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  • 19 Mar 2017 12:22 PM | Anonymous

    NCSB Newsletter

    View the newsletter archive


    Fall 2016

    PRESIDENT’S CORNER

    BY: Kerri Phillips

    NCSB has been busy since the Spring planning meeting. My message will focus on all of the amazing things your volunteer Board of Directors has been accomplishing!

    Alison Lemke has planned a conference you will not want to miss! Our conference will be held October 20-22 in historic Santa Fe. Keynote speaker for the conference is Colmon Eldridge, Director of the Council of State Governments National Center for Interstate Compacts. He will provide an overview of licensure portability, a topic that is both highly anticipated and timely, His presentation and the discussion that follows should generate plenty of discussion, and this discussion, along with input from attendees, is designed to provide boards with information and suggestions for implementation by audiology and speech-language pathology licensure boards.

    Our conference event planning wizard, Doreen Oyadomari, has been busy finding an OVERFLOW hotel for NCSB in Santa Fe. I do believe this is a first for our conference! Please make sure you make hotel reservations early to get the best rates and a room close to the conference hotel. If you have not received your conference brochure or need more information about rooms, please visit the website at info@ncsb.info.

    Glenn Waguespack submitted our poster, “Professional Licensure: The Path to Practice Across Borders” for an ASHA presentation, and NCSB is proud to announce that once again we will be represented at the ASHA Convention in Philadelphia.

    George Purvis has agreed to be NCSB’s representative at the Audiology Education Summit that will be held October 27-28 at the ASHA National Office. The focus of this conference is to bring together a diverse audience to discuss issues related to the 4th year clinical experience. As NCSB Treasurer, he has done an excellent job of keeping us financially sound.

    Gregg Givens has finalized the election ballot for NCSB President-Elect and to fill the one vacancy on the BOD. Additionally, the information sent to Boards contains a request for nominations for Honors of the Association and the Special Recognition Award. Please be on the lookout for the ballot, and submit your nominations.

    Amy Goldman continues to keep us up-to-date on social media. If you do not follow us on Facebook, please join that social media outlet. This is a great forum for the exchange of ideas.

    Nahale Kalfas continues to use her many talents to keep us updated on what is happening on the national level in terms of regulatory issues. She is familiar with the Supreme Court decision regarding the North Carolina Dental Board, a decision which could impact many of our regulatory boards.

    Vickie Pullin’s review of documents and thoughtful insight helps keep things rolling. She is a great public relations ambassador for the BOD and has suggested a number of new features for the newsletter.

    George Murphee is our newest board member. He is willing to step in wherever we need him, and it is anticipated that his scope of duties will expand as he begins the second year of his term.

    Lastly, what have I been doing? I have been engaged in several discussions and provided comments about licensure portability. (See correspondence elsewhere in this publication). As our world becomes more global, we have to think more globally and at the same time remain focused on our goal of consumer protection. With that being said, I invite you to attend the conference to learn more about this hot topic. See you in Santa Fe.

    Respectfully,

    Kerri Phillips
    2016 NCSB President

     

    INSIDE THIS ISSUE

    PRESIDENTS CORNER - See above

    NCSB TO PRESENT POSTER SESSION AT ASHA - See Below

    NCSB’s 29th ANNUAL CONFERENCE

    NCSB/ASHA Discussion on Interstate Compact Model

    State Board Activity Highlight

    NCSB Board of Directors

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    NCSB TO PRESENT POSTER SESSION AT ASHA

    Please view the NCSB poster during the ASHA Convention. The poster will include demographic data on a number of topics, including continuing education, hearing aid dispensing, telepractice, universal licensure, support personnel, and others. Handouts will be provided, as will a listing of web addresses for audiology and speech-language pathology boards.

    “Professional Licensure: The Path to Practice Across Borders”
    7139 Poster Board 267
    Thursday, November 17, 2016
    4:30-6:00 PM

    Hope to see you in the Convention Center in Philadelphia.

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    NCSB’s 29th ANNUAL CONFERENCE

    October 20-22, 2016 - Santa Fe, New Mexico

    Register online at www.ncsb.info/2016/registration.

    Registration brochures announcing the 29th annual NCSB Conference have been mailed. If you or your state board did not receive one of the brochures, a registration form and hotel information are included in this newsletter. As in past years, a pre-conference workshop on Training for Board Members will be held on Thursday, October 20, 2016, and the one and one-half day conference will follow on October 21 and 22.. NCSB invites boards to participate in both the board training and the conference. Following is a synopsis of the pre-conference workshop and the conference.

    Thursday, October 20, 2016 - PRE-CONFERENCE WORKSHOP - “Training for Board Members” (Conducted by NCSB Board of Directors).

    Designed for speech-language pathologists, audiologists, board administrators, board attorneys, and all others involved in the regulatory process, the training will focus on all aspects of board service. Participants are invited to bring a copy of their state law and rules/regulations.

    Highlights include:

    Board attorney with experience in administrative law will discuss statutory authority, including rulemaking and the disciplinary process Mock disciplinary hearing will trace the process from the initial letter of complaint through testimony of witnesses to imposition of sanctions. Attendees will serve as the hearing panel and will learn how to report sanctions to the NPDB Ethical situations and dilemmas will be utilized to provide experience in receiving, reviewing, and resolving complaints. State licensing laws, and examples of licensure board exams will be provided.

    Daily schedule at www.ncsb.info/2016/schedule.

    Conference Venue: www.ncsb.info/2016/venue.

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    NCSB/ASHA Discussion on Interstate Compact Model

    NCSB has been having discussions with ASHA regarding participation in an Interstate Compact Model for the provision of audiology and speech-language pathology services.

    Following is a letter sent by the NCSB President, Kerri Phillips, to Susan Adams at ASHA, as well as a response from Susan Adams to NCSB. Much of the morning session at NCSB this year will focus on this topic, and it is hoped that attendees will engage in discussions pertinent to their states’ position on the topic.

    Dear Susan,
    On behalf of the Board of Directors of NCSB, I would like to offer comments on ASHA’s position on an Interstate Compact for audiology and speech-language pathology. Preliminary discussions held by the NCSB BOD and ASHA staff indicate that this conversation should be happening. However, as with any new opportunity, all interested parties should engage in slow, thoughtful planning and dialogue. As state licensure boards are bound to protect the consumer in each state, the discussions should never lose focus over this issue regardless of what the professions request.

    In reviewing the slides that were presented to the ASHA BOD, we offer the following comments about the advantages of Interstate Compacts:

    1. Discussions need to be held in terms of whether ASHA is addressing ALL practice of audiologists and speech-language pathologists or just limiting the discussion to telepractice.
    Would there be an issue with professionals who provide “in person” services that needs to be addressed as well?

    OR

    Should the discussion be limited to just audiologists and speech-language pathologists engaged in telepractice?

    2. In previous discussion with ASHA staff, the use of the term Interstate Compact is not a term that NCSB BOD feels represents the discussion of telepractice. NCSB feels the term, licensure portability, more accurately represents the intent of these discussions.

    In reviewing the slides that were presented to the ASHA BOD, we offer the following comments about the disadvantages of Interstate Compacts:

    The greatest disadvantage is the potential harm to consumers if implementation is not well planned and financed.

    Mutually agreed mechanisms between states need to be in place to protect consumers regardless of the state of residence.

    Are there states that are prepared to move forward with this implementation and are adequate finances available to help start up and sustain the system?

    There must be resources to assure timely entries regarding any actions against practitioners.
    As you are aware, the mission of NCSB is to facilitate the role of state licensure boards through communication and education. I offer that ASHA representatives attend the 29th Annual NCSB conference in Santa Fe, New Mexico on October 20-22, 2016. Our conference this year is centered around discussion of licensure portability in order to gain input from licensure boards. The keynote speaker is, Colmon Elridge, the Director of The Council of State Governments National Center for Interstate Compacts. Please refer to the NCSB website: info@ncsb.info for more information.

    Thank you for your time and consideration of our comments. Should you have any questions, please feel free to contact me.

    Best,
    Kerri Phillips, President
    kerriphillips@bellsouth.net
    318-680-3798

    The following is a response from Susan Adams, J.D., ASHA Director of State Legislative and Regulatory Advocacy:

    July 22, 2016

    Dear Kerri,
    Thank you for your comments. I think I can answer your questions. The plan is to address all practice of audiology and speech-language pathology through the compact. It will not be limited to telepractice, but will also ensure ease of moving from state to state for professionals, including military spouses.

    We use the tem interstate compact as a general term of art. Many professions use the terms license portability and interstate compact interchangeably. What it will be ultimately titled will likely be a result of discussions of the advisory/drafting committee. For example, the Federation of State Medical Boards refer to theirs as the Interstate Medical Licensure Compact, the Federation of State Boards of Physical Therapy (FSBPT) refers to theirs as the Physical Therapy Licensure Compact, the Association of State and Provincial Psychology Boards (ASPPB) refers to theirs as the Psychology Interjurisdictional Compact (PSYPACT), and the National Council of State Boards of Nursing Refers to theirs as the Nurse Licensure Compact.

    I’ll plan to bring your concerns to the ASHA Board at the meeting next week and will reach out to update you on those discussions.

    As you know, I will be attending the conference in the fall and look forward to continued discussions with NCSB on moving this issue forward.

    Best,

    Susan

    NOTE: If possible, please engage in this discussion with your state board prior to attending the meeting. Your input is important to ensure that the ultimate result is a compilation of information from all boards.

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    State Board Activity Highlight

    NCSB is interested in what other licensure boards are doing with respect to membership, legislation, and unique successes and challenges. As such, the newsletter will spotlight one or more boards in each edition. Since NCSB will be in Santa Fe in October, Vickie Pullins contacted the New Mexico Board and asked them questions related to both Board functioning and future plans. Following are the responses:

    Name of Board - Speech-Language Pathology, Audiology, and Hearing Aid Dispensing Board
    Board Composition - 11 members appointed by the Governor: 3 SLPs, 2 AUDs, 2 HAD, 3 Public Members, 1 Physician

    Members:

    • Keith Rohr, Hearing Aid Dispenser
    • Dr. Elaine Almquist, Dispensing Audiologist
    • Lillian Grijalva, Speech-Language Pathologist
    • Wesley Miller, Hearing Aid Dispenser
    • Richard Mayer, Public Member
    • Stephen Frazier, Public Member
    • Victoria Smidt (Vice-Chair), Speech-Language Pathologist
    • Dr. Richard Cram (Chair), Dispensing Audiologist
    • Bridget Guenther, Speech-Language Pathologist
    • Donald Thurn, Public Member
    • Vacant, Otolaryngologist

    Board Address:

    Toney Anaya Building
    2550 Cerrillos Road
    Santa Fe, NM 87505

    Miscellaneous:

    • Legal counsel is provided by the state attorney general’s office.
    • No proposed legislative action since the NC Dental Board case.
    • May be interested in joining NCSB and attending the conference.
    • Administrative Assistant: Samantha.lopez@state.nm.us

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    NCSB Board of Directors


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  • 05 Sep 2016 1:22 PM | Anonymous

    Spring 2016

    PRESIDENT’S CORNER

    BY: Kerri Phillips

    Welcome to new and long-standing members of NCSB! As your 2016 President, I am excited about the upcoming year. The Board of Directors met in March to plan the Fall Conference. Board members include Kerri Phillips as President; Alison Lemke as President-Elect; Gregg Givens, Past President: Amy Goldman, Secretary; George Purvis, Treasurer, Glenn Waguespack, Editor; Doreen Oyadomari, Event Planner; and Board members Nahale Kalfas and Vickie Pullins. In addition, a warm welcome is extended to the newest Board member, George Murphee. Robert Ranieri continues in his role as NCSB Administrator.

    In January members of the NCSB Board of Directors held a conference call with ASHA to continue discussions regarding NCSB’s involvement with licensure portability. As we continue to move licensure to the next level in consumer protection, licensure portability is an issue that demands our attention as licensure boards. What does this mean to state boards? This is a discussion that we plan to continue at the Fall Conference, a discussion that will be led by the keynote speaker as a representative of the Council of State Governments.

    While our hands are full as practicing speech-language pathologists, audiologists, board administrators, public members, and board attorneys, I would like to encourage you to become involved in NCSB. In particular, I encourage you to participate in the upcoming conference October 20-22, 2016. The conference will be held in Santa Fe, and details regarding the hotel are elsewhere in this publication. Alison Lemke, President-Elect, is conference chair and asks that state boards provide her with issues that may be of interest to attendees.

    I invite all members to contribute to NCSB and to assist in expanding our membership. New, as well as long-standing member boards, repeatedly voice how beneficial it is to discuss issues and gain perspectives from across the nation. Thus, one of my goals is to keep state boards informed of timely issues and topics.

    I believe that using electronic and social media assists in distributing information in a timely, cost-efficient manner to the membership. Our website, www.ncsb.info serves as the central information portal within NCSB. Additionally, Amy Goldman facilitates our presence on Facebook. Please consider joining our profile “NCSB” and help us share information.

    While NCSB continues to facilitate discussions among state boards, we want to remain dynamic in 2016. Please join us in our mission to facilitate communication among state licensure boards. I am honored to serve as President this year and welcome you to become more involved in NCSB.

    Respectfully,

    Kerri Phillips
    2016 NCSB President

     

    INSIDE THIS ISSUE

    PRESIDENTS CORNER - See above

    28th ANNUAL NCSB CONFERENCE HELD IN CHARLOTTE, NORTH CAROLINA - See Below

    NCSB SOLICITS NOMINATIONS FOR AWARDS

    CALL FOR NCSB BOARD NOMINATIONS

    IN MEMORIAM, EUGENE COOPER

    BOARD MEMBER ATTENDS FARB CONFERENCE

    NCSB BOARD OF DIRECTORS WELCOMES GEORGE MURPHEE

    29TH ANNUAL NCSB CONFERENCE TO BE HELD IN SANTA FE

    NCSB PRESENTS POSTER SESSION AT ASHA

    NCSB SOLICITS YOUR OPINIONS

    NCSB BOARD MEMBER CREATES COMMUNICATION DISORDERS SCHOLARSHIP

    NCSB Board of Directors

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    28th ANNUAL NCSB CONFERENCE HELD IN CHARLOTTE, NORTH CAROLINA

    The 28th annual NCSB Conference was held in Charlotte, North Caroliina October 8-10, 2015. Prior to the conference, a number of individuals participated in the Board Member Training where an administrative law presentation covered statutory authority, rulemaking and the disciplinary process. A mock disciplinary hearing with the audience serving as the hearing panel provided attendees with experience in tracing the disciplinary process from the initial letter of complaint to the testimony of witnesses to the imposition of sanctions. Following was a presentation utilizing ethical situations and dilemmas to provide experience in receiving, reviewing, and resolving complaints. Attendees received a flash drive reference manual that contained samples of state licensing laws, licensure board exams, and characteristics of licensure across the country.

    Serving as the keynote speaker for the conference beginning on Friday, October 9, 2015, was Ellen Fagan, Director of Continuing Education at ASHA. Dr. Fagan’s presentation focused on the timely topic of interprofessional education and how the professions are changing to address this need. Following that presentation, the attendees divided into small groups to discuss universal licensure and patient abandonment. Of particular interest was the next presentation addressing the FTC and its ruling against the NC Dental Board. This supreme court decision is sure to impact state licensing boards, and it is anticipated that future presentations will focus on this topic.

    An update on the Praxis Exams was followed by a presentation on media inquiries and how boards should address these. Also discussed was an update on the NPDB and a panel discussion of administrators that discussed rules and regulations among the states. A Friday evening reception sponsored by the NC Board allowed the attendees additional opportunities for networking and discussing of issues facing regulatory boards.

    Saturday morning began with the ever-popular state information exchange where representatives from states discussed successes and challenges pertinent to their respective boards. A discussion of telehealth and its impact on regulatory boards, as well as its impact on the professions as a whole, provided attendees with additional “food for thought” and ensured that this was a topic that will continue to be discussed by representatives from regulatory boards.

    Utilizing comments from participant evaluations, the NCSB Board of Directors has begun planning the 29th Annual NCSB Conference which will be held in Santa Fe, New Mexico, October 20-22, 2016. Details about the preliminary program are included elsewhere in this publication.

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    NCSB SOLICITS NOMINATIONS FOR AWARDS

    Each year at its Corporate Business Meeting, NCSB recognizes individuals who have made outstanding contributions to the professions through their involvement with licensure. Two awards have been established to honor individuals, and these include Honors of the Association and a Special Recognition Award. Briefly, Honors of the Association is intended to recognize an individual for his/her exemplary contributions to NCSB, to a licensing board in their state, or to an individual employed by an organization or other entity that addresses regulatory issues/concerns for the professions. The Special Recognition Award is given to individuals who have demonstrated exemplary commitment and contributions in the area of regulation at the state level. Criteria for these awards and detailed nomination procedures can be found at www.ncsb.info.  NCSB encourages member boards to submit nominees for these two awards. Recipients will be recognized at the Business Meeting on Friday, October 21, 2016.

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    CALL FOR NCSB BOARD NOMINATIONS

    NCSB is seeking nominations for fill the positions of President-Elect and one board member.
    In keeping with the Bylaws, the President-Elect must be selected from the current Board of Directors. Directors eligible to serve as President-Elect are:

    • Gregg Givens
    • George Purvis
    • Amy Goldman
    • Glenn Waguespack
    • Nahale Kalfas
    • Doreen Oyadomari
    • Vickie Pullins
    • George Murphee

    The requirements for a member of the Board of Directors are that the nominee be either a board member or an individual member from a state board that is currently an NCSB member. Such individual may be a licensed speech-language pathologist, a licensed audiologist, a board administrator, a board attorney, or a public member of the board.

    A call for nominations will be sent to member boards in late Spring. Once the nominations have been received, an official ballot will be forwarded to member boards for voting. The individual will be announced at the Fall Business Meeting and will take office January 1, 2017.

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    IN MEMORIAM, EUGENE COOPER

    NCSB was saddened to learn of the death of Dr. Eugene B. Cooper. For 30 years he served as chair of the University of Alabama’s programs in audiology and speech-language pathology and as director of the University of Alabama Speech and Hearing Center. He will be especially remembered by NCSB as one of the “founding fathers” of NCSB. Dr. Cooper was a member of the first Board of Directors and was involved in professional licensure for a number of years. His input and insight were critical to NCSB in its formative years. NCSB extends its sympathy to the family of Dr. Eugene Cooper.

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    BOARD MEMBER ATTENDS FARB CONFERENCE

    Vickie Pullins, NCSB Board Member, attended the FARB Forum held in Clearwater, Florida, January 28-31, 2016. With over 200 attendees from 25 states and 2 provinces representing 24 professions, the focus was on mobility and portability of licensure. The attendees took a look at this topic from a legislative perspective, legal perspective, and regulatory board perspective.

    Why is this a relevant issue? One could consider the following: the physical movement of licensees, increased telepractice, and pressures from licensees, trade associations, consumers, and politicians. The most obvious question that comes up when discussing this topic is “Where does consumer protection arise?” In regard to the consumer, the issues of access to care, convenience, and confidentiality are raised. In regard to the licensees, the issues of demand, reimbursement, and business are foremost. And lastly, with regard to politicians, the issues of special interests and economics are most important.

    The professions cutting the path for all of us are the professions of nursing, pharmacy, optometry, and architecture. A representative from each of these professions shared the challenges they faced when developing their framework for licensure portability.

    Although there are legislative, legal, and regulatory perspectives on licensure portability, the most obvious driving force will most likely be economics. The most pressing question seems to be “At what point does state-based licensure reserved to the states under the 10th amendment police powers unduly burden interstate commerce so as to invoke the commerce clause and the right of the federal government to regulate a profession/occupation?” It was the consensus of the attendees that we must all get moving on charting our path toward licensure portability for our individual professions.

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    NCSB BOARD OF DIRECTORS WELCOMES GEORGE MURPHEE

    During the Summer 2015 election, George Murphee, AuD was elected to serve as a member of the Board of Directors. A licensure board member in Alabama, Dr. Murphee has been a private practice audiologist in Huntsville, Alabama, since 1976. Prior to that time, he worked through the VA Fellowship program in Birmingham and Tuscaloosa. NCSB is pleased to welcome him to the BOD and is looking forward to his contributions as a current member of a state licensure board.

    Note: During that election, Nahale Kalfas was elected to serve her second three-year term on the BOD. As the attorney for the North Carolina Board, her legal advice has been invaluable to NCSB, and NCSB is grateful to have her continued input on all matters related to regulation.

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    29TH ANNUAL NCSB CONFERENCE TO BE HELD IN SANTA FE

    Plans are underway for the conference program for the annual Fall NCSB Conference. The conference will begin Thursday, October 20, 2016, with the annual Training for Board Members. As in the past, there will be a presentation by a board attorney followed by a mock disciplinary hearing. Then there will be a discussion of ethical scenarios with audience participation and an opportunity for attendees to discuss ethical issues experienced by their licensure boards.

    The theme for the conference (October 21-22) is “New Horizons in Professional Licensure”, and the majority of the conference will focus on issues related to licensure portability. Leading the discussion on licensure portability will be Colman Eldridge from the Council of State Governments. Following his address there will be round tables with topics structured to reflect issues raised by Mr. Eldridge. He will be available to discuss these issues in detail as the round table leaders come together to report on their discussions.

    Following the corporate business meeting and lunch, individuals from the university in New Mexico will discuss specialty licensure in bilingualism. There will be a Praxis update and then a panel discussing information and communication technology and the conduct of board meetings. To close the day, a discussion of the revised ASHA Code of Ethics will be presented.

    Saturday morning will begin with the popular state information exchange where states discuss challenges and successes related to their licensure boards. A representative from each state is asked to present a 5-minute synopsis of issues pertinent to their state board. In response to comments from last year, there will be a session on patient abandonment followed by an update regarding licensure cases in the news.

    The program is tentative at this point, and states are invited to provide suggestions for additional topics of interest and possible speakers. A schedule of events will be published in the next newsletter and will be detailed as well in the registration form sent to state boards in late summer.

    NCSB SEEKS VOLUNTEERS TO PARTICIPATE IN PANEL DISCUSSIONS

    Round table leaders are needed for the session related to licensure portability. Volunteer to present how your state board is addressing this issue.

    Volunteers are also requested to participate in the panel discussion relative to the use of information and communication technology and the conduct of board meetings and board business. If your board has experience in this area, please volunteer to serve on the panel and share your ideas.

    Volunteers for these groups and for any of the other discussions may contact Alison Lemke at alison-lemke@uiowa.edu. or call her at (319) 335-8736. NCSB hopes to involve more state boards as Alison plans speakers and panelists for the Conference.

    DRURY PLAZA HOTEL AND SUITES TO SERVE AS CONFERENCE HOTEL

    NCSB has been fortunate to sign a contract with the Drury Plaza Hotel for its 29th conference. At the rate of only $109.00 per night, the hotel also offers:

    • Complimentary hot breakfast each morning
    • Refrigerators and microwaves in every room
    • Complimentary cocktails and appetizers at 5:30 each evening (limit 3 drinks)
    • Fire pits and terraces for informal gatherings
    • Health club and spa
    • Meeting rooms in hotel and also in surrounding building
    • Award-winning restaurant
    • Complimentary internet

    The hotel is located at one end of the Santa Fe square next to St. Francis Cathedral and is within walking distance of restaurants and shops in the square. For more information on the hotel and its amenities, visit www.DruryPlazaSantaFe.com. Additional information regarding the hotel will be published in the next newsletter, and in the conference registration brochure.

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    NCSB PRESENTS POSTER SESSION AT ASHA

    A poster session entitled “Professional Licensure: Leading the Way in Public Protection”, was presented at the ASHA Convention last November in Denver, Colorado. The poster session utilized maps to depict characteristics of state licensure, including hearing aid dispensing, the doctoral-entry level for audiology, support personnel, exemption-free licensure, continuing education, and telepractice. The session highlighted similarities and differences in licensure form state to state and was viewed by university personnel and students, as well as professionals currently serving on state licensure boards. NCSB hopes to submit information for a similar poster to be presented at the 2016 ASHA Convention in Philadelphia.

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    NCSB SOLICITS YOUR OPINIONS

    NCSB wants to involve members of state licensing boards in the planning for its annual conference. Please comment on the following, and send your comments and feedback to the President-Elect at alison-lemke@uiowa.edu.  

    Please suggest possible conference locations, preferably in a state that is a member board. Remember that many areas are considered high-cost and are therefore not considered in deference to state board budgets.

    What influences your decision to attend an NCSB meeting? Check all that apply, and feel free to share with past and present licensure board colleagues.
    _____________Location (state, city)
    _____________Location (near tourist attraction, shopping
    _____________Location (ability to get direct or only 1 connecting flight)
    _____________Cost (travel expenses)
    _____________Cost (registration)
    _____________Cost (hotel)
    _____________Hotel amenities (internet, breakfast, other)
    _____________Program topics
    _____________Ability of my board to pay all/part of my expenses
    _____________Conference timing (days of the week/dates)
    _____________Other (please specify)

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    NCSB BOARD MEMBER CREATES COMMUNICATION DISORDERS SCHOLARSHIP

    Doreen Brown Oyadomari received her undergraduate and master’s degree at Florida State University. As an undergraduate she received a scholarship to live in the dorm from the Southern Scholarship Foundation. She went on to receive a PhD and worked in the VA system where she retired as Chief of Speech-language Pathology at the Birmingham VA Hospital in 2006. In 2015, some forty-seven years since she left Florida State University, Doreen remembers how much financial aid meant to her and to her career. She has established a scholarship through the Southern Research Scholarship Foundation. The scholarship will assist with housing for individuals (either undergraduate or graduate) majoring in Communication Science and Disorders.

    Doreen has provided invaluable service to NCSB as the unofficial “event planner” for the annual conference. She negotiates with hotels, plans meeting rooms and equipment, as well as meals for those attending the annual conference.

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    NCSB Board of Directors


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  • 22 Mar 2016 4:16 PM | Anonymous
    Summer 2015

    PRESIDENT’S CORNER

    BY: Greg Givens

    As NCSB’s 2015 President, I have the privilege of writing a message for the Newsletter. I must admit it is difficult to put into print just how exciting and important licensure has become, as law and regulation continue to evolve in the 21st century. We find our disciplines reacting to innovative technologies which impact how we practice today or may practice in the future. The early adopters are already using advancements in technology as a new tool in diagnostics and treatment. These changes bring ethical and legal decisions that are vital to the protection of our consumers as well as our practice as trained and qualified professionals. Some of these issues and the attending legal implications were discussed at our Fall 2014 meeting in beautiful Salt Lake City. Now that the Supreme Court has ruled on the North Carolina Dental Board case we will spend time at our upcoming Fall conference in Charlotte examining the implications of this decision. The NCSB is acutely aware of the evolving ethical and legal impact of the ruling and its possible impact on our professions. Other legal issues are occurring nationwide: As I write this there have been over 100 bills in 36 different states that relate to telepractice.

    Issues confronting our licensure boards are many and varied, including portability, national standards, ethical practice, sanctioning of practitioners, national data base, Board consolidation and others. All of these point toward the criticality of the NCSB to remain strong and become stronger as a unified voice for those concerned with licensure. The 2015 NCSB is committed to extending its influence by joining in conversation with key organizations and institutions across the nation. Last year alone our Board members participated in the meetings of the American Academy of Audiology, American Telemedicine Association (ATA), American Speech-Language-Hearing Association, Federation of Association of Regulatory Boards, as well as committees and Special Interest Groups within the ATA,ASHA, and AAA.

    NCSB looks forward to another year of striving:
    To facilitate communication and interaction among state boards concerning licensure

    • To promote the protection of consumers
    • To stimulate interest in and discussion of issues pertaining to licensure boards
    • To provide a forum for discussion
    • To promote uniform national standards for licensure
    • Provide information and services for related professions

    Aid licensing boards in fulfilling statutory, professional and ethical obligations

    2015 is going to be another exciting ride; I invite everyone to come along.

    Respectfully,

    Gregg D. Givens
    2015 President NCSB

    NCSB is fortunate to have developed a relationship with officials in the governmental section of the Health Resources and Services Administration, that section of the Department of Health and Human Services responsible for receiving final judgment actions against speech-language pathologists and audiologists. Past NCSB conferences have focused on reporting of SLP and AUD violations to the HIPDB; however, the HIPDB has merged with the NPDB, and all final judgment actions imposed by licensure boards are now reportable to the NPDB. Following is an update on the data bank, as provided in an article by Donald Illich and Jiaying Hua, staffers within the Health Resources and Services Administration. NCSB is grateful to this group for the informative periodic updates , and it is hoped that regulatory boards will use the resources referenced in this article.

    INSIDE THIS ISSUE

    PRESIDENTS CORNER - See above

    UPDATE ON THE DATA BANK FOR SPEECH-LANGUAGE PATHOLOGISTS, AUDIOLOGISTS, AND THEIR STATE BOARDS - See Below

    NCSB TO PRESENT POSTER SESSION AT ASHA

    28th ANNUAL CONFERENCE SCHEDULE AND HOTEL INFORMATION

    PROPOSED BYLAWS REVISION

    NCSB Board of Directors

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    UPDATE ON THE DATA BANK FOR SPEECH-LANGUAGE PATHOLOGISTS, AUDIOLOGISTS, AND THEIR STATE BOARDS

    By: Donald Illich and Jiaying Hua
    What’s important for State Boards of Audiology and Speech-Language Pathology to know about the National Practitioner Data Bank (NPDB)? The NPDB is a tool designed to assist state licensing boards and other health care entities in making licensing, credentialing, and other hiring decisions. Additionally, boards are legally required to report certain adverse actions to the NPDB. Basically, the NPDB collects and makes available reports on negative actions taken against health care professionals and entities, including speech-language pathologists (SLPs) and audiologists. The general public does not have access to this information, and access is given to health care professionals and entities only in situations carefully defined by federal law.

    In general, licensing and accreditation boards are required to report to the NPDB specific negative licensure actions taken against SLPs and audiologists, such as license revocations, reprimands, probations, suspensions, and censures. Boards of SLPs and audiologists may query or request information from the NPDB at any time, but typically do so in conjunction with reviewing applications or renewals, or when issues of provider competency arise. The following information gives more instructions on reporting to and querying the NPDB, along with details about fees.

    Reporting
    The Health Resources and Services Administration, within the US Department of Health and Human Services (HHS), has revised the NPDB Guidebook, available now on the NPDB website. The following information about required licensure action reporting is from pages E57-58 of the Guidebook. Licensure actions for SLPS and audiologists that must be reported include:

    • Adverse actions taken as a result of a formal proceeding, such as a reprimand or censure.
    • Surrender of a license during a formal proceeding or because the licensee who is the subject of the proceeding left the State or jurisdiction.
    • Any other loss of licensure or the right to apply for, or renew, a license whether by operation of law, voluntary surrender, nonrenewal (excluding nonrenewals due to nonpayment of fees, retirement, or change to inactive status), or otherwise.
    • Any negative action or finding by the State licensing authority that, under the State’s law, is publicly available information. This definition also includes final adverse actions-such as exclusions, revocations, or suspension of license-that occur in conjunction with settlements in which no finding of liability has been made (although such a settlement itself is not reportable). This definition excludes administrative fines or citations and corrective action plans and other personnel actions, unless:
      1. the underlying activity is connected to the delivery of health care services, or
      2. the action is taken in conjunction with other adverse licensure actions, such as revocation, suspension, censure, reprimand, probation, or surrender.

    State licensing and certification authorities also must report any revisions to a previously reported licensing or certification action, such as a reinstatement of a suspended license, and whether an action is on appeal. All State licensure reports must be submitted within 30 days of a negative action.

    Boards should continue to renew their registrations with the NPDB every 2 years. The Secretary of HHS has regulatory authority (45 CFR Part 60) to publish a report listing government agencies that have failed to meet their NPDB reporting requirements.

    Querying
    Licensing boards can query in one of two ways: One-Time Query or Continuous Query. Both types of queries allow you to receive reports on practitioners who have licensure actions, adverse clinical privilege actions, Medicare/Medicaid exclusions, civil and criminal convictions, or medical malpractice payments. A One-Time Query, also known as traditional querying, allows you to submit the name of a practitioner or organization and receive a query response that includes all NPDB information on the queried practitioner or organization. To find out if practitioners have adverse actions or medical malpractice payment reports, you can submit an individual query on a single practitioner/organization or you may submit queries on up to 1,000 multiple practitioners/organizations at a time.

    With Continuous Query, you can monitor a particular practitioner and receive new reports as soon as they are available. A Continuous Query enrollment allows you to receive an initial query response and automatically receive notification within one business day of the NPDB’s receipt of new information during the 12-month enrollment for each practitioner. Continuous Query enrollment must be renewed every 12 months. Continuous Query keeps you informed about the adverse licensure, privileging, Medicare/Medicaid exclusions, civil and criminal convictions, and medical malpractice payments on your enrolled practitioners. By enrolling all practitioners with whom you interact, you receive mail notification within 24 hours of a report received by the NPDB, and you always have access to NPDB information on enrolled practitioners. Keep in mind that Continuous Query is only for querying on practitioners, not health care organizations.

    A third type of query offered to practitioners is Self-Query. Individuals may self-query the NPDB at any time to see what information it contains about them; for example, they might conduct a Self-Query because a prospective employer has asked the practitioner for a copy of the NPBD report during the hiring process.

    Fees
    NPDB operations are funded solely through the collection of fees for service. While filing a report with the NPDB costs nothing, submitting a query to the NPDB costs $3.00 for each One-Time Query or Continuous Query enrollment. For One-Time Queries, a $3.00 fee is calculated on a per-name basis. If you are querying on multiple practitioners, the number of names in your query are multiplied by the per-name fee. Fees are assessed for all queries submitted. This included both queries that are process by the NPDB (regardless of whether there is information on file regarding a practitioner), and queries that are rejected because they are improperly submitted or incomplete.

    The annual enrollment fee of $3.00 for Continuous Query covers the cost of enrolling one practitioner in the NPDB for one year. (Enrollment expires on the last day of the same month of the following year.) Continuous Query is available for practitioners only. A practitioner may self-query the NPDB for $5.00 and receive all reports of which he or she is the reported subject.

    Reports in the Data Bank
    Between September 1, 1990, and December 31, 2014, 1,138,652 reports were filed on 614,319 individual practitioners of all types in the NPDB. About 50 percent were for licensure actions, 35.6 percent were for malpractice payments, and 8.4 percent were for Medicare and Medicaid exclusions. The remaining 6 percent were for clinical privileges or panel membership, health plan actions, professional society membership, Drug Enforcement Administration actions, government administrative actions, and judgments or convictions.

    Table 1 contains information on SLPs and audiologists entered between September 1, 1990, and December 31, 2014, and shows the number of each type of report in the NPDB for SLPs and audiologists.


    Audiologists and SLPs take reportable actions for a variety of reasons. Actions are based on behaviors such as failure to comply with continuing education requirements, practicing without a valid or current license, criminal convictions, program-related convictions, unprofessional conduct, and various other licensure violations.

    For More Information
    Boards of Audiology and Speech-Language Pathology interested in learning more about the NPDB should visit the website at www.npdb.hrsa.gov. The site contains stores of information on all aspects of the NPDB, including resources for reporting entities, the Public Use Data File, research data analysis tools that allow users to perform specific data analyses and create their own customized data table, information on Continuous Query, and instructions for reporting and querying. Additional resources include a webcast video that gives guidance on reporting practitioners to the NPDB, and a flowchart that gives reporting guidance for practitioner licensure actions.

    For technical questions related to billing or registration, contact the Customer Service Center at help@npdb.hrsa.gov or 1-800-767-6732. Policy questions can be sent via email to NPDBPolicy@hrsa.gov.

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    NCSB TO PRESENT POSTER SESSION AT ASHA

    A poster session (#7133, Poster Board 268), entitled “Professional Licensure: Leading the Way in Public Protection”, will be presented at the ASHA Convention in Denver Thursday, November 12, 2015, from 4:30-6:00 PM. The poster session will utilize maps to depict characteristics of state licensure, including hearing aid dispensing, the doctoral entry level, support personnel. exemption-free licensure, continuing education, and telepractice. NCSB invites all those interested in regulation to attend the poster session and examine similarities and differences in licensure from state to state.

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    28th ANNUAL CONFERENCE HOTEL
    The Fall NCSB conference will be held at the DoubleTree Suites by Hilton Hotel in Charlotte-SouthPark. The hotel, which is an all-suite facility close to the Charlotte airport, is steps away from dining and shopping, including SouthPark Mall located outside the back door of the hotel. The hotel does have a shuttle service, but unfortunately, it covers a radius close to the hotel and does not include the airport or the downtown area. Symphony Park is adjacent to the hotel and has jogging trails for fitness enthusiasts. Also in Charlotte are the NASCAR Hall of Fame and for racing fans, NASCAR races will be ongoing throughout this conference. Because of the numerous activities in the Charlotte area at the time of the conference, hotel rooms will book quickly. Please make reservations early - contact information for hotel reservations is included with the registration form elsewhere in this publication. Hotel Information:

    DoubleTree Suite by Hilton at SouthPark
    6300 Morrison Blvd.
    Charlotte, North Carolina
    Direct Phone: (704) 364-2400
    Single/Double/Triple/Quad--$124.00
    RESERVATION DEADLINE SEPTEMBER 8, 2015

    NCSB’s 28th ANNUAL CONFERENCE
    October 8-10, 2015-Charlotte, North Carolina

    View the Conference Schedule  ~ Register Online

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    PROPOSED BYLAWS REVISION

    Periodic reviews of the NCSB Bylaws are conducted in response to comments from members and/or issues that arise during the conduct of Board business. The bylaws were last revised and adopted in 2011, and since that time, a number of changes have occurred relative to the practice and to the regulatory boards that comprise the membership of NCSB. At its last meeting the Board of Directors approved revisions to the bylaws which must be circulated to the entire membership of NCSB and voted upon at the Fall meeting. Following is a synopsis of proposed revisions to the bylaws. Hard copies of the document in its entirety will be available for discussion and voting during the corporate meeting in October.

    Purpose Addition of a fourth clause that reads “To serve as an educational resource for consumers who express an interest in audiology and/or speech-language pathology services

    Membership Changes to classification of Membership-Proposed categories are (1) Full Membership (2) Individual Membership (3) Association Membership(4) Honorary Membership-Explanations of each category will be provided during the corporate meeting; however, the major change is relative to Individual Membership. Previously, this category was reserved for present or past board members-it has been expanded to include executive directors, administrators, attorneys affiliated with an SLP/AUD Board, or any SLP or AUD with an interest in regulation. Honorary membership did not have voting privileges-proposal is to provide voting privileges to honorary members currently serving on state licensing boards or serving on the NCSB Board of Directors.

    Article V
    Voting Added provision to state that “member boards shall be entitled to participate in the election process via electronic voting for election of the Board of Directors.

    Article VII
    Directors Proposal is to limit number of directors to 10. Was originally 9 because of budgetary constraints; however, NCSB has been able to obtain sponsorship for speakers and for portions of the conference and is more fiscally sound. With 9 directors it is difficult to conduct the business of the association. If budgetary constraints occur in the future, the change putting the maximum at 10 would still allow for a reduction if needed. Provision added under this article to provide language and procedures in case of a tie for election to the Board of Directors.

    Article IX
    Committees Standing Committees-Added language to further define standing committees as well as add provision to allow for appointment of individuals other than members of the BOD. Would now read “All standing committees shall be chaired by a member of the NCSB BOD. Members of the Standing Committees may be selected from states that are member boards in good standing”.

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    NCSB Board of Directors


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  • 01 Oct 2014 11:07 AM | Anonymous
    Fall 2014

    PRESIDENT’S CORNER

    BY: Sherry Sancibrian

    Built in 1859, the historic Menger Hotel in San Antonio provided a Victorian setting for conversations about 21st century issues during the annual NCSB conference October 10-12, 2013. Our keynote speaker was Ellen R. Cohn, PhD, CCC-SLP, who is the Coordinator of ASHA’s Telepractice Special Interest Group and a member of the American Telemedicine Association Board of Directors. In her presentation, Telepractice: Benefits, Risks, and Opportunities for Greater State Licensure Uniformity, Dr. Cohn discussed national trends, including the evolution of telerehabilitation standards and guidelines. She also identified some of the sources of risk when implementing telepractice and challenged regulatory boards to find ways to facilitate the use of technology while maintaining their consumer protection role.

    Other invited sessions addressed a variety of topics: continuing education (Alison Lemke & Ellen Fagan); Praxis exams (Judith Page & Kathy Pruner); online hearing aid sales (Vickie Dionne), disciplinary procedures and management issues (Tammy Camp & Patty Nesbitt), and support personnel (Susan Adams & Theresa Rodgers). A new feature of this year’s conference was the Timed Timely Topics segment in which speakers provided a five-minute overview of a current issue being addressed by their board and then took questions and comments from participants. Topics included encroachment (Dawn Richard), sexual misconduct (Nahale Kalfas), deregulation threats (Tim Weise), social networking (Brian O’Riordan), and reinstatement (Kerri Phillips). The ever-popular State Information Exchange, facilitated by Amy Goldman, allowed each state to share this year’s challenges and successes.

    The pre-conference workshop on October 10, led by Glenn Waguespack, Theresa Rodgers, and Ayn Stehr, provided training for board members regarding statutory authority, complaints, and disciplinary procedures. Attendees also received a flash drive with a reference manual including a directory of licensure boards and contact information, characteristics of licensure laws, samples of model legislation and state licensing laws, board examinations, information on the NPDB-HIPDB, hot topics, and much more.

    The NCSB board would like to thank our presenters and attendees for making this an excellent conference. Finally, our gratitude goes out to our conference sponsors:

    Keynote Speaker Sponsorship
    West Virginia Board of Examiners for Speech-Language Pathology and Audiology

    Conference Breakfast
    Texas Speech-Language-Hearing Association

    Conference Luncheon
    College of Audiologists and Speech-Language Pathologists of Ontario (CASLPO)

    Afternoon Break
    EBS Healthcare

    Gold Level Program Sponsor
    EBS Healthcare

    INSIDE THIS ISSUE

    In Memoriam - Kenneth T. Gist - See Below

    Recognition/Honors of NCSB

    Highlights from State Boards Annual Exchange at NCSB 2013 Meeting

    ASHA Poster Session

    27th NCSB Annual Conference

    Update on the Data Bank for Speech-Language Pathologists, Audiologists, and their State Boards

    Get "Social with NCSB!"

    NCSB Board of Directors


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    In Memoriam - Kenneth T. Gist

    Kenneth T. Gist, 88, on September 15, 2013, in Wellsburg, W.Va. Gist graduated from West Liberty State College in 1949, and earned his master’s degree from New York University in 1959. He was professor emeritus in the Department of Communication Disorders at Southern Connecticut State University. When he retired from the university, he returned to Wellsburg, where he worked part-time as an SLP for several local agencies and facilities. University scholarships have been established in his name for speech-language students in Connecticut and West Virginia. An ASHA Life Member, Gist was an active member of ASHA’s Legislative Council from 1969 to 1989, and from 2001 to 2006. He was also active in the Connecticut Speech-Language-Hearing Association, and served as treasurer of the West Virginia Speech-Language-Hearing Association. Gist also served as treasurer for the National Council of Boards of Examiners for Speech-Language Pathology and Audiology from the 1980s until 2013. Gist is survived by a sister, Madelon Reeves, and a niece and two nephews.

     

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    Recognition/Honors of NCSB

    Each year at the Annual Conference an individual is recognized for his or her exemplary contributions to NCSB, a licensing board in their state, or an individual employed by an organization or other entity that addresses regulatory issues/concerns for the professions. In 2013, Sandy Leybold from Oregon was chosen.

     

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    Highlights from State Boards Annual Exchange at NCSB 2013 Meeting

    Trends:

    Boards continue to increase the utilization of online tools for renewal, newsletters, and initial applications; increased use of telecommunication for board meetings was reported. States also noted the following: concern regarding internet hearing aid sales; increases in the number of complaints and violations; and the need for increased attention to the performance of SLPAs and the supervision of SLPAs.

    Biggest Changes:

    Alabama - Starting in 2014 new optional CEU hours will be offered in Ethics at state meetings as well as online ethics training for licensees. The uses of telepractice and licensee outreach newsletters are being addressed.

    Arkansas - The state is being challenged to change licensure laws to include areas of defining the law of telepractice; changing the format of CEU hours; and licensure for assistants whose original degree is not in SLP.

    Iowa - The regulations for continuing education have been updated and rewritten. The consideration of combining with the Hearing Aid dispensing board is being evaluated.

    Kentucky - Regulations have been passed regarding telepractice and continuing education in ethics training.

    Louisiana - The need for regulations of audiology support personnel is under review, as well as the update or removal of inconsistencies in criminal background check policies. The Board is also sponsoring Licensee education and presentations at University graduate programs.

    Michigan -Proposed changes to the Licensure Act regarding assistants are being discussed.

    Mississippi - The regulations now state that licensees must complete 1 hour of ethics continuing education each year, in addition to offering an online application. Complaints are now being posted online also.
    Nebraska- The state is currently reviewing several items, including: telepractice; requirements ethics continuing education; and online applications.

    Nevada - Many revisions and propositions are being made to the law. A lobbyist is being hired for AUD, and the state now offers online applications.

    North Carolina - Many proposed changes to the Licensure Act and regulations. The state is currently proposing rules to further define telepractice; establishing standard protocols and audits for assistants; regulations for foreign-trained practitioners; and working to establish an online ethics course for continuing education. The state is also now accepting PayPal payments and have set up an informative program for graduate students regarding licensure.

    Ohio - Guidelines have been adopted to ensure consumer protection regarding telepractice. Continuing education rules have been amended permitting exemption for military active duty service or an extension for extenuating circumstances and allowing for completion online. A proposed rule requiring 2 hours of related training in ethics is being discussed, as well as supporting legislation prohibiting direct sale of hearing aids without prior face to face evaluation.

    Oklahoma - Legislators are reviewing policies concerning assistants and the possibility of consolidating the licensure boards within the state.

    Ontario Canada - Proposals are being developed for national exams and the establishment of national competency profiles for foreign-trained practitioners. Licensee education is now being offered/sponsored by the Board with lessons on “social media”, “Jurisprudence”, and “Consent to Treatment”.

    Oregon - Licensure for telepractice is being required whether the patient or the practitioner is in Oregon. A provisional SLPA license is being approved to cover prospective SLPAs completing required clinical fieldwork outside an academic practicum. A single license for licensees to work in the schools without separate certification is being developed. The state is also be challenged with advertisements for tinnitus evaluations being offered by Hearing Aid Dispensers and mail order hearing aids.

    Pennsylvania - Issues with telepractice are being discussed and reviewed by the physicians’ lobby. Continuing education regulations are currently being updated to require dual licenses to have 20hrs of CE in each area. A provisional license for temporary/emergency licensure is currently pending.

    South Carolina - Continuing education criteria has been expanded to include independent study and online options. The state has also deleted the national-exam specific passing score.

    South Dakota - Regulations regarding telepractice now include one in person visit prior to telepractice. The state has also finished and initiated rules for online registration to be completed.

    Texas - Course requirements for assistants have been lowered to 12 hours standardized supervision log for SLPAs. Ethics presentations for licensees are being offered on an invitation basis by board members at state conferences.

    West Virginia - Rules for telepractice approval are being submitted for the 2014 session. The state now requires 2 hours of continuing education in ethics training and did not include an exception of continuing education for military.

     

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    ASHA Poster Session

    NCSB Board Members presented a poster session at the ASHA Convention in Chicago, IL. The presentation “Professional Licensure: A 30+ Year Journey for Consumer Protection” provided attendees with an overview of current issues and trends reported by state licensing boards. The issues reported to be on the forefront included telepractice, ethics, scope of practice, use of support personnel, unlicensed practice, encroachment by other professions, and universal licensure.

     

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    27th Annual NCSB Conference
    Licensure: Lifting to New Heights

    Dates: Workshop - Thurs., Oct. 9, 2014
    Conference - Fri.-Sat., Oct. 10-11, 2014

    Location: Sheraton Salt Lake City Hotel
    150 West 500 South
    Salt Lake City, UT 84101
    Direct Phone: (801) 401-2000

    Guest Room Group Rates: $110/Single or Double; $129/Triple; $159/Quad

    Room Reservation Procedures: Please make your room reservations by Sept. 8, 2014, by calling (800) 325-3535. In order to obtain the group room rates, you must identify yourself as part of the NCSB group when making your reservation. Group rates will be honored 3 days before and 3 days after the dates of our workshop/conference. Check-in time is 3:00 pm and check-out is 12:00 pm. Cancellations must be received by the hotel at least 2 days prior to your scheduled arrival.

    Ground Transportation: There is complimentary shuttle transportation to and from Salt Lake City International Airport, located only 7 miles away, between the hours of 5:00 am and 11:30 pm. Call the hotel at 801-401-2000 to request the shuttle after arriving at the airport.

    Parking: Complimentary parking is provided for all Hotel guests and Conference attendees.

    About the Hotel
    The Sheraton Salt Lake City Hotel is perfectly located on 5th South, in the heart of the downtown business and entertainment district and three blocks from the Salt Palace Convention Center. Whether you want to enjoy an exciting Jazz basketball game at Energy Solutions Arena, marvel in an award winning Ballet, Opera or Broadway play at Capital Theater, see the LDS Temple in Utah or perhaps shop at Gateway outdoor mall or the new City Creek Mall - you'll find them all within walking distance of our hotel in Salt Lake City, or you can take the complimentary downtown TRAX to these venues.

    Salt Lake City creates a unique experience for every traveler. With so many Salt Lake City attractions nearby like skiing in the nearby mountains, shopping in the local malls, and exploring Salt Lake City restaurants, this destination has attractions to match any lifestyle. Take a tour of the local museums like Pioneer Memorial Museum and learn about the first settlers in Utah. Visit Liberty Park, one of the area's most popular parks, and enjoy dinner from a nearby restaurant followed by a show at the Repertory Dance Theatre.

    Discover more things to do in Salt Lake City by visiting the website: http://www.sheratonsaltlakecityhotel.com/things-to-do-in-salt-lake-city.  

    2014 Fall Board Training

    NCSB’s 27th Annual Conference
    Licensure: Lifting to New Heights
    Salt Lake City, Utah
    October 9-11.2014
    Thursday, October 9-Pre-Conference

    The NCSB will offer the ever popular pre-conference Board Training for new and returning Board Members.

    2014 Conference Schedule - TBA in Summer Newsletter

    Pre-Conference Workshop/Training for Board Members, participants will be able to:

    • Delineate key components of laws as well as rules and regulations that govern the practice of speech-language pathology and audiology.
    • Describe elements of the disciplinary process and its application to the professions through participation in a mock hearing.
    • Differentiate the function of professional associations and regulatory boards in the regulation of the practice of speech-language pathology and audiology.
    • Draft a consent order and agreement.
    • Engage in the process utilized in examining potential complaints and ethics violations as well as in reporting to the HIPDB.

    Sponsorship Opportunities Available
    (Contact Doreen Oyadomari, NCSB Past President, at doreenphd@gmail.com for additional information)

    • Keynote Speaker Sponsorship - $1500;
    • Council Luncheon at Conference - $1000;
    • Breakfast for Opening of Conference - $1000;
    • Afternoon Break - $500;
    • Program Sponsor: Gold Level - $750; Silver Level - $500; Bronze Level - $100

    Travel Options to Salt Lake City, Utah
    Salt Lake City International Airport is about thirteen miles from the hotel.
    A complimentary hotel shuttle is available and leaves every hour and half hour starting at 5:00 am to 12:00 am. Once you arrive at the airport, please call the hotel and the operator will advise you of the pickup location.


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    Update on the Data Bank for Speech-Language Pathologists, Audiologists, and their State Boards
    by Donald Illich and Jiaying Hua

    On May 6, 2013, two government-run databases containing information on health care practitioners, providers, and suppliers combined their operations. The merger makes reporting to and querying of the newly merged Data Bank easier and, in some cases, cheaper for speech-language pathologists (SLPs), audiologists, and their state boards. The new Data Bank, officially called the National Practitioner Data Bank (NPDB), combines data previously contained in the former version of the NPDB with data previously stored in the Healthcare Integrity and Protection Data Bank (HIPDB). For individual SLPs and audiologists, this means they save money every time they ask the Data Bank for information about themselves, because they only need to query one Data Bank. Organizations, including state licensing and accreditation boards, save time, effort, and money because they now access only one database to satisfy mandatory requirements and optional opportunities for reporting and querying.

    Background

    The Data Bank collects and makes available reports on negative actions taken against health care professionals and entities, including SLPs and audiologists. The general public does not have access to this information, and access is given to health care professionals and entities only in situations carefully defined by federal law. In general, licensing and accreditation boards are required to report to the Data Bank negative actions taken against SLPs and audiologists, while hospitals and other health care entities may report certain actions. Hospitals must query the Data Bank when an SLP or an audiologist is given or increases clinical privileges, and at least every two years as long as the practitioner has privileges. Licensing boards may query the Data Bank at any time, and other health care entities may query when screening applicants for a medical staff appointment, or granting affiliation or clinical privileges, and in support of professional review activity. (See “What Speech-Language Pathologists and Audiologists Need to Know About the Data Banks,” NCSB Newsletter, Summer 2012, p. 4 for more detailed information.)

    The merger is the latest in a series of responses to congressional mandates dating back a quarter of a century, all intended to promote patient safety. Congress first created the NPDB to stop incompetent physicians and dentists from moving from state to state without the new state learning about sanctions that had been imposed by other jurisdictions. Later, it created the HIPDB to combat the financial impact of health care fraud. With the adoption in 2010 of the Patient Protection and Affordable Care Act, Congress decided to merge the two databases to prevent needless duplication. The Federal Register published regulations implementing the merger on April 5, 2013, and published minor technical changes to the regulations May 3, 2013.

    Impact of the Merger

    The effect of the merger on individuals is a good example of how duplication has been eliminated. Individuals may query the Data Bank at any time to see what information it contains about them; for example, they might conduct a self-query because a prospective employer has asked the practitioner for a copy of the Data Bank report during the hiring process. The Data Bank charges a fee of $8.00 to provide practitioners these “self-query” results. Before the merger, to get a complete picture of what the Data Bank knew about them, SLPs and audiologists would have to self-query both the (old) NPDB and the HIPBD, resulting in a charge of $16.00.

    If an SLP or an audiologist is providing a self-query response to a third party such as a prospective employer, a state licensing board, or a medical malpractice insurer, and the requester asks for both NPDB and HIPDB reports, the SLP or audiologist should tell the requester that any Data Bank report processed after May 6, 2013, contains information from both databases.

    For state licensing and accreditation boards, the cost for querying the Data Bank remains the same, but boards that previously submitted One-Time Queries to both the NPDB and the HIPDB have seen an immediate savings because now there is only one Data Bank to query. Continuous Query users see a reduction in costs when they re-enroll their practitioners. The Data Bank is currently evaluating the fees for One-Time Queries ($4.75) and Continuous Queries ($3.25 per practitioner per year) to determine if changes are necessary. Any changes to the fees will be announced in the Federal Register and posted on the Data Bank website.

    State board reporting requirements remain essentially the same, although the new regulations clarify how to count the time period governing when reports must be submitted to the Data Bank. All reports must be submitted within 30 days of when a negative action is taken or, for Medical Malpractice Payment Reports, within 30 days of the date a payment is made. The boards do not need to reregister with the Data Bank because the registration flagging systems automatically re-aligned to prevent disruption in Data Bank service. Boards should continue to renew their registrations with the Data Bank every 2 years.

    Reports in the Data Bank

    Between September 1, 1990, and December 31, 2012, 926,816 reports were filed on 517,224 individual practitioners of all types in the (old) NPDB. About 41 percent were for malpractice payments, 50.7 percent were for licensure actions, and 5.9 percent were for Medicare and Medicaid exclusions. The remaining 2.5 percent were for clinical privileges or panel membership, professional society membership, and DEA actions.

    As of December 31, 2012, 569,175 reports were in the HIPDB, representing 320,231 individual practitioners of all types. About 78.7 percent of the reports were based on state licensure actions and 14.9 percent were based on Federal and state health care program exclusion actions. The remaining 6.3 percent comprised health care-related judgments or convictions, government administrative actions, and health plan actions such as contract terminations.

    Tables 1 to 3 (SEE APPENDIX at end of newsletter) contain information on audiologists and SLPs between September 1, 1990 and December 31, 2012. Even though the NPDB and the HIPDB are now combined, the reporting periods covered by these tables predate the merger, and data are provided for each database.

    Table 1 shows the number of each type of report in NPDB and HIPDB for audiologists and SLPs. Tables 2 and 3 show the fifteen most frequently reported reasons or bases for actions reported to the NPDB and HIPDB for SLPs and audiologists.

    (click any table to enlarge)

    For More Information

    Audiologists and SLPs interested in learning more about the Data Bank or the recent merger of the (old) NPDB and the HIPDB should visit the website at www.npdb.hrsa.gov. The site contains stores of information on all aspects of the Data Bank, including information about the Public Use Data File; research data analysis tools that allow users to perform specific data analyses and create their own customized data tables; data on reports, including reports submitted by state agencies and health plans; annual reports; information on Continuous Query; and instructions for reporting and querying.

    The Division of Practitioner Data Banks – the government organization that oversees the Data Bank – is combining guidebooks for the two databases into one, providing clear instructions on reporting and querying obligations for the new Data Bank. Current guidebooks for the old NPDB and HIPDB are available on the Data Bank’s website now, and a draft version of the new combined Guidebook is expected to be available for comment in late 2013.

    New resources related to the merger, such as FAQs and the new Guidebook, will be posted online as they become available. For technical questions related to billing or registration, contact the Customer Service Center at help@npdb.hrsa.gov or 1-800-767-6732. Merger-related policy questions can be sent via email to NPDBPolicy@hrsa.gov. 


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    Get "Social with NCSB!"

    Did you know NCSB now has a Facebook group? Membership in this group is open to anyone who is a past or present member of your state's licensure board in speech-language pathology or audiology, state and national association leaders...or if you are interested in information related to the regulation of the communication professions. Our Facebook page will also feature up-to-the minute information about our publications, trainings, and our annual conference. Connect with your colleagues around timely issues confronting the professions, and share news about what is happening in your state.

    Search under “NCSB” or go to https://www.facebook.com/groups/201684259941209/?fref=ts

    See you on Facebook!


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    NCSB Board of Directors


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  • 01 Dec 2013 11:06 AM | Anonymous
    Winter 2013

    PRESIDENT’S CORNER

    BY: Glenn Waguespack

    When a group of speech-language pathology and audiology regulators met in New Orleans in 1984 to discuss the formation of the National Council of State Boards of Examiners for Speech-Language Pathology and Audiology (NCSB), they held the belief that all states should have provisions in place to regulate the professions of speech-language pathology and audiology.  At that time all states had professional associations that regulated the professionals, but protection of the public was not nationally regulated.  In early 1984, 34 states had regulation in place for speech-language pathology, audiology, or both.  Some states were in the process of enacting legislation, while others had not yet begun the process.

    With the formation of NCSB came the development of a mission statement that included a provision to facilitate communication among licensure boards.  Inherent in that mission was the idea of providing assistance to states seeking regulation of speech-language pathology and audiology, particularly in fulfilling statutory, professional, and ethical obligations.  States have utilized information provided by NCSB, as well as legislation from other states, to convince their state legislatures of the need to adopt statutory authority that would serve to protect consumers of speech, language, and hearing services.  For many states it has been a difficult battle, but as of the end of 2012, all 50 states and the District of Columbia have provisions in place to regulate the professions of speech-language pathology and audiology through either licensure or certification.

    The creation of public protection in all 50 states and the District of Columbia has been a long-time coming, and NCSB is proud of the professionals who fought so hard to ensure the protection of consumers in their state.  While NCSB may no longer have to provide assistance to states seeking licensure, it will continue its mission to facilitate communication among state licensure boards.  Emerging issues, such as encroachment, telepractice, regulation of support personnel, exemption-free licensure, and scope of practice issues, are all topics that will come before regulatory boards, and NCSB hopes to be able to provide assistance to boards needing information and guidance on these and other issues.  Because of governmental differences and state department mandates from state to state, the concept of a universal license across the country is probably not feasible; however, there are many areas of commonality across states, and these areas will become a driving force for boards considering legislative changes.

    NCSB held its 25th annual conference in Williamsburg, Virginia, in October 2012 (see details of the conference elsewhere in this publication), and that conference focused on the topic of ethics by offering perspectives on ethics from a number of state boards and from nationally recognized ethics experts.  The Board Training, held the day before the conference, has become an annual event and included exercises in ethical decision making, a presentation by a board attorney on statutory authority, and a mock disciplinary hearing.  The 2013 conference is in the planning stages and will be held in San Antonio from October 10-12.  Flyers announcing the program will be mailed this summer, and updates will be provided on the web site at www.ncsb.info.

    Renewal notices for state board membership and individual membership in NCSB have been sent to all licensure boards and to individuals who held membership in the past.  Please ensure that your state licensure board has seen the announcement, and request that they become a member board of NCSB.  In addition to the networking among state boards and the exchange of information, NCSB provides two newsletters a year, a directory of state boards, and reduced conference rates.  These economic times have necessitated cutbacks for many regulatory boards, but it is hoped that membership in NCSB is not one of the cost-saving measures chosen by your board.  If you have questions concerning the organization or its mission, please contact me at audmath1@aol.com.   Additionally, if you have ideas for speakers or topics at the annual conference in October, send that information to me as well.  Thank you for your consideration of membership in NCSB, and we hope to see you in San Antonio in October.

    Glenn Waguespack
    2013 NCSB President

    INSIDE THIS ISSUE

    26TH ANNUAL CONFERENCE SAN ANTONIO & FALL CONFERENCE SYNOPSIS - SEE BELOW

    IN MEMORIAM - VIRGINIA SWITZER BERRY

    IN RECOGNITION - KEN GIST

    HIGHLIGHTS FROM STATE BOARDS ANNUAL EXCHANGE AT NCSB 2012 MEETING

    ASHA MERITORIOUS POSTER AWARD to the NSCB

    THERESA RODGERS RECEIVES HONORS OF THE NCSB

    NCSB BOARD OF DIRECTORS

    NCSB 2013 BOARD TRAINING & CONFERENCE


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    26TH ANNUAL CONFERENCE SAN ANTONIO & Fall Conference Synopsis

    The 26th annual NCSB Conference will be held in San Antonio Texas at the historic Menger Hotel, from October 10-12, 2013.  The NCSB Board of Directors will meet at the end of March to finalize the program, and a flyer announcing the program will be sent in early summer.  The official registration form will be mailed in late summer.

    Thus far conference topics tentatively include:
    • issues arising through the use of inappropriate use of social media
    • temporary licenses, how long is "temporary"
    • military license…issues of individuals who are military trained or who are stationed within a state for a short amount of time
    • assistants and code of ethics
    • encroachment from various professionals
    • reinstatement after an individual "retired".. what should or should not be required
    • photo IDs being required with applications…Georgia is now requiring for licensure in a variety of professional areas
    • telepractice
    • support personnel
    If there are other topics that might be of interest to licensees, please email your suggestions to one of the Board Members prior to March 15. Once the program has been finalized, the content will be posted on the web site, and
    flyers with details will be mailed.  Information regarding the conference hotel is included elsewhere in this publication.  The conference is designed to provide valuable information for board members, board administrators, board attorneys, and all others involved in the regulatory process.  Please make the information available to the appropriate individuals and make plans to attend.

    2012 FALL CONFERENCE SYNOPSIS

    Bupp - Keynote

    Heather Bupp, Esq  the ASHA Director of Ethics presented the keynote centered on, "Professional Ethics: A contemporary look at Age-old Issues." She discussed aspects of consideration when complying with multiple professional standards. Professional organizations and credentialing bodies in audiology typically require a commitment to follow their professional code(s) as a requirement for maintaining membership or credentials. Some practitioners know about the ASHA Code of Ethics while others are familiar with their state board of examiners' code of conduct or ethics; it is important for all practitioners to be well versed with both sources of professional obligations. Ms. Bupp discussed civil legal issues as distinguished from professional ethics issues such as; not every practice mistake rises to the level of an ethics code violation, but could be medical malpractice; and pattern of repeated mistakes indicates, at minimum, a violation of the Principle I ethical requirement to provide all services.

    Ms. Bupp also examined four common areas of ethical discourse in each code of ethics or conduct rules
    1. independent professional judgment or prescription,
    2. guarantee of results,
    3. holding patients' welfare paramount, and
    4. The use of every resource, including referral.
    Brian Riordan and Carol Bock presented on Ethical considerations in the age of social media.

    Social media was defined as to its form and function. Eighty-six percent of Canadians have a Facebook profile and Eighty-two percent of US residence place high levels of trust in information from media sites. The authors discussed scenarios of social media use and their implications for legal and ethical violations. Guidelines of note for the use of communication styles were noted as the following;
    • Use professional and appropriate terminology
    • Face-to-face interaction or voice-to-voice interaction is superior in  most circumstances
    • Recognize and avoid conflict of interest
    • Monitor web presence
    As a parting thought the authors noted that one should not say anything online that you wouldn’t want plastered on a billboard with your face on it.

     

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    IN MEMORIAM - VIRGINIA SWITZER BERRY

    On Oct. 15, 2012 the Council lost a dear friend and colleague. Virginia passed away in Hattiesburg, She was a Board member of the NCSB for years and held every office in the organization, including President 2011-2012. Her tireless efforts in the Council have made us a better organization. Virginia was an associate professor of audiology in the speech and hearing sciences department at the University of Southern Mississippi for the past 20 years. She was a mentor to hundreds of students during that time. She also was a member of several professional organizations, including ASHA, and was named an ASHA Fellow in 2010. Berry is survived by her friend, Bobbie Simon, and two godsons, Daniel and Jeffrey Simon.

    IN RECOGNITION - KEN GIST

    The Council Board would like to publically thank Ken Gist for his years of service on the NCSN Board. Ken was, and is, our historian. His years of service to our organization has assisted us tremendously in the progress of the Council and its Mission. Ken’s service on the Board will be missed but he will remain a great friend to us all.

     

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    HIGHLIGHTS FROM STATE BOARDS ANNUAL EXCHANGE AT NCSB 2012 MEETING

    State Information Exchange: Lessons Learned

    This session presented results of a survey conducted by NCSB to identify trends, challenges, and successes experienced by state boards across the country.  The survey was conducted via Survey Monkey, with the link distributed to all boards (not just limited to NCSB member boards).  Results from 19 different states were reviewed.

    1. Economic trends:  most frequent impact of economic budgetary factors  on board operations were in the areas of travel restrictions (both in-state and out-of-state), delays in filling board vacancies, and delays in filling staff positions.
    2. Regulatory changes:  Boards reported activity in many areas of regulatory change, most frequently in telepractice (N=12), assistants (N=11), and continuing education (N=11).  Work to initiate background checks of licenses was discontinued by one state.  Note:  regulatory characteristics have been updated and disseminated to participants in the pre-conference.
    3. States reported stable relationships with communication and related professions.  Some improvements were noted with the state department of education/public instruction (N=6), hearing aid dispensers (N=4), the state association primarily comprised of speech-language pathologists (N=5), and the state audiology association (N=3).  Some states reported movements to consolidate boards (e.g. adding hearing aid dispensers to the speech and hearing board) or separate the boards (e.g. make audiology a separate board).  Transparency and outreach resulted in good working relationships.  While licensure of behavior analysts was not seen as an emerging issue (e.g. encroachment), music therapists may be seeking licensure may be more problematic in the future.

    Boards continue to increase the utilization of online tools for renewals, newsletters, and initial applications; increased use of telecommunication for board meetings was reported. States also noted the following:  concern regarding internet hearing aid sales; increases in the number of complaints and violations; and the need for increased attention to the performance of SLPAs and the supervision of SLPAs.

    States with Telepractice Regulations

    Alabama - Any practitioner who does not qualify for an exemption must hold an Alabama license.  This shall be required for all individuals providing services to consumers in Alabama via in-office practice as well as telepractice or any other electronic means.

    California - Telehealth is viewed as a mode of delivery of health care services, not a separate form of practice.  There are no legal prohibitions to using technology in the practice of speech-language pathology, audiology or hearing aid dispensing as long as the practice is done by a California licensed practitioner.  Practitioners need not reside in California, as long as they have a valid, current California license.

    Delaware - State Code of Ethics provision states that: licensees shall not evaluate or treat a client with speech, language, or hearing disorders solely by correspondence.  Correspondence includes telecommunication.

    District of Columbia - It is a violation of the regulations if an audiologist or speech-language pathologist provides services in DC without a DC license, regardless of whether the professional providing services is physically located in the District of Columbia or another jurisdiction.  The policy does not address persons who are located in DC but who are providing services outside of the District.

    Georgia - Any person in the state or physically located in another state or country who, using telecommunications and information technologies through which speech-language pathology information and auditory-vestibular system information is transmitted, is considered to be engaged in the practice of speech-language pathology or audiology in the state and as such must have a full state license and shall be subject to the regulation of the board.

    Iowa - Provision of speech-language pathology and audiology services through telephonic, electronic or other means, regardless of the location of the SLP or audiologist, shall constitute the practice of speech-language pathology or audiology and shall require Iowa licensure.

    Kentucky - 2007 Revised Statute establishes provisions for telehealth (including informed consent, confidentiality and other aspects of consumer protection) and defines it as "use of interactive audio, video, or other electronic media to deliver health care.  It includes the use of electronic media for diagnosis, consultation, treatment, transfer of health or medical data, and continuing education."

    Louisiana - Ethical prescription which allows telepractice provided appropriate licensure is held for the jurisdiction in which the service is rendered and delivered.

    Maine - Indirect supervision is defined to include demonstration, record review, review and evaluation of audio or videotaped session, interactive television and supervisory conferences that may be conducted by phone.  CE may include courses to enhance the efficacy of telepractice.

    Maryland - Telehealth means the use of telecommunications and information technologies for the exchange of information from one site to another for the provision of health care to an individual from a provider through hardwire or Internet connection.

    North Carolina - (a) Licensees may evaluate and treat patients receiving clinical services in North Carolina by utilizing telepractice. Telepractice means the use of telecommunications and information technologies for the  exchange of encrypted patient data, obtained through real-time interaction, from one site to another for the provision of speech and language pathology and audiology services to patients through hardwire or internet connection.  (b) Telepractice shall be obtained in real time and in a manner sufficient to ensure patient confidentiality.  (c) Telepractice is subject to the same standard of practice as if the person being treated were physically present with the licensee. Telepractice is the responsibility of the licensee and shall not be delegated.  (d) Licensees and staff involved in telepractice must be trained in the use of telepractice equipment.

    Ohio - Licensees may practice via telecommunication within the state where not prohibited by law.

    Oklahoma - Statute (revised) requires licensure for audiology and speech-language pathology services delivered in the state through telephonic, electronic, or other means, regardless of the location of the practitioner.  Also within (Rules 680:15-1-4) ethical proscriptions:  Licensees must not provide clinical services except in a professional relationship.  They must not evaluate or treat solely by correspondence or telepractice.  This does not preclude follow-up correspondence with persons previously seen, or providing them with general information of an educational nature.

    South Dakota - Any person who is licensed as a speech-language pathologist in South Dakota may provide speech-language pathology services via telepractice. Services delivered via telespeech shall be equivalent to the quality of services delivered face-to-face.

    Texas - A provider shall comply with the Board’s Code of Ethics and Scope of Practice requirements when providing telehealth services.  Telehealth services may not be provided by correspondence only, although they may be adjuncts to telepractice.  A provider of telehealth services who practices in Texas shall be licensed by the board.

     

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    ASHA MERITORIOUS POSTER AWARD to the NSCB AGAIN !!

    The 2012 ASHA poster received a special recognition by the Program Committee.  The ASHA  Convention Program Committee initiated a recognition category for posters judged to be exceptional at the 2011  American Speech-Language-Hearing Association’s annual meeting. NCSB has received this honor two years in a row. We have a streak going!!  Recipients of this recognition received the highest ratings from topic committee reviewers, across the rating categories of professional education submissions and research submissions. Each Topic Area Committee has the option of recommending one to two posters for this special, "Topic Coordinator Choice Poster Award" recognition. These posters are noted in the convention program with a ribbon icon and identified with a ribbon when displayed during their presentation.

    Special thanks goes to Theresa Rodgers and Glenn Waguespack for their hard work on this presentation.

     

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    THERESA RODGERS RECEIVES HONORS OF THE NCSB

    Theresa Rodgers was recognized for her contributions to regulation and to her profession on the state and on the national level.  Her work on behalf of her colleagues and on behalf of consumers has been evident through her leadership role in the state professional association, the national professional association, and the state and national licensure boards.  Specifically, her service to her state licensure board and her many years of dedication and service to NCSB and to regulation exemplify the qualities associated with NCSB Honors of the Association.



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    NCSB NEWLY ELECTED BOARD MEMBERS

    Click here to view the 2013 Board of Directors.

    Nahale Kalfas - Nahale Freeland Kalfas, JD, has served as attorney for the North Carolina Speech and Language Pathology and Audiology Board for seven years where she has been responsible for prosecutorial hearings, settlements, rulemaking and legislative matters, as well as civil injunctions. She is a Federation of Associations of Regulatory Boards certified attorney who received her J.D. from Duke University School of Law in 1997. She practiced civil litigation and corporate law until she found her passion in the area of administrative law with the NCSLPA board. Nahale is married to Nondas Kalfas and has two daughters, Ralitsa (15) and Lana (11), and enjoys service to her community on multiple non-profit boards.  
     
    Alison Lemke - Alison Lemke is a speech pathologist in the Department of Communication Sciences and Disorders at the University of Iowa.  She works as a Specialized Care Coordinator and Clinical Supervisor at the university speech and hearing clinic.  Prior to working at the university, Alison worked for more than twenty years in rural Iowa settings, including in hospitals and private practice.  She earned her Bachelor’s Degree in Communication Disorders from Valparaiso University in 1983, her Master’s Degree in Speech Pathology from the University of Iowa in 1985, and a Master’s Degree in Public Administration from Drake University in 2009.

    Alison has served in numerous professional volunteer capacities over the years.  She is currently a member of the Iowa Board of Speech Pathology and Audiology Examiners, and served a first term on that board from 2001-2002.  She is a past president of the Iowa Speech and Hearing Association, 2003-2004, and a past member of the ASHA Board of Directors, 2008-2010.

    Kerri Phillips - Kerri R. Phillips holds the SLP.D. in speech-language pathology from Nova Southeastern University. She is an Associate Professor and Coordinator for Graduate Program in Speech-Language Pathology at Louisiana Tech University.  Her research interests are ethics, supervision, outcomes data, and child language.  She currently serves as  Editor for ASHA Division 11: Administration and Supervision; SLP Advisory Council Member for Louisiana; and, Vice-Chair of the Louisiana Board of Examiners for Speech-Language Pathology and Audiology. 


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  • 01 Jul 2013 11:07 AM | Anonymous
    Summer 2013

    PRESIDENT’S CORNER

    BY: Glenn Waguespack

    The NCSB Board of Directors, under the direction of Program Chair Sherry Sancibrian, has been busy planning the program for the Fall Conference to be held October 10-12, 2013, at the historic Menger Hotel in San Antonio. Detailed information regarding the conference, as well as a registration form, are included elsewhere in this publication. The following paragraphs provide some of the conference highlights.

    The Pre-Conference workshop, “Training for Board Members”, will be presented all day on Thursday, October 10. In addition to legal information regarding laws and rules, the conference will feature a mock disciplinary hearing followed by ethical situations and dilemmas presented for an exercise in ethical decision making. The interactive workshop has become a popular introduction to the conference itself and furnishes attendees with flash drives containing information they can share with their respective regulatory boards.

    In response to suggestions from the conference last year, the 2013 conference will highlight a number of issues currently facing regulatory boards. Among the most popular, and sometimes controversial, is the issue of telepractice and whether to implement statutory regulations governing this method of service delivery. The pros and cons of telepractice regulations will be discussed, as well as how the regulations have impacted regulatory boards and the professions as a whole. There will be an update on the audiology Praxis exam, and information will be presented regarding the standard setting study that will precede the development of a new SLP Praxis exam.

    Sherry has planned a series of hot topics that will be discussed as part of a session entitled “Timed Timely Topics”. Topics such as encroachment, sexual misconduct, deregulation threats, social networking, and inactive status will be presented in a format that will present information briefly and then allow for audience discussion on each topic. The traditional state information exchange will provide participants an opportunity to discuss successes and challenges in their states, and it is likely that some of those challenges will involve the topics covered in the short presentation format.

    Other topics of interest include specifics regarding continuing education, hearing aid issues (including internet sales), and board management processes. The conference ends with a discussion of support personnel and will cover who is regulated in various states and how those individuals contribute to service delivery in terms of scope of practice issues and preferred practice patterns.

    It is hoped that all state boards send at least one representative to the NCSB Conference. One of the mission statements of NCSB is to facilitate communication among licensure boards. This conference provides an excellent opportunity for networking and also brings to the forefront issues that face regulatory boards. One such issue is the implementation of regulation for unlicensed practice, and although no one session is devoted to this topic, it is a topic that will be brought up during the state information exchange.

    NCSB encourages state boards to share information and issues facing their state. Even if you are unable to attend the conference, please take the time to forward your issues and concerns to one of the members of the Board of Directors. The issue(s) will be discussed in a future edition of the newsletter and may also serve as a topic for discussion at the 2014 conference. During the initial stages of legislation regulating the practice of speech-language pathology and audiology, states were primarily concerned with the scope of practice and preferred practice patterns. Since that time, issues have arisen that directly impact consumers of our services, and now states are being faced with re-examining what heretofore seemed like the “perfect” law. One such example is the inclusion of regulations for continuing education. Now all but four states mandate continuing education as a condition of licensure renewal, and states have moved on to regulations regarding universal licensure, unlicensed practice, scope of practice issues, the doctoral level for audiology, telepractice, and support personnel.

    It is unfortunate that there is no one model licensure law that is applicable to all states; however, NCSB hopes to serve as a vehicle for gathering regulatory information and sharing it with state licensing boards. For more information about NCSB and the upcoming conference, log onto http://www.ncsb.info, or contact any member of the NCSB Board of Directors. We hope to see you in San Antonio in October.


    Glenn Waguespack
    2013 NCSB President

     

    26TH ANNUAL CONFERENCE SAN ANTONIO

    San Antonio, Texas
    October 10, 2013

     

     

     

     

     

     

     

     

     

     

     

     

     

  • 01 Dec 2012 11:04 AM | Anonymous
      Winter 2012

    PRESIDENT’S CORNER

    BY: VIRGINIA BERRY

    Welcome to 2012 and an exciting new year for the National Council of State Boards of Examiners for Speech-Language Pathology and Audiology (NCSB). 2011 was a very exciting year for NCSB, and 2012 promises to be even better! In 2011, we completed our first year of engaging a management firm, Prime Management Services, under the outstanding leadership of our representative, Robert Ranieri. His firm provided invaluable contributions in the areas of membership management, conference coordination and logistics, financial accounting and much more.

    2011 also realized a very successful 24th Annual NCSB Conference held in Las Vegas, Nevada in October, 2011. There were 23 states represented with a total of 53 attendees. All the feedback received was very positive and praised the outstanding agenda. The Conference was a wonderful opportunity for open discussion among state regulatory agencies and networking with colleagues. A highlight of the 2011 Conference was the presentation of NCSB Honors to Roberta Silver of Pennsylvania for her long-term contributions to state regulatory agencies and their issues. Also, another special event at the 2011 Conference was the recognition of our Corporate Sponsor, EBS, for their generous sponsorship of the Corporate Business Meeting Luncheon. Thanks to Ann Glaser for providing this support.

    Following the conclusion of the 2011 Conference, the NCSB Board of Directors (BOD) welcomed newly appointed members Sherry Sancibrian and George Purvis while we said a sad farewell to long time BOD members Theresa Rodgers and Lisa O’Connor. Amy Goldman was welcomed as a returning member. The 2012 NCSB BOD officers are Virginia Berry, President, Glenn Waguespack, President Elect, Amy Goldman, Secretary, Gregg Givens, Editor and Ken Gist, Treasurer.

    Another special highlight of 2011 was the NCSB Poster Session, Professional Licensure - Coast to Coast, presented at the 2011 ASHA Convention in San Diego, California. Thanks to the outstanding work of Glenn Waguespack and Theresa Rodgers, the NCSB poster was presented with a Meritorious Poster Award. In addition, 2011 included the passing of updated NCSB Bylaws which will much better reflect the goals, directions and purposes of the organization. We also now can enjoy an outstanding redesigned, user friendly website that is packed with numerous links offering invaluable information regarding NCSB and regulatory issues.

    I’d like to take this opportunity to remind everyone of the purposes of NCSB:

    To facilitate communication and interaction among state boards concerning licensure
    To promote the protection of consumers
    To stimulate interest in and discussion of issues pertaining to licensure boards
    To provide a forum for discussion

    Our established long term goals are:

    To promote uniform national standards for licensure
    Provide information and services for related professions
    Aid licensing boards in fulfilling statutory, professional and ethical obligations

    With these goals in mind, one of NCSB’s primary focus areas in 2012 will be membership recruitment. At the October, 2011 Board of Director’s (BOD) Meeting, a Membership Ad-Hoc Committee was established with current President, Virginia Berry, as Chair and includes Sherry Sancibrian, George Purvis and Ken Gist as members. This committee along with the BOD is looking at several new incentives to encourage NCSB state board and individual memberships. Such incentives to the membership include the development of an NCSB FaceBook page and a secured, password protected members only section on our website (http://www.ncsb.info).  In addition, another targeted goal for 2012 is the pursuit of additional revenue sources for NCSB. The BOD is considering the possibility of recruiting advertisement both in the newsletter and on the website. Also, there is the goal to further identify the interest in purchasing various NCSB materials, such as the Board Training Manual, Membership Directory, etc.

    Lastly, I want to take this opportunity to personally invite each state and NCSB member to attend the Silver Anniversary NCSB Conference to be held in historic Williamsburg, Virginia October 11 - 13, 2012 at the Woodlands Hotel and Resort. Not only will this Conference once again include an outstanding selection of topics, but it will be a moment in history for NCSB. You won’t want to miss this!!

    During 2012, NCSB will continue to address issues of importance to state boards. These efforts will focus on assisting with telepractice guidelines and practices, universal licensure and license portability.

    In closing, I want each of you to remember that NCSB is the only national organization that is dedicated to supporting the interests of licensing boards and regulatory agencies in our two professions of speech-language pathology and audiology. We need everyone’s support to continue our mission and encourage all current state board and individual members to renew their commitment to membership in NCSB and to spread the word of the advantages of membership to colleagues and associates affiliated with other state boards and regulatory agencies.

    Have a great 2012!!

    Virginia Berry
    2012 NCSB President

    INSIDE THIS ISSUE

    PLANNING UNDERWAY FOR THE NCSB FALL 2012 CONFERENCE - See below

    WILLIAMSBURG WOODLANDS HOTEL AND SUITES HOST HOTEL FOR THE NCSB FALL 2012 CONFERENCE

    2011 FALL CONFERENCE SYNOPSYS

    2011 FALL CONFERENCE HIGHLIGHTS FROM STATE BOARDS

    NEW BOARD MEMBERS: SHERRY SANCIBRIAN AND GEORGE PURVIS

    ASHA MERITORIOUS POSTER AWARD TO THE NCSB

    2012 BOARD TRAINING AND CONFERENCE INFORMATION

     

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    PLANNING UNDERWAY FOR THE NCSB FALL 2012 CONFERENCE

    The 25th Annual NCSB Conference will be held in Williamsburg, Virginia, from October 11 - 13, 2012. In response to requests from attendees at the last two conferences, the 2012 conference will focus on the issue of ethics in professional regulation. A tentative outline is available, but to date not all topics and speakers have been confirmed. The NCSB Board of Directors will meet at the end of March to finalize the program, and a flyer announcing the program will be sent in early summer. The official registration form will be mailed in late summer.

    Thus far conference topics tentatively include:

    • Keynote address by attorney on the topic of professional ethics
    • Ethics exercise that encourages interactive participation from audience members
    • Considerations in Implementation of Mandated Ethics Continuing Education for License Renewal
    • A Model for Imposition of Sanctions (from Virginia Dept. of Health)
    • Ethical Considerations for Practicing in the Age of Social Media
    • State Information Exchange - (With state information discussion and wrap-up following day)
    • Update on SLP Certification Standards and Reporting of Audiology Praxis Scores
    • Hot Topics Update (Definitive topics still to be determined)
      • Ethical Code of Conduct for Board Members
      • Considerations in Implementation of Support Personnel
      • National Practitioner Data Bank
      • Telepractice
      • Other Regulatory Issues

    If there are other topics that might be of interest to licensees, please email your suggestions to one of the Board Members prior to March 15. Once the program has been finalized, the content will be posted on the web site, and flyers with details will be mailed. Information regarding the conference hotel is included elsewhere in this publication. The conference is designed to provide valuable information for board members, board administrators, board attorneys, and all others involved in the regulatory process. Please make the information available to the appropriate individuals and make plans to attend.

     

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    WILLIAMSBURG WOODLANDS HOTEL AND SUITES
    HOST HOTEL FOR THE NCSB FALL 2012 CONFERENCE

    The Williamsburg Woodlands Hotel and Suites is conveniently located next to the Colonial Williamsburg Regional Visitor Center in Colonial Williamsburg, Virginia.

    For guest information and room reservations, please contact the hotel directly:

    Williamsburg Woodlands Hotel
    105 Visitors Center Drive
    Williamsburg, VA 23185
    Phone: 800-HISTORY (800-447-8679), 757-253-2277

    The room rate for conference attendees is $114.00 (resort fees and taxes may apply). Be sure to mention that you are attending the NCSB conference to receive the special conference rate.

    In addition to the convenient historic sites you can enjoy 45 holes of championship golf at the Golden Horseshoe Golf Club, or relax at the renowned Spa of Colonial Williamsburg. Visit http://www.colonialwilliamsburg.com/visit/hotels/woodlands/ for more information.

    It wasn't until America gained it's independence from Britain that Virginia's capital was moved to Richmond - a more secure and centrally located city. Previously, from 1699 to 1780, Williamsburg was the prosperous center of what was then more sprawling, densely populated, and powerful than any other colony. It was during these significant years that the vision of America as an independent, liberated country was born. George Washington, Thomas Jefferson, and George Mason were just a few of the early patriots who cultivated the seeds of our democracy in Williamsburg, founding the notions of responsible leadership, belief in public service, autonomy, and individual freedom that underlie our government today. As a political, cultural, and educational midpoint for colonial America, Williamsburg, Virginia truly was the cornerstone for what is the United States today.

    Today, Colonial Williamsburg offers an abundance of history, entertainment, and culture to visitors from around the world. Whether it's a guided tour or a leisurely stroll, the town itself is a visual retreat to colonial days. With more than eighty preserved original colonial structures, re-enactment events, and educational forums, Williamsburg breathes life into history and provides a wealth of enlightening resources.

    For more information about Williamsburg, contact the Colonial Williamsburg Visitors Center at 800-987-9852, 417-823-0981 or visit http://www.colonialwilliamsburg.com.

     

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    2011 FALL CONFERENCE SYNOPSYS

    Lee Reeves - Keynote Speaker
    Lee Reeves, the keynote speaker, started the meeting off with a tremendous look at licensure and the role of the consumer member. He noted the primary role of this member as others is to protect the public. The consumer role has added dimension as it also requires the learning of the professions in more detail in order to make educated decisions and participate in the discussion in an active manner. Mr. Reeves noted that the consumer member adds balance to the Board in serving as a tangible reminder of the primary purpose of licensure. The consumer member may also serve to enhance the professions reputation and stature within the public as they bring unbiased actions or concerns to the public, although the public member must also guard against setting their own personal agenda.

    He noted to the membership that a Board needs to provide a good orientation as to licensure and the state statutes and that all discussion and actions must comply. The professionals on the Board must also provide a clear picture to the consumer member as to current developments in the field and all sides of controversial issues. Mr. Reeves noted the difference between professional organizations and regulatory Boards. Professional organizations protect and serve the profession whereas regulatory Boards serve and protect the public (consumer).

    Amy Goldman - Panel Discussion
    Amy Goldman led the discussion regarding "consumer membership" on state boards. Participants addressed the following questions, in comparing their state's mandates and experiences with board members who are not practitioners of the communication professions.

    What do your statute/regulations say?

    Public member versus consumer?
    How is this defined?

    What is the role of the consumer or public member?

    What are the ways in which the consumer or public member can make unique contributions to board deliberations and other board activities?

    What qualities/qualifications should an effective consumer/public member possess?

    Should the member be an actual consumer or family member of someone who has benefited from services from communication professionals in your state?
    Should there be experience with/knowledge of government?

    How do you recruit these board positions?

    What is the role of the professional associations?
    What other avenues have you used, and with what success?

    Does your board provide formal or informal orientation to the professions to this member?

    How is this accomplished?

    How has your board benefited from its consumer/public member(s)?

     

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    2011 FALL CONFERENCE
    HIGHLIGHTS FROM STATE BOARDS

    Alabama
    The Board is developing informational handouts for individuals supervising CF/4th year audiology registrants to improve/clarify the supervisory process. Handouts for those supervising assistants will follow. The Board is working on changes to rules and regulations to allow those with ABA certification to use in lieu of CCC to meet licensure requirements for audiology. In 2012 the act will be sunset reviewed; it is likely the state professional association for audiology may be seeking to establish a separate board at that time. That association has felt disenfranchised from the nomination process for the board and has had concerns regarding the distribution of continuing education funding to the two professional associations. For the last year, the Board has been trying to find a governmental body to conduct criminal background checks on applicants, but has been turned down already by 4 agencies. There are several board member terms that have expired and the Board is waiting for the governor’s appointments to be made.

    Arkansas
    Arkansas is currently revising its law and regulations to reflect the changes in educational requirements for audiologists (AuD). New language will be added regarding telepractice and scope of practice. The Board has been challenged by the legislature, which wanted to control any excess funds. Beginning in 2013, Arkansas’ board will use excess funds to sponsor scholarships for SLPs and audiologists, and to sponsor continuing education events. Arkansas reports a newly formed association, specifically for advocacy of audiology issues.

    Kentucky
    Instead of all licensees renewing at the same time, half of the licensees renew each year. They have endorsed the AuD as the entry level preparation for audiology. They do not have rules promulgated yet for telepractice. They are currently revising their application forms, as the hard copy was inconsistent with the online version of the application. The board will be having a retreat to prioritize the need for changes in the statues.

    Louisiana
    Louisiana has revised its rules and regulations. There are new regulations for lapsed licenses and more serious complaints including fraud, intellectual property, and supervision. Online renewals are increasing. There are concerns about the state wanting the Board’s excess funds.

    Mississippi
    They are currently looking at another level to add a "provisional" level of licensure (to full and temporary) until transcripts can be finalized. Online renewals are at about 90%.

    Montana
    The personnel preparation program at the University of Montana graduated a class in May 2011. There are three levels of assistants, requiring varying degrees of direct contact supervision. There is universal licensure. Audiologists no longer have to be licensed by the hearing aid dealer association to dispense hearing aids. They are examining how to effect tele-supervision and telepractice changes via regulation vs. changing the statute.

    Michigan
    Speech Pathology and Audiology have separate boards. Even though licensure was signed by the governor in January 2009, rules have not yet been promulgated, so no applications have been distributed. MI’s new governor has rearranged the umbrella licensing regulations so this delays licensing actions.

    Blue Cross Blue Shield of Michigan (BSBC MI) opened the door between October 1, 2011 - December 31, 2011 for newly licensed SLPs (and OTs) in private practice to obtain a NPI number and bill. This further pushes the licensing bureau to get applications available soon. BSBS MI reports being open to re-look at coverage for cognitive rehabilitation (although ASHA has just reported that national BCBS has changed their position in the last two weeks about cognitive therapy being "experimental").

    Limited licenses: Michigan has a limited license for clinical fellows that will go into effect once they are able to process applications. Meanwhile, CMS says non-licensed CFs are considered students required in-room supervision when providing services to Medicare patients. Not all employers realize this. There are school-limited licenses; however, due to state regulations that limit the ability of licensed professionals (psychologists) to bill Medicaid it is likely that licensed SLPs cannot sign for/bill for services to Medicaid-eligible students.

    Telepractice: They are not able to address this because the license bureau says "medicine"; they have decided not to take this issue forward.

    Continuing education: Details on promulgating/implementing continuing education is slow because the state has its own agenda for "continuing professional development plans"; the SLP board is one of five boards that will pilot this.

    Nevada
    Nevada is currently undergoing sunset review. Hearing aid dispensers are regulated by a separate board. The board wanted to double the number of public members and make one the board president. The number of licensees is growing. The Board has had discussions regarding the addition of endoscopy and telepractice language. There are no speech assistants in speech pathology or audiology, except in the schools.

    North Carolina
    Universal licensure has been obtained; as of July 2011 the Department of Public Instruction requires a license in the schools. The Board is working on rules for telepractice; an examination for applicants and CEU requirements for AuDs related to hearing aids.

    Ohio
    Successes and highlights: an increase in online renewals; inactive status offered for the first time, as a result of amending the statue. Rules have been adopted to require anyone who has been out of practice for five years or more to demonstrate proficiency/competency beyond the completion of required continuing education hours. Challenges/Issues: School practice setting - caseload vs. workload orientation; status of conditional licensees being eligible to seek reimbursement from Medicaid - awaiting an opinion from the attorney general; telepractice - out of state companies are contracting with school districts

    Oklahoma
    SLP assistants require an associate’s degree or higher by June 2013 (formerly, only a high school diploma was required), although rules for audiology assistants only require a high school diploma or higher. Individuals who had been initially grandfathered to obtain licensure and allowed their license to lapse for more than five years are required to re-apply and meet the current requirements for license. Licensees who let their license lapse and don’t hold a current license in another state for more than 10 years must pass the Praxis. Before supervising others, a licensed SLP must have at least one year of full-time professional experience in speech-language pathology. Supervision missed in one week shall be completed the following week. Revisions have been made the code of ethics to have specific codes for master level practitioners and bachelor level practitioners. Telepractice language specifies that a provider must come to the state to see the patient at least once; regulation is pending. Background checks are required for all licensees. Declaratory ruling: Licensees in exempt settings still have to follow all rules pertaining to licensees.

    Ontario, Canada
    The Ontario board regulates 3500 practitioners (2900 SLPs and 600 audiologists). Almost 90% of renewals are done on-line. Ontario has universal licensure, but does not regulate assistants. As a result of the October 2011 provincial elections, the government was re-elected but with a reduced mandate. Prior to the election, a freeze had been placed on all agency public member appointments; the board is waiting for word on three appointments. The Board submitted to the government revised regulations addressing registration, records and quality assurance; they are preparing new regulations on professional conduct, advertising, and quality assurance. There are 50 open complaint files; there’s been a rise in complaints regarding advertising. On a national level, the board is working on professional practice profiles and guidelines on telepractice.

    Oregon
    The 2011 legislative update of the statute included recognition of the AuD. There is a new temporary license category (that may be applied to telepractice in the future) and school-based SLPs must follow the Board rules regarding supervision of assistants. Dispensing audiologists are not required to have a separate dispensing license; since 2009 dispensing has been considered part of the audiologist’s scope of practice. The Oregon professional association is working towards universal licensure, especially because the Teachers Commission calls all professionals "speech-language pathologists", even if they do not have a master’s degree. There have been recent disciplinary actions (revocations or license limitations) related to professional competence for pediatric audiology and for swallowing disorders.

    In process: Changes addressing criminal background checks; telepractice.

    Challenges: Misleading advertising by hearing aid dealers; impact of 2006 Missouri case in the 8th Circuit regarding mail order of hearing aids; challenges related to the economic conditions - understaffed/under threat of consolidation/limited funding/no investigative staff.

    Pennsylvania
    In December 2010, the Board completed a strategic planning process. Efforts to update the practice act (not updated since its original passage in the 80’s except for continuing education requirements) have been unsuccessful to date. Last year’s challenge was from the state Department of Education, due to efforts to establish universal licensure. There are also objections from the state medical society. Although the speech and hearing associations had been collaborating, this year, the state audiology association will be introducing its own bill. Because of a failure to include an end date to grandfathering in the original legislation, applicants who are retirees from school-based practice who meet the "letter" of the grandfather requirements are now applying for licensure.

    South Carolina
    Renewals are only on-line, and this has been very successful. The five member board is down one audiology member. The Board is currently conducting continuing education audits of 10% of all licensees, and is finding that some licensees did not retain their records as required by law. The AuD requirement for audiologists is addressed on a case by case basis. The umbrella agency for the Board has a new director and has been reorganized and restructured; Board members have been involved. The Board has been working with the SC Department of Education and the state Speech and Hearing Association to deal with an announced 2015 deadline to upgrade school-based SLPs. There are 2063 licensees in five categories.

    Texas
    A sunset review was completed. New statutes passed in 2011: Require AuD for audiology license; require fingerprinting for new license or renewal; Board may order cease and desist for unlicensed practice; Board may require that refunds be made to patients. The Board must meet with Hearing Aid Fitters and Dispensers Board to standardize 30 day hearing aid trial and contract. Telepractice rules were added in 2010. There are 2690 SLP assistants, 25% of all licensees.

    West Virginia
    West Virginia is considering new bill addressing universal licensure that includes public school practice. Challenges have included the state medical society which objects to cerumen management and "diagnosis/treatment" language. There is no language regarding hearing aid dispensing.

     

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    NEW BOARD MEMBERS: SHERRY SANCIBRIAN AND GEORGE PURVIS

    Sherry Sancibrian
    In the early years of her career, Sherry was employed as a speech-language pathologist for a public school, an early intervention program, and the Lubbock county hospital. In 1984, Sherry became the Clinic Director for the Texas Tech Speech and Hearing Sciences program which at that time was located on the TTU campus. Currently, Sherry is a Professor and Program Director in the Department of Speech, Language, and Hearing Sciences at TTUHSC. She has served her profession on the state level as Presiding Officer of the State Board of Examiners for Speech-Language Pathology and Audiology, President of the Texas Speech-Language Hearing Association, and Secretary for the Texas Speech-Language Hearing Foundation. Sherry chaired the 2008 convention of the American Speech-Language-Hearing Association (ASHA), served on the ASHA Legislative Council and the Specialty Recognition Board for Child Language, and was made a Fellow in 2009. Locally, Sherry gives her time to organizations such as the Lubbock Cleft Palate Clinic, the South Plains Autism Network, and the West Texas Association for Infant Mental Health.

    George Purvis
    George Purvis is currently Chief of the Audiology and Speech Pathology Service at the Department of Veterans Affairs Medical Center in Louisville, Kentucky. In addition he is Associate Clinical Professor of Surgery, Division of Communicative Disorders at the University of Louisville. George has been active in professional licensure serving as Chair of the California and Kentucky Boards of Audiology and Speech-Language Pathology. He is currently a member if the Kentucky Board and serves on the complaint committee. He has served on the Board of Directors of the National Council as a member and President. George has recently completed a term on the ASHA Board of Directors. He has also served as Chair of the Audiology Advisory Council. Currently George is a member of the ASHA Board of Ethics.

     

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    ASHA MERITORIOUS POSTER AWARD TO THE NCSB!!

    The 2011 ASHA poster received a special recognition by the Program Committee
    The ASHA Convention Program Committee initiated a recognition category for posters judged to be exceptional at the 2011 American Speech-Language-Hearing Association’s annual meeting. The are posters that received the highest ratings from topic committee reviewers, across the rating categories of professional education submissions and research submissions. Each Topic Area Committee has the option of recommending one to two posters for this special, "Topic Coordinator Choice Poster Award" recognition. These posters are noted in the convention program with a ribbon icon and identified with a ribbon when displayed during their presentation.

    Special thanks goes to Theresa Rodgers and Glenn Waguespack for their hard work on this presentation.

     

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    2012 BOARD TRAINING AND CONFERENCE INFORMATION

    Thursday, October 11, 2012 thru Saturday, October 13, 2012.

    The Hotel: Williamsburg Woodlands, which is part of the Colonial Williamsburg Hotels.

    Room Rates:
    Standard room, single or double occupancy, $114.00.
    Suite, $144.00
    Taxes are 10% plus $2.00 per night occupancy tax.

    The special guest room rates will apply 3 days before and after the dates of the conference. Complimentary Breakfast: A complimentary continental breakfast is offered daily in the main lobby of the hotel.

    Reservations:
    Individual reservations must be made on or before Monday, September 10, 2012, by calling 800-261-9530 between the hours of 8:30 am to 5:00 pm EST, Monday through Friday. There is no charge for self parking. You must provide the NCSB group name in order to obtain the group rates. Check-in time is after 4:00 pm and check-out time is 11:00 am.

    Individual reservations must be made on or before Monday, September 10, 2012, by calling 800-261-9530 between the hours of 8:30 am to 5:00 pm EST, Monday through Friday. There is no charge for self parking. You must provide the NCSB group name in order to obtain the group rates. Check-in time is after 4:00 pm and check-out time is 11:00 am.

    Airports:
    Newport News - 20 minutes
    Richmond - 45 minutes
    Norfolk - 50 minutes

    Ground Transportation:
    Please note that prices quoted below are estimates and are subject to change and current prices should be requested when making reservations.

    Tidwater Coach (http://www.tidewatercoach.com)
    Order online or call (757) 218-9539 At least one day notice required. More notice is better.
    Newport News Airport $35 single/$45 couple
    Richmond/Norfolk Airports - $75 single/$90 couple

    James River Transportation (http://www.jamesrivertrans.com)
    Reservations made online or call (866) 823-4626. Walk up airport shuttle is available at Norfolk Airport booth.
    Richmond/Norfolk Airports - $104.50 per person
    Group rates with a minimum of 4 passengers are available.

    Marrow Transportation, LLC (http://www.marrowtransit.com)
    Call for reservations at (757) 564-5466
    Provides chauffeured limo service to all area airports

    Hotel Location:
    105 Visitor Center Drive
    Williamsburg, Virginia 23185
    757-253-2277
    1-800-HISTORY

    Hotel Description:
    Set near a pine grove adjacent to Colonial Williamsburg’s Visitor Center, Williamsburg Woodlands Hotel & Suites is a family haven with recreational choices including miniature golf, shuffleboard, table tennis, bike rentals, and swimming. Plus, a continental breakfast buffet is included in the room rate. Walk or shuttle to the Historic Area.

    Suites offer a lounging room with queen sofa bed, desk, and a convenience counter with small refrigerator, microwave, sink, and coffeemaker plus a separate master bedroom with a king-size bed and second TV. Standard Rooms feature two full-size beds, a sitting area with desk, and a comfortable lounge chair (convertible to a single bed).

    Convenient, on-site laundry facilities include coin-operated machines and same-day valet service (for requests made by 9 a.m.).

     

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  • 01 Jul 2012 11:05 AM | Anonymous
    Summer 2012

    PRESIDENT’S CORNER

    BY: VIRGINIA BERRY

    Welcome to the 2012 NCSB Annual Conference edition of our newsletter. This year’s Conference, scheduled for October 11 – 13, 2012 in Williamsburg, VA at the Williamsburg Woodlands Hotel and Conference Center, promises to be one of our best ever. This year’s venue is absolutely a perfect setting for this special 25th NCSB Annual Conference. This year celebrates our Conference Silver Anniversary, and each of us on the NCSB Board of Directors has planned a wonderful tribute to this significant moment in NCSB’s history and accomplishments. The focus of this year’s Conference is the very timely topic of Ethical Issues in Professional Regulation. Glenn Waguespack, 2012 President Elect and Conference Chair, has planned an outstanding program covering a variety of topics presented by nationally recognized professionals involved with ethical issues and conduct. Included in this newsletter is a detailed description of the exceptional topics to be covered during both the Pre-Conference Board Training on Thursday, October 11 and the entire Conference on Friday and Saturday, October 12 and 13. Also enclosed are all necessary registration materials and information. Glenn is to be applauded for this landmark event.

    The Williamsburg Woodlands Hotel and Conference Center is probably one of the most inviting and beautiful settings NCSB could wish for as a Conference site. It is set near a gorgeous pine grove on several acres of beautifully landscaped grounds. October will be an outstanding setting with all of the fall colors in full development. The Conference site is a family haven that offers several activities that the entire family can enjoy. Then, of course, there is the joy of all the history of Williamsburg which offers a vast array of colonial attractions, museums, galleries and revolutionary exhibits. In addition to the adventure of enjoying a trip back in time to the beginnings of our nation, Williamsburg also offers some of the best dining experiences for you to enjoy. Information on area restaurants, including menu offerings, will be available for attendees in the Conference registration area.

    I invite each of you to visit the NCSB website (www.ncsb.info) to review detailed information on the Conference. On the Conference page there is also a link covering many Questions and Answers on various topics that you should find very helpful in planning for your visit to historical Williamsburg and attendance to the celebratory 25th Annual NCSB Conference. This Conference and its location would be a great opportunity to bring your family and extend your stay. I promise - You won’t be disappointed!!

    The NCSB Board of Directors has also been busy with other activities this year to improve our service to member boards, regulatory agencies and individuals. A very exciting new addition to the NCSB website is our newly created Member Discussion Forum. I encourage all members to register for this invaluable tool simply by entering your email address and creating a password to enter the Members Only link on the website. You will find the link for this in the upper right-hand corner of the NCSB home page (www.ncsb.info).  This forum is a way for members to communicate with other members and opens the door to a wide variety of discussions on questions, issues and concerns affecting regulatory and licensure issues in their area. Also, earlier this year all member boards and individual members were sent the 2012 Membership Directory and Membership Certificates. I encourage everyone to submit any corrections or changes in Board contact individuals and contact information (board address, phone, fax, email, etc.) to the NCSB Management Firm, Prime Management, at 3416 Primm Lane, Birmingham, AL 35216 or 205-823-6106 or info@ncsb.info

    In closing, I want each of you to remember that NCSB is the only national organization that is dedicated to supporting the interests of licensing boards and regulatory agencies in our two professions of speech-language pathology and audiology. We need everyone’s support to continue our mission and encourage all current state board and individual members to renew their commitment to membership in NCSB and to spread the word of the advantages of membership to colleagues and associates affiliated with other state boards and regulatory agencies.

    I hope to see all of y’all in Williamsburg to join in the celebration of the 25th NCSB Annual Conference and the tribute to out Silver Anniversary.

    Virginia Berry
    2012 NCSB President

    INSIDE THIS ISSUE

    2012 FALL CONFERENCE INFORMATION AND SCHEDULE - SEE BELOW

    2012 FALL CONFERENCE VENUE

    WHAT SPEECH-LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS NEED TO KNOW ABOUT THE DATA BANKS

    AUDIOLOGISTS WITH NUMBERS OF REPORTS

    REGISTER FOR THE 2012 ANNUAL CONFERENCE

    NCSB BOARD OF DIRECTORS

     

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    NCSB 25TH ANNUAL CONFERENCE
    ETHICAL DECISION MAKING:
    AN EVOLUTIONARY AND REVOLUTIONARY PROCESS

    October 11-13, 2012 - Williamsburg, Virginia

    Registration brochures announcing the 25th annual NCSB Conference have been mailed. If you or your state board did not receive one of the brochures, the registration form and hotel information are included in this newsletter. As in past years, a pre-conference workshop on Training for Board Members will be held on Thursday, October 11, 2012, and the one and one-half day conference will follow on October3. NCSB invites boards to participate in both the board training and the conference. Following is a synopsis of the pre-conference activity and the conference.

    Thursday, October 11
    Pre-Conference Workshop - Training for Board Members (Additional Fee Required)
    Visit the pre-conference workshops page for more information.

    Friday, October 12

    8:00 - 8:30
    REGISTRATION

    8:30 - 9:00
    Welcome and Introductory Remarks
    Virginia Berry, NCSB President
    Glenn M. Waguespack, NCSB President-Elect
    Leslie Knachel, Administrator, Virginia
    Laura Purcell Verdun, Vice-Chair, Virginia
    Harold Sayles, Citizen Member, Virginia

    9:00 - 10:15
    KEYNOTE SPEAKER - Heather Bupp, J.D.
    ASHA Director of Ethics
    Professional Ethics: A Contemporary Look at Age-Old Issues

    10:15 - 10:30 BREAK

    10:30 - 11:30
    Mandating Ethics CE: Expect a Little Rebellion
    Sherry Sancibrian, SLP, Texas
    Glenn M. Waguespack, AUD, Louisiana

    11:30 - 1:00 LUNCH and CORPORATE BUSINESS MEETING

    1:00 - 2:00
    Use of Sanctioning Reference Points in the Imposition of Discipline
    Leslie Knachel, Administrator, Virginia

    2:00 - 3:00
    Ethical Considerations in the Age of Social Media
    Brian O’Riordan, Registrar, CASLPO
    Carol Bock, Deputy Registrar, CASLPO

    3:00 - 3:15 BREAK

    3:15 - 4:45
    State Information Exchange
    Doreen Oyadomari, Facilitator - SLP, Alabama
    A state representative should come prepared to speak for 5-10 minutes on successes and challenges in the respective state.


     
    Saturday, October 13

    8:30 - 9:30
    State Information Exchange: Lessons Learned
    Amy Goldman, Facilitator - SLP, PA

    9:30 - 10:15
    Update on SLP Certification Standards and the Audiology Praxis Examination
    Judith Page, Chair, ASHA’s CFCC
    George Purvis, Facilitator - AUD, KY

    10:15 - 10:30  BREAK

    10:30 - 12:00
    OPEN FORUM ON HOT TOPICS
    Gregg Givens, Facilitator - AUD, NC

    Ethical Considerations in the Internet Sale of Hearing Aids
    Therese Walden, AAA Past President

    Regulation of Assistants: What You Need to Know
    Susan Adams, J.D., ASHA Director of State Legislative and Regulatory Advocacy

    Intergenerational Perspectives on Ethics
    Lawrence Molt - AUD/SLP, Alabama

     

     

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    2012 Fall Conference Venue

    Williamsburg Woodlands Hotel
    105 Visitor Center Drive
    Williamsburg, VA 23185
    (757) 253-2277, (800) 447-8679

    Room Rates:
    Standard room, single or double occupancy, $114.00
    Suite, $144.00

    Taxes are 10% plus $2.00 per night occupancy tax. 

    The special guest room rates will apply 3 days before and after the dates of the conference.

    Complimentary Breakfast: A complimentary continental breakfast is offered daily in the main lobby of the hotel.

    Reservations: Individual reservations must be made on or before Monday, September 10, 2012, by calling 800-261-9530 between the hours of 8:30 am to 5:00 pm EST, Monday through Friday.  There is no charge for self parking.

    You must provide the NCSB group name in order to obtain the group rates.

    Check-in time is after 4:00 pm and check-out time is 11:00 am.

    Airports:
    Newport News - 20 minutes
    Richmond - 45 minutes
    Norfolk - 50 minutes

    Ground Transportation: Please note that prices quoted below are estimates and are subject to change and current prices should be requested when making reservations.

    • Tidwater Coach (www.tidewatercoach.com)
      Order online or call (757) 218-9539 At least one day notice required.  More notice is better.
      Newport News Airport $35 single/$45 couple
      Richmond/Norfolk Airports - $75 single/$90 couple
       
    • James River Transportation (www.jamesrivertrans.com)
      Reservations made online or call (866) 823-4626.  Walk up airport shuttle is available at Norfolk Airport booth.
      Richmond/Norfolk Airports - $104.50 per person
      Group rates with a minimum of 4 passengers are available.
       
    • Marrow Transportation, LLC (www.marrowtransit.com)
      Call for reservations at (757) 564-5466
      Provides chauffeured limo service to all area airports

    Hotel Location:
    105 Visitor Center Drive
    Williamsburg, Virginia 23185
    757-253-2277
    1-800-HISTORY

    Hotel Description:  Set near a pine grove adjacent to Colonial Williamsburg’s Visitor Center, Williamsburg Woodlands Hotel & Suites is a family haven with recreational choices including miniature golf, shuffleboard, table tennis, bike rentals, and swimming. Plus, a continental breakfast buffet is included in the room rate. Walk or shuttle to the Historic Area.

    Suites offer a lounging room with queen sofa bed, desk, and a convenience counter with small refrigerator, microwave, sink, and coffeemaker plus a separate master bedroom with a king-size bed and second TV. Standard Rooms feature two full-size beds, a sitting area with desk, and a comfortable lounge chair (convertible to a single bed).

    Convenient, on-site laundry facilities include coin-operated machines and same-day valet service (for requests made by 9 a.m.).

     

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    WHAT SPEECH-LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS NEED TO KNOW ABOUT THE DATA BANKS

    BY DONALD ILLICH, DIANE ERLANDSON, AND JIAYING HUA

    As of March 1, 2010, Section 1921 of the Social Security Act authorized the expansion of the National Practitioner Data Bank (NPDB) to include the reporting of any negative state licensing actions and findings on all health care practitioners, not just physicians and dentists. Section 1921 also extended the reporting of such actions and findings against health care practitioners to peer review organizations and private accreditation organizations. These reports, referred to as Adverse Action Reports (AARs), and reports on medical malpractice payments (MMPRs) are available to hospitals, licensing boards and other health care organizations for the purpose of credentialing and making decisions about employment, privileging, and licensing. An additional Data Bank, the Healthcare Integrity and Protection Data Bank (HIPDB), is a national data collection program for reporting and disclosure of certain final adverse actions taken against health care practitioners, providers, and suppliers.

    This article explains how Section 1921 impacts speech-language pathologists and audiologists. It discusses overarching reporting and querying requirements of the Data Banks and presents data on AARs and MMPRs regarding speech-language pathologists (SLPs) and audiologists.

    The Data Banks
    The three laws governing the NPDB and the HIPDB are:

    1. The Health Care Quality Improvement Act of 1986 (HCQIA), as amended;
    2. Section 5(b) of the Medicare and Medicaid Patient and Program Protection Act of 1987, Public Law 100-93, (Section 1921 of the Social Security Act, as amended), and
    3. Section 221(a) of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, (Section 1128E of the Social Security Act, as amended).

    Section 5(b) of the Medicare and Medicaid Patient and Program Protection Act of 1987, Public Law 100-93, (Section 1921 of the Social Security Act, as amended), and Section 221(a) of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, (Section 1128E of the Social Security Act, as amended).

    The NPDB
    The NPDB was established under HCQIA, as amended; it is an information clearinghouse that collects and releases information related to the professional competence and conduct of physicians, dentists, and other health care practitioners. In 1987 Congress passed Public Law 100-93, Section 5 of the Medicare and Medicaid Patient and Program Protection Act of 1987 (Section 1921 of the Social Security Act), authorizing the Government to collect information concerning sanctions taken by State licensing authorities against all health care practitioners and entities. Congress later amended Section 1921 with the Omnibus Budget Reconciliation Act of 1990, Public Law 101-508, to add "any negative action or finding by such authority, organization, or entity regarding the practitioner or entity. The NPDB is responsible for implementing this act.

    The U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), Bureau of Health Professions (BHPr), Division of Practitioner Data Banks (DPDB) administers the NPDB, which was implemented for both reporting and querying on September 1, 1990. The NPDB aims to restrict unprofessional or incompetent practitioners from moving across state lines to prevent disclosure or discovery of previous damaging or incompetent performance. The intent of Section 1921 of the Social Security Act (SSA) is to protect beneficiaries participating in the health care programs authorized under the SSA from unfit health care practitioners and to improve the anti-fraud provisions of these programs.

    Who Reports to the NPDB and What Is Reported?
    Under Section 1921, state licensing and certification agencies, hospitals and other health care organizations, health plans, professional societies with formal peer review, the HHS Office of Inspector General, peer review organizations, private accreditation organizations, and the Drug Enforcement Administration (DEA) are all required to report certain adverse actions to the NPDB. These adverse actions include:

    • licensure actions,
    • clinical privileges actions,
    • professional society actions,
    • exclusions/debarments, or
    • other negative actions or findings.

    Other negative actions or findings include any negative action or finding that is publicly available information under state law and is rendered by a licensing or certification authority, such as limitations on the scope of practice, liquidations, injunctions and forfeitures.

    Adjudicated actions or decisions against health care practitioners, providers, and suppliers must be reported by federal and state government agencies and health plans. Other adjudicated actions or decisions are formal or official actions that include the availability of a due process mechanism and are based on acts or omissions that affect or could affect the payment, provision, or delivery of a health care item or service. An example includes a personnel-related action such as a contract termination or reductions in grade for cause.

    QUERYING: WHO CAN QUERY THE DATA BANKS?
    Certain entities can query the NPDB. State licensing boards may query the NPDB. Additionally, hospitals are required by law to query the NPDB:

    • When a physician, dentist, or other health care practitioner applies for a position on a hospital’s medical staff (courtesy or otherwise) or for clinical privileges at the hospital;
    • Every 2 years (biennially) on all physicians, dentists, and other health care practitioners who are on the hospital’s medical staff (courtesy or otherwise) or who hold clinical privileges; and
    • When a practitioner wishes to add to or expand existing privileges and when a practitioner submits an application for temporary privileges.

    Under Section 1921, hospitals’ human resource departments and recruitment offices now have access to the NPDB. This information is valuable to human resource departments and nurse recruitment offices when performing pre-employment background checks and making hiring decisions.

    Authorized health care organizations, including professional societies, may request information from the NPDB when entering into an employment or affiliation relationship with a health care practitioner or in conjunction with peer review activities. Authorization to query requires that these organizations be engaged in a formal peer review process.

    Some state and federal agencies and health plans may only query NPDB reports submitted under Section 1921. These agencies include State Medicaid Fraud Control Units, the U.S. Comptroller, law enforcement officials, agencies or contractors administering Federal health care programs, state boards that license entities, state agencies administering state health care programs, health maintenance organizations and other health plans.

    Plaintiffs’ attorneys or plaintiffs that represent themselves may query the NPDB in rare circumstances. Information about individual practitioners is not available to the general public, and medical malpractice insurers do not have access to information in the Data Banks. Researchers can access a public use file that offers aggregated, de-identified data from the NPDB.

    Recently, the Division of Practitioner Data Banks has expanded its research offerings to include additional data analysis and output capabilities. These tools include a map-based reporting tool and a data analysis tool that facilitates independent analysis of the more than 800,000 reports contained in the NPDB. Located on the Data Bank’s website, the new statistical application permits users to perform specific data analyses and create their own customized data tables.

    As well as NPDB queriers, there are specific HIPDB queriers. Health plans, federal or state government agencies, including prosecutors and investigators, may query the HIPDB to further investigations of practitioners, providers, and suppliers. They may also query when credentialing, licensing, or certifying practitioners, providers, or suppliers. Authorized entities are not required to query the HIPDB.

    All health care practitioners and entities may self-query the Data Banks for a small fee, and at any time.

    NPDB and HIPDB Merger
    On February 15, 2012, HRSA published the Notice of Proposed Rule Making (NPRM) in the Federal Register to implement Section 6403 of the Affordable Care Act of 2010. The purpose of Section 6403 is to eliminate duplicative data reporting and access requirements between the NPDB and HIPDB, and to streamline Data Banks operations. At the close of the public comment period on April 16, 2012, 11 submissions had been received. HRSA is reviewing those comments and will address them in the Final Rule.

    Section 6403 requires the Secretary of HHS to establish a transition period to transfer all data in the HIPDB to the NPDB and, once completed, to cease HIPDB operations. Information previously collected and disclosed through the HIPDB will then be collected and disclosed through the NPDB. The statute's intent is to transition HIPDB operations to the NPDB while maintaining reporting and querying requirements.

    The Division of Practitioner Data Banks will be revising and consolidating the NPDB and HIPDB Guidebooks into one that reflects the changes mandated by Section 6403 and the Final Rule.

    Reports in the Data Bank
    Between September 1, 1990 and December 31, 2011, 863,355 reports were filed on 486,499 practitioners of all types in the NPDB. About 43 percent were for malpractice payments (N=367,851), 49.1 percent for licensure actions (N=423,519), and 5.9 percent for Medicare and Medicaid exclusions (N=50,603). The remaining 2.4 percent were for clinical privileges/panel membership, professional society membership, and DEA actions.

    As of December 31, 2011, cumulatively, there were 512,742 reports in the HIPDB, representing 292,030 individual practitioners of all types. About 79 percent (N= 402,965) of the reports were based on state licensure actions, and 15.1 percent were based on Federal and state health care program exclusion actions (77,375). The remaining 6.3 percent of the reports comprised health care-related judgments or convictions, government administrative actions, and health plan actions (e.g., contract terminations).

    The following two tables show that some audiologists and speech-language pathologists have multiple reports in the NPDB or HIPDB.Some have reports in both Data Banks.Additionally, the tables show the data as of the end of the years of 2009 and 2011, clearly comparing the difference between reporting prior to and following implementation of Section 1921.


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    AUDIOLOGISTS WITH NUMBERS OF REPORTS

    by Data Bank Type, December 31, 2009 and December 31, 2011

    Audiologists and speech-language pathologists interested in learning more about the NPDB and HIPDB should visit www.npdb-hipdb.hrsa.gov.  The site includes interactive training on reporting to the Data Banks; information about the public use file; research data analysis tools that allows users to perform specific data analyses and create their own customized data tables; data on reports, including NPDB and HIPDB reports submitted by state agencies and health plans (under Statistical Information, Data by Profession and state); annual reports; information on Continuous Query; and instructions for reporting and querying. For specific questions, please contact the Customer Service Center at 1-800-767-6732.

    Number of Adverse Action and Medical Malpractice Reports by Practitioner Type

    Click to Enlarge

    Click to Enlarge

    NPDB1 Reasons for Adverse Action Reports (AARs) by Practitioner Type

    Click to Enlarge

    The following tables show the fifteen most frequently reported reasons or bases for actions reported to the NPDB and HIPDB for audiologists and speech-language pathologists.

    Speech-Language Pathologists With Number of Reports
    by Data Bank Type
    December 31, 2009 and December 31, 2011

    Click to Enlarge

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    2012 FALL CONFERENCE REGISTRATION

    For registration information, click here.


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    NCSB BOARD OF DIRECTORS

    Click here to view the 2012 Board of Directors


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  • 01 Oct 2011 11:04 AM | Anonymous

    Fall 2011

    PRESIDENT'S MESSAGE

    By: Virginia Berry

    "2011 CONFERENCE AND LAS VEGAS: THE MATCH YOU CAN BET ON"

    As the 2011 NCSB President-Elect and Conference Chair, I want to personally invite everyone to the 24th Annual Conference in Las Vegas, Nevada to be held at Bally's Resort and Casino, October 13 – 15, 2011. As can be seen from the Conference details included in this newsletter, this year's Pre-Conference and Conference are both filled with topics significant to each state's licensure issues and regulatory concerns. This year's Conference offers both great informational sessions as well as wonderful opportunities for outstanding dining and entertainment experiences.
    You will be tempted and delighted by the array of exciting dining opportunities offered by our host hotel, Bally's Resort and Casino, as well as its sister property, Paris Hotel, which is adjacent to Bally's and connected by a hallway between the two resorts. Enjoy a wide variety of delicious dining choices ranging from Thai, a traditional Las Vegas steakhouse, sushi, freshly baked French pastries, an elegant French meal in the Eiffel Tower, crepes or lunch in an authentic sidewalk French bistro. Information on each restaurant in both Bally's and the Paris Hotel will be included in your Conference packets.

    In addition to great dining choices, Las Vegas has well earned its title as the entertainment capital of the country. You can enjoy a wide array of outstanding entertainment ranging from the Blue Man Group, Cirque du Soleil, Penn and Teller, Lion King, David Copperfield, Criss Angel, Jersey Boys and even Elton John. Also, you can participate in a live version of the Price is Right, an event held in the host hotel. Maybe you will be lucky and hear the magic words "Come on down"!!!

    Las Vegas has definitely been transformed into a family getaway. Take advantage of the incredible NCSB room rate of $105/ night at Bally's Resort and Casino. Bring the family and extend your stay for a few days before the Conference or after. Enjoy the huge roller coaster at the New York, New York Hotel, ride to the top of the Eiffel Tower, take a gondola ride at the Venetian Hotel or be overwhelmed by the lighted fountain show at the Bellagio Hotel (this is a must see at night!!).

    The 2011 NCSB Annual Conference promises to be one of the best we've had. It will be the perfect mixture of great informational sessions as well as unforgettable dining, entertainment and fun. I look forward to seeing everyone in Las Vegas. You can bet on the fact that this is one Conference you won't want to miss!!!
     

     

    INSIDE THIS ISSUE

    NCSB 24th Annual Conference Program - see below

    2010 Corporate Meeting Minutes

    License Portability

    NCSB Poster Session at ASHA

    Site for 25th Annual NCSB Conference

    Proposed Bylaws Revisions

     

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    NCSB 24TH ANNUAL CONFERENCE

    October 13 - 15, 2011 - Las Vegas, Nevada

    Registration brochures announcing the 24th annual NCSB Conference have been mailed. If you or your state board did not receive one of the brochures, the registration form and hotel information are included in this newsletter. As in past years, a pre-conference workshop on Training for Board Members will be held on Thursday, October 13, 2011, and the one and one-half day conference will follow on October 14 and 15. NCSB invites boards to participate in both the board training and the conference. Following is a synopsis of the pre-conference activity and the conference.

    Thursday, October 13, Pre-Conference Workshop - Training for Board Members

    8:00 - 8:30
    Overview and Reference Manual Review
    Glenn M. Waguespack, AUD, Louisiana

    8:30 - 9:45
    Statutory Authority
    Ayn Stehr, Board Attorney, Louisiana

    9:45 - 10:00
    BREAK

    10:00 - 11:30
    Statutory Authority (Continued)

    11:30 - 12:45
    LUNCH

    12:45 - 2:15
    Mock Disciplinary Hearing
    Hearing Panel - Audience Members

    2:15 - 2:30
    Credentialing:  A Comparison of National Certification and Licensure -

    2:30 - 2:45
    BREAK

    2:45 - 5:00
    Complaints and Consent Orders Board Dilemmas and Ethics - Waguespack

    Friday, October 14

    8:00 - 8:45
    REGISTRATION

    8:45 - 9:00
    Welcome and Introductory Remarks
    Lawrence Molt, NCSB President
    Virginia Berry, NCSB President-Elect
    Susan Lloyd, AUD, Nevada
    Lorraine Pokorski, Administrator, Nevada

    9:00 - 10:30
    KEYNOTE SPEAKER – Lee Reeves, DVM
    Perspectives of a Consumer Member

    10:30 - 10:45
    BREAK

    10:45 - 11:30
    Open Forum on Consumer Involvement and Your Board
    Facilitator:  Amy Goldman, SLP, Pennsylvania

    11:30 – 1:00
    LUNCH and CORPORATE BUSINESS MEETING

    1:00 - 2:15
    ASHA's Revised Model Bill and Its Potential Impact on Regulatory Boards
    Discussion Leaders:
    Lawrence Molt, AUD, Alabama
    Glenn Waguesapck, AUD, Louisiana

    2:15 – 3:00
    Restrictions on SLP Scope of Practice Related to Instrumental Assessments
    Robert Arnold, SLP, Alabama
    Margaret Hemm, SLP, Alabama

    3:00 – 3:15
    BREAK

    3:15 – 4:45
    State Information Exchange
    Facilitator:  Gregg Givens, AUD, North Carolina
    A state representative should come prepared to speak for 5-10 minutes on successes and challenges in the respective state.
     
    Saturday, October 15

    8:30 – 9:45
    Regulatory Boards and the Economic Crisis
    Doreen Oyadomari, Moderatora – SLP, AL
    Sandra Capps, Administrator, North Carolina
    Emily Efferson, Administrator, Louisiana
    Lorraine Pokorski, Administrator, Nevada

    9:45 - 10:30
    Proposed Revisions to the SLP Certification Standards
    Earl Seaver, Chair, ASHA's CFCC

    10:30 - 10:45
    BREAK

    10:45 – 11:45
    HOT TOPIC UPDATES, select 2
    Discipline – Nahale Kalfas, J.D., NC

    Licensing the International Graduate
    Lisa O'Connor, SLP, California

    Telepractice – Gregg Givens, AUD, NC
    Universal Licensure
    Timothy Weise – SLP, Michigan

    11:30 - 12:00
    Implications for Future Directions
    Lawrence Molt and Virginia Berry

    For additional conference information and registration, visit http://www.ncsb.info/conference

     

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    2010 Corporate Meeting Minutes

    National Council of State Boards of Examiners for Speech-Language Pathology and Audiology Corporate Meeting

    October 15, 2010
    Hilton Santa Fe Historic Plaza
    Santa Fe, New Mexico

    The meeting was called to order by President Lisa O'Connor.

    Approval of Minutes
    Motion: To approve the minutes of the September 11, 2009 Corporate Meeting.
    Glenn Waguespack
    Second: Steve Harris
    Passed

    Financial Report
    Income through October 2 was reported in the amount of $30,460. Expenses total $10,569.
    Motion: To approve the 2011 budget as presented.
    Kenneth Gist
    Second: Larry Molt
    Passed
    It was noted that a zero balance has been budgeted.

    2010 Conference Report
    There are 54 participants registered for the conference representing 19 states, DC and Ontario, Canada.

    Newsletter
    A copy of NCSB's most recent newsletter is included in each participant's conference folder. It was noted that NCSB publishes two newsletters per year.

    ASHA 2010 Poster Session
    Participants were directed to the flyer in the conference folder announcing the poster session scheduled for Friday, November 19 from 10:00-11:30 entitled Professional Licensure: Forging the Way for Consumer Protection.

    NCSB Website
    http://www.ncsb.info is the URL for NCSB's website.

    Directory Update
    States were requested to check the directory at the registration desk and note any needed changes. The directory is mailed to member states.

    Elections
    The results of the election for 2011 were announced as follows:
    President Elect - Virginia Berry
    Members of the Board of Directors:
    Gregg Givens
    Doreen Oyadomari
    Glenn Waguespack

    Strategic Plan:
    Updates to the strategic plan were provided by President O'Connor. It was announced that the Board of Directors would continue discussion at tomorrow's Board of Directors meeting. The three-year plan is in its second year of implementation. Many of the strategies identified to address primary goals have been accomplished. The following goals will continue to be addressed:

    • Increased communications with all state boards regarding issues NCSB is addressing and actions planned or recommended.
    • Increased membership in NCSB. It was noted that there are currently 26 member states.
    • Being THE RESOURCE in regulatory and licensure issues.
    • Increased revenues for NCSB through increased membership, sponsorship for conference events, and advertisements on the web site and in the newsletter.

    24th Annual Conference
    It was announced that the 2011 conference will be held October 13-15 at Bally's in Las Vegas, Nevada. The room rate will be $105.00 nightly.

    Honors of the Council
    Cheryl Sancibrian, a former member of the Texas licensure board whose terms included four years as Chair, was presented with NCSB Honors. Mrs. Sancibrian was commended for her role in regulation of the professions in the state of Texas through increased communication, development of pamphlets and articles including one on Rules and Regulations governing Speech-Language Pathology Assistants, presentations to special education directors, schools of education, TSHA and other groups. It was also noted that she is currently chairing the Task Force for Sunset Review in Texas.

    By-Laws Revision
    To approve the revisions to the by-laws as presented.
    Virginia Berry
    Second: Amy Goldman
    Motion: Passed

    The gavel was passed to incoming President, Larry Molt. President O'Connor was thanked for her outstanding work as President for the past two years.
    The meeting was then adjourned.

     

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    License Portability

    With an expanding scope of practice in speech-language pathology and audiology and with an increased need to provide assistance to underserved populations has come the need to explore alternative modes of service delivery. Advances in technology have paved the way for delivery of services through telepractice, and many professions are exploring options for provision of services through this means. Since licensure is a critical issue in telepractice, NCSB has been invited to join with other groups to discuss areas of commonality and areas of differences. Greg Givens, an NCSB Board member with considerable experience in telepractice, has agreed to participate in discussions with these groups. Following is his report from the initial meeting.

    LICENSE PORTABILITY: IS IT POSSIBLE?
    Gregg D. Givens

    During the past few months, a small group has met to discuss license portability. The first meeting was held on May 1 at the Annual meeting of the American Telemedicine Association in Tampa Florida. This meeting included representatives from the ATA Telerehabilitation Work Group for License Portability. The professions of Occupational Therapy, Physical Therapy, Speech-Language Pathology and Audiology were represented. Desired outcomes of the committee's activities are to identify processes and /or facilitate the creation of the three enablers for licensure portability:

    1. Uniform core licensure requirements;
    2. Common/Uniform licensure application;
    3. Credential verification organization.

    Individuals at the meeting included; NBCOT representative/AOTA representative/Jana Cason (ATA Telerehab SIG Facilitator); NCSB representative/Gregg Givens; ASHA representative/Ellen Cohn (ATA Telerehab SIG Facilitator; and FSBPT representative/APTA representative/Alan Lee (ATA Telerehab SIG Facilitator).

    The May meeting was followed up with two phone conference calls. The first discussion centered on key enablers necessary for the implementation of most licensure portability models. The NBCOT already has many of the enablers in place such as a standardized license application and uniform core licensure requirements The NBCOT acts as the credential verification organization for Occupational Therapy as well as tracks disciplinary action on a national level. During the conversation there appeared to be a strong consensus that having ease of uniformity and credentialing would allow state boards to use their resources for more pragmatic administrative purposes such as pursuing investigative/disciplinary items.

    The second phone conference was centered on the universal licensure application developed by the Federal Association of Regulatory Boards (FARB). FARB, for those not familiar, is a non-profit corporation formed in 1974 for the [protection of the public consumer. This universal application has not been accepted by most Boards in the Speech-Language and audiology professions however.

    As one can see the topic of a universal application, much less licensure, remains one of differing opinions. However, in my opinion these are issues that deserve a continuing dialogue at our state and national meeting. The advent of telepractice and international practice further amplifies the need for such discussion. Reports on this continuing discussion and all follow-up meetings will be provided to state licensing boards in speech-language pathology and audiology.

     

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    NCSB to Present Poster Session at ASHA

    A poster session (#8074 Poster Board 41), entitled "Professional Licensure: Coast to Coast" will be presented at the ASHA Convention in San Diego Thursday, November 17, 2011 from 1:30-3:00. The poster session will utilize maps to depict characteristics of state licensure, including hearing aid dispensing, the doctoral entry level, support personnel, exemption-free licensure, and continuing education. NCSB invites all those interested in regulation to attend the poster session and examine similarities and differences in licensure from state to state.

     

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    Site Selected for the 2012 "25th" Annual NCSB Conference

    Make plans to attend the 25th Annual Conference to be held October 11-13, 2012 in Colonial Williamsburg. The conference hotel will be the Williamsburg Woodlands. Details will be posted to the web site as they become available.

     

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    Watch for Proposed Bylaws Revisions

    At it conference in Santa Fe in 2010, NCSB presented a number of proposed revisions to the bylaws that were approved at the Corporate Meeting by the member boards in attendance. Unfortunately, the copy presented for voting was not the final copy; rather, a draft of earlier bylaws changes was inadvertently submitted as the final version. In order to clarify the matter, an electronic copy of both the "newly proposed" and the "recently adopted" bylaws will be sent to member boards for review. A hard copy of these documents will be available at the Corporate Meeting in Las Vegas.

     

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  • 01 Apr 2011 11:03 AM | Anonymous
    Spring 2011

    PRESIDENT'S MESSAGE

    By: Lawrence Molt, President

    "May you live in interesting times" is an old Chinese proverb (some call it a curse) that truly fits the last few years for NCSB. The Council has experienced a number of significant changes, and I would like to take this opportunity to update our members on some of the most recent changes.

    NCSB Operations/Management
    First and foremost in the changes is the move to utilizing a management company to conduct the day-to-day operations of the Council. For more than two decades, the operation of NCSB was generously conducted by Ken Gist. With Ken as Executive Director, Ken's home served as the Council's mailing address and operations center, and his phone was the council's phone. He was authorized by the Board to deduct a monthly stipend for his largess, but rarely did. Ken was aware of the economic fragility of the Board, and he gave his time and his home freely, charging only the expenses he encountered, such as postage and duplication costs. Two years ago, Ken determined that he would no longer function as the Executive Director, and the Board has been exploring options for keeping NCSB functioning. As a volunteer-run professional association with limited income, it was difficult having to consider the use of a management firm to operate the association, but there were no other viable options on a consistent/long term basis.

    A number of management firms with experience in association management were contacted for bids, and in December of 2010, the Board accepted the bid from Prime Management Services of Birmingham (AL). The new mailing address for NCSB will be 3416 Primm Lane, Birmingham, AL 35216. The phone number is (205) 823-6106, and the fax number is (205) 824-7700. When faxing, be sure to indicate that the material is for NCSB. Email address is ncsb@primemanagement.net.  Thus far, the transition has been seamless, and other than the new address and phone number, member boards should notice no other changes in the operation of NCSB.

    NCSB Website
    For the last few years, audiology Online has generously hosted the NCSB website and has provided some website assistance to Dr. Doreen Oyadomari, the webmaster. In December we were notified that the Council would incur substantial costs for the continuation of this service. Robert Ranieri from Prime Management assisted in locating a website specializing in services for not-for-profits, clubs, and associations, and with input from the Board, designed a new website. The site will offer additional services for members, including a password protected members area and the option of paying online via Pay Pal for Council membership, products, and conferences. The url remains unchanged: http://www.ncsb.info.  

    Past and Future Conferences
    The 2010 NCSB Board Training and Conference in October 2010 at the Hilton Santa Fe was blessed with beautiful fall weather, breathtaking environs, and an outstanding group of presenters and attendees. This year's conference is expected to be even better, so please save the dates of October 13-15, 2011. The conference will be held at Bally's Las Vegas Casino Resort in Las Vegas, and the NCSB Board of Directors looks forward to seeing all of you. And don't worry about the location—even though what happens in Vegas stays in Vegas, we have received authorization for attendees to take home a great deal of useful conference information. See you in Vegas in October.

     

    INSIDE THIS ISSUE

    2010 FALL NCSB CONFERENCE

    SPICING UP YOUR PRACTICE ACT: KEY INGREDIENTS FOR IMPROVED REGULATION

    The twenty-third annual NCSB conference "Spicing Up Your Practice Act: Key Ingredients for Improved Regulation", was held in Santa Fe October 14-16, 2010. The meeting began with the pre-conference Board Member Training (see details elsewhere in this newsletter). The conference included sessions on the legislative analysis of practice acts, discipline, equivalency and reciprocity, scope of practice, governance over unlicensed practice, the legal aspects of regulation, telepractice, audiology support personnel, distance continuing education, emergency preparedness, and impaired practitioners.
    Highlights of the conference included:

    • Matthew Beam, J.D. began with a keynote address describing how to identify and analyze key issues in state statutes. His presentation focused on the powers and duties of boards, including the assessment of fines, the promulgation of rules, grounds for discipline, and the application process.
       
    • Breakout groups on the topics of discipline, equivalency and reciprocity, scope of practice, and governance over unlicensed practice were led by Doreen Oyadomari (AL), Gregg givens (NC), Glenn Waguespack (LA), and Larry Molt (AL), respectively. The breakout groups, designated as various peppers in honor of the host city, covered the key strengths and weaknesses in laws and rules and explored the development of legislative or rulemaking solutions for each of the identified areas. Group moderators then reported findings to the entire audience.
       
    • An attorney panel, composed of Matthew Beam (AL), Nahale Kalfas (NC), and Ayn Stehr (LA), discussed hot topics affecting the professions by addressing some of the legal aspects of regulation. Common areas of concern included discipline, telepractice, deliberation strategies, prosecution issues, unlicensed practice, patient protection and the national data bank, public record, unprofessional conduct, and inactive licensure status.
       
    • The first day concluded with the State Information Exchange where states represented at the conference discussed successes and challenges experienced by their respective boards. (See details of the state information exchange elsewhere in this publication.
       
    • Saturday morning began with a discussion of telepractice and its current use as a means of alternative service delivery. Some of the obstacles and legal issues involved were outlined by Greg Givens (NC) and Nahale Kalfas (NC). Suggestions for successful implementation of telepractice language were discussed, as were mandates imposed on insurance companies for coverage of services delivered through telepractice.
       
    • Sheryl Sancibrian (TX) focused her presentation on how licensure boards can work with professional associations to protect the public. She drew upon her experiences with the licensure board and the state association in Texas as the licensure board prepares for its sunset review.
       
    • A plenary session devoted to hot topics in licensure completed the morning discussion. Glenn Waguespack (LA) provided an update on the utilization of audiology support personnel, including definitions and scope of practice guidelines. Lisa O'Connor (CA) discussed the challenges associated with distance continuing education and provided some delineation between online interactive and live seminar presentations. Amy Goldman (PA) made boards aware of the need to implement emergency preparedness guidelines as a means of continuing to protect the public, with special emphasis on the need to include provisions in enabling statutes. Theresa Rodgers (LA) outlined the components of an impaired practitioner program and provided an update on how the impaired practitioner program has been implemented and utilized in Louisiana.

    PRE-CONFERENCE WORKSHOP PROVIDES BOARD MEMBER TRAINING

    The annual pre-conference workshop on October 14, 2010, focused on all aspects of board service. Ayn Stehr, a board attorney with a background in administrative law, discussed statutory authority, including the rulemaking process and the disciplinary process. Follow that presentation was a mock disciplinary hearing that delineated the entire process from the initial letter of complaint to the testimony of witnesses to the imposition of sanctions for each of the violations. Members of the audience served as the hearing panel and participated in the questioning of witnesses, in the examination of the evidence, in deliberation of the testimony, and in the determination of appropriate sanctions. Ethical situations and dilemmas relating to the practice of speech-language pathology and audiology were then employed to guide attendees through the logical process of ethical decision-making and to provide them with an opportunity of receive and review complaints that might be brought before a regulatory board. Instruction was provided in drafting a consent order in response to complaints, as well as suggestions for coding in reporting of sanctions to the national practitioner data bank.

     

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    STATE INFORMATION EXCHANGE—2010 NCSB CONFERENCE

    Each year states are asked to report on successes and challenges experienced by their respective licensing boards during the past year. Attendees view the exchange as a popular networking experience and look forward to this portion of the program each year. Following is a synopsis of licensure activities reported during the 2010 conference.

    Alabama - A number of changes to the Practice Act were passed including a provision relative to telepractice. ABESPA is revising application forms and will provide additional forms for CF, 4th year, SLPA and Audiology Asst. and supervisors. Two new members of the Alabama board are in attendance at the NCSB conference. Have been researching information and methods for performance of criminal background checks and have discovered that these cannot be done through local law enforcement. The lowest price quoted so far is $50.00 per applicant and ABESPA is still looking for an agency to use for implementation of this.

    Arkansas - Revising law and rules and regulations to address doctoral degree requirement for audiology as well as development of provisions for telepractice. State budget meeting in October; following the meeting a senator called about options for using revenue in excess of expenses; senator suggested a scholarship.

    California - As of January 1, have merged with HAD. Audiologists must still take dispenser exam.Financial issues huge because HAD legal issues triple that of SLP and AUD but meetings going well. Lost 1 SLP and 1 Aud to make room for the HAD. Huge issues facing English language proficiency for international applicants. Agencies are recruiting from other countries and individuals are paying fees because they are assured of jobs. Looking at using TOEIC (by ETS). Legal counsel has said they can't just use the scores used by other entities. SLPs and AUDs would have to have field testing to establish pass score. SLPAs - 1240 - BA level individuals. Move to get teacher credentialing back to the BA level.

    Kentucky - In the process of updating forms and taking another look at revisions to law that did not meet with successful passage in legislature.

    Louisiana - In process of revising rules. Have gone through eight revisions since 1988. Developed Code of Ethics for Speech-Language Pathology Assistants which will be promulgated as part of rules revisions. Supervision issues common so adding an experience requirement for supervisors. Revised web site and data base management. Waived online renewal fee (state requires small handling fee for credit cards) and had significantly higher utilization of online renewal process.

    Michigan - 11th board member is ENT. Just seated. Need oversight to finalize rules. Would like to address telepractice but state wants medicine to do so first. International applicants - brought information provided by NCSB. Included TOEFL scores in their rules.

    Mississippi - In process of trying to develop telepractice guidelines and rules and regulations. Working with MSHA but effective next week, the state department of education will change credential to BA level practitioners. Would like to utilize guidelines for assistants but state dept. doesn't want to refer to them as assistants or associates. Want to call them "speech teachers". Due to shortages in the state.

    Montana - Have 158 aides. 90+ only have high school education. Looking at telepractice. Being brought up due to concerns from special ed administrators who would like to have services provided and supervision accomplished via telepractice. May be implemented on limited basis. Montana assoc of school administrators have attended board meetings and they have had good discussion. Using telecommunication for board meetings.

    Nebraska - Also teleconferencing. One person has to be in the board office. The names of the individuals and addresses have to be on the meeting notice and anyone wanting to attend can be at their physical site. HA fitter board doesn't want a merged board. SLPAs license requires bachelors degree and there are some who would like to be licensed on equivalency. Will be reviewing transcripts.

    North Carolina - Telepractice rule went into effect Sept. 1. Dept. of Public Instruction - recently filed injunction to stop use of the word license by the department. Hopeful that they will use NC license instead. Early interventionists and transdisciplinary model - watchful that others are not delivering SLP services. Watching use of assistants. HA Dispensing under audiology practice act - don't have but HA Dealers and Fitters Board led to AG's opinion that allows dispensing through single AUD license if have doc. Degree in aud. Not sure yet if Master's level audiologist can dispense without dual licensure.

    Ohio - Recently updated mission and vision statements. Renewed quarterly enewsletters. Adopted rules for real-time web based supervision, inactive licensure (ce for # years; more than 5 years - list of things to do left to board's discretion). Issues with caseloads in the schools. OTs and PTs have included SLP in research study to address caseloads in the schools. 2 of board members are SLPs in the schools. Telepractice issues. Unlicensed practice including advertising in audiology.

    Oklahoma - Rules promulgated to add licensure of SLPAs. Associate degree. Mirror ASHA guidelines. Becomes effective in 2012. A program in the works to offer the associate degree. To open next fall. Updated audiology standards. Changed requirements for supervisors of CFs and students. Require 3 years following the CF year. Have gone paperless. Have to use state's online service. Challenges: reviewing rules to correct inconsistencies, clarifying language, telepractice. 2012 Sunset. Rumored that state wants to combine small boards.

    Ontario - 600 auds, 3400 total with SLP. Online self-assessment tool for quality assurance. Strengthened national regulatory body. Recently published national infection control guidelines and competency guidelines. Newfoundland introduced legislation to regulate SLP and AUD, Nova Scotia soon to follow suit. 9 out of 10 provinces will then be in the reg. fold. Revising bylaws. Hosting major conference. Economy having a strong effect on hours worked by SLPs and hearing aid programs being subjected to strong gov. audit. Haven't had a fee increase for eight years so need to raise fees. Provincial election next year.

    Oregon - Legislature is expected to sweep cash balance unless fees reduced. Hiring half-time private investigator. Created smartform for documenting hours - calculates % of time being supervised to see if in compliance with the rule. Teacher standards commission had decided that they were no longer going to license SLPs which has resulted in an uproar. Working with OSHA to educate individuals about the process.

    Pennsylvania - State travel ban but pays registration on acceptable activities. Practice act is from 1984. Has not changed since then with exception of adding ce. Have been working on revisions to practice act for some time. Trying for universal licensure. 2-year legislative session ends in December. Grandfather provision with no end date in 1984 practice act. 4th board attorney in last year and a half. Now have consumer brochures/fact sheets on the web. Strategic planning will be done this year. 5 question survey about vacancies, intent to work in 5 years, and can compare to last year's baseline data.

    Virginia - 4 new board members. Regs undergoing a periodic review; required every 4 years. Looking at using proof of current CCC's in lieu of auditing CE. Board going green. Email notification of renewal. 96% of all licensees in the agency renew online (13 health related boards). Endoscopic procedures statement has been adjusted - have to have the appropriate training and the appropriate emergency response training. Will be meeting with physicians to further address. Sanction system - will help with consistency. Expiration phase of comprehensive licensure. DOE requires a master's level for endorsement in SLP. Fee decrease last year. State swept $640,000 from agency - about 10K from A/SLP Board. Insurance companies do have to pay for telepractice activities.

    West Virginia - Rules revision effective July 1. Revised continuing ed so anyone licensed within last 6 months don't have to have ce to renew and changed 5 hour max online ce, so changed to allow board or ASHA approved CE. In process of trying to get law changed. Hasn't been changed since 1992. Want to go to universal licensure. Challenge is so many different educational levels in the schools. 3rd period of on line renewals. Hope for 90% online. Email notification of renewals. Can go up to double the budgeted amount. Anything above that the state can take.

    Wisconsin - Opened law and the AUD is now the entry level for audiologists. Have worked on CE requirements. 20 hrs/2 years and will now require that 2 of those hours be related to ethics. Will be second state to require this. Services to students with autism - Wisconsin passed law re: insurance coverage for intensive and nonintensive services. Office of Insurance Commissioner opted to do the rules. Ten hours of supervised practice before being allowed to work with students with autism. Objected to fact that rules being made about SLP practice outside of SLP board and regulations. Rules about credential when SLP board had already done that. So rules now state must have DOL license as SLP. Included the things that don't have to be paid by insurance which is a positive - Auditory integration therapy/

    Washington, D.C. - 2008 - board assembled, 2 SLPs, 2 auds, 1 consumer member. Still looking for one more consumer member and ENT. SLP Regs passed last Sept. Still waiting on audiology regs to go through. Don't have a provisional license but looking at registering SLP supervisor. Telepractice on the radar and are drafting ce requirements. Criminal background checks coming. Over 200 SLPs and 60 AUDs.

     

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    NCSB PRESENTS POSTER SESSION AT ASHA

    A poster session entitled, "Professional Licensure: Forging the Way for Consumer Protection", was presented at the ASHA Convention in Philadelphia last November. The poster session utilized maps to depict characteristics of state licensure, including the areas of hearing aid dispensing, states requiring a doctoral degree for audiology licensure, support personnel, universal licensure, and continuing education. Handouts containing statistics for each of the areas, as well as web site addresses for all licensing boards, were distributed to those viewing the poster session. The session provided an opportunity for NCSB to network with those from other states and also provided some visibility for the association.

     

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    APPLICATIONS FOR BOARD MEMBERSHIP AND INDIVIDUAL MEMBERSHIP

    The mission of NCSB is to facilitate the role of licensure boards through communication and education. In keeping with the mission and the need for state boards to have a forum for networking, NCSB encourages all state licensing boards involved in the regulation of speech-language pathology and audiology to apply for membership in the Council. The application is for membership from January 1, 2011-December 31, 2011, and the application fee for state boards is $400.00. NCSB has membership for individuals who are or who have been a member or an executive officer of a unit responsible for licensing the practices. Dues for individual membership are $35.00 per year. Applications for membership should be mailed to:

        National Council of State Boards
        c/o Prime Management Services
        3416 Primm Lane
        Birmingham, AL 35216

        For further information contact Robert Ranieri at (205) 823-6106.

    Or you may join online

     

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    2011 NCSB CONFERENCE TO BE HELD IN LAS VEGAS

    Program planning is underway for the 2011 NCSB Conference to be held in Las Vegas from October 13-15, 2011. As in the past, Thursday, October 13 will be devoted to a full day of board training for all those involved in the regulatory arena. The conference will be held all day on Friday, October 14, and half a day on Saturday, October 15. The Board of Directors is currently involved in planning another interactive program that will focus on issues related to regulation of the professions of speech-language pathology and audiology. If you have particular areas of interest or know of individuals you might like to recommend as a speaker, contact one of the members of the Board.

    The conference will be held at Bally's Las Vegas Casino Resort, 3645 Las Vegas Blvd. South. Room rates are $105, single or double occupancy plus 12% tax. Additional persons will be charged $30 per person per night with a maximum of four persons per guest room. Cut-off date for reservations in the NCSB block is Monday, September 12, 2011. To make reservations, call the hotel at 1-800-358-8777 and indicate that you are with the NCSB group.

    Bally's Casino Resort is located in the middle of the Las Vegas Strip and has over 2000 spacious rooms. There are a number of restaurants within the hotel that operate around the clock. In addition, the facility boasts a piano bar, a tequila bar, a newly remodeled casino, and a spectacular stage production of "Jubilee".

    A preliminary conference flyer will be mailed in June, and the official registration form and completed program will be sent in late August.

     

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    NCSB YAHOO GROUP

    For several years NCSB has operated an online discussion group for those interested in regulatory issues in audiology and speech-language pathology via Yahoo Groups. The original group has now been replaced by a new group, ncsb2. The discussion group is a great resource for members to post questions, provide information on happenings in the state and/or association, and respond to questions or comments posted by others. Members of the original group will need to request to join the new group, as membership could not be automatically transferred. Use of the discussion group is open to everyone, including state board members, individual members, and other interested individuals. To subscribe, one must be a Yahoo member or join Yahoo (as a Yahoo Group, group members must have a Yahoo ID). You can access and join the discussion group at http://health.groups.yahoo.com/group/ncsb2/.

     

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    ASHA TO REVISE MODEL BILL

    The American Speech-Language-Hearing Association (ASHA) is currently in the process of revising its model bill, last revised in 2004. In consultation with professionals with experience in the licensing arena, the ASHA staff is updating the model bill to bring it into compliance with changes in the profession. Among the most significant changes will be the inclusion of language related to telepractice and provisions for the inclusion of endoscopy in laws and/or rules and regulations. Once revised, the model bill will be accessible on ASHA's website at http://www.asha.org/uploadedFiles/State-Licensure-Model-Bill.pdf.
     

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    GREG GIVENS ELECTED TO NCSB BOARD OF DIRECTORS

    Greg Givens, Ph.D. was recently elected to a three-year term on the NCSB Board of Directors. Greg, who is currently Professor and Chair of the Department of Communication Sciences and Disorders at East Carolina University, brings many years of licensure experience to NCSB. He is a past member and Chair of the NC licensure board and is also a Past President of NCSB. His primary research interest is in the area of telepractice, a topic that is currently on the agenda for many state regulatory boards. NCSB welcomes Greg back to the Board.

     

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    NCSB POSITION STATEMENT ON TELEPRACTICE

    Among the hot topics related to alternative methods of service delivery is the provision of speech-language pathology and audiology services through telepractice. Many states have developed statutory language and/or rules and regulations to address telepractice, and others are considering implementation of telepractice guidelines in their states. A number of years ago NCSB developed a position statement on telepractice that states may use as a guide in considering and formulating development of their own regulations. The text of that statement follows.

    National Council of State Boards of Examiners
    For Speech-Language Pathology and Audiology (NCSB)

    Position Statement on Telepractice

    State licensure boards have a legal, moral and ethical responsibility to protect consumers from unscrupulous and unqualified practitioners. Realizing that technology is advancing exponentially, it is incumbent upon regulatory boards to address the provision of services that transcend traditional service delivery models.

    The most rapidly emerging change in the provision of health care has been the evolution of telepractice. Designed initially to deliver health care at a distance, the use of telecommunication has evolved not only as an alternative method, but in some cases, as the primary mode of service delivery. Given that the professions of speech-language pathology and audiology have had long-standing regulations that prohibit service delivery solely by correspondence, regulatory boards have a renewed responsibility in the protection of the public, given the contemporary practice of the profession.

    One primary concern in the regulation of telepractice is who governs the services provided, i.e. the state where the provider resides or the state where the patient resides. With increased mobility of professionals, more intrastate as well as interstate services are being provided through electronic means, and state boards may want to consider the issuance of a temporary or restricted license to accommodate these practitioners. Other critical factors that may influence telepractice regulations include issues related to standards of care, including the qualifications and competency of the service provider.

    In the absence of statutory authority to govern telpractice, the potential exists for unlicensed practice, fraud, and ethical violations. It is the position of NCSB that states should protect their consumers by adopting statutory language relative to telepractice as suggested by the Federation of Associations of Regulatory Boards (FARB). Sample language is as follows:

    The provision of speech-language pathology or audiology services in this state,
    through telephonic, electronic or other means, regardless of the location of the
    speech-language pathologist or audiologist, shall constitute the practice of
    speech-language pathology or audiology and shall require licensure in this state.

    Although there is not a uniform practice act, and standards do vary from state to state, licensure boards nonetheless share the responsibility to protect consumers regardless of the mode of service delivery. The establishment of telepractice regulations will not only protect the consumer, but lessen previously existing barriers to health care.

     

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