In 2000 and 2001 he served as the Florida Medical Association representative on the Florida Commission on Excellence, which spearheaded many of the improvements in medical care quality that are just now emerging. He served on the Florida Patient Safety Corporation's Near Miss Task Force, and currently serves on the Corporation's Patient Advocacy Committee. Dr. Palamara is former FMA Vice President, serves on the Association's Council on Legislation, and is a candidate for State Representative, District 99. During the Summit Dr. Palamara provided background on how the concept of near miss reporting developed, and review the status of the soon-to-come Florida Near Miss Reporting System.