, RN - Educating/Counseling skills, Lynn -Herbs and alternative medicines
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January 29, 2008, Mariani's Inn and Restaurant

Sandy Wallace-Chair (present) Location and time of the next meeting TBD.

New Business- Salary Survey completed by Marilyn and copies available at the meeting.
CRN Meeting at Sacramento report given by Sandy.

Betsy Hennessy-Chair elect (present)
Reports:
Kim Gehrke- corresponding secretary (present) - An announcement that The CRN directory is available to take home was made along with a request to put a check mark next to the name on the sign in sheet if one was picked up for the attendee or for a co-worker. This would save the cost of mailing them out.

Vidyut Lingamneni -Recording secretary (present), inquired if there were any amendments to previous minutes sent out by e-mail. Motion to approve passed by Kim Gehrke to accept the minutes and seconded by Rory Pace. Minutes accepted.

Susie Uyeda- Treasurer (present) Report reviewed, hard copies available at meeting.
a)Three stipend applications were submitted and it was discussed if we could approve three people to receive $500.00 each since President of CRN, who could get a stipend of $1000.00 is not going to the meeting this year. A person cannot reapply for the stipend if she/he has received one during the past three years. A motion to approve was passed by Betsy Hennessy and seconded by Vidyut Lingamneni.

b)There was a discussion about donation of $1000.00 to NKF and this year it was decided with a vote that CRN donate $500.00 to Transplant games and $500.00 towards the NKF Camp. Motion to approve passed by Elaine Rodgers and seconded by Gayle Miller.

Salary Survey was compiled by Marilyn and hard copy distributed. There was a brief discussion of survey results and RD:Patient ratio. Ideal ratio stated to be 1:100 but some facilities had higher ratios.

Sweatshirts were purchased by Marilyn for the kids at Kids camp and cost was $9.99X13. Motion to approve the total cost was passed by Carol Rhodes and seconded by Sandy Wallace.

An announcement was made that Bonnie Lemesh RD was looking to work an extra 16 hours per week and if anyone was looking to hire, please contact Bonnie at lemeshb@sutterhealth.org

An announcement was made by Carol Gee Shak on behalf of Chayya Patel.
a) If anyone needed review material for CSR Exam, please contact Chayya.
b) Davita is sending a team to a Hemodialysis unit in No. India on a charity mission.
Announcement made by Betsy Hennessy - Looking for volunteers to be at the table with our CRN display at upcoming NKF symposium in SanJose and San Francisco. A suggestion was made to laminate the material on display so that it will not be picked up in error. Suzanne Gibson has the original templates and they are also available on-line.
Representative from NKF No. CA, Anna Trujillo made an announcement to spread the word about the upcoming symposium on Feb. 7th and 8th as registration was low.
Volunteers are also needed for 'Healthy Kidneys for Life' - SFO, SJC, Sacramento, Oakland, Fresno, etc. She also does the Kids Camp.
Please e-mail her at Anna@kidneyNCa.org or 415-543-3303X116

Gayle Miller made the announcement that we need 'Chair-Elect' for the new CRN year. Anyone interested, please contact her.
Megan Tichy- Historian (not present), no updates

Suzanne Gibson- Publications (present),
Laurie Sanft- Marketing/web (not present)
Wanda Yu- Legislation (present), no updates
Katrina Morefield- CRN Display (present)

Old Business: Symposium update: Various Committees to meet after the general meeting for 15-20 minutes.

Guest Speaker: Dr. Steven Guest. Topic: General Overview of Clinical Data for Peritoneal Dialysis.
Special 'Thank You' to Baxter for sponsoring the meeting.
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November 29, 2007 Il Fornaio Cucina Italiana

Sandy Wallace-Chair (present) Next meeting will be on Tuesday January 29, 2008 - Location TBD
New Business- Salary Survey completed by Marilyn and will be brought in by Connie.
CRN Meeting at Sacramento report given by Sandy.
Betsy Hennessy-Chair elect (present)
Kim Gehrke- corresponding secretary (present) - The e-mail list continues to be updated. A request was for members to review the membership directory draft for 2007-2008 and to make corrections to their information if needed. The final draft will be available at the January meeting.
Vidyut Lingamneni -Recording secretary (present), inquired if there were any amendments to previous minutes sent out by e-mail. Motion made by Kim Gehrke to accept the minutes and seconded by Marilyn Aaron. Minutes accepted.
Susie Uyeda- Treasurer (present) Report reviewed, hard copies available at meeting.
Megan Tichy- Historian (not present), no updates
Suzanne Gibson- Publications (not present)
Laurie Sanft- Marketing/web (not present)
Wanda Yu- Legislation (present) Legistlative updates provided.
Katrina Morefield- CRN Display (present), no updates

Old Business: Symposium update:
Cecelia will be unable to serve in full capacity due to overseas travels. Suzanne Gibson has agreed to be co-chair. Gayle Miller had visited the Centers - Marriott-Oakland/Bellevue Club/Hilton in Emeryville and there was discussion about the timeline of 1-2 years needed to have a successful and professional CRN Symposium. The general consensus was that we need more time to prepare as various committees have to be set up. The objective is to provide renal education to the inexperienced dietitian. First a date needs to be decided upon.
Hema Master volunteered to be the new Chair and the tentative date for the symposium is fall 2009, which provides approximately two years to plan and implement the CRN symposium. The committees could meet after our regular CRN meetings.

Guest Speaker: Dr. Sanjay Rastogi, PhD, UCLA School of Medicine.
Topic: Acid/Base Disorders: Cases and Epidemiology.
Special 'Thank You' Genzyme for sponsoring the meeting.
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September 26, 2007 Kuleto's, San Francisco, CA 94102

Sandy Wallace-Chair (present) Next meeting will be in Sacramento on October 24th, 11:00 AM to 1:00 PM at Sutter General Hospital, Conference Rm (II floor). Please RSVP by Oct 18 to Maureen at (916) 731-7755.
Sandy Wallace informed the group of the NKF professional council report form for July, August, and September was due. She asked anyone who participated in events such as Kid's Camp, Keep programs, etc. to contact her. The information provided will show the activity level of our CRN chapter.
The salary survey was prepared by Marilyn Mayfield (not present) and provided to those in attendance. The survey will also be sent via e-mail to all members. All members were encouraged to complete the survey and mail it back to Marilyn Mayfield.
Symposium - NKF. Gayle Miller gave and update. She informed us the Social workers approached her to find out if we would like to combine and do it as cruise to Mexico. A vote was taken and a motion passed to have symposium done the traditional way as the main purpose is to serve and educate RDs not in the renal arena.
Scott Kessler from NKF gave an update about the health fair in July and welcomed participation in Medical Advisory Board. If anyone is interested, please contact Patty McCormick at NKF, No. CA. You can also sign up for training for KEEP screening in Los Angeles scheduled for November. He also briefed the group on a future program, Healthy Kidneys for Life. They will train educators to go into 5th grade classrooms throughout Northern CA and possibly, Northern Nevada to engage students in participatory activities that teach about kidney function and health. The curriculum is currently being developed.
Betsy Hennessy-Chair elect (not present)
Kim Gehrke- corresponding secretary (present) - Sorry for to any members who did not receive correspondence via e-mail. The Email list is being updated.
Vidyut Lingamneni -Recording secretary (present), no updates
Susie Uyeda- Treasurer (present) Report reviewed, hard copies available at meeting.
Megan Tichy- Historian (not present), no updates
Suzanne Gibson- Publications (not present)
Laurie Sanft- Marketing/web (not present)
Wanda Yu- Legislation (present), no updates
Katrina Morefield- CRN Display (not present)

Guest Speaker: Patricia McCarley, RN, MSN, NP
Topic: Sensipar and the improved management of SHPT in Dialysis patients.
Special 'Thank You' to AMGEN for sponsoring this meeting.
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June 5, 2007, Filoli, Woodside, CA

Chair: Gayle Miller - There will be no meeting in July. Slate of new officers for 2007-2008 presented to members. Gayle extended a big thank you to last year's officers.
Corresponding Secretary: Erin George - no updates
Recording Secretary: Lisa Boury- minutes approved for May meeting.
Legislation: Wanda Yu - not present, no updates
Publications: Suzanne Gibson - no updates
Historian: Marilyn Mayfield - Three R.D.s attended the San Jose Walk. Memorial weekend was the Adult Camp. Kids Camp will be July 8-14th. Volunteers are still needed. Contact Faith Tootell for more information about the camp experience as she has been involved previously. There will be 15-20 kids this year and help is needed with driving them to camp and being a camp R.D.
Marketing: Laurie Sanft - not present, no updates
Treasurer: Susie Uyeda - Report reviewed.
Sacramento Liaison: Karen Chong & Maureen Crerar - not present, no updates
NKF Florida Update: Numerous handouts were provided by Vidyut Lingamneni, Gayle Miller, and Tracy Mulligan. The new diabetic guidelines can be found on the NKF website. A review of Dr. Coyne's presentation on Vit. D Deficiency was shared with members by Tracy Mulligan. All articles can be forwarded by Tracy via email at Tracy.Mulligan@Davita.com.
CRN Symposium: Gayle Miller (for Cecilia Sun) - Cecilia may be moving to China so a new head for the symposium committee is needed. Marriott, Oakland was not available to reserve. Possible location is the Greek Orthodox Church in the Oakland hills.
NKF Liaison: Faith Tootell - Family camp was a success. KEEP in Oakland on 5/12/07 had a great turn out. There will be a volunteer appreciation dinner held on May 30th.
Guest Speaker: Dr. D. Andress "Enhancing Outcomes in CKD"

Special Thank You to Abbott for sponsoring this meeting!

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May 1, 2007, Bridges Restaurant, Danville, CA

Chair: Gayle Miller - Next meeting will be held on June 5th at the Filoli Estates in Woodside. The following information is regarding the meeting.
People should arrive by 11:15 to the visitor's center where they will be directed to the meeting room for the CRN meeting. Tentative schedule will be to have CRN meeting at 11:30 and then attend speaker presentation directly after.
Directions: check out the website which is www.filoli.org
Box lunches are provided. Please specify if you require a vegetarian lunch.
Please RSVP to Erin George at eringeorge@renaladvantage.com
If CEUs are desired for this program call 1-800-288-5803 to register.

CRN will have elections for the 2007-2008 officers in the near future. Open positions for corresponding secretary and recording secretary. Please send any nominations or inquiries to any of the current officers.
CRN display board brought to meeting for members to view.
Lyn Piercy Distinguished Achievement Award presented to Kristie Snyder.

Corresponding Secretary: Erin George - no updates

Recording Secretary: Lisa Boury - Motion approved to no longer print minutes and provide at each meeting. All minutes are sent to members via email and any corrections will be made via computer.

Legislation: Wanda Yu - not present

Publications: Suzanne Gibson - not present

Historian: Marilyn Mayfield - not present

Marketing: Laurie Sanft - no updates

Treasurer: Susie Uyeda (not present, Gayle Miller presented) - report reviewed with members present, hard copies available at meeting, and email copy to sent to members prior to meeting.

Sacramento Liaison: Karen Chong & Maureen Crerar - Next meeting
May 30, 2007 with Donna de Souza presenting on motivational techniques for the patient.

NKF Florida Update: Betsy Hennessey - Betsy Hennesy, Gayle Miller, and Wanda Yu attended the NKF meeting in Florida and will be providing highlights from the symposium at the upcoming CRN meetings.

CRN Symposium: Cecilia Sun - volunteers still needed to help organize the Spring 2008 meeting. Awaiting confirmation from the Oakland Marriott as location for symposium.

NKF Liaison: Kristie Snyder & Patti McCormack - Superstride 4 Life is May 19 in Stockton and June 2 in San Jose (Kristie can email information out if interested).
Author's Luncheon upcoming.
New Sacramento office is now open.
Medical Advisory Board Dinner will be at the Compton Place Hotel, SF on May 1 with speaker Oscar Salvatiore discussing a Retrospect on Transplant. No credits will be given for this presentation.
Medical Advisory Board is expanding to include an Allied Health Professionals Committee. Scott Kessler is the head of this new program.

Guest Speakers:
Catrina Morefield, MPH, MS, RD "The Obesity Paradox"
Michele Tilton, RD, CNSD "Renal Nutrition Support"
Allison Kregness, RN "Network 17 Clinical Performance Measures"

Special Thank You to Optioncare for sponsoring this meeting!

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February 13, 2007, Mggiano's Little Italy, San Jose, CA
Chair Update- Gayle Miller
· Minutes from Dec 6th meeting approved, informed members that minutes are on website.
· Directories have been completed and mailed out to all members. More are available.
· Membership forms are available to anyone whom would like to join CRN.
· CRN Display needs to be located or a new needs to be made. Has been misplaced for 2 years.
· CEU Stipends for Spring Clinical available; Dates are April 10th-14th

Chair Elect Update- Sandy Wallace
· Next meeting with be in Sacramento on Thursday Feb 28th from 11am -1pm
Location: Sutter Cancer Center. Topic- Diabetes and CKD
· Location still needed for the April 25th CRN meeting sponsored by Option Care
Speaker - Catrina Morefield

Treasure Update-Susie Uyeda
· The CRN had a increase income of $310.00 since Decembers' meeting.
· The savings will be used for the 2008 symposium.

Legislation Update- Wanda Yu:
· Nothing New to report
· An article on the use of stem cells for kidney transplant research provided and will be posted on the web for all members to access.

Publications Update- Suzanne Gibson
· There were 3 orders last month
· CRN pamphlets were brought to the meeting free to all members to take
· Holiday menus will be available on the website. Motion to laminate the menus denied.

Historian Update-Marilyn Mayfield
· Donations from Sports Authority is not a guarantee. Marilyn has purchased some sweatshirts for the Kids camp and motioned for a reimbursement. Motion approved.

Job opportunities-
· FMC Los Gatos has a 32 hr position
· There are currently 5 job postings on the website: www.crn-norcal.org

NKF Update- Faith Tootell
· 100 pt were screened at the KEEP clinic in Oakland
· The March 1st and 2nd NKF symposium will be on Diabetes guidelines
· Attended the GALA, Dr. Norman Coplon was honored with the Lifetime Champion Award.

2008 Symposium Update- Cecillia Sun
· In the process of finding a Location for the Symposium, no reservation booked as of yet.
· The 2008 symposium volunteer committee lists distributed
· Need more volunteer, especially the financial committee
· Tentative symposium date set for Friday May 2nd 2008

Misc:
· Karen Chong's name is spelled wrong, needs to be corrected. Apparently her previous last name was Iseri.
· Cookbook List is on the Website
· Lyn piercy Distinguished Achievement Award Nomination will be given at the May or June meeting. Nomination forms provided.

Presentation: " The role of Vitamin D in CDK and Cardiovascular disease" by Kristen Cardinal, PH.D.

Thank you to Abbott for sponsoring our meeting

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December 6, 2006, Bellevue Club, Oakland, CA

Chair Update - Gayle Miller:
o Minutes approved for October meeting with one edit to position opening with NKF.
o The joint social work-dietitian meeting will once again be held at the Culinary Institute of America, SF. Dates to follow.

Chair Elect Update - Sandy Wallace:
o Speaker for the upcoming meeting will be Kristen Cardinal for Abbott. The topic will be "Diabetes and CKD". A location is still needed for this meeting in San Jose.
o Help is needed in writing the Amgen grant.
o No prior approval is needed to obtain CEUs for CRN meeting. This information came from Simone Quinn at the credentialing department of the CDR.

Treasurer Update - Susie Uyeda:
o The CRN currently has over 100 members.
o NKF sent a thank-you note for the $1000 donation.
o Savings account balance to be utilized for the 2008 Symposium.

Corresponding Secretary Update - Erin George:
o New directory is finished and will be mailed to members at their home address when available. If no home address, will mail to work address.
o Name tags are being made for the next meeting.

Historian Update - Marilyn Mayfield:
o Salary surveys were compiled and analyzed (thanks to Connie Schroepfer's husband). The average salary is approx. $35/hour with benefits. The recommended ratio is 1 FTE/80 patients. A sample letter is available to give to your administrator if interested. When any complaints surface regarding a dietitian at a unit, the FTE ratio is the information that will be obtained first by Network 15.
o Please complete salary surveys annually and return to Marilyn. These are anonymous.
o Donations from Sports Authority have been requsted for next year's kids camp.
o Marilyn has a contact to assist Betsy Hennessy with translating the menus into Tagalog.

Marketing Update - Laurie Sanft
o If you wish to be on the CRN website send an email to: laurie.sanft@davita.com
o CRN did not approve publishing menus on the CRN website. CRN would like to be able to sell menus for revenue. Suzanne Gibson will research the cost of laminating a master copy for each unit to have available.

NKF Update - Sue Dickey:
o Upcoming important dates :
January 13 - KEEP clinic at the Bay Area Black United Fund Health Expo in Oakland. Volunteers needed.
January 16 & 18 - M.A.B. CME dinner in SF & Sacramento. Speaker will be Dr. G. Eknoyan on KDOQI Guidelines.
March 1 & 2 - Medical symposium in SF & San Jose, respectively.
April 10th - 14th- National NKF meeting in Orlando, Florida.
May 5 - Young Investor's Forum in SF.
For more details check the website www.kidney.org
o There are currently no openings on the Board of Directors for NKF. Liason positions are being managed by the Medical Advisory Board.

Sacramento Liaison -Karen Iseri: not present
o The final cookbook resource list provided to members.

Legislation Update - Wanda Yu:
o Handouts provided regarding current legislative issues.

ESRD Network Update - Sandy Wallace:
o Network still undergoing reorganization. Alison Kregness remains the interim director.

Publications Update - Suzanne Gibson - not present

Old Business -
o Holiday menus completed and distributed.
o CRN Symposium still needs volunteers for finance, program and fundraising committees. Email Cecilia at ceciliasun@yahoo.com
o CRN members approved allowance of chair and chair elect to attend NKF once paid for by CRN.

Job Openings - visit www.crn-norcal.org
o 32 hour position at RAI Haight St., SF. Full Benefits.
o 24 hour position (w/ anticipated increase in hours) at Davita- Florin/S. Sacramento. Contact John Owens at (916)424-3990

12:15 - 1:45 Presentation: "Patient Participation & Compliance" by Donna Morton De Souza, MPH, RD, LD/N

Thank you to Genzyme Corporation for sponsoring our meeting.

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October 5, 2006, Kuleto's Trattoria, Burlingame, CA

Chair Update - Gayle Miller:
o Volunteer sign up sheet circulated for CRN Symposium 2008.
o Next meeting slated for Dec. 6 at the Bellvue Club, Lake Merritt-Oakland.
Guest speaker Donna Morton de Sousa discussing motivational education techniques.
Chair Elect Update - Sandy Wallace:
o No recent meetings for the Transpacific Renal Network.
Treasurer Update - Susie Uyeda:
o The CRN agrees to donate $500/year to both the Transplant Games and Kids Camp.
Corresponding Secretary Update - Erin George:
o Annual membership dues are to be paid by November 1 to be included in the Membership Guide and receive a name badge for the upcoming year. Renewal forms are available at the CRN website or email eringeorge@renaladvantage.com.
Historian Update - Marilyn Mayfield:
o Kids Camp was a success.
o Please complete salary surveys annually and return to Marilyn. These are anonymous.
Marketing Update - Laurie Sanft: no updates
NKF Liaison - Kristie Snider: not present
o Kristie is still looking for someone to take over her position on the NKF board of directors.
Sacramento Liaison - Karen Iseri and Maureen Crerar
o The cookbook list is in the process of being updated and is near completion. There were 6 new books added and 7 resources removed. This may be published the Journal of Renal Nutrition in January.
o The Sacramento meetings will be held every four months in 2007.
Legislation Update - Suzanne Gibson:
Report provided at meeting of all existing bills. See Legislative Issues.
ESRD Network Update - Sandy Wallace:
o Network still undergoing reorganization. Alison Kregness remains the interim director.
Past Chair Update - Megan Tichy:
o Russian menus have been completed.
o Tagalog translations will be updated by Gayle Miller & Betsy Hennessy.

Presentation: "Pediatric Dialysis & Kidney Transplantation: A Nutritional Perspective"
By Kelly Klaczkiewicz, RD
Thank you to Nabi for sponsoring this meeting and providing the CRN with such a great presentation!
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June 27, 2006, McCormick & Kuleto's, San Francisco, CA

Chair Update - Cecillia Sun:
o Volunteer sign up sheet circulated for CRN Symposium 2008.
o Appreciation gifts provided to 2005-2006 officers.
o Welcome and passing of the gavel to new CRN chair Gayle Miller.
Chair Elect Update - Gayle Miller:
o September meeting is TBA. Possible location at The Boulevard, San Francisco.
o New ADA CEU contact: Simone Quinn at squinn@eatright.org.
Treasurer Update - Susie Uyeda:
o Kids Camp donation processed. Savings balance of $ 10,346 to be used towards CRN symposium in 2008. Checking balance $ 9,412 at present.
Corresponding Secretary Update - Erin George:
o Please contact Erin with any changes in contact information.
Historian Update - Marilyn Mayfield
o Volunteers requested to help with transportation for Kids Camp Sunday July 9th and Saturday July 15th. The volunteer will drive from Palo Alto to La Honda (Santa Cruz mountains) and vice versa. Please contact Manisha Chulani at 415-543-3303 x 103 or Manisha@kidneyca.org if you can help.
o Shirts have been ordered for the kids participating in the camp this year.
o Please complete salary surveys annually and return to Marilyn.
Marketing Update - Laurie Sanft: no updates
NKF Liaison - Kristie Snider
o NKF Recognition meeting held at Stanford Court.
Sacramento Liaison - Maureen Crera
o The cookbook list is in the process of being updated.
Legislation Update - Suzanne Gibson: no updates
ESRD Network Update - Sandy Wallace: not present
o Network undergoing reorganization presently.
Past Chair Update - Megan Tichy
o New slate of officers to vote on for 2006-2007 CRN.
o Russian menus have been professionally translated and will be reviewed by Russian contacts in the dialysis community.
o Tagalog translations will be updated by Gayle Miller. Betsy Hennessy will be relieved of this project.
Presentation: "Pharmacology in CKD"
By Dr. Mary Schira
University of Texas at Arlington

Thank you to Genzyme for sponsoring this meeting and providing the CRN with such a great presentation!
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May 17, 2006, Trader Vic's Restaurant, Emeryville, CA

Chair Update - Cecillia Sun:
oOfficer nominations for 2006-2007 are due by June 1, 2006 (send to Megan Tichy at megan.tichy@ucsfmedctr.org).
oRequests received to change meeting days to Mondays or Tuesdays rather than Wednesdays. Members voted to alternate meeting days and locations to accommodate more members.
oCecillia has volunteered to chair the planning committee for a CRN symposium tentatively planned for 2008. Volunteers are needed to assist on this planning committee. The commitment is for 2 years. Please contact Cecillia at cecilliasun@yahoo.com.
oProposed increase in CRN membership dues to $30-35/year was not approved by CRN members. Vote was made to begin charging all non-members a $25 fee for attending luncheons. The attendee may utilize this fee as their annual membership due for the CRN if they decide to join. This will begin with the new fiscal year and a volunteer will be stationed at meetings to check in attendees and manage this process. Jennifer Clary has volunteered to assist in this process. Erin George will send out reminders to members regarding the due date of membership fees in late September (the deadline is tentatively set for November 1st).
oMembers asked to approve a donation of $500 to the NKF Kids Camp this year. This was approved and will be processed by the treasurer. CRN agrees to donate to the Olympic Transplant Games and Kids Camp on alternating years. The request for $1500 donation to the Transplant games has not been approved for this year.
oLyn Piercy Distinguished Achievement Award presented to Sue Dickey.
Chair Elect Update - Gayle Miller:
oNext meeting will be on June 27th in San Francisco, exact location TBA.
Treasurer Update - Susie Uyeda:
oThe balance in the CRN account has stayed relatively stable since the last update. There has been little income going into the account; however, outgoing expenses have been low and the overall balance has changed very little. Additionally, there were no applicants for the educational stipend this year which saved the committee money.
Corresponding Secretary Update - Erin George:
o New name badges will be created with the next fiscal membership drive.
Historian Update - Marilyn Mayfield (on vacation)
Marketing Update - Laurie Sanft (not present)
NKF Liaison - Kristie Snider
oVolunteer dinner is on Thursday the 18th.
oKristie's 3 year term is approaching term. Anyone interested in this position please contact Kristie Snider. If no one is interested she has agreed to stay on as liaison.
Additional update from Megan Evans:
Team Approach meeting is slated for this week.
Kids Camp starts July 9th through the 15th.
Family Camp will begin this month.
Healthy Kidneys For Life needs volunteers to teach 5th grade classrooms about prevention of kidney disease.
Transplant Olympics begin on July 16th in Kentucky.
Volunteers needed for local KEEP programs.
Legislation Update - Suzanne Gibson:
oUpdates are available on the CRN website at http://www.crn-norcal.org/ using the password "goodhealth" and the user name "member".
ESRD Network Update - Sandy Wallace:
oAllison Kregness will be taking over Arlene Sukolsky's director position.
oNKF cookbook list needs to be updated again. Liz Kirk, Patient Education Chair, wanting to know if CRN would volunteer this year to complete the task. Maureen Crerar and Karen Chong volunteered to take on this project.
oHoliday menus in Tagalog and Russian are not yet available. Megan Tichy is working on this project.
Presentation: "Osteopontin- A Multifunctional Adapter Protein in Cardiovascular Process" by Cecillia Giachelli, PhD
Thank you to Genzyme for sponsoring this meeting and providing the CRN with such a great presentation!
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March 23, 2006, California Culinary Academy, San Francisco

Chair- Cecillia Sun
- The joint RD and SW meeting on March 23 rd at the California Culinary Academy in San Francisco was a great success. Special thanks to Gayle Miller and Sue Dickey.
- The Council is seeking for volunteers who are willing to help updating the Renal Cookbook.
Please contact Megan Tichy (megan.tichy@ucsfmedctr.org), Lisa Gutekunst (lisa.gutekunst@davita.com), or Cecillia Sun (cecilliasun@yahoo.com) if you are interested.
Past-Chair- Megan Tichy
- It is time to nominate new officers for 2006-2007. Please see attachment for the form, and send the nomination back to me via megan.tichy@ucsfmedctr.org or call me at 415-476-2219
Chair-elect- Gayle Miller
- The May meeting will be held at the Trader Vics, Emeryville.
Treasurer- Susie Uyeda
- As of March 26th, the ending balance in the checking account is $9295.80 ,and the saving account is $10326.63.
Corresponding - Erin George
- No update
Historian- Marilyn Mayfield
- SuperStride for Life Walk and KEEP Clinic- 9Am - 12 noon, St. James Park , SJ on 4/22/06
- Young Investigators Forum- location TBA, 4/2906
- Golf Tournaments- Catta Verdera, Lincoln CA on 9/18/06
NKF Report- Kristie Snider
- I attended an NKF of No CA BOD meeting on Feb 16th in Redwood City.
- See attachment for the upcoming events and meetings.
Marketing - Laurie Sanft
- No update
Legislation - Suzanne Gibson
- No update
ESRD Network - Sandy Wallace
- Arlene Sukolsky has resigned. Allison Kregness has stepped in as the interim director.
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December 1, 2005, Kuleto's Trattoria, Burlingame

Welcome & Introduction - Cecillia Sun
o Today's speaker is Dr. Lance Sloan and the topic is SHPT stages 3 and 4 CKD.
Chair-elect Updates - Gayle Miller
oPAR Pharmaceuticals (Megace) will sponsor our May meeting.
oToday's lecture is approved for level 3 CPEs.
oCombined social worker and dietitian meeting will be held in March 2006 at the Culinary Institute of America in San Francisco. It is slated for the 2nd or 3rd Thursday of the month. The topic will be "Coaching Patients for Success" and 1 CEU will be given.
Treasurer's Report - Susie Uyeda
o Proposal made to increase CRN fees from $25/year to $30-35/year. This increase would go towards awards, scholarships, and charitable donations. A vote will be taken at next meeting regarding this proposed increase.
o Beginning balance is $6499.95 and present balance is $8828.16 for the CRN. Susie's goal is to get the account balanced in 2006 which has been difficult (impossible) to accomplish in previous years.
o The Distinguished Award for dietitians will be in April 2006.
o The education stipend will be given in February 2006.
Corresponding Update - Erin George
o CRN directory now updated and available for all members. Those not present will be receiving a copy by mail.
o A new computer program may be needed in the future to maintain member information.
Historian Update - Marilyn Mayfield - not present
NKF Report - Kristie Snider - not present
o There is an opening for a Program Director at the NKF. If interested please call 415-543-3999 ext. 119.
o Author's Luncheon was a success all members encouraged to attend next year.
o Stride for Life will be April 22nd (San Jose) and 29th (Stockton) .
o Champion of Hope dinner at the San Francisco Ritz Carlton Hotel will be held February 25th. The fee is $300/per person and Kristie Snider or Patty Castiglioni are contacts for those interested at 415-543-3303 ext. 115.
o The NKF program is increasing their presence in Sacramento and possibly in Reno.
o Medical Advisory Board is holding a CME Events dinner on January 10th at the Campton Place Hotel in San Francisco at 6:30 pm. The subject is Vascular Access Stenosis. If interested contact the NKF.
o KEEP held a meeting in San Jose on Sept 24th which was organized by Faith Tootell.
Marketing Update - Laurie Sanft
o The website will be updated with new officer's names and contact information.
Legislation Update - Suzanne Gibson - not present
oSee attachment.
ESRD Network Update - Sandy Wallace - not present
o There will be a web-ex training session on patient conflict resolution held on December 1st.
o Fistula First continues to be an area of active involvement.
o No recent meetings have been held to report on.
Next Meeting - Gayle Miller
o TBA

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September 29, 2005, Papillon Restaurant, Fremont

Welcome and Introduction - Cecillia Sun
Recording Secretary Update - Lisa Boury
oMinutes approved from June meeting. Corrections made will be provided to chair.
Treasurer Update - Susie Uyeda
oBudget report reviewed. Slight decrease in income in 2004 related to cultural food book sales. Increased money spent related to pamphlet requests. Additionally the pamphlets are available at this meeting from Helen.
Corresponding Update - Erin George
oImportant to renew your CRN membership as soon as possible.
oProvide new contact information to Erin at eringeorge@renaladvantage.com.
oContact information for officers will be made available with next meeting's minutes.
Marketing Update - Laurie Sanft - not present
Historian Update - Marilyn Mayfield
oCRN ed tapes found circa 1980s. Motion approved to destroy.
oMegan Tichy brought in a photo album for sharing.
Chair-elect Nomination - Cecillia Sun
oGayle Miller from Ocean Garden Dialysis in San Francisco has been nominated by Alison Rigby. Motion approved by all present.
Liason Report - Kristie Snider
(Minutes not yet available from September 7th NKF meeting.)
oThe NKF has a new logo (5 petal flower) coming out on their materials.
oThe annual Author's Luncheon will be November 5th (SF Marriott) and November 12th (Sacramento). CRN will have a table at the meeting and volunteers can obtain tickets at 50% the regular price. This discount rate is $50/person.
oThe Champions of Hope will be held on February 25, 2006 at the Ritz Carlton Hotel in SF.
oThe northern California office for the NKF is now located on Stuart St.
oThe NKF will be having a golf tournament on October 21.
oThe KEEP clinics are still seeking volunteers.
For more details on these events please contact Kristie Snider at kristie.snider@us.gambro.com .
Patient Services Update - Marilyn Mayfield
oEl Camino Hospital is currently checking GFR on all patients with creatinine levels ordered.
oNew Abott Representative has agreed to volunteer on the committee.
oKidney Symposium will be held in SF on Feb 26-28, 2006
oSpring clinical meeting will be held in Chicago April 19-23, 2006
ESRD Network Update - Sandy Wallace
o Network meeting was held in September 2005. Next meeting will be November 18th at the Park Plaza in Oakland at 12:00-3:30. Lunch is included and the meeting is free. Speakers will discuss disaster preparedness, frequent dialysis, and other topics. For more information log on to www.network17.org .
oDr. Chertow and an Asian speaking nephrologist are working on translating information for patients trying to get to transplant.
oThe network is looking for new people to get involved in their coalition
oThe Fistula First initiative is planning cannulation camps in Hawaii. The goal is 44% of dialysis patients have a fistula.
oThe networks disaster brochure is currently on hold.
Sacramento CRN Update - Maureen Crera
oThe last meeting was held in July. The topic was nutrition support. The next meeting will likely be after the holidays in January 2006.
Old Business - Megan Tichy
oRussian menus will be translated over the next month.
New Business - Cecillia Sun
oShirley Cook has invited the CRN to hold a joint meeting with dialysis social workers in March 2006. An inspirational speaker has been suggested. This invitation was accepted by all CRN members present. Cecillia will contact Shirley Cook and follow up.
Next Meeting - Gayle Miller
o To be announced.
Job Openings
o Gambro El Cerrito - FT RD position
o Davita Benicia - maternity coverage
Thank you to Martha from Novo Nordisk for sponsoring this meeting!

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April 21, 2005 Piattis Restaurant, Danville
2004-2005 Officers: Chair: Megan Tichy; Chair-Elect: Cecillia Sun; Treasurer: Susie Uyeda; Recording Secretary: Bonnie Lemesh and Grace Wang; Corresponding Secretary: Darcy Becker; Publications: Helen Christensen; Historian: Marilyn Mayfield; Marketing/Web: Laurie Sanft; Legislation: needs to be filled; Past Chair Nominations: Alison Rigby

Speaker: Dr. William Goodman: New Strategies for Treating Secondary Hyperparathyroidism

AGENDA:
Approval of Minutes: Minutes will be available for approval at next meeting.
Treasurer's Report: (Susie Uyeda)
Summary of Report:
Checking Account:
Beginning Balance: $7,396.41
+ Income (Dues) 250.00
- Expenses 654.00
Ending Balance $6,992.41
Savings Account
Beginning Balance: $10,242.58
+ Interest 15.17
Ending Balance $10,257.75
Majority of income is from dues. There are 100 paid members.
Corresponding Secretary: (Darcy Becker)
No report. (If you want an email forwarded to the group, please send it to Darcy and she will forward it. Please respond to the sender of the email, not to Darcy.)

LIASON REPORTS
NKF Board of Directors (Kristie Snider)
Encouraged members to attend the Chef's and Cellars, Sunday 4/24, aboard the docked Hornblower, from 2-6 pm. Tickets were available on tables.
NKF Patient Services (Marilyn Mayfield)
Committee is preparing for Kids' Camp. A vote was taken and passed that CRN would provide sweatshirts. A new volunteer, Phil Akiyama, RD, of Fresno, and his wife will be helping this year.
Stride for Life days will be held in Mountain View and Stockton. For more information, go to NKF web site: kidneynca@nkf.org.
ESRD Network 17 (Sandy Wallace)
A meeting was held 3/23/05. The National emphasis is on Home Disaster Preparedness. There will be a refrigerator magnet for patients to use.
There is a statewide initiative for organ donation. April 4 was the kick-off date.
CMS web site has announced new changes coming up.
· Long-term care plan will no longer be required.
· Promoting fistula first nation-wide and buttonhole technique to avoid cannulation errors and preserve fistulas longer.
· CMS web site announced.
· An LCSW will not be required, and MSWs will be acceptable.
· Core indicators for audit continue to be KT/V >1.2, Hgb >11; alb >3.2 (purple assay) >3.5 (green assay).
Added note since meeting: Lynn Field, Director Quality Improvement, left Network 17 on May 3. Arlene Sukolsky will be assuming her workload until a replacement is found.
Sacramento CRN (Karen Iseri and Maureen Crera)
The Sacramento group had their April meeting sponsored by Shire with about 10 in attendance. Karen or Maureen will send the meeting announcements to Darcy Becker to send out to the entire membership list.

OLD BUSINESS
Committee Reports:
Publications (Helen Christensen)
A vote was taken and passed to reprint publication order forms. This form can also be found on the web at http://crn-norcal.org/publicationsorderform.html.
The LS Cookbook will be discontinued. There was discussion that it be removed from any sites where it may be listed. It was suggested that we consider writing a new, current cookbook. Megan Tichy will email a message regarding interest from members on chairing the project.
The Cultural Foods book has not been selling well. PR is needed. It was mentioned that Chaya Patel will be giving talks at the upcoming CRN meeting, and sales may increase after her talks.
Holiday Menus
The Russian version is written. Megan will follow-up on having it translated. Betsy Hennesy volunteered to work on a Tagolog version.
Low Literacy Brochure
Megan will contact Nancy Phillips.
CRN Symposium (Suzanne Gibson)
Suzanne is unable to continue working on this, as she has had added responsibilities at NKF. All work will be postponed until a new Chair steps forward.
Salary Survey (Marilyn Mayfield)
Marilyn distributed the results, compiled with help from Kelly Ackert, along with a "Dear Renal Administrator" letter. Incomes reported ranged between $21.60 and $37.00 per hour. The letter and survey will be available to anyone who wants it in the future.
Marketing (Laurie Sanft)
No Report. There was discussion to add a link to the NKF web site, if it is not currently present. A request was made to have more web site "cards" printed. A vote was taken and passed to pay for printing costs.
OTHER BUSINESS
Author's Luncheon (Kristie Snider)
A vote was taken and passed to buy a CRN table for the luncheon. Those interested in attending will pay CRN ½ the $95 cost to sit at the table. Discussion ensued on what to do if the 10 seats are not sold. CRN might use the balance for "incentive" gifts.
(Note: The advantage of having a table vs an individual ticket or a volunteer ticket is better positioning of the table in the room)
Legislation Chair
A new chair is needed. Anyone interested please contact Megan.
Next Meeting (Cecelia Sun)
June 23 at Kuletos in Burlingame, sponsored by Amgen. Speaker will be Dr. Robert Tseng, presenting the DOPPS study.
Job Openings:
NKF Program Director serving as a liason to the medical community and helping develop education programs, contact Chris Kelley @ (415) 543-3049 x101
CPMC, Pacific Campus: Per Diem RD needed, contact Judy Chapin (415-600-6813)
DaVita: Ocean Garden 20 hrs per week, contact Gayle Miller (415-406-1090);
DaVita: University Clinic, Sacramento, 916-920-0256.
Thank you to Bone Care Int. for sponsoring this meeting!

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January 26, 2005 Garibaldi's Restaurant, Oakland
Speaker: Dr. Glenn Chertow, "Calcium: Friend or Foe"

AGENDA:

Approval of Minutes: (Bonnie Lemesh)
Minutes were approved without correction.

Treasurer's Report: (Susie Uyeda)
Summary of Report:
Checking Account:
Beginning Balance: $6,278.33
+ Income 2,640.18
- Expenses 1,522.60
Ending Balance $7,396.41
Savings Account:
Beginning Balance: $10,227.15
+ Interest 15.43
Ending Balance $10,242.58

Majority of income is from dues. There are 91 paid members. More dues/memberships expected.

Corresponding Secretary: (Darcy Becker)
There was a rocky start to the new year for e-mails, the list was not complete. The list is complete now.
If you want an email forwarded to the group, please send it to Darcy and she will forward it. Please respond to the sender of the email, not to Darcy.

LIASON REPORT

NKF (Susan Gibson)
No Report

NKF Board of Directors (Sue Dickey)
The new address of the NKF in San Francisco is:
1315 Stewart St.
San Francisco, CA
The board had not met since the previous CRN meeting but a meeting was scheduled for tonight.
KEEP Screening program to be held this weekend in Oakland, if you are interested in helping contact Sue Dickey.

NKF Patient Services (Marilyn Mayfield)
Megan asked Marilyn if anything further had been discussed regarding possibly publishing and translating patient safety handouts. Nothing new had been discussed.

ESRD Network
No report

Sacaramento CRN (Karen Iseri and Maureen Crera)
In December the Sacramento group had a meeting and PTH was the topic of discussion. In April another meeting is planned with a transplant dietitian as the speaker.

Report from NKF Meeting in Chicago (Darcy Becker)
Darcy attended a workshop on teaching techniques. Most of our patients are concrete thinkers and need examples to grasp information. Visual and hand-on techniques need to be incorporated into our teaching.
Elaborate education projects are not necessarily more effective than repeating small efforts.
Darcy also shared some examples of some education ideas including using the weekly food ads from the paper to identify certain foods (high K, low K, protein, etc), using various sized cups to remind patients about fluid restrictions, refrigerator magnets made on the computer, and gifts of measuring cups to patients.

OLD BUSINESS

Committee Reports:

Publications (Helen Christensen)
Envelopes and letterheads are available. Let Helen know and she will bring them to the meetings.
Helen mentioned that there seems to be a decrease in the number of publications that are being ordered. Marketing ideas were discussed including possibly advertising on the ikidney web site - Laurie Sanft, Marketing Chair volunteered.
A motion to have a table at the symposium was passed. Kristie Snider and Chaya Patel volunteered to woman the table in Berkeley. Megan Tichy and Cecilia Sun volunteered to woman the table in San Jose.

Legislation/AB1444 (Darcy Becker reporting for Joyce Ezaki-Yamaguchi)
CDA has posted on their website a summary of our activities in legalizing renal dietitians' ability to write verbal orders.
DHS sent a notice to all dialysis administrators in late summer saying that registered dietitians are able to accept and transmit verbal orders from an MD.

Holiday Menus
No Report

Low Literacy Brochure
No Report

CRN Symposium (Sue Dickey)
Reminders about the NKF Medical Symposium to be held 2/24 in San Jose, and on 2/25 in Berkeley.

Salary Survey ( Marilyn Mayfield)
Marilyn reported that only 17 surveys have been received. Please complete the survey and send it to her. She will have the results at the next meeting if enough surveys are sent to her.

Marketing (Laurie Sanft)
No Report

OTHER BUSINESS

Dietetic Interns: Volunteer Sites (Alison Rigby)
Alison is to be contacted if anyone is interested in acting as a preceptor for San Francisco State dietetic interns at their dialysis unit.

Author's Luncheon (Kristie Snider)
Deferred until next meeting.

Job Openings:
2 FT RD openings with Satellite. One in the Modesto-Turlock
Area and the other with the Meridian Wellbound clinic. Contact Linda McCann for more information.
Opening for FT RD at Evergreen in San Jose. Contact Gina Perez at El Camino Dialysis for more information.

Thank you to Genzyme for sponsoring this meeting!

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October 21, 2004 D'asaro Restaurant, Redwood City

Speaker: Dr. Myles Wolf, MD, MMSc: "Vitamin D and the Prevention of Morbidity and Mortality in CKD Patients"

2004-2005 Officers: Chair: Megan Tichy; Chair-Elect: Cecillia Sun; Treasurer: Susie Uyeda; Recording Secretary: Bonnie Lemesh & Grace Wang; Corresponding Secretary: Darcy Becker; Publications: Helen Christensen; Historian: Marilyn Mayfield; Marketing/Web: Laurie Sanft; Legislation: "vacant"; Past Chair/Nominations: Alison Rigby

Approval of last meeting minutes (Alison Rigby, covering as Chair for this Oct 2004 meeting)
The minutes of the July 29 meeting were approved without correction.

Treasurer's Report (Susie Uyeda)
Summary of report:
Checking account Savings Account
Beginning Balance: 6101.92 Beginning Balance: 10,219.39
Income: 930.60 Interest : 7.76
Expenses: 753.69
Ending Balance: 6278.83 Ending Balance: 10227.15

Summary of income and expenses for Oct 1, 2003- Sept 30, 2004:
Income: 8531.85 Expenses: 6742.69

Corresponding Secretary's Report (Darcy Becker)

Officer Slate for 2004-2005 (Kristie Snider/Sue Dickey)
Cecillia Sun was voted in as Chair-Elect, after an introduction by Sue Dickey

National CRN (Alison Rigby)
Alison announced that Kathy Hunt was running for the office of chair for National CRN and encouraged everyone to vote.

Liaisons Reports
NKF (Suzanne Gibson)
Suzanne announced upcoming NKF events including the MAB Gala (previously scheduled for March 12; it has now been changed and the date is not yet determined).

NKF Board of Directors (Sue Dickey)
Due to the financial situation of the NKF, board members are each being asked to donate $2500 to the NKF. It was suggested that the professional organizations (CRN, CNSW, ANNA) with board representation also make a donation. After discussion the group voted to donate $1500 to NKF of N. CA on behalf of their board representative.
Chris Kelley had requested consistency of board membership and the group voted Kristie Snider to continue her position on the Board of Directors, representing the CRN.

NKF Patient Services (Marilyn Mayfield)

Old Business
Committee Reports:

Legislation The post of legislation committee member is vacant. Anyone who is interested in this position can contact Megan Tichy.

CRN Symposium (Suzanne Gibson/Sue Dickey)
The Symposium will be held on Fri Sept 16. The two locations under consideration are the Oakland Marriott and the Berkeley Doubletree. A vote was held to determine the preferred location and the Doubletree was chosen. Volunteers were requested for the following committees:

1) Vendor/fundraising- Cecillia Sun, Suzanne Gibson
2) Registration-Colette Sullivan, Susie Uyeda
3) Speakers- Gayle Miller, Kristie Snider, Marilyn Mayfield

Please notify Suzanne Gibson at (415) 543-3999 x104 if you are interested.

Possible topics for the Symposium: CKD and KEEP, salt and water, bone disease, education, renal diets and DM.

Salary Survey (Marilyn Mayfield)
Marilyn announced that she is collecting data for the salary survey. Surveys were distributed and will also be available on the website and at the next meeting (not sure about this part). Please return forms to Marilyn.

Marketing (Laurie Sanft)
Abbott Renal Care has sponsored our website for the past 2 years but is no longer able to do so. Laurie asked the group if she should seek another sponsor or if we should pay for it out of the treasury ($11.95 per month). After a brief discussion it was voted that money to fund the website would come from our treasury.

AB1444 (Joyce Yamaguchi)
Alison Rigby thanked Joyce Yamaguchi for her hard work on this and noted that Joyce was mentioned in the CDA newsletter.

Other Business
Darcy Becker's presentation from the NKF Spring Clinical meetings was postponed until the next meeting.

Job Openings
FT Renal RD position with Satellite Sunnyvale.

Meeting Sponsorship
Alison Rigby thanked Abbott Renal Care for sponsoring the meeting

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JULY 29, 2004 Santa Clara Valley Medical Center, San Jose, CA

2003-2004 Officers: Chair: Alison Rigby; Chair-Elect: Megan Tichy; Treasurer: Michelle Yamanoha; Recording Secretary: Sherri Frey-Ludwig; Corresponding Secretary: Darcy Becker; Publications: Helen Christensen; Historian: Marilyn Mayfield; Marketing/Web: Laurie Sanft; Legislation: Tracy Mulligan; Past Chair/Nominations: Kristie Snider

Speaker - Dr. Jeffry Young: History of Dialysis

MINUTES APPROVAL -The minutes were approved.

TREASURER'S REPORT -Michelle Yamanoha submitted the treasurer's Report from May 28th to July 29th, 2004. It showed that the Abbott reimbursed the CRN of No. CA $2650.00 for the Sacramento Meeting speaker and lunch. Stipends were paid to recipients equaling the sum of $1, 900.00. $38.98 was spent on mailing cultural food pamphlets. The ending balance for CRN No. CA equaled $6101.92.

CORRESPONDING SECRETARY - Darcy Becker was not present.

SLATE OF OFFICERS FOR 2004-2005- Alison Rigby presented the slate of officers established by Kristie Snider. There was a motion to approve the officers, except the proposed Chair-Elect, at this current time followed by a second. Cecillia Sun will be voted on for Chair-Elect at the next CRN meeting after she has been introduced and CRN members have met her.

Approved Officers: Chair: Megan Tichy; Treasurer: Susie Uyeda; Recording Secretary: Bonnie Lemesh & Grace Wong

Officers continuing on in their present roles: Corresponding Secretary: Darcy Becker; Publications: Helen Christensen; Historian: Marilyn Mayfield; Marketing/Web: Laurie Sanft

OFFICER APPRECIATION- Alison Rigby and Megan Tichy were presented with gifts to show CRN's appreciation for their hard work.

LIASON REPORTS

NKF -Suzanne Gibson with NKF was not present.

NKF BOARD OF DIRECTORS- Sue Dickey and Faith Tootell were not present

NKF PATIENT SERVICES- Marilyn Mayfield reported that there were 10 kids present at the NKF Kids Camp in the first week of July. Donations from Satellite Dialysis, Genzyme, and others were gifted to the kids at camp in the form of socks, blankets and other small things. She is looking into having Nabi donate some sort of backpack for next year. She has asked that CRN members keep a look out for small gift ideas that can be donated by pharmaceutical companies and or other business entities. Kids camp is in need of more nurse involvement on the campsite above La Honda in the Santa Cruz Mountains.

ESRD NETWORK - Sandy Wallace was not present. Alison Rigby provided her report. The fistulas first project was discussed briefly. The fistula first kick off at the unit level was a big success. More training for the corporate fistula teams is needed.

SACRAMENTO CRN- There were no representatives present from Sacramento CRN.

OLD BUSINESS

PUBLICATIONS- Helen Christensen was present and had the CRN publications available for CRN members. Marilyn Mayfield presented a "Home Disaster Preparedness" flip chart she had published for her clinic and affiliated hospital. Having CRN sell these for income was discussed. CRN group present thought it was a good idea to discuss it with Suzanne Gibson. This should be resurfaced at the next meeting.

COOKBOOK PROJECT - Sandy Wallace was not present. Alison Rigby provided her report. Sandy has updated the cookbook list and e-mailed it to a CRN representative on the east coast. There is still a question as to whether it is on the CRN web site and whether the appropriate NKF representative has received this list.

SALARY SURVEY - Marilyn Mayfield is willing to work on this with help of another CRN member.

MARKETING - Laurie Sanft was not present.

LEGISLATION - Tracy Mulligan was not present.

AB1444 & PROGRESS WITH CDA - Joyce Ezaki-Yamaguchi was not present. Alison Rigby provided her report. The National CRN ratio of 100-150 patients to one RD was discussed. Joyce was able to get the verbal order privileges reinstated at the hospital where she works. She thanks everyone for his or her help.

OTHER BUSINESS -

VOLUNTEER SITES NEEDED FOR DIETETIC INTERNS - Alison Rigby is looking for RDs and clinic sites to volunteer their time to being a preceptor for SF State dietetic interns.

NEXT CRN MEETING - The next meeting will be October 21st
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MAY 27th, 2004 Layfayette Park Hotel, Layfayette, CA

2003-2004 Officers: Chair: Alison Rigby; Chair-Elect: Megan Tichy; Treasurer: Michelle Yamanoha; Recording Secretary: Sherri Frey-Ludwig; Corresponding Secretary: Darcy Becker; Publications: Helen Christensen; Historian: Marilyn Mayfield; Marketing/Web: Laurie Sanft; Legislation: Tracy Mulligan; Past Chair/Nominations: Kristie Snider

Speaker - Patricia McCarley, NP: Senispar

MINUTES APPROVAL - Sherri Frey Ludwig had the minutes from the January CRN meeting available for anyone who wanted a copy. The minutes were approved.
EDUCATIONAL STIPENDS - Alison Rigby stated that educational stipends have been awarded to Darcy Becker and Helen Christensen for the national NKF meeting in Chicago this year.
TREASURER'S REPORT -Michelle Yamanoha discussed the stipend bbbudget. The stipend award per person is $500.00. It was agreed that the Chair would receive a $1000 stipend for this meeting every year, starting this year (less may be given if the meeting was local). There would be up to three additional $500.00 stipends to be used by members of CRN, including the Chair-Elect if they wanted to apply. A CRN member can apply every three years. It was decided that Kristie Snider, Past Chair would be given a check for $400.00 for her attendance at last year's NKF meeting of which she did not receive a stipend. It would be expected that each person attending the meeting would provide an update to the CRN on return.
CORRESPONDING SECRETARY - Darcy Becker was not present but has advised she would like to continue to be the corresponding secretary for next year.

LIASON REPORTS
NKF -Suzanne Gibson with NKF was present. Suzanne mentioned she will try and partner with Kelly Ackert for the work that needs to be completed on the CRN symposium. Suzanne is to contact Kelly.
NKF BOARD OF DIRECTORS - Kristie Snider reported the MAB is working on educating more primary care physicians about CKD. The summer camp and transplant games are upcoming. NKF funds are tight. There will be more committee meetings instead of board meetings. A full board meeting will meet 9-21-04.
NKF PATIENT SERVICES - Marilyn Mayfield was not present.
ESRD NETWORK - Sandy Wallace reported they are still working on the fistulas first project

OLD BUSINESS
PUBLICATIONS Helen Christensen reviewed her very much appreciated weekly operation of sending out publications.COOKBOOK PROJECT - Sandy Wallace has updated the cookbook list. Sandy will update the list and it will be placed on the CRN website. Sandy will email a copy to Laurie Sanft for this and she will provide update to the Area Rep, Elaine Drees.
2004 CRN SYMPOSIUM - See report under NKF Liaison Reports.
SALARY SURVEY - Marilyn Mayfield not present.
MARKETING - Laurie Sanft present. She will plan to work with Tracy Mulligan in making a web link to the legislative issues.
LEGISLATION - Tracy Mulligan not present.
AAAAB1444 & PROGRESS WITH CDA - Joyce Ezaki-Yamaguchi was not present.

OTHER BUSINESS -
AUTHORS LUNCHEON - Kristie Snider discussed the potential of obtaining a CRN table at the Author's luncheon each year. The expenses for a table are around $850.00. It was mentioned as a possibility that if you came to a CRN meeting your name could be placed in a drawing to be at the table. There are 8 - 10 seats per table. One can check the NKF website for the authors who will be there. We will talk more about this at the next CRN Meeting. Author's Luncheon 2004 is November 6th. Mark this date in your calendar!
NKF NATIONAL MEETING REPORTS - Alison Rigby gave a nice report and handed out abstracts from the NKF meeting in Chicago. The abstracts given out were Weighty Matters: Issues of Obesity in Renal Disease; HIPPA: How are we Coping?; Nutrition across the Continuum of Care; and Guidelines in Working with the ESRD Hispanic patients.
Helen Christensen also gave a nice report on Diabetes Management and Medical Nutrition Therapy.

JOB OPENINGS - Full time HD and PD at Pleasanton Dialysis Center Davita.
Contact Kari Everson at 925 737 0120
Davita Fairfield - Maternity Coverage Full time 40 hours starting Mid September through March. After March, job will be 20-30 hours. Contact Emma, unit administrator at 707 425 0315.

NEXT CRN MEETING - The next meeting will be tentatively Thursday July 29th: 11AM- 2PM.

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APRIL 1, 2004 John Muir Medical Center, Walnut Creek, CA
CRN Minutes from January 16, 2004

Speaker - Catrina Morefield, MPH, RD. We would like to thank Catrina for an excellent and informative talk on IDPN and IPN. A nice handout was also available for the presentation.

MINUTES APPROVAL - Sherri Frey Ludwig had the minutes from the January CRN meeting available for anyone who wanted a copy. The minutes were approved by Darcy Becker.

TREASURER'S REPORT - Michele Yamanoha was not present to give a report.

CORRESPONDING SECRETARY - Darcy Becker let members know that the CRN directory is now out and was available to members at the meeting. Please email Darcy with any changes. The changes will be reflected in next year's directory. Please note that in some places there will be a question mark by a name, which means Darcy, does not have a record of your payment. She also mentioned you can still send dues to Michele Yamanoha or to Darcy Becker.

EDUCATIONAL STIPENDS - Alison Rigby discussed and had the forms for stipends for the Chicago NKF meeting that is in April. The stipend is typically $500.00. Any member can apply for the stipend but only every five years. If you do apply and receive the stipend CRN would like you to give a 15-20 minute overview of the meeting highlights along with handouts at one of our next meetings.

LIASON REPORTS

NKF - Christopher Kelly (CEO of NKF San Francisco) and Suzanne Gibson also with NKF were present. Chris mentioned there have been a lot of changes in the past year with staff and volunteers. The NKF was losing money before and are working with a balanced budget now. The NKF has a new strategic plan where there will be more patient programs and more emphasis on prevention. He mentioned an upcoming fund raising event, April 19, which is a golf tournament in Stanford, and they still need volunteers. Another fund raiser is the May 22nd walk in Mountain View. The NKF still needs walkers, walker teams and volunteers. One is even welcome to volunteer the day of the walk.

Suzanne Gibson mentioned the family camp is May 29-31. The kid's camp is July 4-10. Suzanne also mentioned the KEEP program. Keep is Kidney Early Evaluation Program to screen for diabetes and hypertension. There is a June 12 screening coming up in Burlingame. NKF would like to start offering 8-10 screenings per year through the KEEP program.

Chris also mentioned a Medical Advisory Board has been formed and there is a $50.00 charge. In the past this has been physician oriented and now is open to allied health professionals. The second meeting for the board is in 2 weeks.

For more information about the NKF please go to their web site which is kidneynca.org

NKF medical symposium - Sue Dickey reported that the symposium was trying to reach more primary care physicians this year so that early stages of kidney disease could be identified. From all three meeting locations only 18 MD's attended. She mentioned the symposium was not a big money maker due to the three locations. Sue mentioned they would probably only have two locations next year. One will probably be in the Bay area and the other meeting in Sacramento.

NKF PATIENT SERVICES - Marilyn Mayfield spoke about kid's camp. She has white sweatshirts, which will have the kids and counselors on them. The kids really liked this last year. She mentioned that volunteers are still needed for kid's camp.

ESRD NETWORK - Sandy Wallace reported they are still working on the fistulas first project

SACRAMENTO CRN - Maureen Crera said they had a January Sacramento CRN meeting where a Dr Wolfe spoke on his research of Mortality rates comparing Calcijex vs Zemplar. Their next meeting is April 6th.

OLD BUSINESS

PUBLICATIONS Helen Christensen mentioned there are only 20 low sodium books left. It was agreed that since this is such an outdated book and not a good moneymaker they will not be reprinted. Sue Dickey mentioned that CRN may want to think about putting our CRN cultural Food Recipes and Ideas (the masters which are laminated) and offer them for sale. This could possibly be advertised on ikidney.com. Members are encouraged to bring everything they have on the cultural food recipes to the next CRN meeting so that we may compile what we have. We will vote at the next meeting as a group if we want to sell them.

COOKBOOK PROJECT - Megan Tichy mentioned a volunteer is needed to send out letters to update the cookbook list. Sandy Wallace agreed to do this.

2004 CRN SYMPOSIUM - Kelly Ackert reported that she needs someone to spearhead this project. She stated that a lot of the work has been done. She could meet with anyone who could volunteer to take on this project. Kelly has lists of people willing to help. A date, location and speakers need to be obtained. It was mentioned the Chardonnay Club in Napa would be a good choice and may possibly have a good turnout. If anyone is willing to spearhead this project please contact Kelly.

SALARY SURVEY - Marilyn Mayfield had the salary survey available for anyone that wanted a copy. Marilyn stated the survey has been responsible for better caseloads and salaries. The RD's who are unionized have better wages.

MARKETING - Laurie Sanft was not available.

LEGISLATION - Tracy Mulligan stated there was a bill on reimbursing organ donors for non-medical expenses that has been signed by the House and the Senate and is awaiting President Bush's signature. Tracy also mentioned there is a medical reform for cutting back the costs of the immunosuppresant drugs. Pharmacies are going to lose money if this reform is passed and then they would no longer carry the drugs. Tracy will continue to work on getting the legislation link on the CRN web site.

AB1444 & PROGRESS WITH CDA - Joyce Ezaki-Yamaguchi reported that DHS (Department of Health Services) feels it is not in the scope of the RD's practice to change orders for Rx meds especially IV meds. Joyce feels the pharmacy lobbyists are opposed to this also. CDA is working also on this issue trying to get DHS and the lobbyists to change their minds. Patty Pascarela is an RD with DHS who has been hard to communicate with in the past. She is now coming to CDA and wants to look at RD protocols. She is a public health RD. Joyce indicated that only 11 RD's responded to the DHS survey. The Scope of Practice and Lab Protocol has been submitted to the CDA and the lobbyist's and attorneys are now looking at it. The lab protocol is on the CRN website. Joyce would like the lab protocol sent as an attachment to an email to the CRN members for easier viewing.

There are also letters on the CRN website that need to be signed by Doctors. These letters need to be sent to the governor, CDA and the California Medical Association. Joyce stated changes can be made to the letters by nephrologists but these need to be positive changes!

OTHER BUSINESS -

APPLICTION FOR RECOGNIZED COUNCIL AWARD - Alison Rigby announced that she would like to submit our council for this award again. She would like to report the good things CRN members have accomplished such as the cultural recipes, our salary survey and Joyce Ezaki- Yamaguchi's hard work with AB 1444. If anyone has anything further to add please contact Alison so she can add to the list.

JOB OPENINGS - None were listed at this time

NEXT CRN MEETING - Thursday May 27th 11 am - 2 pm: Location The Lafayette Park Hotel, 3287 Mt. Diablo Boulevard, Lafayette, CA 94549: Speaker: Patricia McCarley, NP: Topic: Newly FDA Approved Senispar (Cinacalcet Hydrochloride): A New Treatment Approach to Managing SHPT.

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January 16, 2004 UCSF Mout Zion Campus, San Francisco, CA

CRN Minutes from January 16, 2004

Program: Susan Hansen, MBA,RN,CNN spoke on Home Hemodialysis. The web page from the speaker for home hemodialysis is www.aksys.com

Location: UCSF at Mount Zion Campus

Business:
Minutes: The minutes from the last meeting (October 16) were approved with one correction to the NKF report: instead of "She advised we need to approach Ross and Mead Johnson for money for nutritional supplements for the NKF fund" Sue Dickey would like it to read that she suggested we form a committee to work with the NKF to help make nutritional supplements available to more patients.
Members requested that copies of the minutes be distributed at the meeting so they can be reviewed prior to approval.

Treasurer's Report:
Michelle Yamanoha was not present, but had prepared the report of last year's income and expenses which was reviewed. Michelle has moved and checks need to be sent to Michelle Yamanoha MSRD, c/o Satellite Dialysis, 1255 N. Dutton Ave, Santa Rosa, CA 95401.

Corresponding Secretary: (Alison reported for Darcy Becker). Darcy requested that people update their memberships. The group requested that Darcy and Michelle generate a list of those who still need to renew membership. Sue Dickey will help to follow up with members who have not renewed.
Most members receive announcements and minutes via email, but since a few members do not, we will continue to send out hard copy information to those who request it. This issue was discussed.

Liaison Reports:
NKF BOD - Sue Dickey reported that the NKF Medical Symposium will be held on 3 dates: Wed, Feb 25 at the Doubletree Hotel in Sacramento, Thurs Feb 26 at the Doubletree Hotel in San Jose, and Friday Feb 27 at the Hilton Hotel in Union Square in San Francisco. The program will emphasize early intervention, and people working in primary care (not just nephrology) are encouraged to attend.

Author's luncheon - Kristie Snider reported this was a successful event and she encouraged members to volunteer and/or attend next year. She also suggested that CRN sponsor a table next year. This can be discussed at a future meeting.

Patient Services- Marilyn Mayfield requested a donation for Kid's Camp sweatshirts. The group voted to donate money for the sweatshirts.

Old Business
Committee Reports

Publications- Helen Christensen is ordering brochures. She is not sure we can get the usual discount from Fong Bros printing without the order going through the NKF office (the office is short staffed and has not gotten back to her). She will go ahead and place the order and check with Michelle Yamanoha on this.

Cookbook Project for National CRN
Megan Tichy is requesting that someone take over for her to update the cookbook list. This is our group's project for National CRN. Megan did this 2 years ago and it needs to be revised. Megan has the letters that can be sent to update information so it should not be a very time consuming project. We will request a volunteer via the email list, and Sue Dickey will also bring this up at the Sacramento CRN Meeting.

The next Sacramento CRN meeting was announced.

Salary Survey- Marilyn Mayfield distributed the newest salary survey. Copies will be available at the next meeting. Members may also request a copy from Marilyn. Connie Schroepfer explained that Children's Hospital has a salary ladder that includes points for a Masters degree, speaking engagements and other professional activities. She suggested this may be something helpful for people who are at the top of their salary range. Helen Christensen noted that the union uses a system for classifying employees based on degree and years of service as well as activities and accomplishments.

Legislation- Tracy Mulligan had prepared a written report and copies were available. It was suggested that Tracy Mulligan post her notes as a link to the web for each meeting.

Implementation of AB1444- Scope of Practice and Lab Protocols:
Kristie Snider reported for Joyce Ezaki-Yamaguchi. Both of these documents have been posted on the website. The group voted at the last meeting to adopt the SOP with some editorial (non content) changes. Since then Joyce has added a statement on taking verbal orders which we need to note applies only to California dietitians. Joyce has requested that members view these documents on the website and send any comments or suggestions to her. The group voted to accept the SOP and Lab Protocol (if any major changes made we will need to bring this up again). Please remember that this is still a draft and is not to be distributed outside of our group. Thank you to Joyce for all of her very hard work on this project.

Symposium- CRN has the opportunity to have a table (free) at the NKF symposiums. We will be sharing the table with the CNSW. We voted to have the table and to bring order forms for our materials as well as membership applications. Megan, Kristie and Marilyn Aaron volunteered to staff the table at the San Francisco venue, and Helen volunteered to work at the San Jose site. Kristie will send an email to the group asking for additional volunteers.

Job Openings
Gambro Ukiah- contact Rebecca Teran at (707) 467-9000 or Rebecca.Teran@us.gambrocom.

Kaiser Hayward is hiring a 20 hour fully benefited RD for their new PD clinic.

Next Meeting- will be April 1 and will probably be in the East Bay. Catrina Morefield of Optioncare will be presenting the program.

Thanks to our sponsor AKSYS

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October 16, 2003 Sapore Italiano Restaurant - Burlingame, CA

Introduction - Alison Rigby (our new Chair) introduced the meeting and thanked Karen Harrigan and Susan Merrill from Genzyme Corp for sponsoring the meeting and luncheon. Alison also thanked Rory Pace for doing such a wonderful job in organizing the mail-out of the CRN membership and information on today's meeting..

Speaker - for meeting was Linda McCann, RD, CSR, LD - Linda gave an excellent talk on "Bone Disease Update". A handout was also available.

Minutes from previous meeting were approved by Sue Dickey.

Treasurer's Report - Michelle Yamanoha advised the annual budget would be finished by October 2003. October 1 starts a new fiscal year. This is the last year for Michelle to be the treasurer.

Membership Renewal - Darcy Becker advised that anyone who has not paid their membership the renewal fee is $25.00. She also reported that the best way to obtain the minutes is via email. Darcy Becker's email is beckerd@satellitehealth.com.

NKF Board of Directors - Faith Tootell advised that the new CEO for the NKF is looking for grants and is trying to look for specific programs. The NKF symposium will be held in February (25, 26, 27) in three locations. The locations will be San Jose, Sacramento and San Francisco. On November 8, 2003 families can be screened for early stage kidney disease.

NKF - Sue Dickey advised that the NKF has had a lack of funds for patients as nutritional supplements have been grouped with patient services fund so it has been more difficult to obtain nutritional supplements for patients. She advised we need to approach Ross and Mead Johnson for money for nutritional supplements for the NKF fund.

ESRD NETWORK - Sandy Wallace reported that the network has been working on a Fistula First Program to raise awareness of importance of having more fistulas than grafts for accesses. She also advised that in this month's issue of Nephrology New and Issues there is a good article on Emergency Issues related to the East Coast Blackout. She advised renal dietitians to review the Emergency Diet.

SACRAMENTO CRN- This is a subgroup of our CRN. Karen Iseri reports their next meeting will be November 19, 2003. This group was formed to help ease the difficulty of attending CRN meetings due to distance from the Sacramento area. Both our meeting and the Sacramento meeting will now be placed on the CRN website. The CRN website is www.crn-norcal.org.

LYN PIERCY AWARD - Faith Tootell recipient of the award expressed her gratification for the award with a nice card written to the CRN.

AB 1444- Joyce Ezaki Yamaguchi reports that the scope of practice is located on the CRN website. She would like CRN members to look over the scope of practice and email her with any ideas. Joyce would like to receive your comments within the next 2 months. Kristie Snider proposed that we adopt the scope of practice since so much hard work has gone into this. This motion was seconded.

SALARY SURVEY - Marilyn Mayfield reports the range for RD salaries in the Bay area is $21.84 to 33.99. She reports success stories that RD's have been able to increase salaries based on these results. She would like to see salaries improved to at least $25.00 an hour.

CULTURAL MENUS - No one to report.

2004 CRN symposium - Alison Rigby reports from Kelly Ackert. Meeting is set for February but now postponed as Kelly Ackert is expecting a baby at that time and we have both NKF Northern CA and National NKF Clinical Symposium in the Spring. Kelly was not present at the meeting but advised to email her with ideas including the meeting location. Her email is kackert@sbcglobal.net. Tentatively the meeting is to be at Merritt College and possibly delayed until late Summer/Fall 2004.

JOB OPENINGS - Ocean Garden Dialysis has and 8-10 hour position available

Evergreen Dialysis, San Jose has a per diem position open. The unit has 12 chairs now so the position is expected to grow.

San Francisco VA has a full time Dietitian's position (not 100% HD) with benefits open.

NEXT MEETING - Meeting to be held January 2004. Tentative Meeting date: Friday January 16th: 2pm-5pm. Megan Tichy, the Chair Elect, asked if we could email her with suggestions for future meetings and sponsors. Her email is megan@itsa.ucsf.edu.

ARTICLES FOR FAMILY FOCUS - If anyone wants to write an article for Family Focus please email Joyce Ezaki Yamaguchi as she has ideas from the editor that would be helpful for authors. Joyce's email is jezakiyamaguchi@yahoo.com.

REGION 5 REPRESENTATIVE - Marianne Hutton was present and stated she will be running for this position. It would be nice to have your vote!
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March 24, 2003 San Francisco State University - San Francisco, CA
2002-2003 Officers:

Chair: Kristie Snider Historian: Marilyn Mayfield

Chair-Elect: Alison Rigby Publications: Helen Christensen

Corresponding Secretary: Rory Pace Marketing: Laurie Sanft

Recording Secretary: Diane Hamberlin Legislation: Tracy Mulligan

Treasurer: Michelle Yamanoha Past Chair/Nominations: Sue Dickey

Program: Dr. Brian deVries, Professor of Gerontology, SFSU, spoke about gerontology and concerns and characteristics of caregivers.

BUSINESS MEETING
Approval of Minutes (Diane Hamberlin)
Due to technical difficulties, minutes from the January 30th meeting were distributed at the meeting rather than mailed. They were approved without correction. If you would like a copy of these minutes, please contact Diane at 925-439-8772 or Diane.Hamberlin@fmc-na.com. Minutes are also posted on the website.
Treasurer's Report (Michelle Yamanoha)

Checking Account	Savings Account
Beg. Balance: $7831.17	Beg. Balance: $10099.49
Income: $1051.25	Interest: $ 21.61
Expenses: $ 0.00
Ending Balance: $8882.42	Ending Balance: $10121.10

This figure will be diminished after the promissory notes are sent to the assigned charities and obligations. Approximately $500 will be spent on pamphlet printing, and $2000 will be paid out to stipend recipients. Also, $500 will be donated to Kid's Camp.

Corresponding Secretary's Report (Rory Pace)
Membership directories are available from Rory for members who have not already received theirs. An addendum will be published in the near future.

Liaisons Report
NKF (Jennifer Bonwell)
¨ Medical Symposiums held February 20 in Sacramento and February 21 in San Francisco had the most attendance ever.
¨ Due to restructuring at NKF, Melanie Bekiri has been laid off.
¨ Jennifer is looking into a Nutritional Supplement Program and will be calling RDs to see if we think there would be any benefit from it. We would be sure to contract for the lowest possible price. She has reminded us of the Patient Assistance Program in which Facility Social Workers can apply for $100 per a patient.
¨ 200 participants have been screened to date through the KEEP program. NKF is looking at a pilot program with East Bay Nephrology in the fall to refer participants to when they are identified as being at risk for kidney disease.
NKF Board of Directors (Kristie Snider)
¨ We all should be aware by now of nomenclature changes within our field, i.e., CKD (chronic kidney disease) rather than ESRD.
NKF Patient Services (Marilyn Mayfield)
¨ Family Camp will be Memorial Day weekend.
¨ Volunteers are always welcomed for Kids Camp. This year camp will be held July 6-12.
¨ Group approved purchase of sweatshirts to donate to Kids Camp.
National CRN/RPG (Kristie Snider)
¨ No recent news from National CRN.
¨ Kathy Hunt is working with RPG on the revision of Renal Guidelines.
ESRD Network (Kristie Snider for Sandy Wallace)
¨ The Project, "Patients Who Try Our Patience", is still in progress.
¨ CMS has distributed nationally a Disaster Guide which was based on the one that Network 17 developed.

Committee Reports
Publications Report (Helen Christensen)
¨ Pamphlets are available free of charge to CRN members as a part of your membership. They are available at meetings, or you may e-mail Helen and she will send them to you for the cost of postage.
¨ CRN of Florida requested a donation of our Cookbooks; this was approved by the group.
¨ Our biggest order EVER was received from the Illinois CRN; they've ordered 20 sets of the Cultural Foods Book!
Marketing (Kristie Snider for Laurie Sanft)
¨ Discussion was held regarding looking into having a secure portion of our website on which we could post the Membership Directory which would be password accessible. A vote was taken and the motion passed.
Legislation (Tracy Mulligan)
¨ New Bills - California, AB 769, sponsored by CDA: interns can perform RD scope of practice. National, HR 1004: Kidney Patient Daily Quality Act, establishes a payment rate for daily dialysis.
Cultural Holiday Foods (Kristie Snider for Anne Kleimann)
¨ The Chinese brochure is being translated into Chinese.
¨ We had hoped to have the Russian version out by Easter, but this will more likely be out by the Winter Holidays.
Low Literacy Brochure (Diane Hamberlin for Nancy Phillips)
¨ Nancy has contacted the Produce Manager of the Berkeley Bowl and obtained his permission to take digital pictures of fruits and vegetables to add to the draft. A final draft will be available at the next meeting.
2004 Symposium (Diane Hamberlin/Kelly Ackert)
¨ Kelly will soon be calling those who signed up to be committee members previously.
¨ Committees include Program Planning, Hospitality, Registration, Fundraising, and Publicity.
¨ Kathy Hunt is working to secure Merritt College in the Oakland Hills as our location.
¨ We are targeting a Friday in January 2004 for the date, and will work to target non-Renal RDs.
¨ Please contact Kelly if you would be willing to help organize this event or have ideas for topics and/or speakers.
AB 1444 (Kristie Snider for Joyce Ezaki-Yamaguchi)
¨ Joyce is working to adapt the renal RD scope of practice to the CDA protocols.
¨ Committee working on draft which should be available by next meeting.
Salary Survey (Marilyn Mayfield)
¨ A letter was composed to present to administrators in order to help improve the salaries and caseloads of Renal RDs. It was circulated amongst the group for comments. The final draft should be available at the next meeting.
New Business
Sacramento Meeting of CRN (Maureen Crerar)
¨ A group of CRN Members from the Sacramento area are holding meetings in their area in order to save drive time to the Bay Area meetings. The first meeting had approx. 25 attendees. We will work with this group to provide them with the same resources and information the main body of membership receives.
Lyn Piercy Award
¨ Nominations were accepted up until May 1st.
Nomination of Officers (Sue Dickey)
¨ Megan Tichy will be running for Chair-Elect, other positions are still available.
Job Openings
¨ Please check the website (www.crn-norcal.org) for updates.
¨ A position is available at DaVita Antioch; contact Sheryl Weichert (925-753-5000) for details.
¨ A Renal Sales Specialist position is available with OptionCare working in the San Jose/Peninsula Area. Contact Jill Anderson at 559-351-1369.
¨ Renal RD needed at Satellite West San Jose. Contact Linda McCann (650-404-3632).
Sacramento Meeting of CRN
¨ Held at Andiamo Restaurant in Sacramento on March 25 and sponsored by Genzyme.
¨ Linda McCann spoke on Bone Metabolism and Disease in CKD.
¨ Linda introduced her son, Kelsey, who is working in the Sacramento office of the NKF and can be reached at (916) 641-7336.
¨ Organizational issues were discussed and the group plans to have meetings the week after the Bay Area meetings. A liaison will attend the Bay Area meetings to help communicate information to the group.
¨ The next meeting will be June 3, 2003.

OUR NEXT BAY AREA MEETING WILL BE:
Thursday, May 29, 2003 11am - 2pm
at Kaiser Fremont Medical Center
Call (510) 795-3754 for directions
Speakers will be the Kaiser Nephrology Health Care Team

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October 24, 2002 Samuel Merritt College Oakland, CA

2001 - 2002 Officers

Chair : Kristie Snider

Chair-Elect: Alison Rigby

Corresponding Secretary: Rory Pace

Recording Secretary: Diane Hamberlin

Treasurer: Michelle Yamanoha

Historian: Marilyn Mayfield

Publications: Helen Christensen

Marketing: Laurie Sanft

Legislation: Tracy Mulligan

Past Chair/Nominations: Sue Dickey

BUSINESS MEETING
Approval of Minutes (Diane Hamberlin)
Approved without correction

Treasurer's Report (Michelle Yamanoha)

Checking Account	Savings Account
Beg. Balance: $ 6589.13	Beg. Balance: $ 10053.29
Income: $ 1983.20	Interest earned: $ 27.66
Expenses: $ 574.87
Ending Balance: $7997.46	Ending Balance: $10080.95

Summary of Income and Expenses for 2001-2002
Income: $5899.85 Our main sources of income are membership dues and the Cultural Foods books.
Expenses: $2561.26 Our main expenditure is printing.
Please get your membership dues for the 2002-2003 year in promptly so that the directory may be available in January and be as complete as possible.

Corresponding Secretary's Report (Rory Pace)
In an attempt to increase membership, membership packets were sent to all dialysis units in hopes of reaching dietitians who might not be familiar with our group.

Liaisons Report
NKF (Jennifer Bonwell)
¨ Jennifer comes to us from Philadelphia where she worked with CRN for 6 years. She is excited to work with our group on many projects. She can be reached at 415-543-3303 ext. 3999.
¨ The Medical Symposium will be held on two dates this year - February 20, 2003 at UCSF, and February 21, 2003 at the Coloma Community Center in Sacramento.
¨ Volunteers to work with KEEP (Kidney Early Evaluation Program) are needed. Please contact Jennifer if this is something of interest to you.
NKF Board of Directors (Sue Dickey)
¨ The focus continues to be on fundraising. Gifts to the car donation program are down.
¨ A motion to donate $500/year to NKF for events (alternating between Kid's Camp and Transplant Games) was seconded and passed.
NKF Patient Services (Marilyn Mayfield)
¨ Kids Camp had 18 campers this year. The sweatshirts that CRN donated were very much appreciated.
¨ The Nutrition Supplement Fund was discussed. The Chair will research the amount CRN has historically donated to this ($500 vs. $1000)
NKF Medical Advisory Board (Rory Pace)
¨ No report
National CRN/RPG (Kristie Snider)
¨ We received a letter from Susan Reems, the National Chair of CRN, thanking us for updating the cookbook list (thank you Megan Tichy!). The cookbook list is available on our website.

ESRD Network (Sue Dickey for Sandy Wallace)
¨ The Network is working on a project, "The Patients Who Try Our Patience". A weekend committee meeting was held in October, and their findings will be reviewed at the December meeting.

Committee Reports
Publications Report (Helen Christensen)
¨ Pamphlets are available free of charge to CRN members as a part of your membership. They are available at meetings, or Helen will mail you your order for only the cost of postage. Books are available at a reasonable price.
¨ We are running low on the Mocha Mix pamphlet. This may be expensive to reproduce, due to it being in two colors. We will get estimates on what it would cost to do this in black and white.
¨ A request was received from the Virginia CRN to include some recipes from our cookbook in a free patient cookbook they were putting together. Helen copied 5-6 recipes to send to them.
Marketing (Kristie Snider for Laurie Sanft)
¨ An e-mail was received which stated "I am blown away by your website!". Thanks to Laurie who makes that all possible.
¨ Thanks to Colette Sullivan who wrote letters to internship programs informing them of our website.
¨ Job Openings are posted on the website.
Legislation (Kelly Ackert for Tracy Mulligan)
¨ No new activity for quite some time.
¨ CRN wrote a letter with our opinion on "Least Costly Alternative" proposal that the Texas billing intermediary Trail Blazer was putting forward. According to Sue Dickey, this has been put on hold and may go to CMS for inclusion in the composite rate.
Cultural Holiday Foods (Kristie Snider for Anne Kleimann)
¨ Chinese and Russian menus were presented at the last meeting and some feedback was given. Anne is working to revise and reformat the brochures. Kelly Ackert and Megan Tichy may know someone who can do the Russian translation.
Low Literacy Brochure (Kristie Snider for Nancy Phillips)
¨ A draft should be available by our next meeting
2003 Symposium (Kristie Snider)
¨ Kathy Hunt is unable to continue as Chair for this event. After much discussion, Kelly Ackert and Diane Hamberlin have agreed to co-chair, with help from Susan Merrill. The timing of the event may be tricky to coordinate with other events such as the ADA meeting, CDA meeting, etc. Several possible topics were discussed. Merritt College in the Oakland Hills is the likely location. Please contact Kelly or Diane if you would be willing to help organize this event or have ideas for topics and/or speakers.
Recommendations for renal training
-Megan Tichy contacted internship directors to f/u on this from our last meeting. Internships prepare dietitians for entry level positions and do not have time for extensive training in any one area. The group brainstormed on ways to help increase renal training given these constraints.
Salary Survey (Marilyn Mayfield and Kelly Ackert)
¨ The results have been compiled and will be distributed at the next meeting and posted on the website.
-Thanks to Marilyn and Kelly for taking the time to collect and analyze all the data.
- Ways of helping dietitians improve their salaries were discussed. It was decided that we would write a letter to dialysis administrators. Marilyn Mayfield volunteered to do this.
Implementation of AB1444 (Joyce Ezaki-Yamaguchi)
-CDA is working on protocols and would like input from renal dietitians. Marilyn Mayfield, Ann Kelly and Kristie Snider volunteered to help with this.
Next Meeting
THURSDAY, JANUARY 30th, 2003 beginning at 11AM.
The topic will be "Effective Communication in the Hemodialysis Center", sponsored by Abbott Renal Care. We will be meeting at Kuleto's Trattoria, 1095 Rollins Rd, Burlingame, CA 94010, just off Highway 101, (650) 342-4922

OUR THANKS TO BRAINTREE LABORATORIES FOR SPONSORING OUR MEETING!

A message from our Chair-Elect:
Anyone who would like to take on Dietetic Interns from San Francisco State University, to gain some experience in the renal field please contact: Alison J. Rigby, PhD, RD, at SFSU: 415-338-3422. The preferable time in the interns' schedule is for a three-week placement, during their "elective" period, January 6-24, 2003.
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July 26, 2002 Stars Restaurant San Francisco, CA

2001 - 2002 Officers

Chair : Sue Dickey

Chair-Elect: Kristie Synder

Corresponding Secretary: Rory Pace

Recording Secretary: Diane Hamberlin

Treasurer: Michelle Yamanoha

Historian: Marilyn Mayfield

Publications: Helen Christensen

Marketing: Laurie Sanft

Legislature: Kelly Ackert

Changes for 2002-2003:
Chair: Kristie Snider
Chair-Elect: Alison Rigby

PROGRAM
Thanks to Susan Merrill and Karen Harrigan of Genzyme for sponsoring today's program and our speaker Dr. Glenn Chertow who presented: "Slowing the Progression of Cardiac Calcification".

BUSINESS MEETING
Approval of Minutes
Approved without changes.

Treasurer's Report

Checking Account	Savings Account
Beg. Balance: $ 7449.43	Beg. Balance: $ 10035.00
Income: $ 0.00	Interest earned: $ 18.29
Expenses: $ 860.30
Ending Balance: $6589.13	Ending Balance: $10053.29

Membership dues for the 2002-2003 year are due. PLEASE REGISTER EARLY so that the membership directory can be as complete and timely as possible. Dues are now $25 per year. A grace period of one meeting will be given, then a cost of $10 per meeting will be charged for CEUs if dues have not been paid. A membership form is available on the website, www.crn-norcal.org and is included in this mailing.

Committee Reports
Legislation
· Kelly Ackert reports nothing new and current bills have had no recent updates.
· Julie Adams of Abbott provided information about the possible "Least Costly Alternative" policy that the fiscal intermediary TrailBlazer may attempt to enact. This could impact the ability to prescribe different forms of vitamin D, and ultimately other drugs.
Publications
· Pamphlets available free of charge to CRN Members as a part of your membership.
· Four books are still missing from our March 2002 meeting. These resources are NOT free; if you inadvertently picked them up, please contact Helen Christensen for the costs of the books or to return them.
Cultural Holiday Menus 2002
· The Chinese and Russian holiday menu drafts are done and were available for review.
Low Literacy Brochure
· Nancy Phillips and Connie Schroepher continue to work on this project.
Marketing
· Business cards with our web address are available to pass out. Colette Sullivan will be composing a letter to send to internship programs advising them of our website and the job postings available there.

New Business
CRN Seminar 2003
· Kathy Hunt has agreed to take on the Chair position for this event. She is looking for a strong co-chair to assist her, as experience from the past has shown that the job is better shared by two people.
· We are tentatively looking at Merritt College in the Oakland Hills as the event venue.

Other
· Internship training - Dr. Chertow raised the issue of the brief time dietetic interns spend in dialysis units and suggested that we make recommendations to increase the training time. After discussion Megan Tichy has volunteered to follow up on this.
· Educational Stipends - discussion has been held in previous meetings to change the amount of stipends awarded. Now a proposal has been presented to give the Chair and Chair Elect a stipend annually to help attend the National CRN Meeting. This was approved, and further discussion will be held at the next meeting to determine the amount.
· A proposal was made to add our web address to the CRN stationery, as well as to change to the same logo that now appears on our website the next time an order is placed.

Liaisons Report
National CRN/RPG
· No report
CRN Cookbook Reference List Update
· Megan Tichy has updated the cookbook list and it was distributed at this meeting. If you need a copy, please contact Diane Hamberlin to have one sent to you (DianeHamberlin@aol.com).
ESRD Network
· The Network is beginning a new project, "The Patients Who Try Our Patience".
NKF Board of Directors
· The NKF offices have moved. The new address is 611 Mission Street, San Francisco. The phone number is 415-543-3303. This new office space has been donated. There will be an Open House on October 19 from 6 to 8pm. Other noteworthy dates are the Kidney Walk in San Francisco, November 2, and the Authors Luncheon on November 16.
NKF Patient Services
· Thanks from Marilyn Mayfield to CRN for donating sweatshirts for the Kidney Kids Summer Camp.
NKF Medical Advisory Board
· Work is beginning on the February seminar.

Job Openings
· FMC Berkeley - 32 hrs, contact Christine LeMay (707) 445-2033.
· DaVita Hayward - F/T, contact Kate Noonan (510) 727-1840.
· DaVita Antioch - PT, contact Fe Guieb (925) 753-5000.
· Check the website for current job openings.
· Please submit any new job openings to Laurie Sanft (Laurie.Sanft@us.gambro.com) for immediate posting.

Journal Club
· All are welcome to stay after the business meeting to participate in the Journal Club.

Salary Survey
· The salary survey form was available at this meeting, and will also be included in these minutes. Please return your response to Marilyn Mayfield ASAP. She hopes to present the results at our next meeting.

Vitamin/Binder Cost Comparison Sheet
· Thank you to Chhaya Patel who provided us with this reference sheet. The sheet lists renal vitamins and binders and the costs at different pharmacies. If you would like to receive a copy of this, please contact Diane Hamberlin (e-mail above).

Lyn Piercy Distinguished Service Award
This year the recipient of this award is Laurie Sanft. Kristie Snider nominated Laurie, and says she is "one of the people who does the hard work and doesn't just do the high profile, 'fun' things." She credits Laurie with the huge amount of work she did to develop our CRN website. Laurie has been the Chair of our local CRN as well as now holding the Marketing Chair position. She is extremely positive and extremely helpful, and we are fortunate to have her as part of our membership. CONGRATULATIONS LAURIE!

THANK YOU TO SUE DICKEY
FOR ALL OF HER HARD WORK IN MAKING THE 2001-2002 YEAR A SUCCESSFUL ONE!
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May 23, 2002 El Camino Hospital Mountain View, CA

2001 - 2002 Officers

Chair : Sue Dickey

Chair-Elect: Kristie Synder

Corresponding Secretary: Rory Pace

Recording Secretary: Diane Hamberlin

Treasurer: Michelle Yamanoha

Historian: Marilyn Mayfield

Publications: Helen Christensen

Marketing: Laurie Sanft

Legislature: Kelly Ackert

BUSINESS MEETING
Approval of Minutes (Diane Hamberlin)
Minutes accepted as is.

Treasurer's Report (Michelle Yamanoha)

Checking Account	Savings Account
Beg. Balance: $7595.83	Beg. Balance: $ 10016.73
Income: $ 439.25	Interest earned $ 18.27
Expenses: $ 585.65
Ending Balance: $7449.43	Ending Balance: $10035.00

COMMITTEES:
Legislation (Kelly Ackert):
A new state bill, SB1642, was introduced on behalf of the California Nurses' Association which would essentially eliminated the expanded scope of practice that RDs fought for in state law AB1444. CDA sponsored an urgent letter writing campaign to the Senate Business and Profession Committee. The committee asked both sides to find a compromise in the wording of the amendment. CDA has now changed its stance from opposition to neutral.

Publications Report (Helen Christensen)
9 books are still missing from a previous meeting. If you have any of these, please contact Helen at (408) 236-5978 or at HelenRD@aol.com to arrange for return or for amount due.

Cultural Holiday Menu 2002 (Anne Kleimann)
Group is working on Chinese menu.

Low Literacy Brochure (Nancy Phillips)
Group is evaluating the difference between using clip art vs. actual photos.

OLD BUSINESS:
CRN Website (Laurie Sanft) - We will begin to post job openings on the website (www.crn-norcal.org). Laurie will also have some of the small business cards made up to help advertise the site.

NEW BUSINESS:
Election of Officers for 2002-2003 (Sue Dickey for Joanne Iwamiya)
Slate of officers elected as presented. The only changes were: Kristie Snider, Chair; Alison Rigby, Chair-Elect. The new officers will be installed in the July meeting and take over their duties in the Fall.

Stipend Requests
Lengthy discussion was held regarding our current budget for stipend requests and the method by which the money is allocated. It was felt that we needed to have more consistency in distribution. A vote was taken and $500 per stipend was agreed upon. Discussion was also held regarding increasing the budget from $2000 to $2500 per year.

Spring Seminar has been tabled.

LIAISON REPORTS:
National CRN/RPG: Letter received from Elaine Drees, Region V representative was distributed. 1) The Executive Committee is proposing changes tho the CRN by-laws. Proposed changes will be mailed out to the entire membership within the next few months for comments. 2) CRN awards for Recognized Council and Recognized Renal Dietitian will now be given at the Spring Meeting. 3) A CRN Membership survey will be sent out to all members in Spring 2003. 4) The 3rd edition of the Pocket Guide for Nutritional Assessment will be mailed out free to all members in good standing (national dues paid) soon. After July 1, 2002, the Pocket Guide will be available to members for a discounted price. 5) CRN and the ADA RPG are starting a joint project to create the 3rd edition of the Clinical Guide for Renal Dietetics, with a goal of completion by May, 2004.

CRN Cookbook Reference List Update: Megan Tichy has completed the cookbook update. Copies will be available for distribution at the next meeting.

ESRD Network (Sandy Wallace): The Network Meeting, Patient Safety is Everyone's Business, was held June 6 at the Lodge in Sonoma.

NKF Board of Directors (Sue Dickey): The NKF is $1 million short of their budget, and unfortunately, Sang-Mi Oh was laid off.

NKF Patient Services (Marilyn Mayfield): A list of sources for acquiring supplements for patients was compiled by Marilyn, and is included in these minutes.

NKF Medical Advisory Board (Rory Pace): Plans are beginning for next year's Symposium. The plan will be to have 2 meetings next year, one in the Bay Area, and one in the Sacramento area as we appear to have outgrown the Foster City location.

JOB OPENINGS:
As mentioned above, job openings will now be posted on the CRN website, www.crn-norcal.org. Please submit any postings to Laurie.Sanft@us.gambro.com

CONGRATULATIONS TO
KELLY ACKERT AND HER HUSBAND, DAN
on the birth of their son
WILLIAM PAUL ACKERT
born Monday, June 3, 2002
7 pounds, 3 oz and 18 ½" long

Thank you to Extended Care Support for sponsoring our meeting today

CRN and PATIENT SERVICES COMMITTEE
ENTERAL PRODUCT RESOURCE LIST
Compiled by Marilyn Mayfield, MS, RD
May 2002

NEPRO ROSS PRODUCTS $40/CASE 1-800-986-8502
MAGNACAL RENAL MEAD JOHNSON $40/CASE 1-800-247-7893 Item #004002 code 800013
Rx Plus Pharmacy Butchie Cantos 1-800-444-0757 good prices
Home Health Pharmacy Giovanni Mannarino 1-888-579-0917 wholesale prices
Medical Nutritionals Shauna Lowry 1-800-469-4343 good prices
Pacific West Health Care Gene O'Bryan 1-888-565-9378 good prices
Extended Care Support 1-800-920-0461 good prices
American Medical Services Susana Medina 1-888-521-9267 no cash sales "Gold Coast" will do TARs
North American Carmen Ramos 1-510-321-1440 no cash sales-will do TARs
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March 15, 2002 John Muir Medical Center, Walnut Creek, CA

2001 - 2002 Officers

Chair : Sue Dickey

Chair-Elect: Kristie Synder

Corresponding Secretary: Rory Pace

Recording Secretary: Diane Hamberlin

Treasurer: Michelle Yamanoha

Historian: Marilyn Mayfield

Publications: Helen Christensen

Marketing: Laurie Sanft

Legislature: Kelly Ackert

BUSINESS MEETING
Thanks to Braintree Laboratories for sponsoring today's meeting
Approval of Minutes
Approved after the spelling correction of Kristie Snider's last name

Treasurer's Report (Michelle Yamanoha)

Checking Account	Savings Account
Beg. Balance: $ 6471.36	Beg. Balance: $ 11248.71
Income: $ 1172.15	Interest earned $ 16.73
Expenses: $ 47.68
Ending Balance: $7595.83	Ending Balance: $10016.73

Committees
Legislation (Kelly Ackert)
· Nothing new and current bills have had no recent updates.
Publications Report (Helen Christensen)
· Pamphlets available free of charge to CRN Members as a part of your membership.
Cultural Holiday Menus 2002 (Anne Kleimann, new chair)
· Committee being formed.
Low Literacy Brochure (Nancy Phillips, new chair)
· Committee has been formed and preliminary discussion has been held. Please contact Nancy if you would like to be a part.

Old Business
CRN Seminar (Kristie Snider)
· Will now be planned for May 2003; tentative location Oakland Marriott.
· Volunteers needed. A sign-up sheet was circulated. Please submit any ideas for topics that you may have.
· Kristie will be looking for someone to Chair this event as she will be assuming the CRN Chair position next year and the load would be too great.

New Business
Nominations (Joanne Iwamiya)
· Please contact Joanne at Florin Dialysis (916-424-3990) if you have any suggestions for nominees.

Liaisons Report
National CRN/RPG (Chhaya Patel)
· Results of the RPG elections will be announced soon via newsletter.
CRN Cookbook Reference List Update (Megan Tichy)
· Megan has found there is much to be updated, especially prices and shipping costs. She will present her update at our next meeting.
ESRD Network (Sandy Wallace)
· All staff are encouraged to attend the Network Seminar, "Patient Safety is Everyone's Business", Thursday, June 6, 2002 in Sonoma. This FREE seminar will offer 7 CEUs. Visit the Network's website at www.network17.org for registration information.
NKF Board of Directors (Sue Dickey)
· Meeting to be held March 21. See separate report below.
NKF Patient Services (Marilyn Mayfield)
· Due to Western Rehab being purchased by Shield Health Care, we are looking for another company to service our patient population. Rx Plus Pharmacy (Butchie Cantos) really would like our business; you may contact them at 1-800-444-0757. Other options discussed include Pacific West Healthcare Supply at 1-888-565-9378, or Extended Care Support at 1-800-920-0461. For patients using Novartis products, contact Anne Mitchell at 1-800-622-2689 x4158.
· Marilyn asked for a donation of 25 shirts from CRN for the kids at camp to decorate. This was approved.
NKF Medical Advisory Board (Rory Pace)
· Medical Symposium held in February was a great success. Thank you to Rory for your part in the planning process!

Job Openings
· FMC Pleasant Hill needs someone to cover maternity leave from June-August. Contact Kelly Ackert at (925) 798-8844 for details.
· Woodland Dialysis is looking for a dietitian to work up to 78 hours per month.
· Evergreen Dialysis in Mt. View is looking for a half time dietitian.
· Modesto Kidney Center is constructing a third clinic and is looking for a dietitian.
· DaVita Piedmont has a 20-hour position available. Contact Mikhail, Administrator at (510) 428-1188 or fax resume to (510) 428-9265.
· Gambro Benicia is looking for someone to cover maternity leave from July-December, 16 hours per week. Contact Narita Bantay at (707) 745-1488.
· Satellite Larkspur (located in Greenbrae) needs someone 8 hours per week. Contact Marilyn Aaron at (415) 924-8622.

Journal Club
· First meeting was held today with several interesting articles presented. Please feel free to stay after each meeting and join us.

Next Meeting: Will be held THURSDAY, MAY 23, 2002 at El Camino Hospital. The speaker will be Faith Tootell, who will be presenting "Defining and Delivering an Adequate Kt/V".

Report from NKF N. CA Board of Directors Meeting, March 21, 2002
by Sue Dickey
1. John Davis, national CEO of NKF, spoke. The most recent KDOQI guidelines for pre-end stage kidney disease have been published in the AJKD VOL 39, No 2, Suppl 1: Clinical Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratification. This gives guidelines for the diagnosis and treatment of CKD based on GFR. Another NKF priority is the KEEP program; designed to reach the 20 million people wiith undiagnosed or untreated kidney disease.
2. NKF is $250,00 over budgeted this year. They are working to cut costs and increase donations. One of these methods is the "Founders Group" which will have cocktail parties to introduce influential people to the many beneficial things NKF does for patients and medical research. Fundraising efforts will be changed based on costs/resources required to have the event vs. revenue generated. The Chefs and Cellars event and the East Bay Golfing event will be cancelled this year.
3. More than 300 health professionals attended the Medical Symposium in February.
4. Events scheduled:
· 6/15: Medical Advisory Board Dinner honoring Jackie Spear to be held at the Hotel Nikko. They are looking for companies to donate wine and dessert.
· 6/25-29: Transplant Games in Florida. They had 87 requested application, with two donor families planning to attend. They are looking for corporate sponsorship of participants.
· 8/4: Kidney Kids Camp
· 11/16: Authors' Luncheon in San Francisco.

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January 17, 2002 Spenger's Fish Grotto Berkeley, CA

2001 - 2002 Officers

Chair : Sue Dickey

Chair-Elect: Kristie Synder

Corresponding Secretary: Rory Pace

Recording Secretary: Diane Hamberlin

Treasurer: Michelle Yamanoha

Historian: Marilyn Mayfield

Publications: Helen Christensen

Marketing: Laurie Sanft

Legislature: Kelly Ackert

BUSINESS MEETING
Approval of Minutes (Diane Hamberlin)
Approved after the spelling correction of Susie Uyeda's last name

Treasurer's Report (Michelle Yamanoha)
We now have a new account with Wells Fargo.

Checking Account	Savings Account
Beg. Balance: $ 2762.79	Beg. Balance: $ 11248.71
Income: $ 4340.96	Transfer to checking $1248.71
Expenses: $ 632.39
Ending Balance: $6471.36	Ending Balance: $10000.00

A proposal was presented regarding increasing membership dues next year. This is due to increased costs for CEUs, increased mailing costs and an increase in the honorarium for our speakers. The proposed increase would be $5 (total $25/year). Non-members would be charged $10 to cover the cost of CEUs, with the first meeting of the year at no charge. After discussion, this proposal was approved.

Corresponding Secretary's Report (Rory Pace)
¨ 2002 Membership Directory available now. Contact Rory if you have paid dues but not received a directory.
¨ Meeting minutes will be "snail-mailed" to all members, but, if you would prefer to receive them solely via e-mail (will help save costs), please notify Rory.

Committees
Legislation (Kelly Ackert/Joanne Iwamiya):
¨ AB 1444 became state law on 1/1/2002. Adds to the RD's existing scope of practice. Permits RDs to order lab tests related to nutritional treatment when authorized to do so by written protocol. Can also accept or transmit verbal or electronically transmitted orders. The CDA website (www.dietitian.org) has more information
¨ S 1304 - would provide for coverage under the Medicare program of oral drugs to reduce serum phosphate levels in dialysis patients. CRN wrote a letter of support on 10/25/01. Has been referred to the Committee on Finance.
¨ Immunosuppressive Drug Coverage Act of 2001 (HR 1839 / S 808) - this bill would ensure that a wider range of transplant recipients are entitled to Medicare coverage for immunosuppressive medications.
¨ Medicare Dialysis Benefit Improvement Act of 2001 (HR 2220 / S 1605) - this would increase the composite rate by 2.6% for 2002; will pay for a 4th routine treatment for pediatric patients, those over 80 kg, and cardiac patients with fluid overload, and will restore the exception process.
¨ Kidney Patient Daily Dialysis Quality Act of 2002 (HR 1759 / S 1303) - recognizes daily HD as a new modality for the treatment of ESRD

Publications Report (Helen Christensen)
¨ Pamphlets available free of charge to CRN Members as a part of your membership.
¨ Books, however, are available for a cost. After the meeting, 9 books were noted to be missing. If you have any of the missing books, please contact Helen at (408) 236-5978 or at HelenRD@aol.com for the prices.

Old Business
CRN Website (Laurie Sanft) - The website (www.crn-norcal.org) had 91 hits as of this meeting. Laurie would like to get a link placed on the National CRN site to our site.
Cultural Holiday Menus 2002 - Anne Kleimann has agreed to take on this responsibility.
Low Literacy Brochure - Nancy Phillips will be taking on this project. If anyone is interested in assisting, please contact her at nphillips@medsfgh.ucsf.edu.

New Business
Nominations (Joanne Iwamiya) - we are accepting nominations for next year through March 2002.
Spring Seminar (Kristie Snider) - had been tentatively planned for May 10, but since our meeting it has been decided to postpone. Plans, volunteers and seminar ideas will proceed, and a date will be announced when the appropriate time is determined.

Liaisons Report
National CRN/RPG (Chhaya Patel, absent):
¨ Our contribution to National CRN has been to keep the Cookbook Reference List up to date; thanks to Sue Deepak who did the most recent revision. Megan Tichy will now take on this responsibility.
¨ Membership to our local group does not cover the national dues of $70.00 and includes a subscription to Journal of Renal Nutrition. Send to NKF, 30 East 33rd Street, New York, NY 10016.
¨ Clinical Nephrology Meeting is April 17 - 21, 2002 in Chicago. Applications for stipends are available if you are interested in attending. You may download the form from our web-site (www.crn-norcal.org).
ESRD Network (Sandy Wallace):
¨ Since the September 11 tragedy, the priority has shifted from flu shots for all patients/staff to updating/revising the Disaster Diet.
NKF Board of Directors (Sue Dickey):
¨ Emphasis this year on "major gifts" and a shift away from "events" toward patient services.
NKF Patient Services (Marilyn Mayfield and Faith Tootell):
¨ Many upcoming events - we would like to see more RDs involved in these very rewarding activities
¨ KEEP program April 6, 2002 in SF is in need of volunteers.
¨ Other events: Olympic Gold Tournament (April 22), Family Camp (May 25-27), Transplant Games (June 25-29), Kid's Camp (August 4-10), Renal Care Conference (August), Patient Picnic (September 15), Author's Luncheon (November 16).
NKF Medical Advisory Board (Rory Pace):
¨ Medical Symposium held February 8, 2002 in Foster City.

Job Openings
¨ DaVita Piedmont has a 20-hour position available. Contact Mikhail, Administrator at (510) 428-1188 or fax resume to (510) 428-9265.
¨ Gambro is looking for a dietitian to work 24 hours combined in its Los Banos and Atwater clinics. Contact Dana Cole (Atwater) at (209) 357-3770 or Maria Diaz (Los Banos) at (209) 826-7280.
¨ DaVita Florin Dialysis, Sacramento, is looking for a 30+ hour dietitian to work with 80-110 patients. Contact Deborah Geiger, RN, Administrator at (916) 424-3990. Renal experience preferred.

Journal Club
¨ There was a brief organizational meeting for our Journal Club today. Journal reviews will be held for one hour after each regular meeting. Contact Sue Dickey if you would like to be involved.

Next Meeting: Will be held FRIDAY, MARCH 15, 2002, at John Muir Medical Center in Walnut Creek from 11am - 1pm. Lunch will be provided. The speaker will be Sally Cohenour, MS, RD, Legislation/Public Policy Liaison for CDA. She will be discussing the implementation of AB 1444.
PLEASE FORWARD SPECIFIC QUESTIONS TO KRISTIE SNIDER SO THAT WE MAY ALLOW SALLY AMPLE TIME TO RESEARCH AND PREPARE.

Thanks to Linda McCann for her presentation, "Carnitine Revisited". Per Jay Humphrey of Sigma Tau, the CPT code for Carnitine Assay is 82379. It is reimbursed at $23.31.

OUR THANKS TO SIGMA TAU, SPONSOR OF OUR WONDERFUL LUNCH MEETING!

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September 26, 2001 Kingfish Restaurant, San Mateo, CA

2001 - 2002 Officers

Chair : Sue Dickey

Chair-Elect: Kristie Synder

Corresponding Secretary: Rory Pace

Recording Secretary: Diane Hamberlin

Treasurer: Michelle Yamanoha

Historian: Marilyn Mayfield

Publications: Helen Christensen

Marketing: Laurie Sanft

Legislature: Kelly Ackert

BUSINESS MEETING

Approval of Minutes: approved with the exception of the CRN website address. (See discussion below)

Treasurer's Report (Michelle Yamanoha)
Checking Account Savings Account
Beg. Balance: $4292.93 Beg. Balance: $11164.97
Income: $ 0.00 Interest: $ 32.33
Expenses: $1530.14
Ending Balance: $2763.79 Ending Balance: $11197.30

Publications Report (Helen Christensen)
¨ Pamphlets available free of charge to CRN Members as a part of your membership.

Liaisons Report
National CRN (Chhaya Patel, Kathy Hunt):
¨ Chhaya thanked all of you who served on the Host Committee for Annual NKF Meeting in San Francisco.
¨ Kathy reported results of the recent election: Elaine Drees is the new Region V representative, Debbie Benner alternate. Look for new K/DOQI education materials and Herbal Fact Sheet that Kathy's committee put together.
NKF Board of Directors (Sue Dickey):
¨ Attended first meeting, BOD will change to quarterly meetings.
¨ The new Director of NKF is Janet Rose. She is working to make the NKF more patient oriented rather than event oriented.
¨ Our CRN-NKF rep is Sang-Mi Oh.
¨ Faith Tootell attended recent Volunteer Workshop Summit in New Orleans.
NKF Patient Services (Marilyn Mayfield, Faith Tootell):
¨ Kids Camp, to which CRN donated $500, was very successful this summer
¨ Many NKF events scheduled for September and October.
NKF Medical Advisory Board (Rory Pace):
¨ Medical Symposium will be held FEBRUARY 8, 2002 in Foster City.

Committees
CRN Website (Laurie Sanft):
¨ Discussion was held regarding obtaining a domain name for the Web Site that did not include advertising and the possibility of getting a corporate sponsor.
¨ The new Web Site address is www.crn-norcal.org.
Cultural Holiday Menus (Michelle Yamanoha/Judy Boccanfuso):
¨ The menus were in the process of being translated.
¨ Clinics will receive them before Christmas. Only a Spanish Menu will be sent this year.
Legislation (Sue Dickey in Kelly Ackert's absence):
¨ AB 1444 was waiting to be signed by the Governor at the time of this meeting (it has since been signed and will be Law as of January 1, 2002!).
¨ You can view the bill in its entirety at www.leginfo.ca.gov. This bill allows RDs to order labs and take orders according to approved protocols.

Old Business
Salary Survey (Marilyn Mayfield): The most recent salary survey shows some RDs have finally broken the $30 per hour mark. The survey will now be an annual event.
Low Literacy Brochure (Sue Dickey): Volunteer(s) to take on this project, please contact Sue if you are interested.

New Business (Sue Dickey)
CRN Seminar: 2002 would be the year that we "should" do a Seminar (it hasn't been done in 2 years). It is important to do so in order to raise funds for CRN. Kristie Snyder has volunteered to Chair the Seminar. A Co-chair and/or additional committee chairs are still needed. Please talk to Sue or Kristie if you are able to help.
Journal Club: We are trying to determine if there would be any interest in starting a Journal Club within CRN. CEUs would be available. Mary Pat Kelly would be willing to help "kick it off", and Karen Harrigan can help with literature searches. An organizational meeting will be held following the program in January.
Dues and Memberships: The annual dues for our local CRN is $20 per year, due by November 1, 2001 (a membership form is located on the Web Site if you need one). Discussion was held regarding increasing the dues next year to $25 per year, and to charge non-members $5 per meeting. We will discuss this more at our January meeting.

Job Openings
FMC Pittsburg has a 30-hour, benefited position available ASAP. Census is approximately 85 patients. Training available! Contact Diane Hamberlin at (925) 439-8772 for information.
FMC Pleasant Hill has a 40-hour, benefited position available ASAP. Census is approximately 95 hemodialysis patients, 20 peritoneal dialysis patients. Contact Maria Coffey, Clinic Manager at (925) 798-8844 for information.
Satellite Santa Rosa has a full time, benefited position available. Renal training available to candidate with 2+ years clinical experience. Contact Linda McCann at McCannL@satellitehealth.com.
DaVita Peralta has a 20-hour position available. Contact Gene LeBorne, Administrator at (510) 839-1335.
DaVita Eastmont has a full time position available. Contact Lillian Fox, Administrator.
DaVita also has positions available at Ocean Garden Dialysis and Potero Hill Dialysis. Contact the administrators of these units for more information.

Past Chairs who attended the meeting included Mary Pat Kelly, Chhaya Patel, Mary Denny, Marilyn Mayfield, Carol Gee Shak, Kathy Hunt, Laurie Sanft and Joanne Iwamiya. Each gave inspiring comments regarding their year(s) as Chair. Susie Uyeda and Helen Christensen prepared booklets in honor of the past Chairs, and Karen Harrigan, Genzyme Rep, presented each with a long-stemmed rose.

Next Meeting: Will be held JANUARY 2002, location and speaker TBA.

Please turn in suggestions on speakers or meeting locations to Kristie Snyder ASAP to help facilitate meeting planning.

OUR THANKS TO GENZYME, SPONSOR OF THE LOVELY DINNER MEETING!

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July 20, 2001 Wente Winery, Livermore, CA

2000 - 2001 Officers 2001 - 2002 Officers

Chair: Joanne Iwamiya Chair : Sue Dickey

Chair-Elect: Sue Dickey Chair-Elect: Kristie Synder

Corresponding Secretary: Anne Kelly Corresponding Secretary: Rory Pace

Recording Secretary: Susie Uyeda Recording Secretary: Diane Hamberlin

Treasurer: Hema Master Treasurer: Michelle Yamanoha

Historian: Marilyn Mayfield Historian: Marilyn Mayfield

Publications: Helen Christensen Publications: Helen Christensen

Marketing: Laurie Sanft Marketing: Laurie Sanft

Legislature: Kelly Ackert

Introduction of Officers, Guests, and New Members:
2000 - 2001 Officers all present and introduced.
2001 - 2002 Officers introduced, Rory Pace and Diane Hamberlin absent.
Guests and New Members: Grace Wang, FMC/Los Gatos, Ardenwood/Newark,
Karla Gruman, Gambro San Juaquin/Stockton, Manteca.
Linda Rodman, Gambro, Atwater

Approval of Minutes from 5/18/2001: Sue Dickey amends Wednesday September 26 as the date for the next CRN Meeting. Minutes approved as written.

Treasurer's Report - Hema Master
Checking Account Summary Savings Account Summary
Beginning Balance: $6584.11 Beginning Balance: $11121.71
Income: $930.90 Interest earned (4/01) $43.26
Expenses: $3222.08 (5/01)
Ending Balance*: $4292.93 Ending Balance: $11164.97
(*Includes $2955 from NKF Grant)
Year End Summary Publication Report: July 2000-August 2001
Beginning Balance: $8500.78
Income: $7608.90 Income: $2529.60
Expenses: $11816.75 Expenses: $1481.60
Ending Balance*: $4292.93 Ending Balance: $1048.00

As outgoing Treasurer, Hema thanked the CRN Members for their support during her three year tenure. A donation of $1000 was given to the Indigent Nutrition Fund, $500 for Kids Camp to Sheila Doss, who was very appreciative. (Next year this amount will be given to the Transplant Games. [alternate years given]. We earned approximately $1000 from publication sales. Expenditures are. within the proposed budget of $6990, with $6316 as actual . There a few outstanding bills which will alter the final amount. Hema requests that dues be paid on time. A $100 minimum deposit is required to avoid $15 Bank Fee. Please pay the CRN Membership Dues by November 1st.

Publications Report - Helen Christensen
Pamphlets are free to CRN Members. There are order forms for books. Books can be purchased at meetings to save postage. The Kinetic Books cost: $14.95 without postage. (Send check to Michelle Yamanoha ) Two books were taken at the last meeting. Marilyn Aaron brought the pamphlets: Practical Problem Solvers for Nutrition In Kidney Disease, more are requested. There was a discussion on the high cost of Canadian Postage for mailing the Cultural Cookbooks. Canadian postage: $14-15, US postage: $3. A separate Cost for Canadian postage needs to be adjusted on the many Web Sites. $5 is adequate for all other overseas mail delivery service. It was decided that future books will not be mailed to Canada until the additional postage cost has been received.
There are approximately 30 boxes of the Cultural Books remaining which will be transferred to Kathy Hunt's garage from the current storage locker. Helen will obtain these books from Kathy as needed.

LIAISONS
National CRN - Chhaya Patel, Program Committee
The October meeting is scheduled for October 11 - 14 in San Francisco. A very good prograaaaam is planned. Thursday : Joint Council Research Workshop. Friday: The Emerging Role of Phosphorus in Vascular Calcification: Implications for the Management of Secondary Hyperparathyroidism by Geoffry Block, M.D., Pathogenesis and Management of Secondary Parathyroidism by Eduardo Slatopolsky, M.D. Saturday: Research One-On-One,
Good Grief - Let's Talk About It - Round Table Discussion put together by the Patient Services Committee. (Recommended) Others presentations include: Arlene Sukowsky's presentation on Communication Skills. Carol Gee will sit on the Panel for Cultural Issues. There are several Pediatric Topics. WFRC will present a Disaster Planning Workshop on Sunday. Team Management of Chronic Kidney Disease Patients, Medical Nutrition Therapy Legislation in the Renal Care Community by Jessie Pavlinac, M.S.,,RD, Strategies to Expand Your Practice, Nutritional Management of Kidney Stones. All local CRN Members are encouraged to attend.

ESRD Board of Directors (No Report) Judy Chapin

ESRD Network Medical Review Board - Joanne Iwamiya/Kelly Ackert
Since Kelly has taken a nonclinical position. Sandy Wallace has been nominated to be our representative. Kelly will attend and report on the next meeting. Once accepted to the position, Sandy will go through the required training: Orientation to the Board, Mission, and projects.

NKF Board of Directors Final Meeting 6/7/01 - Joanne Iwamiya
Joanne attended the short business meeting, celebration. The out going board was thanked, the incoming board was introduced. Two new Affiliate Offices located in Fresno and Sacramento will make the outreach program more effective. Joanne participated in the annual Public Policy Meeting. Eleven Bill are pertinent to or of interest to the NKF Office. They have contracted with a professional negotiator. 5 of the 11 Bills reviewed are of interest to the CRN Members.
SB 108 Requires the CA DMV to report to the State Dept. Of Public Health those individuals who wish to donate tissues and organs on a standard form. [ The State needs better communication].
SB 113 CA Dept. Of Health Services to write rules governing the TISSUE BANKS.
SB 336 Requires the State Dept. Of Public Health to develop a time plan to institute it's recommendation
on how to handle Hep. C in monitoring and some prevention plans.
AB 142 Concerns removing financial risks from physicians and surgeons and placing it on the Health Care
Service Plan.
AB 915 Concerns the medical transportation services for patients. Rules are established to prevent
fraud, shorten the qualifying process, and to minimize the red tape. Approved by the State
Assembly and is in the Senate.
CRN Members by follow the Bills by number: www.leginfo.CA.gov page 2

NKF Medical Advisory Board (no report) Rory Pace

NKF Patient Services - Marilyn Mayfield
The Memorial Day Weekend Family Camp was successful. Phil Akiyama and Faith Tootell will participate in the Summer Kids Camp. We have given the last of our Tee-Shirt Donations. Marilyn has observed that the children do not always bring enough warm clothing to camp and that sweatshirts would be a good item to have on hand. Kelly Ackert suggested that each person decorate and bring one Sweatshirt to the September meeting. Chhaya
Patel is able to purchase tee-shirts and sweat shirts at a reasonable price.
Remaining activities: September 9 Patient Picnic, Lake Cunning ham Park, San Jose
September 30 SuperStride for Life, San Jose
October 27 San Francisco Authors Luncheon, San Francisco Marriott
November 3 Sacramento Region Authors Luncheon, Radisson Hotel, Sacramento

COMMITTEES

CRN Web Site - Laurie Sanft
The Web Site is 80% complete and could be viewed on Laurie's Laptop at the meeting. Web Site protection is not possible without costly a fee. After some group discussion, it is decided that this coming years' minutes will be posted on the Web Site and CRN Members will be mailed a copy. Not all members have Internet Access or an e-mail address. This will be a transition year. Minutes sent via e-mail will save paper and postage. Individual Membership information posted in the Net, poses a problem. The mailing preferences will be included on the CRN Membership Application. Our CRN Web Site will eventually have forms available. Laurie plans to optimize the use of information technology. GOOD JOB LAURIE!

Cultural Holiday Menus - Michelle Yamanoha
Copies of the Spanish Cultural Holiday Menu were reviewed for comments by the CRN Members present. $100 was approved to cover translation fees. Other cultures to be completed this year include: Russian, Chinese, Filipino, and Jewish. These will have a similar format . Thank you to all who are making this project a reality.

Salary Survey - Marilyn Mayfield/Kelly Ackert
The Average Hourly Salary for the Renal RD has improved. Year 2000: $24.03, Year 2001: $26.29.
The 2001 Year Survey indicate an Hourly Salary increase of 9.4% and Workload decrease of 8.6%.
The Hourly Salary range with Benefits is $20 - #31. Someone cracked the $30/hr. Bar.
Very few RD's have a license or certification. SEIU Union represented RD's tended to have higher salaries. The Salary Survey is organized by County with average Hourly Salary increases and Caseload changes. This data may be used to negotiate your individual salary and workload. Kelly has maintained a packet of materials to assist RD's to achieve Salaries commensurate with their expertise and to improve the caseloads. Thanks to all who participated in this year's Salary Survey and to Marilyn and Kelly for compiling and organizing this information for us all.

New Committees and Projects Joanne Iwamiya
Kelly Ackert has consented to be Legislation Chair.
Illiteracy Brochure for Renal Patients is suggested by Laurie Sanft.
Sue Dickey requests that all RD's present complete the Meeting Survey form today or mail it to her.

OLD BUSINESS
Honoring Past Presidents - September Meeting - Susie Uyeda/Joanne Iwamiya
Past CRN Presidents list is made available to obtain addresses for those individuals who are not currently active CRN Members. Please send information and ideas for questions to be answered by the past CRN President to either Helen Christensen at HelenRD@aol.com or Susie Uyeda at SusieU1942@aol.com. Their goal is to create a Keepsake Memorabilia for this unique occasion. Please contribute your thoughts and ideas.

CDA'S AB 1444 - Joanne Iwamiya
This bill passed in Assembly, passed on the Committee Floor 6:0. It has gone to the Senate Business and Professions Code Committee. It will be going to the Senate appropriates Committee. Legislation alert to write letters to Senators. [Bay Area: John Burton, Golden Empire: Maurice Johannessen, Central Valley; Charles Poochigian San Jose: Bruce McPhearson] This Bill will enhance our ability as Renal RD's to write Lab Orders
and to work under physician signed protocols. It needs to go through one more committee before it goes to the Senate Floor. This Bill sanctions how we operate.

NEW BUSINESS
Acknowledgments - Joanne Iwamiya
Joanne wishes to THANK: Michelle, Judy, and Evelyn Middleton for developing the Cultural Holiday Menus; Sue Deepak for updating the Renal Cookbook Resource List.; Linda McCann, Joyce Yamaguchi, Chhaya Patel, Marilyn, and Kathy Hunt for their input in AB 1444 Alert hearings. THANK YOU to this year's Executive Committee Members. Kelly Ackert presented Joanne with a placque for her hard work as Chair this past year. Spacial THANKS to you Joanne!
Our primary meeting sponsor was AMGEN. Melton McClanahan, Central Valley Representative presented a gift to Joanne, as out-going Chair. Kelly Ackert was the lucky raffle drawing recipient. Additional sponsorship came from Rx Pharmacy or Anaheim, CA, Butchie Canatos will be present at the September Meeting.

Lyn Piercy Distinguished Achievement Award- Joanne Iwamiya
Congratulations to Kelly Ackert, for her outstanding contributions and accomplishments.

New CRN Officers: 2001 to 2002 - Kelly Ackert

New offers were announced. The names of out-going and new officers are previously listed.

ANNOUNCEMENTS
August 5, 2001, 1 - 4:30 PM, NKF 6th Annual Renal Care Conference, San Jose
October 11 - 14, 2001 National NKF Professional Councils Conference, San Francisco
JOB OPENINGS: FMC of Pittsburg (30 hrs, census: 87 patients, Benefits, will train)
Contact: Diane Hamberlin, RD at (925) 439-8772
Davita Eastmont (Oakland), FT w/benefits, contact Administrator.(Lillian) at(510) 553-1333
Gambro (Tracy & Manteca)FT, HD&PD (100 pts) contact: Donna Gibson @(877) 874-3636

Speaker: Connie Schroepfer, MS., RD, on Clues to the Nutritional Status of the Renal Patient

NEXT MEETING to be sponsored by Genzyme Corp. - Sue Dickey
September 26, 2001, 6 PM (watch for an invitation in a separate mailing)

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MAY 18, 2001 KULETO'S RESTAURANT, Burlingame, CA
2000 - 2001 Officers
Chair: Joanne Iwamiya Treasurer: Hema Master
Chair-Elect: Sue Dickey Historian: Marilyn Mayfield
Corresponding Secretary: Anne Kelly Publications: Helen Christensen
Recording Secretary: Susie Uyeda Marketing: Laurie Sanft

Introduction of Officers, Guests, and New Members:
Officers present: Joanne Iwamiya, Sue Dickey, Susie Uyeda, Hema Master, Marilyn Mayfield, Helen Christensen, Laurie Sanft.
Guests and New Members: Alan Ho, Piedmont Dialysis, Sherry Sodomura, Hayward Dialysis.

Approval of Minutes from 3/29/2001: Minutes approved as written.

Treasurer's Report - Hema Master
Checking Account Summary Savings Account Summary
Beginning Balance: $6904.11 Beginning Balance: $11,073.92
Income: 00.00 Interest earned (3/01) $47.79
Expenses: $320.00 (4/01)
Ending Balance*: $6584.11 Ending Balance: $11,121.71
Accepted as written(*includes $2955 from NKF Grant)
Hema reports that anticipated expenses will include $1000 (Nutrition Fund), $1000 (Stipend), $500 (NKF Camp), $2500 already committed. Receipts for CRN expenses need to be given to Hema to receive reimbursement checks. July will be the last meeting of the year.

Publications Report - Helen Christensen
Pamphlets are free to CRN Members. There are order forms for books. Marilyn Mayfield inquired about the Mocha Mix Pamphlets. Helen will inquire about how these can be ordered.

LIAISONS
NKF Patient Services - Faith Tootell/Marilyn Mayfield
Activities scheduled include: Family Camp next weekend. There will be two Family Camps this year: Labor Day and Memorial Day weekends. (Labor Day one is new). The Renal Care Conference is scheduled in August instead of November. An excellent program is planned. It will include: Incorporating Change Into Your Live to be given by a dynamic speaker. Academic Scholarship Applications were sent out. The Patient Picnic is scheduled on September 9th at Lake Cunningham, located in the South Bay Area. Volunteers are needed to help. Kids Camp is scheduled for August 12 - 17. Sang Mi -Oh, Program Director for NKF was introduced.
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National CRN - Kathy Hunt
The Executive Committee for National CRN met this past month in Florida. Regional Membership has dropped by 70 members. This may be a result of notices being received prior to the Christmas, when they get overlooked. Please call the NKF 800 number to ask for assistance/directions on how to join. Elections are set to take place in June. Ballots will be mailed to National CRN Members by July 15. Our Region does have elections for a new Alternate and a new Representative. The Nominating Committee is now completing the Ballot. The candidates for Alternate Representative include a person from the L.A. Area and one from Oregon. Region Rep. Includes a person from Arizona.
The Fall Meeting will be in San Francisco. There are concerns over the Counsel Displays. A letter needs to be sent to the Fall Counsel Chairperson in regards to our concerns.
A few CRN Members have been asked to meet with HCFA regarding the new Medical Nutrition Therapy Act, what it means for the Pre-ESRD Coverage, what they need, what we want to teach. Jodie Goldstein, the editor for the Journal of Renal Nutrition, 5 year term is coming to a close. The new editor will be announced.
There will be a change in terminology used by NKF as a result of a vote to use different terms in the future. Examples: Renal & End Stage Renal Disease will be labeled Kidney & Chronic Kidney Disease. It is felt that this terminology is more descriptive and more recognizable than Renal Disease. NKF Materials will say Kidney Disease.

ESRD Board of Directors (no report) Judy Chapin

ESRD Network Medical Review Board - Kelly Ackert
The next meeting is scheduled in July. The Network may visit a unit to randomly check URR's.

NKF Board of Directors [final meeting: 6/7/01] Joanne Iwamiya
The meeting will be a combination installation meeting and a 35th Anniversary Celebration.

NKF Public Policy Committee Meeting (no report) Joanne Iwamiya
Last night's meeting is rescheduled for June 1, 2001.

NKF Medical Advisory Board - Faith Tootell
Content for the February 8th Conference has been determined. The options to be offered include a track on Diabetes, which covers new hypoglycemic agents--How they work together; Pancreas transplantation.; Ways of treating Diabetes with pre- Endstage and Endstage Renal Failure. Track on Vascular Access.

COMMITTEES
Cultural Holiday Menus - Joanne Iwamiya/Evelyn Middleton
Joanne passed around the Draft/Mockup. Comments and opinions needed. Comments thus far: suggest the the FONT be changed to a one space character for ease of making insertions/corrections and SMALL PORTIONS of a cultural food item should be allowed , as apposed to eliminating them altogether. The DESCRIPTIVE LANGUAGE will be expressed at the educational level of our patients.
Evelyn reports that the Filipino translation is difficult. The language in the Cultural Food Book is formal. She is using colloquial wording incorporated in English with Tagalog which is the more common dialogue here in the USA. It will include art work and foods categorized as Appetizers, Salads, Entrees, and Desserts in the first draft. Input from Filipino patients in other units will be helpful.

CRN Website - Laurie Sanft

Laurie is learning how touse the Website development software. She has not work on the design yet. The links are put together. She has enrolled in two classes on Web page Design. There will be a Home page which will include a picture of a CRN Meeting. She will need input for style. The home page will include a description of what CRN as an organization with it's mission and goals [about us]. A VOLUNTEER is needed for writing this page. The will be a Membership page with Benefits of membership, current CRN Officers, Directory. Work Info. It will have an e-mail link. It will include meetings and events, past minutes, educational materials and books. Sheplans to include a photo of each Brochure by using a shrunk down picture of the covers with a description. She welcomes comments from the CRN Members. Good Job Laurie!

OLD BUSINESS
Renal Cookbook Website Listing - Sue Deepak
Sue has updated the Cookbook Website updating the Renal Cookbooks available, Authors, and current prices, mailing addresses. This information has been forwarded to National CRN to update the Website.

National CRN Exhibit, Orlando, Florida - Joanne Iwamiya
Our CRN exhibit was more successful than in previous years because the display was in a very visible location. The Cultural Books generated a great deal of interest. We need to have more order forms available for October.

Salary Survey - Marilyn Mayfield/Kelly Ackert
Marilyn needs more surveys to be returned to her. Thus far, there is a noticeable improvement in the salaries from this year's surveys. (This is for the benefit of us all).

CDA'S AB1444 - Joanne Iwamiya
The Business and the Dietitian's Title Act in Profession Code, was amended twice. This Bill can be found on the Internet at Leginfo.Ca.gov, select Bill info 1444. (Print the amended form). The Bill includes Registered Dietitians and Diet Technicians (DTR) as Nutrition Professionals. The Bill will authorize RD's and other nutrition professionals to order medical laboratory tests related to nutrition therapy treatment and to accept or to transmit verbal or electronically translated orders or protocols from the Healthcare Provider in order to implement therapeutic treatments. The implication is that the RD will be able to accept verbal orders from the physicians. RD's will be able to follow Protocols signed by the Physicians. AB 1444 is going to the House Appropriations Committee (21 Members). This Bill has no Financial Impact on California's Budget. A Legislative CRN Committee will be appointed.. CRN Members can print a copy of the amended Bill or look at the CDA Website, under Dietitian.org.
Pre renal, post transplant, and diabetes counselling will be paid for at the Federal level. There is a move to include cardiovascular counselling for reimbursement, this year.

NEW BUSINESS
Honoring Past Presidents - September Meeting Joanne Iwamiya
We will be honoring the past CRN Presidents at the September Meeting. Genzyme has graciously consented to sponsor an evening meeting for us. There will be a two educational presentation. After a consensus and a vote, Thursday, September 27th was selected as being the date for this momentous occasion.

CRN Meetings - Sue Dickey
Sue needed input regarding the scheduling of future meetings. The National Dialysis Unit Chains and Satellite Units have quarterly meetings. We have a meeting every other month. This meeting has the best attendance on record. The potential change of our meeting to something different was open for discussion. A vote is needed
to switch to quarterly meetings. At the National CRN level, which meets quarterly, Kathy Hunt voiced concerns of the difficulty of completing projects with fewer meetings. The cost of meeting sites is about $200 average.
We could offer two CEU's instead of one. We could have business meetings in between without CEU's. We could omit Summer Meetings. Hospital meeting locations are limited. Reports can be sent out. Committees would meet outside of these meetings. The bigger issue is that Dietitians may not be able to leave work attend these meetings. It was decided to not have a November meeting because of the October NKF Professional Councils Conference in San Francisco. There will be a needs survey and further discussion.

CRN Nominations - Kelly Ackert
The requirements of the Chair-Elect per our By Laws , must have held a prior office. The reason for this is that an incoming officer will have difficulty representing us. After some comments and discussion, it was decided that the By Law's need to be reviewed. The needs of the CRN Members have changed. We are not involved in as many projects as we have been in the past.

Job Openings:
FT at UCSF Mt. Zion Dialysis, contact Kelly Ackert, RD. atKackert@msn.com
FT at UCSF @ San Francisco General Hospital, contact Mary Pat Kelly, MS, RDat marypatkelly@earthlink.net

Stipend - Joanne Iwamiya
Educational stipends awarded to Sheryl Sharpe and Susie Uyeda

Vegetarian Handouts on use of Plant-Based Proteins - Susie Uyeda
Handouts from Joan Bookhyser's Luncheon Meeting and presentation at the recent NKF meeting were made available to those who were in attendance.

August 5, 2001, 1 - 4:30 PM, NKF 6th Annual Renal Care Conference, San Jose
October 11 - 14, 2001 National NKF Professional Councils Conference, San Francisco

NEXT MEETING:

Friday, July 20, 11:30 AM, Wente Winery, Livermore
Speaker: Connie Schroepfer, RD, "Clues to the True Nutritional Status of the Renal Patient"
Sponsors: AMGEN & RX PHARMACY

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March 29, 2001 Gambro Healthcare, Daly City, CA
2000 - 2001 Officers
Chair: Joanne Iwamiya Treasurer: Hema Master
Chair-Elect: Sue Dickey Historian: Marilyn Mayfield
Corresponding Secretary: Anne Kelly Publications: Helen Christensen
Recording Secretary: Susie Uyeda Marketing: Laurie Sanft

Introduction of Officers, Guests, & New Members:
Officers present: Joanne Iwamiya, Sue Dickey, Anne, Kelly, Susie Uyeda, Hema Master, Laurie Sanft
Guest & New Members: Amy Glodde, Portereo Dialysis Center, Jennifer Carr, CPMC, SF, Walter Karanian, CPMC, SF, Virginia, Gambro, China Town; Michelle Yamanoha, Satellite Dialysis, Santa Rosa, Chhaya Patel, Davita, Bay Area, R.D.

Approval of Minutes from 1/26/2001: Minutes approved as written.

Treasurer's Report - Hema Master
Checking Account Summary Savings Account Summary
Beginning Balance: $11721.91 Beginning Balance: $6064.40
Income: $522.95 Transfer from Checking:$5000.00
Expenses: $340.75 Interest Earned: $9.52
Transfer to Savings: $5000.00 (1/20/01)
Ending Balance*: $6904.11 Ending Balance: $11073.92
Accepted as written (*includes *$2955 from NKF Grant)
Hema reports that sales of Cookbooks are slow, dues are still being sent in, especially from new members. $5000 has been transferred back to Savings. Storage of Cultural Food Books are costing $450 - 500/year.
The storage locker lease expires in July. After some discussion, Kelly Ackert agreed to store these books. The Publication Chair will keep two boxes.

LIAISONS
National CRN - Kathy Hunt/Chhaya Patel
The Spring Meeting will become the Annual Meeting for National CRN. However a Fall Meeting is scheduled for October 10 - 14, in San Francisco. It will also me an international meeting. Plans for an excellent program are in progress.
Nominations for CRN Region Representative opens in June. Kathy has information on the qualifications for Region and Alternative Representative. She recommends that one should be an Alternate first to familiarize oneself of what is required of the Region Representative.
The current project in progress is the revision of CRN Pamphlets incorporating Nutrition and DOQI Recommendations. Those completed include: Transplant & PreESRD. Peritoneal & Hemodialysis are next on the agenda. These pamphlets will be soon published and available. The information will be very detailed. There will be changes in terminology, i.e., Body Weight will be used instead of Dry Weight. One may look at the website: www.Kidney.com/CRN. Chhaya stated that she would like to make the Fall Meeting in S. F. be something special for the CRN Members of Northern CA by having them be identified with a ribbon, and that they host a Breakfast Meeting. A tentative site for the meeting will be a Marriott Hotel.

ESRD Network Board of Directors (No Report) Judy Chapin

ESRD Network Medical Review Board (No Report) Kathy Hunt/Kelly Ackert

NKF Board of Directors - Sue Dickey
Two Research Fellows from UCSF spoke about using NKF Grants and ways in which to raise funds. NKF is going to try and obtain Charitable Grants as a stable source of revenue. Everyone is encouraged to attend the Chef's and Cellars is scheduled on April 29, admission is $50 per person. There will be approximately 60 vendors. The Gala Celebration for Honorees, includes CRN Member, Faith Tootell, takes place on May 19. The August 5th Renal Care Conference needs the presence of CRN Members for support. A suggestion was made that Diet Counselling be considered as a donation to the Chefs and Cellars Silent Auction. A comment was made that Diet Counselling involves a liability issue. A Diet Analysis was auctioned off by Kelly last year.

NKF Medical Advisory Board (No Report) Rory Pace

NKF Patient Services - Anne Kelly for Marilyn Mayfield/Melanie Bekiri
The 5th Annual Renal Conference on Sunday August 5th is a collaboration between NKF and ANNA. The cost is $25 for a half day workshop with 3 CEU's. Greater response and participation by CRN and CNSW Members is encouraged.
NKF is conducting an Organ Donation Promotion at the April 9th NKF Golden State v.s. Spurs game. Interested CRN members contact: Sang Mi -oh at NKF.

COMMITTEES
CRN Website - Laurie Sanft
Laurie reports that Dreamweavers is the best website software program and that it costs between $310 -500. After some discussion, a motion was made and approved that $500 be allocated for purchase of Software and cost of initiation of the CRN Website.

Cultural Holiday Menus - Michelle Yamanoha/Judy Boccanfuso
Michelle came to coordinate the progression of this project. Last year Linda McCann produced the laminated copies. There are 160 Dialysis Units in Northern California, 5000 copies were not enough. Historically, CRN produced an annual Holiday Menu. Last year's was a standard general one with guidelines. It was intended that the Cultural Guidelines would follow next. This years brochures include: FILIPINO (Evelyn Middleton), CHINESE (Sofia Li/Virginia Lee), RUSSIAN(Kelly Ackert), JEWISH HOLIDAY (Marilyn Aaron).
What the Facitilites receive will be Copy Ready. The cost is uncertain. The fund raising will result from sales to other CRN Groups.

CRN Nominating Committee Kelly Ackert
It is time for Nominations for CRN Officers. The forms were sent out in the last mailing to CRN Members. Forms are due by the end of April. Volunteers are needed for next years officers. If interested in any of the positions, please contact Kelly.

OLD BUSINESS
Renal Cookbook Website Listing - Kathy Hunt for Sue Deepak
A correction is needed before the Renal Cookbook Website Listing is updated. This project is the local CRN's contribution to National CRN.

National CRN Herbal Fact Sheet - Kathy Hunt
The Herbal Fact Sheet will reflect National CRN's herbal philosophy on dealing with herbs. The goal is to encourage people who use herbs to inform their physician that they are using them. It will be at least 6 months before the draft is ready to view for comments.

CDA Product Market Place at Annual Meeting - Joanne Iwamiya
There were no sales. A multitude of orders forms were taken. Future order forms need to be coded in order to identify when and where the brochures were obtained. Chhaya continues to receive calls about how to order the Cultural Books. Marilyn Aaron praised and congratulated Joanne for organizing a very impressive and successful Special Events at the CDA Annual Meeting in Sacramento.

NKF MAB Dinner Program Book - Rory Pace/Anne Kelly
The CRN Executive Committee allocated $250 towards a 1/4 add in the Program Book. Annie recited the following as a potential message: "It is with honor and pride that we congratulate our own CRN Member, Faith Tootell, recognized for her outstanding accomplishments as NKF Woman of the Year." Ten Dietitians from Satellite will attend.

NEW BUSINESS
National CRN Exhibit, Orlando, Florida - Joanne Iwamiya
There are no complimentary booths for CRN. The least expensive booth costs: $500. We will have a complimentary table outside in the Registration Area.

National Level Medical Nutrition Therapy Act -Joanne Iwamiya
MNT covers reimbursement for Diabetes, PreESRD and Post Transplant Diet Counseling. They now want to add Cardiovascular Disease Counseling.

State Title Act - Joanne Iwamiya
The Title Act for RD's is still in committee. A meeting is scheduled in April. Marilyn Aaron states that the scope of practice will include writing verbal orders and labs orders. We need to support this Bill because this Bill enhances what we do. The Bill is "full". We need to have proposals ready for future amendments.

Salary Survey - Kelly Ackert for Marilyn Mayfield
It is now time to update the Salary and Work load Survey. The information recently sent out is a year old.
It will be sent out with the minutes. It is very important for all of us to support this venture to achieve a competitive salary scale and a realistic dietitian to patient work load.

HCFA Dietitian - Anne Kelly
Per Linda McCann-HCFA has hired an RD in June, Teresa Casey. She will be changing the Medicare Coverage for Dietitians at the National level. Her credentials are not known. CRN Members need to contact the Legislative Chair: Jean Stover to obtain information and to provide written input to her.

ANNOUNCEMENTS
April 17 - 22, 2001 National NKF Clinical Nephrology Meeting, Orlando, Florida
Susan Merrill announced that there is currently a shortage of Renagel 800 mg.

NEXT MEETING: Friday, May 18, 11:00 AM, Kuleto's Restaurant, Burlingame
Speaker: Danial Coyne, M.D., "The Pathogenesis & the Management of Secondary
Hyperparathyroidism", Sponsor: Abbott Renal Care, RSVP for lunch by May 9 to:
Julie Adams, RD, Abbott Renal Care

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January 26, 2001 National University, San Jose, CA
2001 - 2001 Officers
Chair: Joanne Iwamiya Treasurer: Hema Master
Chair Elect: Sue Dickey Historian: Marilyn Mayfield
Corresponding Secretary: Anne Kelly Publications: Helen Christensen
Recording Secretary: Susie Uyeda Marketing: Laurie Sanft

Introduction of Officers, Guests, & New Members
Officers: all present and introduced.
Guests: Diane Iwamura, RD, Good Samaritan Hospital, S.J., Marian Suhama, RD, Evergreen Dialysis, S.J.
Sara Coleman, RD, coauthor of Cooking for David: A Culinary Dialysis Cookbook

Sara gave a brief synopsis on the highlights of the book., it's interesting evolution, It is the collaborative effort of she and Dorothy Gordon, RN, wife of a Dialysis patient, David. Their Web site has a weekly featured recipe and helpful hits for Dialysis Diets: www.CulinaryKidneyCooks.com Cookbook details, cost, information is found on the Web site.

Approval of Minutes from 11/16/2000: Minutes approved as written.
2000 CRN Survey will be included in next mailing.

Treasurer's Report - Hema Master
Checking Account Summary Savings Account Summary
Beginning Balance: $9623.06 Beginning Balance: $6040.45
Income: $3051.85 Interest (10/4-1/01); $23.95
Expenses: $953.00 Earned
Ending Balance*: $11,721.91 Ending Balance: $6064.40
Accepted as written (Includes $2955 from NKF Grant)
Note that $5000 will be transferred back to Savings.
Symposium Report: Renal Nutrition Update Year 2000, May 19, 2000: Income: $17,345.00
Expenses: $9577..24
Balance: $7767.76

LIAISONS
National CRN - Joanne Iwamiya for Kathy Hunt
National CRN membership dues remain the same. Discounted subscription to AJKD (American Journal of Kidney Diseases) offered, contact NKF offices in New York.

The third edition of CRN's Pocket Guide, a membership benefit, awaits adequate funding for publication. This
edition updates a few sections of the second edition, therefore, one will not need an entire new edition.
The NKF and national CRN have expanded the use of technology to improve communications. Look at the CRN Web site: www.kidney.org/professionals/crn. Our renal cookbooks list is updated yearly by CRN Northern California/Northern Nevada.
Our region (western states and Hawaii) needs nominations for both the Region Representative and Alternative Region Representative. Elections will be in June. Duties will begin in October 2001. Two year term, which involves some travel and the opportunity to expand your network of professional dietitians. For applications and information, contact Kathy at (510) 489-6996 (Mon-Thurs)
Spring Clinical Meetings in Orlando, Florida. Fees for the pre-conference meeting: Members: $100, non-members: $125
The first annual Dr. Joel Kopple lecture is to be premiered.
We will be hosting the Annual Meeting this Fall in San Francisco. It is hoped that many of the CRN Members will be able to attend.

ESRD Network Board of Directors/Medical Review Board - Kelly Ackert
The Standards of Care have been revised based on comments made during the public comment period. Joint Commission has approved publishing the standards. The Network will now begin implementing them at all of the units.
Kelly has sent "Staffing Guidelines" to HCFA for use in their plans for "Condition of Coverage."
The Network is working on an information fact sheet for patients on the Advance Health Care Directives Act (effective: July 2000)
The RESPOND PROJECT is going well. Patients are trained to mentor newer patients in a "buddy" system manner.

NKF Board of Directors - Joanne Iwamiya
Joanne attended the meeting on the previous evening. The local NKF has published it's calendar for the year. (See page 4). Faith Tootell, "NKF's Women of the Year," will be honored at the Medical Advisory Board Dinner. Anne Kelly suggested that CRN place a congratulatory note in the event booklet. Dr. Richard Perez from U.C. Davis shared with the Board updates on laprascopic living related donor nephrectomies--->1 - 1/2 day hospital stay with shorter recovery time.

NKF Medical Advisory Board - Rory Pace
The Local NKF Medical Symposium is scheduled: February 2, 2001. Joanne announced that CRN will have the CRN display at this event and at CDA.

NKF Patient Services - Marilyn Mayfield
The new staff Patient Services Coordinator is Sang Mi -oh. Marilyn was unable to attend the last meeting. The Patient Services Events will be included in this mailing. Past successful Family Camps have resulted in two camps this year, which are scheduled on Memorial and Labor Day Weekends. Kids Camp: August 12 - 13. A location other than Chabot is being considered for the Patient Picnic. A picnic area near by the peninsula area to accommodate approximately 400 people is needed.

COMMITTEES
CRN Web Site - Laurie Sanft/Kelly Ackert
Kelly reports that the Network is working on a Web Site in conjunction with Network #18. Estimated expenditures: $1000 for 3 months, $150 monthly maintenance fee. CRN should take this cost information into account for it's Web Site. Laurie indicates that more research is needed to begin this project.

Cultural Holiday Menus - Joanne Iwamiya for Michelle Yamanoha/Judy Boccanfuso
Michelle will be working on the Spanish Version. Laurie Sanft will share the past versions of the Holiday Menus. Evelyn Middleton is working on the Filipino Holiday Menu. CRN's goal is to complete two Cultural Holiday Menus this year.

CRN Nominating Committee - Kelly Ackert
It's time to begin nominations of officers for 2001 - 2002 local CRN. The nominating form will be included with the minutes and is due back to Kelly by April 30. Sue Dickey will be Chair next year. Diane Hamberlin has volunteered to be Chair-elect . Volunteers are needed for other positions next year.

OLD BUSINESS
Renal Cookbook Web Site Listing - Joanne Iwamiya for Sue Deepak
Sue is completing the annual update of the Cookbook . Helen will contact Sue to verify that the prices are updated and correct. Helen needs to find out where the outdated prices for the cookbooks are listed.

National CRN Herbal Fact Sheet - Joanne Iwamiya for Kathy Hunt
Tracy Mulligan, CRN Member, has volunteered to update the Herbal Fact Sheet.

NEW BUSINESS
CDA Product Market Place at Annual Meeting Joanne Iwamiya
Joanne will sell CRN pamphlets and books at CDA. There was a discussion on whether the Cultural Books should be made available v.s. samples with orders taken.

ANNOUNCEMENTS
February 2, 2001 Local NKF Medical Symposium, Foster City
March 23 - 24, 2001 CDA Annual Meeting, Sacramento
April 17 - 22, 2001 National NKF Clinical Nephrology Meeting, Orlando, Florida

Kelly Ackert has a Potassium List and Carbohydrate Controlled Guidelines printed in Russian.
(These are available upon request from Kelly).
The packet for Renal Dietitians compiled by Kelly and Marilyn on Staffing Guidelines are available upon request from Kelly.

Chhaya Patel would like to encourage RDs to attend the "Good Grief" session at the National NKF meeting. The program is designed to help staff in processing grief reactions and to assist in designing programs in their clinics to deal with death and dying issues.

Job Openings:

FT at UCSF Medical Center in San Francisco
1/2 Time for 50 Dialysis Patients at Mt. Zion Dialysis Center
1/2 Time Adult, General Medicine Inpatient Clinical
Requires supervision of 8 Dietetic Interns per year. page 3
Gambro Benicia
3 Days per week, 24 hours per week. (May be negotiable)
contact: Kristie Snider @ (707) 745-1488 or Nanta Bantay
*Starts February ASAP
Abbott Clinical Specialist
Northwest: Washington, Oregon to Minnesota.
Travel required
If interested, contact: Sue Dickey
South County Dialysis, Gilroy
Part time help needed: one to two days per week
Contact: Rory Pace

Julie Adams (Abbott Renal Care) new phone number: (650) 358-9758, will in return early April from Mat. Leave.

Next Meeting: 10 AM Thursday March 29
Gambro Healthcare, Daly City
Speaker: Alyson Rigby, PhD, RD.
Sponsor: Braintree (Phos-lo)

MISCELLANEOUS
Note: The National Council Against Health Fraud has changed to National Council for Reliable Health Information
P.O. Box 1276, Loma Linda, CA 92354-1276 (An excellent resource for keeping up with Herbs and Alternative Therapies). PDR for Herbs is also available.

PATIENT SERVICES EVENTS FOR 2001
AND OTHER NKF EVENTS
April 23 Olympic Club Golf April 29 Chefs and Cellars
May 19 MAB Dinner May 21 Sacramento Golf
May 26 - 28 1st Family Camp June 4 East Bay Golf
June 24 Caregivers Workshop July 14 Sacramento Picnic
August 5 Renal Care Conference August 12 - 18 Kids Camp
September 1-3 2nd Family Camp
September 9 or 6 Patient Picnic (dependent on park availability & date of Superstride)
VOLUNTEERS needed for ALL events!!!
THANK YOU ALL FOR YOUR PARTICIPATION!

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Chair: Kristie Snider	Historian: Marilyn Mayfield
Chair-Elect: Alison Rigby	Publications: Helen Christensen
Corresponding Secretary: Rory Pace	Marketing: Laurie Sanft
Recording Secretary: Diane Hamberlin	Legislation: Tracy Mulligan
Treasurer: Michelle Yamanoha	Past Chair/Nominations: Sue Dickey

2000 - 2001 Officers	2001 - 2002 Officers
Chair: Joanne Iwamiya	Chair : Sue Dickey
Chair-Elect: Sue Dickey	Chair-Elect: Kristie Synder
Corresponding Secretary: Anne Kelly	Corresponding Secretary: Rory Pace
Recording Secretary: Susie Uyeda	Recording Secretary: Diane Hamberlin
Treasurer: Hema Master	Treasurer: Michelle Yamanoha
Historian: Marilyn Mayfield	Historian: Marilyn Mayfield
Publications: Helen Christensen	Publications: Helen Christensen
Marketing: Laurie Sanft	Marketing: Laurie Sanft
	Legislature: Kelly Ackert