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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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  • 01 Oct 2010 11:03 AM | Anonymous
     

    Fall 2010

    PRESIDENT’S MESSAGE
    By: Lisa Cabiale O’Connor

    MARK YOUR CALENDARS
    Fall Conference 2010- October 14th, 15th, and 16th - Santa Fe, New Mexico
    Plan to join us in Santa Fe, New Mexico, for the Fall NCSB Conference. Training for board members will be held as a day-long activity on October 14th, followed by the day and a half conference program. The program will feature presentations by professionals with experience in issues involving the legal aspects of regulatory matters, with a focus on how this topic impacts service delivery and the regulation of the professions. The program is designed to be interactive, and there will be several opportunities for participants to share questions and concerns and to network with members of other state boards. The ever- popular state information exchange is on the agenda, so come prepared to speak for about 5 minutes on the successes and challenges of regulating the professions in your state. Further details about the conference can be found on the web site at www.ncsb.info and elsewhere in this publication.

    We will again present Honors of NCSB, and our awardee this year is Sherry Sancibrian from Texas. We applaud Sherry’s significant contributions to her state licensing board that regulates the professions of speech-language pathology and audiology. Such contributions help to ensure protection of the public and protection of those who receive services from a speech language pathologist or audiologist.

    Strategic Planning - Looking to the Future
    The Board continues to engage in strategic planning activities. The Board met in late March in Santa Fe to continue our conversations re Strategic Planning Once again our goals for the next 2 years continue to include:

    • Increase communications with all State Boards regarding issues NCSB is addressing and actions they are or will be taking/recommending.
    • Increase membership in NCSB
    • Be THE RESOURCE in regulatory and licensure issues
    • Benchmark NCSB with other like organizations

    The Board is energized and enthusiastic about pursuing these goals. The intent is to secure the Council’s position as the "go to" organization for licensing and regulatory issues.

    INSIDE THIS ISSUE

    NCSB Poster Session at 2010 ASHA, Philadelphia

    NCSB will again have a presence in the Exhibit Hall during the ASHA national convention in November of this year. The poster session entitled, "Professional Licensure: Forging the Way for Consumer Protection", will create an awareness of both the Council and the significant impact licensure laws have on the professions and on the protection of consumers. The poster session will be on Friday November 19, 2010, from 10-11:30 AM in Hall C of the Convention Center. Plan to join us for networking and for an overview of licensing trends across the country.

    Join us for an exciting conference as we celebrate Fall in Santa Fe and experience all that this historic city has to offer!

    NCSB 23rd Annual Conference

    October 14-16, 2010
    Santa Fe, New Mexico

    "Spicing Up Your Practice Act: Key Ingredients for Improved Regulation"

    Registration brochures announcing the 23rd 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 14, 2010, and the one and one-half day conference will follow on October 15 and 16. 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 14, 2010
    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 violations and sanctions to the HIPDB.
    • Ethical situations and dilemmas will be utilized to provide experience in receiving, reviewing, and resolving complaints.
    • Reference manual containing characteristics of state licensure laws, samples of model legislation and state licensing laws, and examples of licensure board exams will be provided.

    Friday, October 15, 2010
    9:00 to 10:30 - KEYNOTE SPEAKER: Matthew Beam, J.D.
    Legislative Analysis: A Close Look at Practice Acts

    • Focused methodology for analysis of practice act components
    • Rulemaking solutions/improvements

    10:30 to 10:45 - Break

    10:45 to 11:30 - BREAKOUT GROUPS

    • Discipline - Moderator, Doreen Oyadomari (AL)
    • Equivalency and Reciprocity - Moderator, Gregg Givens (NC)
    • Scope of Practice - Moderator, Glenn Waguespack (LA)
    • Governance over Unlicensed Practice - Moderator, Larry Molt (AL)
    • Continued discussion of specific topics related to keynote address
    • Potential application of modifications to state statutes

    11:30 to 12:00 - SMALL GROUP REPORTS - Summary of decisions/plans from each breakout group topic

    12:00 to 1:30 - Lunch and Corporate Business Meeting

    1:30 to 3:00 - LEGAL ASPECTS OF REGULATION: HOT TOPICS AFFECTING AUDIOLOGISTS AND SLPs (Attorneys’ Panel)
    Moderator: Amy Goldman

    Matthew Beam, J.D. (AL), Nahale Kalfas, J.D. (NC), Ayn Stehr, J.D. (LA)

    • Discussion of unprofessional conduct and other regulatory terms from a legal perspective
    • Current legal issues impacting regulatory boards
    • Public record guidelines

    3:00 to 3:15 - Break

    3:15 to 4:45 - STATE INFORMATION EXCHANGE
    Facilitator: Virginia Berry

    • Update on revision of laws and/or rules and regulations
    • Successes and challenges from participating board representatives

    Saturday, October 16
    8:30 to 9:45 - PRACTICE WITHOUT BORDERS - Gregg Givens and Nahale Kalfas

    • Update on telepractice trends in the professions
    • Overcoming challenges to regulation of telepractice

    9:45 to 10:15 - LICENSURE BOARDS WORKING WITH PROFESSIONAL ASSOCIATIONS IN CONSUMER PROTECTION - Cheryl Sancibrian

    • Legislative issues impacting professionals and consumers
    • Examples of collaborative efforts

    10:15 to 10:30 - Break

    10:30 to 11:30 - PLENARY SESSION: HOT TOPICS IN REGULATION

    • Audiology Support Personnel - Glenn Waguespack, Facilitator
    • Distance Continuing Education: Advances and Challenges - Lisa O’Connor, Facilitator
    • Emergency Preparedness - Amy Goldman, Facilitator
    • Impaired Practitioners - Theresa Rodgers, Facilitator

    11:30 to 12:00 - IMPLICATIONS FOR FUTURE DIRECTIONS - Lisa O’Connor, Facilitator


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    NCSB LISTSERV

    NCSB provides a listserv for state board members and for individual members. The listserv is an excellent way to keep up with the latest issues related to licensure in the professions and to share your views with other professionals across the country. Subscribe to the NCSB Listserv.  Go to: http://groups.yahoo.com/group/ncsb2.


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    STATE INFORMATION EXCHANGE - 2009 NCSB CONFERENCE

    Each year states are asked to report on successes and challenges experienced by their respective licensing boards during the past year. The exchange has become a popular networking exercise, and due to space limitations, a summary of the 2009 State Information Exchange could not be included in the last newsletter. Following is a synopsis of licensure activities reported during the 2009 conference.

    Alabama - Sunset review in 2008 very comprehensive. Spent a month in Exec. Office (training new auditor). Strategic planning accomplished using OK’s strategic plan as a model. Did 5-year plan and identified 4 years to work on this year. Revising/updating rules. Revising complaint, investigation and resolution process. Explored application process/form - expanded form to include more questions. Would like to do background checks but issue of finding someone to do it. Working on telepractice provisions. Require 12 CE hours/year. Had a requirement that half had to be face-to-face. Have had complaints from licensees and have opened that back up so that all 12 can come from any type of source.

    Arkansas - Just graduated first class of AuD students. Will be revising rules and regs b/c still required CFY. New state law to require certain information. Have to report race, ethnicity, county, DOB, gender, where educated to state. Mandated to use private investigator for all complaints (except things like practicing after license expired). Hired former chair as their private investigator.

    California - Problems licensing AuD’s from out-of-state that were not from ASHA accredited programs. U.S. Dept. of Ed. 2010 - all initial applicants in audiology will have to have doctoral degree. Bill to allow dispensing only under the audiology license. Merged with the HAD board. Will have only 2 auds, 2 SLPs, 2 HAD, ENT, and 2 public members. Going to online renewal (for all allied health boards). CE for supervision has been required for assts for some time. Now require 6 hours of CE for RPE, 2 years every so many years for RPE, X hours every so many years for asst. supervision. Issue with licensing foreign educated applicant. Challenges with training support personnel. Considering telepractice guidelines. Trouble with unlicensed practice. Would like universal licensure but Commission on Teacher Credentialing which is autonomous has created a new credential called Communication Development. SLPS would work with clinically and medically related clients. Communication Development Person would do literacy and language activities. Going to Administrative Law office for approval.

    Florida - Challenge - 2008 session - Crystal Ear had language proposed to hearing protection law allowing for devices costing less than $30 to be sold over the counter at pharmacies, etc. Didn’t get added but will be monitored for 2010. Property taxes reduced but has affected state funds. Florida board which has been fiscally solvent and responsible was asked to reduce budget by 16% and have to reduce operations. Reduced number of meetings, and conference call for probable cause instead of a meeting. Surgeon general has to approve OOS travel. Would like to reduce renewal ($200 every two years) fee but given economic climate but probably won’t be able to do that.
    Kentucky - Success - did get AuD provision passed effective 2009. Went to two-year registration. Finishing up regs. Will be presented Sept. 15. No reciprocity. Questions from KY education board about Medicaid which really isn’t under purview of board. On-line registration has been helpful. Much info on website. Allow 10 hours/day (can’t do all required in 24 hour period) of on-line training.

    Louisiana - Going green. E-mailing newsletter. One hard copy/year. Not sending out renewal documents via mail. Can download or contact board for hard copy. Only 40% renew online. Want to improve that. Annual CE workshop notice/brochures will be e-mailed and posted on web site. Website and database redesign. Legislature issues - HB 256 to revise their practice act to be required to have a HAD license if you owned a business that dispensed hearing aids. Amended to exclude doctors and audiologists. Using Camtasia to post presentations to website. Problem - no consumer member for second year. Looking at requirements to be qualified as a supervisor. Will be working on Rules changes.

    Maryland - New board executive and new board members. Almost half the board is new. Took away the vote of the ENTs re: scope of practice for audiologists and SLPs. Several changes to rules including issues that the ENTs got involved in. Wording re: diagnosis for audiologists issue in rules revisions. Challenged by MAAA. SLPs and SLPAs in schools have to be licensed. Entry level audiologists must graduate from CAA or ACAE accredited institution program. Two year CEU is now on calendar basis January to December. Oral competency required - TOEFL or 60 credits taught in English. Mandated that HA devices bought through internet or ..must be purchased by licensed provider. Issue with HAD calling themselves audioprosthologist - can call themselves that but must also call themselves HA Dispensers along with audioprosthologist. Board sponsored free CE course in ethics.

    Michigan - After 40 years, Michigan passed licensure for SLP. Inaugural meeting in November for SLP. Legislation includes licensure for school-based personnel. Didn’t include assts. in legislation. Challenges - have to write rules and regulations. NCSB is the place to come for our board to obtain information and suggestions.

    Montana - Asked to merge with HADispensers Board. Reviewed information and determined it would not be favorable to the board. Cost of litigation would be extremely high and would put a burden on SLPs in the state in terms of the need to potentially raise fees to cover costs. Governor agreed to not have them merge. Challenges - Extensive travel required to provide supervision. Will be taking recommendation to consider supervision via telepractice to board. Attorney is requiring rules be written so citizens can understand. Administrative staff taking on additional boards.

    Nevada - Challenge is the need for a telepractice component. Rural areas underserved. Legislature didn’t pass requirement for Au.D. Will propose again in 2011 when legislature meets again. Brought law and rules and regs to share.

    North Carolina - Updated statute, new CE requirement which allows for AAA or ASHA PD cycle, included dysphagia and dispensing in scope of practice, raised clinical practicum requirement to 400, require the doctoral degree. Confusion with Dept. of Public Instruction license. People confuse different credentials. Individuals not timely renewing their license - have been sanctioning them. Regulation of assts. - supervision not being provided. Working on telepractice guidelines.

    North Dakota - Have very few complaints but when one is filed but makes it difficult to deal with because of limited terms of board members. Conference helpful in learning how to deal with complaints. Chose not to limit number of on-line hours for CE. Do not license assts but feel that is something board will need to consider. Doctoral degree will also need to be considered as a requirement. Use equivalency language to license students who have equivalent of a master’s in audiology. Get continued frequent requests for lists of licensees. Solicited the procedures utilized by other states.

    Oklahoma - Require doctoral degree for audiology license. Will look at conducting interview procedures with internationally educated applicants. Have been renewing online for three years. Just went live with applications on-line which should streamline reporting to board. State has required that the board go paperless within next few years. Getting ready to change rules. SLP going to be required to have two years experience before can serve as a supervisor. Also cleaning up language in rules. Assistants - supervision (previously 100%). After December 31, 2013, must have associate’s degree. Supervision required - A minimum of 30% direct/indirect weekly for 1st 90 days. Afterwards 10% direct, 20% indirect. So now will be licensed assistants.

    Pennsylvania - completed first round of CE updates. Confusion over ASHA certification maintenance hours, Dept. of Ed CE, CEUs in area of business practices - none of which are acceptable for Penn. CE. State budget problems have had effect on universities, travel, etc. Working on a brochure for consumers. Legislation passed that allowed $10000 monetary penalty for each offense - across boards including medical board. Newsletter went on-line. Practice Act legislation to be proposed. Will include universal licensure. Dept. of Education asked a university to create master’s program that was shorter in length than traditional program.

    South Carolina - Part of autonomous agency which licenses many professions. Reorganization - Now Dept. of Licensure and Compliance overseeing renewals which has relieved administrator to focus on other responsibilities. Require on-line renewal. Looking at revising law/regulations and to be prepared to defend anything proposed. Want CE to focus on clinical topics as well as limited the amount of on-line CE allowed. Looking at requiring criminal background check. Applicants not reporting certain adverse actions including fraud. Board can hold an application hearing and determine whether application should be granted. May not deny license but may want to put stipulations on newly licensed individual with history of disciplinary action. Lack of experience of supervisors will be examined.

    Texas - Challenge of individuals who haven’t been practicing for many years (e.g., 10). Examine practice setting and giving them 3-5 months to complete certain amount of CE and sometimes haven’t completed post-grad. professional experience. Success accomplished in telepractice guidelines. 2 hours of ethics CE required. Jurisprudence exam that is being developed can be used for CE.

    Wisconsin - AuD as entry level requirement, changing language re: diagnosis, changing advertisement language used by HAD (forbidding audioprosthologist), - because of the add-ons, experienced push-back from HAD society and medical society. Board will seek changes in legislation that will only deal with AuD issue if can’t resolve. Increase in fraud cases. On-line application process. Insurers now must cover cost of HA and CI for children under age of 18. Insurer must cover cost of dx and tx for children with autism.


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    PROPOSED BYLAWS REVISIONS

    The Bylaws Committee has been reviewing the bylaws and has recommended a number of changes designed to update the bylaws and make them consistent with the workings of state licensure boards. The revised bylaws will be circulated in their entirety for voting at the Corporate Meeting in Santa Fe. Following are some of the highlights of the proposed bylaws changes:

    • Article II-PurposeundefinedRemoval of references to certification
    • Article IV-Membership MeetingsundefinedPreviously indicated that notification of meetings would be by mail; changed to “notice shall be provided” in keeping with current technology
    • Article VII-DirectorsundefinedStipulation that at least two members of the Board of Directors shall be audiologists and at least two members shall be speech-language pathologist
    • Meetings of the BOD are open; however, change recommended to ensure that BOD may go into Executive Session to discuss confidential matters.
    • Inclusion of language stipulating that no more than two members shall be elected to serve at the same time from the same state

    A number of other changes are grammatical in nature, while others suggest modifications to clarify existing language. A discussion of all changes will be initiated prior to voting at the Corporate Business Meeting.


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    SYNOPSIS OF MINUTES: ANNUAL CORPORATE MEETING

    September 11, 2009

    Following is a summary of the minutes from the annual corporate meeting in New Orleans. The minutes will be circulated in their entirety and voted upon a the next corporate meeting to be held in conjunction with the NCSB Conference in Santa Fe, New Mexico.

    1. Minutes from the 2008 corporate meeting were distributed and approved.
    2. The treasurer’s report was presented and approved, as was the budget for 2010.
    3. Ken Gist reported that twenty-one states and Canada were represented at the Conference (including 4 non-member states); a total of fifty-two registrants were present
    4. The election results were announced by Karen Stein, Chair of the Elections Committee. Those elected and their corresponding terms of office are:
      President-ElectundefinedLarry Molt (AL) (3 year term, including President & Past President)
      Board Members (3 year term)undefinedKenneth Gist (WV) and Virginia Berry (MS)
      Board Member (2 year term)undefinedAmy Goldman (PA)
      Board Member (1 year term)undefinedAlison Grimes (CA)
    5. The newsletter will continue to be published twice a year. State boards are encouraged to submit information about regulatory issues in their states.
    6. It was announced that NCSB would present a poster session at ASHA in New Orleans on November 21, 2009. Title of the presentation is “Let the Good Times Roll: Licensure in 2009”
    7. The state directory is being updated; attendees were requested to submit changes as necessary. The director is distributed at no charge to member state boards.
    8. Doreen Oyadomari announced that the 23rd annual conference will be held in Santa Fe, New Mexico, at the Hilton Santa Fe on October 14-16, 2010. Doreen also announced that she is investigating Las Vegas as the site for the 2011 conference.
    9. Lisa O’Connor provided an update on the Strategic Planning undertaken at the conclusion of the 2008 conference in Virginia. She announced that the Board of Directors would review the plan and make necessary modifications at its Spring BOD meeting.
    10. Karen Stein, Chair of the Honors Committee, presented the Honors of NCSB plaque to Ayn Stehr, attorney for the Louisiana licensure board. Ayn was recognized for her many contributions to LBESPA, NCSB and the public.
    11. Ken Gist was honored for his 30 years of service to NCSB and was presented a portrait of a New Orleans scene to commemorate the first NCSB meeting convened in New Orleans. Ken has been the long-time Executive Secretary of NCSB and was elected to a 3-year term as a member of the Board of Directors.
    12. Amy Goldman recognized Theresa Rodgers and Glenn Waguespack as newly elected ASHA Fellows. Lisa O’Connor noted there were many ASHA Fellows in the audience and asked them to stand and be recognized.
    13. Doreen Oyadomari, NCSB Webmaster, announced that the website, sponsored at no cost by SpeechPathology.com, had undergone recent changes and upgrading and encouraged attendees to send information to her for posting on the website.
    14. Since Bob Oyler had resigned prior to completing his term as President, it was announced that Lisa O’Connor would continue to serve as NCSB President for the coming year.

    NOTE: The AMA recently published scope of practice guidelines for allied health professions, including the profession of audiology. NCSB responded to the AMA, emphasizing that scope of practice guidelines fall within the purview of audiology state licensing boards and there should be no restrictions placed on the scope of practice by the AMA nor should the AMA attempt to deny direct access to audiologists by consumers. In a December 17, 2009, letter, the AMA responded to President O’Connor. Portions of the text of that response are as follows:

    The module is a carefully researched, fully-documented assessment of the profession of audiology based on information available to us. We invite NCSB to provide us with specific information regarding any factual misstatements contained in the module. Upon receipt, we will consider whether revision of the module is appropriate. We have made the same offer to your colleagues, and now extend that offer to you.

    We strongly believe that non-physician health care providers play an integral role in the delivery of health care in the United States. Efficient delivery of care, by all accounts, requires a team-based approach, including the contributions made by audiologists.

    The letter was signed by Michael Maves, M.D. the Executive Vice President of the AMA. After careful consideration and after discussion with other professional associations, the NCSB Board of Directors determined that no response was indicated at this time, lest the response be construed as a collaborate effort between state licensing boards and the AMA to determine and restrict the scope of practice in audiology. Updates on this important topic will be forwarded to NCSB state member boards as they become available.

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  • 01 Apr 2010 11:02 AM | Anonymous


    PRESIDENT’S MESSAGE
    By: Lisa Cabiale O’Connor, President

    Fall Conference 2010
    The 2009 Fall Conference “Current Trends in Licensure and All That Jazz” was held in New Orleans September 10-12, 2009. Attendees were energized by the conference presentations and submitted a number of suggestions for topics to be covered during the Fall 2010 Conference. The NCSB Board of Directors is meeting in late March to finalize arrangements for that meeting.
    Be sure to mark your calendars for the 2010 NCSB fall conference to be held in Santa Fe New Mexico, October 14 through 16. The conference program will address current licensing trends and the implications for licensure in each state. More information about the conference theme and tentative program topics will be sent to member boards in early summer.

    Strategic Planning
    When the Board meets in late March in Santa Fe, there will be a continued discussion on the topic of Strategic Planning Once again our goals for the next 2 years continue to include:

    • Increase Communications with all State Boards regarding issues to be addressed and actions to be undertaken by NCSB
    • Increase membership in NCSB
    • Be THE RESOURCE in regulatory and licensure issues
    • Benchmark NCSB with other like organizations

    The Board is enthusiastic about pursuing these goals and is currently investigating application for a grant aimed at the regulatory arena and the work of licensing boards. The intent is to secure the Council’s position as the “go to” organization for licensing and regulatory issues across the country.

    Honors of NCSB
    Honors of NCSB will once again be a part of the conference programming for fall, 2010. This award is intended to recognize an individual for his or her exemplary contributions to NCSB, a member licensing board in their state, or an individual employed by a member organization that addresses regulatory issues/concerns for the professions. At the Fall 2009 conference the Honors of NCSB were awarded to Ayn Stehr, J.D., the attorney for the Louisiana licensure board and an annual presenter on the legislative process at NCSB board member training sessions. Ayn was honored for giving of her time and talent on the national level to advance the professions, for sharing her knowledge of the legislative process, and for her ongoing dedication to consumer protection. The next edition of Licensure will highlight some of the accomplishments that earned Ayn this prestigious award. Look for more information regarding this award, and the call for nominations packet sometime in early March.

    Providing input to the Board
    Let us know what NCSB can do for you. Take a moment to send your message to me via email (lisa_oconnor37@hotmail.com) or fax (415) 383-7682. Your input is important! There is still time to get in your suggestions or ideas for the fall conference!

    INSIDE THIS ISSUE

     

    CURRENT TRENDS IN LICENSURE THEME OF 2009 FALL NCSB CONFERENCE

    The twenty-second annual NCSB conference, “Current Trends in Licensure and All That Jazz”, was held in New Orleans September 10-12, 2009. The meeting began with the pre-conference Board Member Training (see details elsewhere in this publication). The conference included sessions on telepractice, supervision, licensing the international graduate, regulation of support personnel, discipline, universal licensure, and ethics. Highlights of the conference included:

    • Nina Antoniotti, Ph.D., RN, began with a keynote address describing the philosophy of telepracticeundefinedthat of removing barriers of access to specialty health care services for remote-based populations through the use of technology. With respect to licensure, she emphasized that a license is not necessary for telehealth but is necessary for professional practice, and those licensure requirements should be determined by state licensing boards. Her presentation was followed by a panel discussion on cutting edge perspectives in telepracticeundefinedsee article by Jack Lynch on this presentation.
    • A panel discussion on the use of alternative supervision methods was led by Stephen Harris (LA). He discussed the use of Skype technology as a means of supervising remote-based professionals.
    • Licensing the international graduate was another panel discussion moderated by Karen Stein (PA) and led by Lisa O’Connor (CA), Leila Salmons (TX), and Kerri Phillips (LA).
    • The first day concluded with the popular State Information Exchange where states represented at the conference discussed successes and challenges experienced by their respective boards the past year. A complete report on the State Information Exchange will be included in the Summer edition of Licensure.
    • Saturday morning began with a panel on support personnel. Moderated by Doreen Oyadomari (AL), the panelists included Donna Edgmon (AR), Sandy Capps (NC), Heather Johnson (KY), Leila Salmons (TX), and Marianna Walker (NC).
    • Groups then broke out into roundtables to discuss the topics of discipline (Kimberly Watson, AR), licensing international graduates (Leila Salmons, TX), support personnel (Lisa O’Connor, CA), and universal licensure (Theresa Rodgers, LA).
    • The conference concluded with an address by David Hodgson (Canada) on the role of licensing boards in addressing the topic of ethics.

    PRE-CONFERENCE WORKSHOP PROVIDES BOARD MEMBER TRAINING

    The annual pre-conference workshop on September 10, 2009, 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. Following that presentation was a mock disciplinary hearing that delineated the entire process from the initial letter of complaint to the testimony of witnesses to 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 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 to receive and review complaints that might be brought before a regulatory board. Instruction was provided in drafting a consent order in response to some of the complaints, as well as suggestions for coding in reporting of sanctions to the national data bank. Plans are to offer the pre-conference workshop at the 2010 conference in Santa Fe.

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    TELEPRACTICE: CUTTING EDGE PERSPECTIVES

    By: Jack Lynch

    Telepractice continues to play an increasingly important role in the SLP and Audiology professions, and state licensing boards are rightly paying closer attention to this service delivery medium. Telepractice was a focal topic of the 2009 NCSB conference, which featured presentations on telepractice from:

    • Nina Antoniotti, Telehealth Program Director for the Marshfield Clinic in Wisconsin.
    • Lawrence Molt, Chair of the Alabama State Board and Associate Professor at Auburn University
    • Janet Deppe, Director of State Advocacy for ASHA
    • Stephen Harris, current Chair of the Louisiana State Board and Coordinator of Related Services for St. Mary Parish Schools
    • Jack Lynch, Co-Founder of Presence TeleCare, LLC

    The conference speakers painted a generally positive picture of telepractice. Ms. Antoniotti, the keynote speaker, advocated for thoughtful restraint in regulating telepractice, based on her extensive experience managing a telehealth program. Mr. Harris discussed his positive experience using Skype as a supervision tool in St. Mary’s Parish schools. Lawrence Molt reported that more academic research is needed to establish best practices in telepractice; early research on telepractice efficacy is promising, with 27 of 28 studies showing positive results. Janet Deppe discussed state variability in regulation, as well as ASHA’s efforts to develop model legislative language for the regulation of telepractice.

    Open discussion on telepractice focused on licensure portability, specifically the possibility of establishing an interstate compact for telepractice similar to the 23-state Nurse Licensure Compact. The key question for participants was whether establishing a unique license for telepractice would require revision of each state’s speech-language pathology and audiology practice act.

    SLP telepractice has been studied and implemented since 1997, when a Mayo Clinic study showed positive results with the medium. Other pioneering programs include INTEGRIS health, a non-profit hospital in Oklahoma that has been serving 8 school districts since 1999; the OMNIE program in Ohio, which has been providing telepractice services to 4 rural districts;
    private practices serving school districts in Houston (Clinical Communications); Wisconsin (OnPoint Speech and Language Services); and West Virginia (LinguaCare). In addition, the National Rehabilitation Hospital, Tripler Army Medical Center, and the Visiting Nurse Service of New York have been utilizing telepractice in the provision of services. Approximately 40,000 telepractice sessions have been conducted to date. Consistent with results in academic settings, these programs have experienced strong client, SLP and family satisfaction ratings, with no instances of complaints.

    The results of both the academic research and the existing telepractice programs lend support to Ms. Antoniotti’s contention that efforts to regulate telepractice should respect the professional judgment of clinicians. Clinicians within the existing telepractice programs have diligently held themselves to the standard advocated by ASHA in its 2005 position statement: that the quality of telepractice services must be consistent with the quality of in-person services. They have acknowledged the unique aspects of the medium and have made thoughtful choices about technologies, personnel and processes. They have carefully evaluated the quality of the services using satisfaction surveys and control groups. They have informed clients about the unique aspects of the medium and employed the latest encryption technology to ensure security. The client outcome data suggest that these efforts have been fruitful.

    In regulating telepractice, state boards should consider the many circumstances in which telepractice can enhance services for a wide variety of clients, rather than just being a refuge of last resort for isolated populations. Examples include contact with specialists for low-incidence disorders, access to multi-lingual SLPs, or a preferred medium for clients who simply respond better to telepractice. By putting the full power of the internet at the clinician’s disposal, telepractice may prove to be an important step forward for the SLP and Audiology professions.

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    NCSB RETURNING TO SANTA FE FOR 2010 FALL CONFERENCE

    The 2010 Fall Conference will be held in Santa Fe, New Mexico, October 14-16, 2010. NCSB was held in Santa Fe in 2004, and there have been many requests to return to Santa Fe for another conference. The 2010 conference hotel, the Hilton Santa Fe, is just blocks from the Santa Fe Historic Plaza and will offer rooms at a rate of $86.00 per night for single or double accommodations. Information regarding the preliminary program, as well as information about the hotel and transportation options to Santa Fe, will be mailed to member boards in early June.

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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, 2010-December 31, 2010, 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
    P.O. Box 326
    Wellsburg, WV 26070

    For further information contact Ken Gist at (304) 737-2395.

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    NCSB PRESENTS POSTER SESSION AT ASHA

    A poster session entitled, “Let the Good Times Roll: Licensure in 2009”, was presented at the ASHA Convention in New Orleans 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, exemption-free 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.

    NOTE: NCSB has been fortunate to have established ongoing communication with officials from the federal data bank agencies. Each year the data bank provides NCSB with updated statistics regarding the number of data bank reports for speech-language pathologists and audiologists. Following is the information from the data banks as of June 2009.

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    REPORTING OF SPEECH-LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS TO THE NATIONAL PRACTITIONER DATA BANK AND HEALTHCARE INTEGRITY AND PROTECTION DATA BANK

    By Donald Illich, Jiaying Hua, and Arnette Wright

    The Federal government maintains two medical disciplinary data banks of which members of State boards for speech-language pathologists and audiologists, as well as individual practitioners, should be aware. The Healthcare Integrity and Protection Data Bank (HIPDB) and the National Practitioner Data Bank (NPDB) are flagging systems that were set up to be used in combination with information from other sources in making determinations on employment, affiliation, certification, or licensure decisions. The HIPDB and NPDB (collectively referred to as the Data Banks) information is designed to augment and/or verify, not replace, other sources of information. This practitioner-specific information is not available to the general public.

    Speech-pathology and audiology State boards are required to report to the HIPDB certain adverse licensure actions taken against their licensees. Other actions that are reportable to the HIPDB concerning individuals in these professions include exclusions from Federal and State health care programs, health plan actions (e.g., contract terminations), government administrative actions, and health care-related judgments and convictions. The actions that are reportable to the NPDB include exclusions from Federal health care programs and medical malpractice payments. When Section 1921 of the Social Security Act is implemented in 2010, speech-pathology and audiology State boards will be required to report to the NPDB any adverse licensure actions (not limited to competence or conduct) and any negative action or finding concerning their practitioners. The information to be reported to the NPDB under Section 1921 is the same information that is currently reported to the Healthcare Integrity and Protection Data Bank (HIPDB). For more information on reporting to the Data Banks, see the NPDB-HIPDB Web site at www.npdb-hipdb.hrsa.gov.

    As of June 30, 2009, 388,074 reports concerning 208,986 individual practitioners were in the HIPDB. About 80 percent of all reports were of State licensure actions (311,616) and 13.7.

    Number and Type of Reports concerning Audiologists and Speech-Language Pathologists


    *Nineteen Exclusion reports for audiologists reported to NPDB were also reported to the HIPDB.

    The following two tables show that some audiologist and speech-language pathologist (practitioners) have multiple reports in both the HIPDB and NPDB.


    The following table shows the most frequently reported reasons or bases for actions reported to the HIPDB for audiologists and speech-language pathologists.

    Most Frequent Reasons or Basis for Actions for Reports


    These statistics should give members of State boards and practitioners a good idea of what has been reported to the Data Banks and how the data might be useful in promoting their missions.

    Board members and practitioners interested in learning more about the Data Banks
    should visit www.npdb-hipdb.hrsa.gov.  The site includes interactive training on reporting to the Data Banks; information about the public use file; data on reports, including HIPDB reports submitted by State agencies and health plans (under Statistical Information, Data by Profession and State); annual reports; information on the Proactive Disclosure Service (PDS); and instructions for reporting and querying. There is also a Customer Service Center that can be reached at 1-800-767-6732.

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    NOTE: The AMA has recently published scope of practice guidelines for allied health professions, including the profession of audiology. Because these scope of practice guidelines remain the purview of state licensing boards, NCSB has sent a response to the AMA expressing its concerns. Please make the response available to your member boards and to licensees in your state. Following is the text of that response.

    November 15, 2009

    Michael D. Maves, M.D. MBA
    Executive Vice President, CEO
    American Medical Association
    515 N. State Street
    Chicago, Illinois 60654

    Dear Dr. Maves:

    RESPONSE TO AMA SCOPE OF PRACTICE SERIES

    The Scope of Practice Partnership, formed in 2006 by the American Medical Association (AMA) to aid state medical societies in opposing scope of practice expansions by non-physician providers, has drafted a practice data module for the profession of audiology. It has been brought to the attention of the National Council of State Boards of Examiners for Speech-Language Pathology and Audiology (NCSB) that information included in this document not only fails to accurately reflect the scope of practice for the profession of audiology, but may in fact, contain information that may be misleading to the public. Of particular concern to NCSB, an organization whose mission is to facilitate communication among licensure boards, are the descriptions included in the scope of practice document for audiology, the references to the education and training of audiologists, and the lack of information regarding direct access to audiological services.

    As with many other professions, scope of practice statements began as an outgrowth of the needs of a professional association to define the practice. On a national level, scope of practice definitions, as well as preferred practice patterns for audiology, were initially developed by the American Speech-Language-Hearing Association (ASHA) and later by the American Academy of Audiology (AAA). Since the advent of the first audiology licensure act in 1969, states have been given the statutory authority to develop and promulgate laws, rules and regulations. Licensure for the practice of audiology is now required in all fifty states and in the District of Columbia. Inherent in all of these enabling statutes are scope of practice statements that specifically define the practice of audiology. Many of these statements were adapted from those of the professional associations, but the primary authority for defining the practice of audiology lies with the legislative powers given to states in formulating the laws, rules and regulations that govern audiology and the licensed audiologists within that state. As the profession of audiology has changed, so has its expanded scope of practice. These changes are reflected in the ever-changing scopes of practice by the national organizations that represent audiologists, and ultimately in the changes made in the enabling statutes for individual states.

    Having phased out its Master’s level training programs in 2006, the profession of audiology has undergone a transition to the doctoral level, as evidenced by the sixty-nine accredited universities that provide educational and clinical training leading to a clinical doctorate in audiology. Utilizing scope of practice guidelines developed by professional associations and state licensing boards, universities now provide a curriculum of academic and clinical training ensuring that students have opportunities to acquire the knowledge and skills necessary for entry into independent professional practice across the range of practice settings with all age groups. Additionally, licensure boards across the country have recognized the need to modify their entry-level requirements to continue with their mission of public protection. To date twenty-two states have promulgated revised laws and/or rules that mandate a doctoral degree in audiology as the minimum standard to engage in the practice of audiology in that particular state. A number of other states have passed legislation with date-certain mandates for change.

    The issue of direct access to audiologists and the services they provide is particularly troublesome to NCSB as it continues its efforts to share information with licensure boards and to advocate for the protection of the consumers of our services. Audiologists, by virtue of academic training and clinical experiences, are qualified to engage in the autonomous practice of audiology, and are recognized as independent providers of services by state licensing laws and regulations in fifty states. Additionally, audiologists are recognized as essential health care providers in the performance of their duties and are eligible for reimbursement for their services. The expanding needs of the American health care system will be compromised if patients are denied access to the health care providers of their choice. Legislation across the country to mandate newborn hearing screening has heightened the awareness of the profession of audiology and has increased the demand for audiologists. The demand from this population, coupled with the ever-increasing needs of the geriatric population, highlights the importance of direct access to audiologists.

    The continuously expanding scope of practice in audiology should not be construed as an encroachment on other professions. Rather, it should be viewed as a means of expanding services to a population that might not otherwise be served. The scope of practice in audiology should remain within the purview of its stakeholdersundefinedthe universities providing the training, the professional associations representing audiologists, and most importantly, the individual licensure boards that possess the statutory authority to protect the consumers of audiological services.

    The National Council of State Boards of Examiners for Speech-Language Pathology and Audiology (NCSB), in recognition of the fact that audiologists are regulated by statute to provide direct services to consumers in all fifty states, understands and promotes public protection. Existing state licensure laws ensure such protection, and regulation and/or restriction beyond what has been established by statute in all fifty states, is not only unwarranted but may indeed be harmful to consumers by restricting their ability to access care from qualified providers. NCSB respectfully requests that members of allied health professions assist the organization and the profession of audiology in their mission to hold paramount the welfare of the public by recognizing audiologists as independent providers and by removing any barriers that might restrict access to the provision of health care by audiologists.

    Thank you for your attention to this matter.

    Sincerely,

    Lisa C. O’Connor, President
    NCSB

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    NCSB ELECTS NEW MEMBERS TO THE BOARD OF DIRECTORS

    As a result of elections held last summer, NCSB elected four individuals to fill expired terms on the Board of Directors. Biographical information, as well as terms of office, follows.

    Kenneth Gist (2010-2012) is the former long-time Executive Secretary of NCSB and brings many years of licensure experience to NCSB. A charter member of NCSB, Ken served as treasurer from 1983-1988 and then as Executive Secretary from 1988-2009. He was awarded the Honors of NCSB in 1989. Ken is Professor Emeritus at Southern Connecticut State University and was a member of the first Connecticut licensing board.

    Virginia Berry (2010-2012), a member of the Advisory Council of Speech-Language Pathology and Audiology in Mississippi, is a former member of the Arkansas Board of Examiners in Speech-Language Pathology and Audiology. Virginia is an Assistant Professor and Audiology Clinic Director at the University of Southern Mississippi and currently serves as Vice Chair of the ASHA Audiology Advisory Council.

    Amy Goldman (2010-2011), currently Chair of the Pennsylvania State Board of Examiners in Speech-Language and Hearing, is an associate director of the Institute on Disabilities at Temple University in Pennsylvania. An expert witness in a variety of judicial proceedings to promote appropriate communication services and the inclusion of individuals with disabilities in the schools and communities, Amy directs Pennsylvania’s Initiative on Assistive Technology.

    Alison Grimes (2010), is head of the Audiology Clinic at UCLA Medical Center and an Assistant Clinical Professor in Head and Neck Surgery. A member of the California State Speech-Language Pathology and Audiology Board since 2000, and the immediate Past President of the American Academy of Audiology, her career interests have included hearing aids, pediatrics, and hearing function in aging individuals.

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    NCSB LISTSERV

    NCSB provides a listserv for state board members and for individual members. The listserv is an excellent way to keep up with the latest issues related to licensure in the professions and to share your views with other professionals across the country. Subscribe to the NCSB Listserv. GO TO: http://groups.yahoo.com/group/ncsb2.  We look forward to your input on critical licensure issues.

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  • 01 Jul 2009 11:01 AM | Anonymous


    President's Message

    By: Lisa Cabiale O'Connor, President

    NCSB is celebrating its 30th year!
    The National Council of State Boards of Examiners (NCSB) was conceived by a group of organizers who met in New Orleans in 1978. The next year, 1979, official documents were filed that established NCSB as the organization representing licensure boards nationwide for the regulation of the professions of speech-language pathology and audiology. This year, on the 30th anniversary of the organization, we return to where it all began - the fabulous city of New Orleans, for the Fall conference. A primary goal of the original organizers was to facilitate communication and interaction among regulatory boards across the nation, and, as evidenced by work plans established during the strategic planning session last October in Virginia, this remains a key goal today.

    Strategic Planning - Looking to the Future
    As mentioned above, the Board met for a strategic planning session last October. I included a brief report on this process in my President's Message in the February 2009 newsletter. It was during this strategic planning session that members of the Board identified activities to address the key goal of facilitating communication and interaction with state regulatory boards. Work plans in process are designed to:

    • Increase personal contact with state boards
    • Improve the web site
    • Continue communication through publication of the newsletters
    • Activate the Listserv
    • Create a database to email blasts to members of NCSB

    Implementation of these activities and other work plans began earlier this year and during the Fall conference a progress report will be provided.

    Fall Conference - September 10-12, New Orleans
    Mark your calendars for the annual NCSB conference and plan to join us in New Orleans. The program will feature presentations by professionals with experience in issues involving telepractice, with a focus on how this topic impacts service delivery and regulation of the professions. Other important topics include licensing international graduates, regulating support personnel, and whether regulatory boards need to address ethics. The program is designed to be interactive and there will be opportunities for participants to share questions and concerns and to network with members of other state boards. The popular state information exchange is on the agenda, so come prepared to speak about 5 minutes on the successes and challenges of regulating the professions in your state. Further details about the conference can be found on the web site at http://www.ncsb.info.  I look forward to seeing you in New Orleans.

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    TWENTY-SECOND ANNUAL NCSB CONFERENCE

    September 10-12, 2009
    New Orleans, Louisiana

    "CURRENT TRENDS IN LICENSURE AND ALL THAT JAZZ"

    Registration brochures announcing the 22nd 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, September 10, 2009, and the one and one-half day conference will follow on September 11 and 12. 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, September 10, 2009

    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 of the training 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 violations and sanctions to the HIPDB.
    • Ethical situations and dilemmas will be utilized to provide experience in receiving, reviewing, and resolving complaints.
    • Reference manual containing characteristics of state licensure laws, samples of model legislation and state licensing laws, and examples of licensure board exams will be provided.

    Friday, September 11, 2009

    9:00-10:15
    Keynote Address--Telehealth: Practicing at a Distance - Nina Antoniotti, Ph.D., RN, American Telemedicine Association

    • How has telepractice changed the healthcare landscape?
    • What are the current trends in telepractice relative to audiology and speech-language pathology?

    10:30-11:30
    Panel Discussion - Telepractice: Cutting Edge Perspectives - Moderator, Glenn Waguespack (LA), Janet Deppe (ASHA), Jack Lynch (CA), Larry Molt (AL), Clay Whitehead (CA)

    • What factors did NCSB consider in developing its Position Statement on Telepractice?
    • How have states accomplished the development of telepractice guidelines in the practice act and/or rules and regulations?
    • What are considerations for states in the process of developing telpractice guidelines?

    11:30-12:00
    Telepractice Open Forum - Opportunity for audience participation and discussion regarding model language for telepractice regulations

    1:30-1:15
    Supervision and Practice Issues: Impact on Regulation - Stephen Harris (LA)

    • What impact has technology had on the regulation of supervision?
    • How can alternative means of supervision - web cam, Skype - be used to accomplish needed supervision?

    2:15-3:00
    Panel Discussion - Licensing the International Graduate - Moderator, Karen Stein (PA), Lisa O'Connor (CA), Joyce Parsons (TX), Kerri Phillips (LA)

    • What emerging credentialing issues occur with international graduates?
    • What process is utilized by licensure boards to license international graduates?

    3:15-4:45
    State Information Exchange - Moderator, Alma Peters (WI)

    • Which boards are revising laws and/or rules and regulations?
    • What are the successes and challenges experienced by each board?

    EVENING - Royal Sonesta Courtyard reception sponsored by the Louisiana Board of Examiners for Speech-Language Pathology and Audiology (LBESPA) - Entertainment and hors d'ouevres provided; cash bar

    Saturday, September 12, 2009

    8:30-9:15
    Regulating Support Personnel - Moderator, Doreen Oyadomari (AL), Donna Edgmon, (AR), Sandy Capps (NC), Heather Johnson (KY), Joyce Parsons (TX), Marianna Walker (NC)

    • How have states implemented support personnel regulations?
    • Who is regulated and are there restrictions regarding practice settings?

    9:15-10:15
    Roundtables/Discussion Leaders
    Disciplinary Actions - Kimberly Watson (AR)
    International Graduates - Joyce Parsons (TX)
    Support Personnel - Lisa O'Connor (CA)
    Universal Licensure - Theresa Rodgers (LA)

    • What forms of discipline are commonly being utilized?
    • What steps can boards take to ensure that international graduate meet licensure standards?
    • What factors should boards consider in implementing support personnel regulations?
    • Why is universal/exemption-free licensure critical for consumer protection and how can obstacles to achieving universal licensure be overcome?

    10:30-11:15
    Roundtable Discussion Reports

    11:15-12:00
    Ethics: A Regulatory Issue? - David Hodgson, CASLPO

    • Do regulatory boards need to address ethics?
    • How can boards regulate ethical practice?

     

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    HISTORIC ROYAL SONESTA HOTEL

    The conference will be held at the royal Sonesta Hotel located in the center of the French Quarter directly on Bourbon Street. Rated "Four Diamonds" by AAA, the hotel is listed as one of the "Best Places to Stay in the World" by Condi Nast Traveler, and it was named "Best Balcony" by the Travel Channel. The hotel is built in a traditional style with gabled windows, French doors, and wrought iron lace balconies and surrounds a lush traditional New Orleans style courtyard. The hotel offers a variety of food and beverage options, including the casual bistro atmosphere of the Desire Oyster Bar and the award-winning Bogue's Restaurant. The Mystick Den Lounge, Le booze, the Quarter Deck Pool Bar and room service all provide endless food and beverage opportunities within the hotel.

    The Louis Armstrong International Airport is approximately 17 miles from the hotel. A private shuttle service is available at the airport and provides transportation to and from the hotel, 24 hours a day, 7 days a week. Taxis service is also available, and limousine and car service may be arranged through the concierge.

    HOTEL INFORMATION
    http://www.royalsonesta-neworleans.com

    Royal Sonesta Hotel
    300 Bourbon Street
    New Orleans, LA. 70130
    (504) 586-0300

    Rate--$129/night (plus tax), Single/Double
    Cut-off date for reservations - August 19, 2009
    Please state that you are with NCSB when making reservations.

     

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    NCSB TO PRESENT POSTER SESSION AT ASHA

    A poster session (#2203 Poster Board 73) entitled "Let the Good Times Roll: Licensure in 2009" will be presented at the ASHA Convention in New Orleans on Saturday, November 21, 2009, from 10-11:30 AM in Hall G of the Convention Center. 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 compare licensure trends from state to state.

     

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    NCSB: A HISTORICAL PERSPECTIVE

    1979-2009

    In 1978 a group of audiologists and speech-language pathologists interested in licensure met at the Maison Dupuy Hotel in New Orleans. The outcome of that meeting was a committee formed to draw up Articles of Incorporation and By Laws for NCSB. In 1979 the group met again in New Orleans, and NCSB was officially "born".

    At a time when only a few states had implemented licensure laws to protect the consumers of speech-language pathology and audiology services, NCSB was formed to facilitate communication among the existing licensure boards and to provide assistance to states considering the implementation of licensing statutes. Initially, NCSB held small meetings in conjunction with the ASHA convention. Then in 1988 the first official NCSB conference was planned and held at the ASHA National Office in Rockville, MD. NCSB is grateful to ASHA for the man-power and financial support related to this conference. Twenty-six individuals attended this conference. Since then, the greatest number of conference attendees was sixty-one at the New Orleans meeting held in 1977.

    Over twenty-nine years, twenty-five different individuals have served as President, and the fifty-one individuals serving on the Board of Directors have represented twenty-eight states. State Board membership has ranged from eleven in 1983 to thirty in 2000. Individual membership has ranged from twelve to thirty-three. The annual dues for State Boards was established in the beginning at $350.00, lowered to $200.00 in 1986, raised to $300.00 in 1988, and raised to the current rate of $350.00 in 2003.

    One of the missions of NCSB has not changed since its inception---that of facilitating communication among licensure boards. Its role of assisting other boards in implementing statutory regulations has changed since fifty states and the District of Columbia now regulate audiology, and forty-eight states and the District of Columbia regulate speech-language pathology. However, NCSB remains as a resource to other boards in sharing information, promoting universal licensure, and advocating for the protection of the consumers of our services.

    NCSB invites you to join us for the 22nd annual conference as we return to our place of "birth" in celebration of 30 years of service to state licensing boards in speech-language pathology and audiology.

     

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    HELPING LICENSURE BOARDS VALIDATE COURSES OFFERED BY ASHA APPROVED CE PROVIDERS

    ASHA Continuing Education now has two ways to assist you in verifying courses reported by licensees; through the new ASHA Approved CE Provider Logo and through the Course Search database.

    New ASHA Approved CE Provider Logo

    The ASHA Approved CE Provider Logo has been redesigned and is more clearly identifiable. The Logo may only be used by ASHA Approved CE Providers, and they are using the new Logo on their primary promotional materials for all continuing education activities they offer for ASHA CEUs.

    The new Logo image and the ASHA CE approval paragraph are combined and the approval paragraph includes the name of the ASHA Approved CE Provider. The new Logo comes in two versions to accommodate the size of the Approved Provider's promotional materials. The number of CEUs offered, the instructional level, and content area are included in a stand-alone sentence that you'll see above or below the Logo and approval paragraph.

    You can see the new look in the samples provided by The Louisiana Board of Examiners for SLP and Audiology.

    Example 1:

    This course is offered for 1.0 ASHA CEUs (Intermediate level, Professional area).



    Example 2:

    This course is offered for 0.2 ASHA CEUs (Introductory level; Related area)

     

    If you have questions about the use of the new ASHA Approved CE Provider Logo please contact Carol Williams by email at cwilliams@asha.org or by phone at 1-800-498-2071 ext. 5747.

    ASHA CE Course Search

    With the American Speech-Language-Hearing Association's (ASHA) searchable course database called Course Search, validating information about a course offered for ASHA CEUs is only several keystrokes away on the ASHA Web site. Course Search provides information regarding course format, description, instructional level, subject description, course provider information, location, content area and instructor. Course Search provides information on courses dating back three years. Courses registered by ASHA Approved CE Providers that are open to the public, are posted on the Course Search database. You do not need to be an ASHA member to use Course Search.

    To use Course Search:

    • Go to http://www.asha.org/ce/ and click on Find a CEU Course. You'll be directed to a page titled Search for Courses.
    • Depending on the course information you have available, enter a keyword, start date, end date, location and subject area into the search criteria. (Instructions for using Course Search are also available on this page by clicking on Help Using Course Search on the left navigation bar.)
    • Click on the Search box at the bottom of the page.
    • In seconds, you'll receive your Search Results.

    Depending on the course information you have available, enter a keyword, start date, end date, location and subject area into the search criteria. (Instructions for using Course Search are also available on this page by clicking on Help Using Course Search on the left navigation bar.)

    Click on the Search box at the bottom of the page.

    In seconds, you'll receive your Search Results

    Giving licensees the link to Course Search (http://www.asha.org/ce/ Click on Find a CEU Course) provides them with an effective resource to identify courses they can take to meet continuing education requirements for maintenance of their state license in speech-language pathology or audiology. Through Course Search, licensees are able to identify course offerings related to a particular topic, location or timeframe and can contact the Approved Provider for more information. It is convenient for participants, and particularly those who are seeking specific professional content and want to attend a course offered for ASHA CEUs.

    Contact Renee Levinson for inquiries about Course Search by e-mail at rlevinson@asha.org or by phone at 1-800-498-2071 ext. 5749. Renee is available to provide an orientation for you on the use of the Course Search database.

     

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    SPOTLIGHT ON LICENSURE BOARDS

    Board Profile: Louisiana

    Board Facts

    • Passed legislation in 1972
    • Charter member of NCSB since 1979
    • Meets 6 times/year
    • License renewal is annual; 10 hours/year of continuing education required
    • Support Personnel requires license; license speech-language pathology assistants
    • Doctoral degree entry level required for audiologists
    • Board Composition - 7 members: 2 SLP (one must be employed in schools); 2 AUD (one must be actively dispensing hearing aids); 1 member either SLP or AUD; 1 public member; 1 ENT (non-voting)
    • Exemption-free licensure since 1978 (license for all employment settings)

    Interview with Louisiana Board Administrator, Emily Efferson - By NCSB Board Member, Alma Peters

    Question: As Board Administrator, what value did Louisiana see in joining NCSB and attending the annual meeting?

    "As someone new to the position I attended the new board member training the day before the annual meeting, and it was just excellent! It was a top notch training that I felt was valuable for my job."

    "I really enjoyed the ‘Generational Differences" speaker. That presentation was both informative and entertaining. I think my favorite part of the meeting was the break-out sessions. As a group of State Boards, we have a lot of issues that overlap and hearing how other states approach an issue makes you think out of the box. Hearing about the experiences of other states helps me to consider other ways of dealing with an issue."

    Question: Is there anything interesting/unusual going on with your Board?

    "We are looking at different ways to ‘go green' and reduce paperwork. Instead of mailing three printed newsletters we are not doing two printed with one being only web based. We are collecting e-mail addresses to enable us to do e-blasts. We are revamping our system from Microsoft to web-based. Everything on our website is in real time. We just had a board meeting this afternoon, and the disciplinary actions will be on the site today."

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  • 01 Apr 2009 11:01 AM | Anonymous



    PRESIDENT’S MESSAGE

    By: Lisa Cabiale O’Connor, President-Elect

    Change is in the Air
    On January 20th we witnessed a change of historic proportions in the nation’s leadership. While not nearly as dramatic or exciting, NCSB also made a transition to new leadership of the Council. In mid-January, Bob Oyler, the 2009 President of NCSB, submitted his resignation from the presidency and the Board of Directors due to personal and professional commitments. The Board accepted his resignation with great sadness, and, as the 2009 President-Elect, I have assumed the President’s role in facilitating the business of the Council for this year.

    Providing input to the Board
    As President Obama assumed this nation’s highest office, he sent a message of hope for change in America and inspired us all to volunteer so we could make things better. I send this same message to all of you and hope that you too will consider helping the elected Board of Directors move the Council forward. Let us know what NCSB can do for you. Take a moment and send your message to me via email (lisa_oconnor37@hotmail.com) or fax (415) 383-7682. Your input is important!

    Strategic Planning
    In October we met in Vienna VA for the annual NCSB conference. Following the conference the board engaged in a strategic planning session which helps the organization remain flexible and open to change, by positioning it to learn from its experiences. We examined the mission and vision of the organization, and established goals that will make the organization stronger and allow it to be better equipped to anticipate challenges and to develop successful strategies on policy issues. The conversation focused on: Where are we now? Where do we want to be? What do we do to get there? How do we make this happen? It was a very productive conversation, expertly facilitated by Fred Spahr, retired Executive Director of ASHA and a trained strategic planning facilitator. In March, the Board will again meet to review, discuss and approve the plan which will then be sent to the membership. At present, four primary goals have been identified for achievement in the next 3 years. They include:

    • Increase communications with all State Boards regarding issues NCSB is addressing and actions they are or will be taking/recommending
    • Increase membership in NCSB
    • Be THE RESOURCE in regulatory and licensure issues
    • Benchmark NCSB with other like organizations

    The Board is energized and enthusiastic about pursuing these goals. The intent is to secure the Council’s position as the “go to” organization for licensing and regulatory issues.

    Honors of NCSB
    Honors of NCSB will once again be a part of the conference programming for fall, 2009.
    This award is intended to recognize an individual for his or her exemplary contributions to NCSB, a member licensing board in their state, or an individual employed by a member organization that addresses regulatory issues/concerns for the professions. Look for more information regarding this award, and the call for nominations packet sometime in March.

    Fall Conference
    Be sure to mark your calendars for the NCSB fall conference in New Orleans in September. The conference program will address current licensing trends and the implications for licensure in each state. New Orleans is an exciting city with plenty of entertainment, good jazz and fabulous cuisine. Join us in the Big Easy from September 10 through the 12th. See you there!

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    PROFESSIONAL LICENSURE 2008 IS FOCUS OF FALL NCSB CONFERENCE

    The twenty-first annual NCSB conference was held in Vienna, Virginia, October 16-18, 2008. The meeting began with the pre-conference Board Member Training (see details elsewhere in this publication). The conference included sessions on generational differences, updates on the HIPDB, administrative issues, unlicensed practice, board publications, telepractice, creative discipline, and future visions for regulatory boards. Highlights of the conference included:

    • Donna Mooney, R.N., Disciplinary Proceedings Manager with the North Carolina Board of Nursing, delivered the keynote address discussing “Generational Issues and the Disciplinary Process”. Ms. Mooney led a spirited discussion of challenges faced by licensure boards as they interact with licenses across the generations, including the traditionalists, the baby boomers, the generation x-er’s, and the millennium individuals. She provided a description of traits seen in individuals from each of these generations and related examples of how different forms of discipline may or may not be effective in each category.
    • Shari Campbell, DPM, Policy Analyst from the Division of Practitioner Data Banks, presented information regarding “HIPDB Updates: What Licensure Boards Need to Know”. Dr. Campbell discussed the purpose and function of the data banks and provided statistics on the numbers of speech-language pathologists and audiologists reported to each of the data banks.
    • A panel discussion entitled “Administrative Challenges: Who Does What to Whom?” was led by individuals involved in the administrative process. These included Annemarie DelMugnaio (CA), Jolie Jones (LA), and Gwen Wheatley (MD). They discussed topics that included the role of the board administrator in complaints and discipline and methods employed to report sanctions to the HIPDB.
    • Attendees then broke into small groups to discuss the topics of board publications and communication, dealing with unlicensed practice, creative discipline and making the punishment fit the crime, and the regulation of telepractice.
    • Saturday morning began with the popular State Information Exchange, facilitated by Doreen Oyadomari (AL). This forum allowed participants to network and share successes and challenged faced by their licensure boards. A summary of the State Information Exchange is included elsewhere in this newsletter.
    • “Critical Shortages of Personnel: Implications for Licensure” was led by Annemarie DelMugnaio (CA) and Lisa O’Connor (CA). Issues such as encroachment and the licensing of international graduates were included as part of this panel discussion.
    • Concluding the conference on Saturday was a session presented by David Hodgson, Registrar of CEO of CASLPO. Entitled “Regulatory Boards as Visionaries: The Canadian Experience”, the presentation looked at what boards can do in the future to maintain their status as regulators and to continue to provide optimal public protection.

    Note: Responses to questions on the evaluation form indicated that attendees preferred sessions that provided for audience interaction. These factors, as well as suggested topics, will be considered in planning the 2009 conference.

     

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    PRE-CONFERENCE WORKSHOP PROVIDES BOARD MEMBER TRAINING

    Attended by twenty individuals, the annual pre-conference workshop held on October 16, 2008, 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. Following 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 evidence, in deliberation of the testimony, and in the determination of appropriate sanctions.

    A review of sample complaints was utilized to provide participants an opportunity to put into practice the information learned from the attorney presentation and from the disciplinary hearing. Ethical situations and dilemmas relating to the practice of speech-language pathology and audiology were employed to guide board members through the logical process of ethical decision-making and to provide them with an opportunity to receive and review complaints that might be brought before a regulatory board. Instruction was provided in drafting a consent order in response to some of the complaints, as well as suggestions for coding in reporting of sanctions to the national data bank.

    Included as part of the training was a comprehensive reference manual containing information on the characteristics of licensure laws and regulations throughout the country. It also included samples of model legislation, samples of state licensing laws, and examples of licensure board exams. A section on emerging issues referenced telepractice regulations, while another included the reporting of sanctions to the national data bank. Plans are to offer the training as a pre-conference workshop at the 2009 conference in New Orleans. Look for details in the summer edition of Licensure.

     

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    STATE INFORMATION EXCHANGE - 2008 NCSB CONFERENCE

    Each year states are asked to report on successes and challenges experienced by their respective licensing boards during the past year. Following is a summary of licensure activities reported by states attending the Vienna, Virginia, conference.

    Alabama - Board sent four representatives to NCSB this year. They have engaged in strategic planning modeled after the report from OK at the last meeting. Sunset review has been completed, and the board is awaiting the final decision. Currently looking into criminal background checks and trying to determine is the policy should be retroactive or include new applicants only.

    Arkansas - No report

    California - Board was essentially dissolved for a period of time, but will resume its board status on January 1; will need to begin process of new appointments. Involved in conserving funds by decreasing newsletters and other publications. Continue to deal with encroachment from related professions. Now under consideration is a test of English for internationally trained applicants. Audiology aides require 100% supervision; now looking at expanding level of professional support for speech-language pathology aides.

    Canada - Created an organization similar to NCSB. Continue to work on development of practice standards. Will meet with ASHA to discuss practice standards related to CAPD, autism, and vestibular testing.

    Florida - Budget has been reduced by 10%. Working on ways to license businesses operating in FL. Want the licensee as well as the business to be licensed as a means of better protecting consumers by eliminating fraudulent businesses. May reduce licensing fees for individuals.

    Kentucky - State in process of appropriating some of board’s revenue. Changed statute for AuD entry, effective July 2008; currently working on rules. Adopted two-year licensing status; will audit 10% for continuing education compliance. Currently having issues with ENT and audiology assistant scope of practice.

    Louisiana - Published four public service announcements about licensure in four major newspapers during Better Hearing and Speech month at a cost of $2500; next year will run ad in other newspapers. Continue to sponsor CE activities and continue to provide presentations at universities and at state association meetings. Presented demonstration on supervision by web cam at last state meeting. Looking at development of webinar for presentation on licensure to university graduate students. Problems with assistants moving across state lines.

    Maryland - Finalized telehealth regulations (modeled after ASHA guidelines), updated education and supervision for AuD students during each year of training. Issues with getting transcripts and other documentation in a timely manner for new graduates; trying to communicate with graduate training programs to resolve some of the problems.

    Massachusetts - No report

    Mississippi - Has achieved 80% of renewals online. Revoked largest number of licenses this past year, many for CE problems. Looking at online reduction for CE activities and also considering development of regulations for telepractice.

    Missouri - Changes in law have been proposed; posted on web site. Most changes have been proposed by academic community. Also want to change law to dispense hearing aids with state license.

    Montana - Talks with hearing aid board re: merging of boards, but the licensing board has decided not to proceed with this possibility. Currently must pay $600-800 for hearing aid dealer license. Now using telesupervision for SLP aides. Graduate training program for SLP opening in Fall of 2009.

    New Mexico - Statute changes to include audiologists as hearing aid dispensers. Considering background checks. Also looking at implementation of on-line renewals.

    North Carolina - No report

    North Dakota - Board received its first complaint. Looking at whether to license 4th year AuD student. Also considering limiting number of on-line CE courses allowed to meet CE requirements.

    Oregon - Working to require licensure in all job settings; will also license SLP assistants. Beginning to audit supervision. Audiologists no longer required to have HA dealer license. Important to educate graduate programs and students about different types of licensure.

    Oklahoma - Implemented a late fee of $37.50 each month for a year for those who do not renew on time. Investigating changing rules for supervision and scope of practice. Working toward paperless environment and updating website for online renewals, including adding adverse actions on web site. Investigating criminal background checks.

    Pennsylvania - Using online renewal system; asked five questions related to plans for retirement, difficulty obtaining CE, and whether educational program was completed in PA. Trying to determine future direction of profession and need for qualified personnel to meet consumer needs.

    Texas - Now require that two of the CE hours be obtained in ethics training. Change in audiology rules for AuD externs. Now post jurisprudence exam online. Ad hoc committee formed to look at telpractice guidelines. State representative has called for task force to look at requiring two hours of CE for implantable devices.

    Wisconsin - Legislation proposed by state association for audiologists; need to upgrade scope of practice and related guidelines for the practice of audiology.

     

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    AAA AND ASHA HOST RECEPTIONS FOR NCSB ATTENDEES

    Both the American Academy of Audiology (AAA) and the American Speech-Language Hearing Association (ASHA) welcomed attendees to the DC area by hosting functions during the conference.

    On Thursday evening, October 16, AAA hosted a cocktail reception at a downtown DC restaurant. Plans were originally to have the reception at the AAA Capitol Hill office; however, renovations necessitated a change of venue for the party. While at the restaurant, NCSB attendees were greeted by the AAA Board of Directors and AAA staff.

    The following evening, ASHA hosted a buffet dinner at its new office facility in Rockville, Maryland. During the dinner, Arlene Pietranton, ASHA Executive Director, welcomed NCSB attendees and provided a brief update on the new facility. ASHA staff members present conducted tours of the national office for those attending.

    NCSB is grateful to both AAA and ASHA for their hospitality and for the networking opportunities afforded those attending the conference.

     

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    2009 FALL CONFERENCE

    The 2009 NCSB conference will be held in New Orleans, September 10-12, 2009. Please mark your calendar and make sure your state board is represented at this important meeting. The conference is being held earlier this year to take advantage of better hotel room rates and to allow more time between the NCSB meeting and the ASHA convention which also takes place in New Orleans this year. We hope to see all 50 states represented at this conference.

    The theme for this conference is Current Licensure Trends and All that Jazz. Based on input from the participants last October in Vienna Virginia, some licensure trends of interest for the September 2009 conference in New Orleans are:

    • Use and regulation of telehealth and telepractice
    • Licensure issues with internationally trained professionals
    • Making sanctions more predictable in the disciplinary process
    • Trends, barriers, and strategies in universal licensure
    • Scope of practice issues and encroachment from other disciplines

    PLEASE share your ideas. Suggest topics that you feel might be of interest to participants at the fall conference. You can send this input to me directly at: lisa_oconnor37@hotmail.comPlease put NCSB CONFERENCE on the subject line and give me your input. Hope to see you in New Orleans!

     

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    ROYAL SONESTA HOTEL SITE OF 2009 NCSB CONFERENCE

    The Royal Sonesta Hotel, located at 300 Bourbon Street in the heart of the New Orleans French Quarter, will serve as the convention site for the 2009 conference. The hotel has been rated “Four Diamonds” by AAA and has been named “Best Balcony” by the Travel Channel. In addition to being in the center of the French Quarter, the hotel has convenient access to riverfront attractions, the convention center, Jackson Square, the River Walk, Mardi Gras World, and many more places of interest. The Louis Armstrong International Airport is approximately 17 miles from the hotel. Shuttle service, as well as taxi service, is available from the airport to downtown hotels. Visit the Royal Sonesta web site at http://www.royalsonesta-neworleans.com for a virtual tour and for additional information.

    A conference rate of $129 per night for single/double accommodations has been negotiated with the hotel. These rates will be honored two days before and two days after the conference. Cut-off date for making reservations is Wednesday, August 19, 2009. Call (504) 586-0300 to make reservations, preferably twenty-one days in advance of the conference. Watch for additional hotel information in the summer edition of Licensure.
    Note: The Louisiana Board of Examiners for Speech-Language Pathology and Audiology (LBESPA) will sponsor a special event at the conference—look for details.

     

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    APPLICATIONS FOR BOARD MEMBERSHIP & INDIVIDUAL MEMBERSHIP

    The mission of the National Council of State Boards of Examiners for Speech-Language Pathology and Audiology (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 January1-2009-December 31, 2009, and the application fee for state boards is $350.00. NCSB has membership for individuals who are or who have been a member or an executive officer of a unit responsible for licensing and/or certifying the practices of speech-language pathology and audiology. Dues for individual membership are $25.00 per year.

    Applications for membership should be mailed to:

    National Council of State Boards
    P.O. Box 326
    Wellsburg, WV 26070

    For further information contact Ken Gist at (304) 737-2395.

     

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    UPCOMING NCSB ELECTIONS

    After March 1, a call for nominations for NCSB officers will be sent to all member boards. According to the bylaws, the President-Elect is selected from the current Board of Directors. Directors eligible to be nominated for President-Elect include:

    Doreen Oyadomari
    Annemarie DelMugnaio
    Glenn Waguespack
    Larry Molt
    Karen Stein
    Theresa Rodgers
    Alma Peters

    In addition to the President-Elect, NCSB is soliciting nominations for three positions on the Board of Directors. Those eligible for these positions include either persons from member state boards or persons hold individual membership in NCSB. Please participate in the election process by completing the nomination form that will be sent to your state licensing board.

     

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    NCSB PRESENTS POSTER SESSION AT ASHA

    A poster session entitled “Professional Licensure and All That Jazz” was presented at the ASHA Convention in Chicago last November. The poster session utilized maps to depict characteristics of state licensure, including the areas of hearing aid dispensing, support personnel, exemption-free 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. The poster has been submitted to the AAA call for papers for inclusion at their April meeting if accepted.

     

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    LEGISLATIVE UPDATES

    Michigan has become the 48th state to pass speech-language pathology licensure legislation. The comprehensive universal licensure bill that requires licensure for SLPs in all practice settings, was passed on December 19, 2008, following many years of lobbying by the Michigan Speech-Language-Hearing Association. Only two states—South Dakota and Colorado—do not currently regulate the profession of speech-language pathology. Audiology is regulated in all fifty states and the District of Columbia (DC also regulates SLP). NCSB congratulates Michigan on their success and wishes them well as they develop rules and regulations to govern and regulate the practice of speech-language pathology in Michigan.

    Oregon is proposing legislation that would require professional regulatory boards to submit annual reports to the Legislative Assembly and Governor regarding complaints received by the boards. The boards must report the number and nature of complaints, resolution of each complaint with penalties imposed, and the number of unresolved complaints and the reason for the unresolved complaints. The legislation would impact at least 29 professional regulatory boards. (From FARB Forum 2009, Tampa, Florida)

     

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    SYNOPSIS OF MINUTES: ANNUAL CORPORATE MEETING

    October 17, 2008
    Following is a summary of the minutes from the annual corporate meeting in Vienna, Virginia. The minutes will be circulated in their entirety and voted upon at the next corporate meeting to be held in conjunction with the NCSB Conference in New Orleans.

    1. Minutes from the 2007 corporate meeting were distributed and approved.
    2. Ken Gist, Executive Secretary, reported that there are 28 state board members with a total of 57 conference attendees.
    3. The treasurer’s report was presented and approved, as was the budget for 2009.
    4. The election results were announced, and it was reported that Lisa O’Connor from California will assume the office of President-Elect. Newly elected board members are Annemarie DelMugnaio (CA), Theresa Rodgers (LA), and Larry Molt (AL).
    5. The newsletter will continue to be published twice a year. State boards are encouraged to submit information about regulatory issues in their states.
    6. It was announced that NCSB would present a poster session at ASHA in Chicago on 11/20/08. The session is entitled “Professional Licensure and All That Jazz”.
    7. The state directory is being updated; attendees were requested to submit changes as necessary. The directory is distributed at no charge to member state boards.
    8. Doreen Oyadomari announced that the 22nd annual conference will be held in New Orleans at the Royal Sonesta Hotel September 10-12, 2009. Suggestions were requested for a 2010 conference site.
    9. Lisa O’Connor announced that strategic planning for the Board of Directors would take place following the conference and would be facilitated by Dr. Fred Spahr.
    10. Karen Stein, outgoing NCSB President, presented the gavel to Bob Oyler, incoming NCSB President.

     

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    DATA BANK NEWS

    (From January 2009 Issue of NPDB-HIPDB Newsletter)

    Each month HRSA publishes a newsletter with information of interest to health care providers and other reporting entities. Following are questions in the January issue that may reflect some of the questions/concerns from Speech-Language Pathology and Audiology licensing boards.

    Question 1 - What is the deadline for reporting an indefinite clinical privilege adverse action?

    Hospitals, other health care entities, and professional societies are required to report adverse clinical privilege actions that are in effect for more than 30 days. The report should be submitted within 30 days of the date the action was taken. A clinical privileges action for an indefinite period (when the reporter does not know how long the action will be in effect) becomes reportable on the 31st day the action is in effect and the action must be reported within 30 days. Missing the deadline does not excuse the reporter from filing a required report.

    Question 2 - If a state licensing board reports the suspension of the practitioner’s license for 90 days, and the suspension is later reduced to 45 days, what type of report should the board submit for this new action?

    The State licensure board should submit a Revision-to-Action Report to reflect the subsequent reduction in the number of suspension days.

    Questions can be emailed to Dear Data Banks at help@npdb-hipdb.hrsa.gov.  Urgent questions can be answered by the Customer Service Center at 800-767-6732.
    Note: Another article of interest in the January 2009 newsletter references Reporting Code Improvements and discusses some examples of upcoming changes that become available in June 2009.

     

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    NCSB LISTSERV

    NCSB provides a listserv for state board members and for individual members. The listserv is an excellent way to keep up with the latest issues related to licensure in the professions and to share your views with other professionals across the country. Subscribe to the NCSB Listserv.

    Go to: http://groups.yahoo.com/group/ncsb2

    We look forward to your vies and your input on critical licensure issues.

     

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    SPOTLIGHT ON LICENSURE BOARDS

    Board Profile: California

    Board Facts

    • Passed legislation in 1974
    • Board Composition - 3 SLP, 3 AUD, 3 Public Members (includes ENT appointed by Governor), 2 non-professionals appointed by legislature - 4 year appointments
    • Meets quarterly
    • License renewal every two years; 24 hours of continuing education required
    • SLP Assistants, SLP Aides, audiology Aides - requires registration
    • Pursing legislation to require audiologists to hold the Doctoral degree for entry level practice in the state

    Interview with Executive Director Annemarie DelMugnaio by NCSB Board member, Alma Peters

    Question - As Executive Officer, what value did California see in joining NCSB and attending the annual meeting?

    The exchange of information and best practices is most helpful. I also feel that we (California) can offer insights based on our experiences and administrative processes.

    Question - Is there anything interesting/unusual going on with your Board?

    Our Governor is proposing that we merge with the Hearing Aid Dispensers Bureau. With that proposal, there will likely be a move by the audiology profession to eliminate the requirement for dual licensure (that is, audiologists having the authority to dispense hearing aids without holding a separate dispenser’s license). Also the board is in the process of amending its licensing standards for internationally trained applicants in an effort to appropriately evaluate academic and clinical preparation and oral language proficiency.

     

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  • 01 Jul 2008 11:00 AM | Anonymous

    Summer 2008

    President's Message

    By: Karen Goltz Stein

    Summer is here, and I hope that you all are enjoying the beautiful weather! I also hope that everyone is thinking about the fall and planning to attend the 21st Annual NCSB Conference. Our conference chair and NCSB President-Elect, Bob Oyler, has been working hard coordinating not only the program to be presented October 16-18 but also the entertainment. This year, in addition to a dynamic program featuring such topics as generational issues and the disciplinary process as well as a live demonstration on how to query and report to the HIP Data Bank, Bob has planned two great nights of entertainment! Thursday and Friday night you are invited to attend receptions hosted by AAA and ASHA. I know that I am looking forward to touring ASHA's new national office building with all of its environmentally friendly features and AAA's new beautiful "home" on Capitol Hill. Both of these national organizations have graciously offered to provide transportation, drinks and hors d'ouevres for all of our NCSB conference attendees. In addition, Tyson's Corner, our conference location, offers wonderful shopping, entertainment and food. It is the largest shopping center in the Washington D.C. area and the sixth largest in the country.

    On March 15th NCSB met not only to plan this year's conference but also to discuss long range planning. The Board of Directors unanimously agreed that a strategic plan should be developed for NCSB. Lisa O'Connor, board member, suggested that Fred Spahr, former ASHA CEO, be contacted to determine if he would lead Board members in a strategic planning session since he had successfully done so with other groups in the past. Lisa contacted him, and he has graciously agreed to meet with board members during a work session that will take place immediately following this year's conference. All Board members are optimistic that the development of a strategic plan for NCSB will help to clearly establish realistic goals and objectives consistent with our mission. The result should also ensure that the most effective use is made of the organization's resources by focusing on key priorities. Finally, strategic planning will provide a base from which progress can be measured and will aid in establishing a mechanism for informed change when needed.

    In our Spring Newsletter I urged each state Board to please consider either renewing their membership or becoming a new member of NCSB. Individual membership renewal letters have also already been sent out. If you are from a state that is thinking about membership, please consider it seriously. NCSB is the only organization that is devoted to supporting the work of licensing boards in our two professions. So please, come to the NCSB fall conference in October and celebrate Professional Licensure 2008: A Capitol Event with your fellow state board members! I guarantee that you will learn new things, benefit from the time spent networking with board members from other states, as well as enjoy the hosted receptions and the attractions of beautiful Washington, D.C and Tyson's Corner. I look forward to seeing you there.

    INSIDE THIS ISSUE

    Twenty-First Annual NCSB Conference

    October 16-18, 2008
    Vienna, Virginia

    "PROFESSIONAL LICENSURE 2008: A CAPITAL EVENT" Registration brochures announcing the 21st 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 16, 2008, and the one and one-half day conference will follow on October 17 and 18. 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 16, 2008
    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. Highlight of the training 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 violations and sanctions to the HIPDB.
    • Ethical situations and dilemmas will be utilized to provide experience in receiving, reviewing, and resolving complaints.
    • Reference manual containing characteristics of state licensure laws, samples of model legislation and state licensing laws, and examples of licensure board exams will be provided.

    Reception at AAA Capitol Hill Office, DC

    Friday, October 17, 2008
    9:00 - 10:30: Generational Issues and the Disciplinary Process-Donna Mooney, NC Board of Nursing

    • How do generational influences related to traditionalists, boomers, gen xers, and millennium individuals impact the approach taken regarding discipline by boards?
    • How can boards utilize different approaches and still protect the public?

    10:45 - 12:00: HIPDB Updates: What Licensure Boards Need to Know-Shari Campbell, Division of Practitioner Data Banks

    • What is the role of the HIPDB in fighting fraud and patient abuse?
    • What recent changes have occurred with respect to reporting?

    1:30 - 3:00: Administrative Challenges: Who Does What to Whom? Annemarie Del Mugnaio (CA), Jolie Jones (LA), Gwen Wheatley (MD)

    • How do administrators deal with difficult licensees and interface with board members?
    • How do administrators query the HIPDB (live demonstration)

    3:15 - 4:45: Roundtable Discussions on Great Ideas (Select two topics and rotate after 45 minutes)

    • Board publications and communication
    • Dealing with unlicensed practice
    • Creative discipline: making the punishment fit the crime
    • Regulation of telepractice

    Reception at ASHA National Office, Rockville
    Saturday, October 18, 2008
    8:30 - 10:00: State Information Exchange

    • What boards are revising laws and/or rules and regulations?
    • What are the successes and challenges experienced by each board?

    10:15 - 11:15: Critical Shortages of Personnel: Implications for Licensure
    Annemarie Del Mugnaio (CA), Lisa O'Connor (CA)

    • What are current emerging credentialing issues?
    • How are boards reviewing credentials for international applicants?

    11:15 - 12:00: Regulatory Boards as Visionaries: The Canadian Experience
    David Hodgson, CASLPO Registrar/CEO

    • What issues lie ahead for regulatory boards?
    • How can boards adequately prepare for these issues?

    12:00: Board of Directors Meeting

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    NCSB 21st Annual Conference Registration

    Name _____________Work Phone __________

    FAX________________ e-mail_______________

    Address_________________________________ Bd. Represented ________

    conference fee (Includes continental breakfast and lunch on Friday, refreshment breaks)

    _______Individual from National Council member state..$295.00

    _______Two or more individuals from NCSB member state (fee per person)..$250.00

    _______Individual from non-member state..$395.00

    _______Exhibitor (includes one conference registration)..$450.00

    pre-conference workshop (Includes lunch, refreshment break, and NCSB Reference Manual)

    _______Training for Board Members .............................$195.00

    Total Enclosed..........................................................._________

    ______Check here if you plan to attend the Thursday evening Reception at AAA's Capitol Hill Office (transportation, drinks and hors d'ouevres provided).

    ______Check here if you plan to attend the Friday evening Reception at the ASHA National Office (transportation, drinks and hors d'ouevres provided).

    ______Check here if you have special dietary needs. (Enclose explanation with registration form.)

    ______Check here if you have a disability requiring assistance for participation in this workshop. (You will be contacted.)

     

    NOTE: Registration cannot be refunded after October 1, 2008.

    RETURN THIS FORM WITH CHECK PAYABLE TO:

    NCSB
    Kenneth Gist
    P. O. Box 326
    Wellsburg, WV 26070

    P: (304) 737-2395

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    Hotel Information

    Tysons Corner Marriott
    8028 Leesburg Pike
    Vienna, Virginia 22182

    (800) 228-9290 (703) 734-3200
    Rate--$115.00 per night (plus tax) Single/Double/Triple

    To obtain the conference rate, hotel reservations must be made by September 24, 2008. Please indicate that you are with NCSB.

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    Complaints Received by Licensure Boards

    NCSB is compiling information regarding the type and number of complaints received by licensure boards. Please send a brief summary to the editor at audmath1@aol.com, and the information will be published in the next edition of the newsletter.

    Louisiana-Fiscal Year 2007-08

    • Advertising (2)  
    • Competency & Practice issues (1)
    • Misdiagnosis (1)
    • Misrepresentation of credentials (1)
    • Practicing while impaired (1)
    • Unprofessional Conduct (2) 
    • Working without a license prior to or after grace period (1)

    Louisiana-Fiscal Year 2006-07

    • Breach of confidentiality (1)
    • Credentials (1) 
    • Falsification of supervision documentation (2)
    • Falsifying documents (1)
    • Hearing aid billing issue (1)
    • Incomplete/inadequate documentation/billing (1)
    • Misrepresentation of Unprofessional conduct (3)
    • Supervision issues (1)
    • University discrimination re: a disability (1)
    • Working without a license prior to or after grace period (3)

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    NCSB Elections in Progress

    The official ballot for NCSB elections has been sent to member boards. The election is being conducted to fill the position of President-Elect and to fill three positions on the Board of Directors. Nominees include:

    President-Elect: Lisa O'Connor (CA)

    Board of Directors (3 to be elected):

    Annemarie Del Mugnaio (CA)

    Larry Molt (AL)

    Lori Smith (GA)

    Theresa Rodgers (LA)

    Election results will be announced during the Corporate meeting at the conference in Vienna, Virginia.

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    NCSB to Present Poster Session at ASHA

    A poster session entitled "Professional Licensure & All That Jazz" will be presented at the ASHA Convention in Chicago on Thursday, November 20, 2008, from 10:00-11:30 AM in Hall F2 of McCormick Place West. The poster session will utilize maps to depict characteristics of state licensure, including the areas of hearing aid dispensing, support personnel, exemption-free licensure, and continuing education. Handouts containing statistics for each of the aforementioned areas, as well as web site addresses for all licensing boards, will be made available to those viewing the poster session. NCSB invites all those interested in regulation to attend the poster session and compare licensure trends from state to state.

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    2009 NCSB Conference to be Held in New Orleans

    The 2009 NCSB Conference will be held in New Orleans from September 9-12, 2009, at the Royal Sonesta Hotel in the heart of the French Quarter. Make plans to attend the conference and experience the flavor of New Orleans. Please note that the 2009 conference is being held a month earlier than in the past.

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    Log on to the NCSB Website

    Please visit the NCSB website at http://www.ncsb.info/ and peruse the information that is currently listed. Send suggestions for items you would like to have included to member(s) of the Board of Directors.

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    NCSB Listserv

    NCSB provides a listserv for state board members and for individual members. The listserv is an excellent way to keep up with the latest issues in the professions and to share your viws with other professionals. Subscribe to the NCSB Listserv. Go to:

    http://groups.yahoo.com/group/ncsb 

    To post a message, send it to: ncsb@eGroups.com

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  • 01 Apr 2008 10:59 AM | Anonymous


    SPRING 2008 NEWSLETTER

    PRESIDENT'S MESSAGE

     

    By: Karen Goltz Stein

    As I write this Spring Newsletter Punxsutawney Phil has just seen his shadow, predicting six more weeks of winter. Being Pennsylvania born and raised, I can't help mentioning our famous furry rodent as I hope for an early spring.

    Last fall, at our annual NCSB conference in San Antonio, I had the pleasure of meeting with many of you. I have been attending NCSB conferences for the past several years and have always enjoyed and benefited not only from the topics presented but also from the camaraderie among the conference attendees. The San Antonio conference definitely continued this same wonderful tradition, as many of the attendees noted on their conference evaluations the excellent opportunities for networking and small group discussion. NCSB members thank those who attended and provided feedback. The conference ratings were very good, indicating that overall our attendees' conference expectations were met. NCSB would like to again thank our keynote speaker, Cheryl Sancibrian, former chair of the Texas Board, for her excellent presentation-as well as all of the speakers and facilitators who helped to make this conference the second largest attended in NCSB history. Thanks must also be extended to Marilyn Thaden, who presided over this well attended conference as our 2007 NCSB President.

    As always, the pre-conference Board training was extremely well received and reviewed by the attendees. The content and quality of information in the presentations and the handouts was rated as excellent. I remember attending this training as a new board member and feeling that I not only left with an incredible amount of very useable information (in a very heavy binder), but also with a new group of colleagues from all over the country to call upon when my state board had questions. Ayn Stehr, Louisiana Board attorney and NCSB members Theresa Rodgers and Glenn Waguespack again provided this excellent training and we thank them.

    With any event or conference, there is always a great deal of "behind the scenes" work in selecting the venue and making all of the arrangements. Doreen Oyadomari, our 2006 Past President and current board member, has played a key role working tirelessly to assure that conference accommodations were optimal. Thanks to Doreen for attending to the details, keeping us within budget and always doing so in her unassuming way. I know that she is already busy working on this year's conference!

    .

    Congratulations to Bob Oyler who is our President-Elect. He will be leading our 2008 conference planning activities. Glenn Waguespack and Doreen Oyadomari were elected to another term on the NCSB Board of Directors, while Lisa O'Connor from California is welcomed as a newly elected Board member. I am also pleased that Theresa Rodgers will continue her role as a very valued member of the Board, and Glenn Waguespack will continue as the NCSB Editor. Florence Cuneo and Alma Peters will serve as the NCSB Secretary and Treasurer, respectively, while Ken Gist will continue as Executive Secretary. NCSB is a small board and requires every board member's time and attention. I thank them all for their service.

    In January NCSB sent each state Board a letter requesting either a renewal or new membership. Individual membership renewal letters were sent out as well. If your state is already a member, please check to make sure that your renewal form and dues have been sent. If you are from a state that is thinking about membership, please consider it seriously. NCSB is the only organization that is devoted to supporting the work of licensing boards in our two professions. We provide a connection that otherwise would not exist among the different boards. Being a non-profit organization, NCSB operates on a limited budget and with volunteer staff, relying on your membership dues to sustain our financial base so that the many benefits of membership may continue. Each year NCSB provides an active listserv, publishes two newsletters, and organizes an annual conference addressing timely topics of concern to licensing boards. In order to continue to provide these services, we ask every state board to join us as NCSB members. Please renew your membership, or if you are not currently a member, join now.

    The NCSB Board will be meeting the weekend of March 15th to begin planning the fall 2008 conference. It will be held October 16-18th at the Marriott in Tysons Corner in Vienna, VA. Please mark your calendars and "save the date." Join us for the 21st Annual NCSB Conference.

    INSIDE THIS ISSUE

    Reporting of SLPs & AUDs to Data Bank............................

    Summary of 2007 NCSB Conference..................................

    State Information Exchange.............................................

    Applications for Board Membership..................................

    21st Annual Conference-Vienna, Virginia..........................

    Synopsis of Corporate Meeting Minutes.............................

    Upcoming NCSB Elections............................................

    Pre-Conference Board Member Training............................

    Spotlight on Licensure Boards (Nebraska & Alabama)............

    NCSB Welcomes New Board Member...............................

    NCSB Website...........................................................

    NCSB Listserv...........................................................

    Board of Directors.......................................................

     

    Reporting of Speech-Language Pathologists and Audiologists to the National Practitioner Data Bank and Healthcare Integrity and Protection Data Bank

    By Donald Illich and Robert Oshel

    The U.S. Department of Health and Human Services, Health Resources and Services Administration maintains two medical disciplinary data banks of which members of State boards for speech-language pathologists and audiologists, as well as individual practitioners, should be aware. The Healthcare Integrity and Protection Data Bank (HIPDB) and the National Practitioner Data Bank (NPDB) are flagging systems that were set up to be used in combination with information from other sources in making determinations on employment, affiliation, certification, or licensure decisions. The HIPDB and NPDB (collectively the Data Banks) information is designed to augment and/or verify, not replace, other sources of information. This practitioner-specific information is not available to the general public.

    Speech-pathology and audiology State boards are required to report to the HIPDB certain adverse licensure actions taken against their licensees. Other actions that are reportable to the HIPDB concerning individuals in these professions include exclusions from Federal and State health care programs, health plan actions (e.g. contract terminations), government administrative actions, and health care-related judgments and convictions. The actions that are reportable to the NPDB include exclusions from Federal health care programs and medical malpractice payments. For more information on reporting to and querying the Data Banks, see the NPDB-HIPDB Web site at

    http://www.npdb-hipdb.hrsa.gov/ and previous articles in issues of the National Council of State Boards of Examiners for Speech Language Pathology and Audiology (NCSB) Newsletter.

    As of September 30, 2007, 283,903 reports concerning 166,765 individual practitioners were in the HIPDB. Slightly more than 75 percent of all reports were of State licensure actions (216,580) and 17 percent were for Federal and State health care program exclusion actions (48,352), with the remaining eight percent for health care-related judgments or convictions, government administrative actions, and health plan actions (e.g. contract terminations). In contrast, the NPDB had 425,057 reports on 246,024 practitioners with about 73 percent of them for malpractice payments (310,511), 15 percent for licensure actions (63,546), and eight percent for Medicare and Medicaid exclusions (34,173). The remaining four percent were for clinical privileges/panel membership, professional society membership, and Drug Enforcement Administration (DEA) actions.

    Speech-language pathologists and audiologists are among numerous health care practitioner groups that have reports in both Data Banks. The following table shows the number and type of reports concerning speech-language pathologists and audiologists that are in the Data Banks as of September 30, 2007.

    Note: All tables not included due to formatting transference problems, but can be viewed in the newsletter hard copy.

    The NPDB also had 55 reports for audiologists and speech-language pathologists. Twenty-nine of the NPDB reports concerning audiologists were for malpractice reports, one was a clinical privileges/membership action, and 18 were exclusions, which were also reported to the HIPDB. Only one speech-language pathologist was reported to the NPDB for one medical malpractice payment.

    These statistics should give members of State boards and practitioners a good idea of what has been reported to the Data Banks and how the data might be useful in promoting their missions.

    Board members and practitioners interested in learning more about the Data Banks should visit http://www.npdb-hipdb.hrsa.gov/. The site includes interactive training on reporting to the Data Banks, information about the public use file; data on reports, including HIPDB reports submitted by State agencies and health plans (under Statistical Information, Data by Profession and State); annual reports; and instructions for reporting and querying. There is also a Customer Service Center that can be reached at 1-800-767-6732.

    RESPONSE TO REGULATORY ISSUES FOCUS OF 2007 NCSB CONFERENCE

     

    The twentieth annual NCSB conference was held in San Antonio, Texas, October 4-6, 2007. The meeting began with the pre-conference Board Member Training on Thursday (see details elsewhere in this publication). The conference theme "Rollin' on the River: Response to Regulatory Issues" focused on the topics of encroachment, national accreditation and certification, analysis of regulatory standards, disciplinary action, and updates on exemption-free licensure, strategic planning, and the 4th year AuD student. Highlights of the conference included:

    * Cheryl Sancibrian, former Chair of the Texas Board of Examiners, delivered the keynote address by presenting a historical perspective of the challenges and successes of licensure in Texas. Urging participants not to ever become complacent about what has transpired, Ms. Sancibrian discussed encroachment from other professions and reported on legislation to reduce standards for licensure as a means of alleviating shortages of school-based SLPs and AUDs. Her presentation covered the gamut of challenges faced by licensure boards, including portability, personnel shortages, reimbursement, scope of practice issues, autonomy, telepractice, and the use of support personnel.
    * A panel discussion, "National Accreditation & Certification Standards: Do New Graduates Meet Licensure Requirements?", was led by Robert Oyler (MD), Theresa Rodgers (LA) and Glenn Waguespack (LA). Participants explored the impact that new accreditation and certification standards have on existing licensure laws, with particular emphasis on mobility issues and the variation in licensure standards from state to state. Attendees were then placed in small groups to develop and report on strategies for analyzing existing regulatory standards. Group facilitators included Doreen Oyadomari (AL), Karen Stein (PA), Marilyn Thaden (MT), and Gwen Wilson (SC).
    * The State Information Exchange, facilitated by Florence Cuneo (AL), allowed participants to network and share successes and challenges faced by their licensure boards. A summary of the State Information Exchange is included elsewhere in this newsletter.
    * Saturday morning sessions began with a group activity entitled "Disciplinary Action: Analyze This!". Regulatory cases with sanctions based on either consent orders or disciplinary hearing were presented, and attendees were asked to analyze each scenario to determine whether the procedures and sanctions were appropriate in each case.
    * Updates on Hot Topics in Regulation covered the issues of encroachment presented by Cheryl Sancibrian (TX), exemption-free licensure by Sharon Sorensen (MD), strategic planning for regulatory boards by Alma Peters (WI), and the 4th year AuD student by Kerry Ormson (TX).
    * Completing the conference was a panel discussion entitled "Ask the Experts". Panelists Pam Ison (KY), Joyce Parsons (TX), Roberta Silver (PA), and Margaret Hemm (AL) fielded questions from the audience on topics specific to board members, board administrators, and board attorneys.

    Responses to questions on the evaluation forms will be utilized in planning the 2008 conference. Once again participants have requested an interactive program format.

    STATE INFORMATION EXCHANGE-2007 NCSB CONFERENCE

     

    Each year states are asked to report on successes and challenges experienced by their respective licensing boards during the past year. Following is a summary of licensure activities reported by states attending the San Antonio conference.

     

    Alabama-Changed statute and rules. CE now counted in hours rather than minutes. Clarified clinically relevant as well as associated; ethics now consider clinically relevant. Had consumer complaint alleging gross negligence; rules unclear; may need to revise definition of gross negligence. Board has provided $17,000 toward CE offerings in state.

    Arkansas-On-line renewals for first time with 1/3 participation. Offer on-line verification of licensure. CF requirements for audiologists is statutory and board would like to change it, but there is potential opposition.

    California-Undergoing sunset review. Would like to have universal licensure and administrative processes. Ability to assess language capabilities of foreign-educated grads is concern. APD being diagnosed by educational psychologists. School districts being sued because parents want special ed services which they can get for APD. Two new masters-level SLP programs in state. Looking at adding audiology support personnel. Weill begin on-line renewals in 2008. Advise sharing disciplinary actions with ASHA and AAA to address reciprocity issues.

    Georgia-School practitioners still exempt. Five Master's programs in state so no shortage; however, there is no audiology program in the state. July 2006 law went into effect in January; now in rules writing process. Challenge because law requires paid professional employment even for those with doctorates in audiology. Provisions for telecommunications and speech aides in new law.

    Kentucky-Made limited change to statute requiring AuD or equivalent. Licensure board proposed changes rather than state association. Revisited scope of practice and added dispensing under audiology license; expect some challenges and opposition. Meeting set up to address opposition form hearing aid dispensers.

    Louisiana-Revised rules added web-cam supervision. Added substantive changes to supervision regulations to include supervision in all work settings. Added summary suspension of license. Held first-ever license revocation hearing. Continue to do presentations at universities and at state association meeting. Held CE activity offering up to 6 hours. Complaints primarily about supervision issues. Searching for new administrator.

    Maryland-Merged board. Revised statute have been working on for two years. Major problem with ENT opposing certain elements of bill, including work "diagnosis". No more equivalency. Have limited license for someone with degree but not clinical training. Working on rules and regulations, including supervision of students.

    Mississippi-Thirteen professions under Dept. of Health. Tried to establish on-line renewals but had difficulty within department. Head of DHH had restraining order filed against him. Board becomes fully functional again in October.

    Missouri-Advisory commission reports to board. Hearing aid dispensing written into audiology licensure this year. Audiology license increased from $50 to $250 and part goes to hearing aid dealers' board.

    Montana-Training program in SLP about to begin. Shortage in rural areas. Rules regarding supervision of three categories of aides. Defining adequate supervision in terms of % of time, on-site, etc. Dispensing in scope of practice; 40 AUDs still pay fee to hearing aid dispensing board.

    Ohio-Dealing with SLP shortage; discussing possibility of SLP assistants. Would have to have completed one year of study in SLP with experience in the permit setting, # of hours of clinical experience in first year of graduate study. Would get stipend from school system plus full benefits. 50 individuals considering the program for next year; license cannot be renewed after 2 years.

    Oklahoma-Working toward on-line renewals. Concerned about encroachment by hearing aid dealers; referring to themselves as audioprosthologists. Have worked on long-range strategic plan. Trying to expand investigator list. Looking at presentations to clarify difference between licensure and certification. Only state that does not allow a non-doctoral level audiologists to move to the state and obtain a license.

    Ontario-CASLPO has 500 audiologists and 2500 SLPs; fee of $00. New alliance of regulatory bodies in Canada. Publishes magazine. Have preferred practice guidelines on a number of topics. Spend time making public aware of what AUDs and SLPs do with posters and radio ads. Worked to require licensure for hearing aid dispensing; now anyone can dispense. Did not pass.

    Pennsylvania-Unique in that teacher of deaf and hard of hearing are included in law. Persistent problems with board vacancies and recruiting interested individuals. Revising regulations including updating practicum requirements, CF requirements. Would like to move to single credential rather than teacher certification and licensure. Imposed civil penalty for lapsed license and failure to complete CE.

    South Carolina-Mandatory on-line renewal; 99% renewed on-line. Hearing dealers concerned because they are not under structure of same dept. of state. AUDs stopped a regulation change for HA dealers. Danger in opening up practice act. Created new powerpoint on licensure for university presentations.

    Texas-Developed jurisprudence exam. Proposed that 2 CE hours be dedicated to ethics. Doing ethics presentation at state association conference. Booth at association conference. On-line search for license and license renewal. Task force with Texas Audiology Association to discuss 4th year externship.

    Wisconsin-Merged board. Drafting changes on statute complete and now have sponsor. Board presents at universities and at state association meetings.

    APPLICATIONS FOR BOARD MEMBERSHIP & INDIVIDUAL MEMBERSHIP

     

    The mission of the National Council of State Boards of Examiners for Speech-Language Pathology and Audiology (NCSB) is to facilitate the role of licensure boards through communication and education. In keeping with this 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 1-2008-December 31, 2008, and the application fee for state boards is $350.00. NCSB has membership for individuals who are or who have been a member or an executive officer of a unit responsible for licensing and/or certifying the practices of speech-language pathology and audiology. Dues for individual membership are $25.00 per year.

    Applications for membership should be mailed to:

    National Council of State Boards

    P.O. Box 326

    Wellsburg, WV 26070

    For further information contact Ken Gist at (304) 737-2395.

     

    21st ANNUAL NCSB CONFERENCE

    October 16-18, 2008

    Vienna, Virginia

     

    Make plans to attend the 21st annual NCSB Conference in Vienna, Virginia. The conference will begin on Thursday, October 16, by offering a full day of training for board members. This interactive activity will provide attendees with information regarding rule making and statutory authority, as well as training regarding resolutions of complaints and a mock disciplinary hearing. On October 17 and 18, the focus of the conference will be on current issues in regulation and the manner in which states are addressing the issues. The State Information Exchange will allow for networking and problem solving as attendees discuss successes and challenges facing their boards.

    This year's conference will be held at the Tysons Corner Marriott Hotel in Vienna, Virginia. The hotel is 16 miles from Dulles Airport and 16 miles from Reagan International Airport. Estimated taxi fare from either airport is $35.00 one way. Participants can also take the Metro from Reagan Airport. The metro stop is about 3 miles from the hotel, and the hotel provides shuttle service during non-peak hours. Taxi service is available during peak hours. The hotel is located near the Tysons Corner shopping centers, one of the top 5 shopping areas in the country. Tysons I and Tysons II boast over 300 shops.

    The NCSB Board of Directors is meeting in March to finalize conference plans. We invite you to attend and network with other licensing board colleagues. Note: Watch for complete conference details, registration information, and hotel information in the next newsletter. Registration information will be mailed in late summer.


    SYNOPSIS OF MINUTES: ANNUAL CORPORATE MEETING

    October 5, 2007

     

    Following is a summary of the minutes from the annual corporate meeting in San Antonio, Texas. The minutes will be circulated in their entirety and voted upon at the next corporate meeting to be held in conjunction with the NCSB Conference in Vienna, Virginia.

    1. Minutes from the 2006 corporate meeting were distributed and approved.
    2. Ken Gist, Executive Secretary, reported that there are currently 29 State Board Members and that a total of 54 individuals had registered for this conference.
    3. The treasurer's report was presented and approved, as was the budget for 2008.
    4. The election results were announced, and it was reported that Robert Oyler from Maryland will assume the office of President-Elect. Newly elected board members are Lisa O'Connor from California, Doreen Oyadomari from Alabama, and Glenn Waguespack from Louisiana.
    5. The newsletter will continue to be published twice a year. State boards are encouraged to submit information about regulatory issues in their states.
    6. It was announced that NCSB would present a poster session at ASHA in Boston The session, "Professional Licensure: Evolution and Revolution", is scheduled for Friday, November 16 from 10-11:30.
    7. Florence Cuneo, NCSB Secretary, is in the process of updating the state directory. States were asked to submit changes as needed. The directory is distributed at no charge to member state boards.
    8. Doreen Oyadomari announced that the 21st annual conference will be held October 16-18 at the Marriott Tysons Corner in Vienna, VA. Attendees were asked to submit possible topics for the conference.
    9. Marilyn Thaden, outgoing NCSB President, presented to the gavel to Karen Goltz Stein, incoming President.

     

     

    UPCOMING NCSB ELECTIONS

     

    After March 1, a call for nominations for NCSB officers will be sent to all member boards. According to the bylaws, the President-Elect is selected from the current Board of Directors. Directors eligible to be nominated for President-Elect include:

    Florence Cuneo Doreen Oyadomari Alma Peters

    Theresa Rodgers Glenn Waguespack Lisa O'Connor

    Marilyn Thaden

    In addition to the President-Elect, NCSB is soliciting nominations for three positions on the Board of Directors. Those eligible for these positions include either persons from member state boards or persons holding individual membership in NCSB. Please participate in the election process by completing the nomination form that will be sent to your state licensing board.

    PRE-CONFERENCE WORKSHOP PROVIDES BOARD MEMBER TRAINING

     

    Attended by fifteen individuals representing ten states, the annual pre-conference workshop held on October 4, 2007, 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. Following 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 evidence, in deliberation of the testimony, and in the determination of appropriate sanctions.

    A review of sample complaints was utilized to provide participants an opportunity to put into practice the information gleaned from the attorney presentation and from the disciplinary hearing. Ethical situations and dilemmas relating to the practice of speech-language pathology and audiology were employed to guide board members through the logical process of ethical decision-making and to provide them with an opportunity to receive and review complaints that might come before a regulatory board. Instruction was provided in drafting a consent order in response to some of the complaints, as well as suggestions for coding in reporting of sanctions to the national data bank.

    Included as part of the training was a comprehensive reference manual containing information on the characteristics of licensure laws and regulations throughout the country. It also included samples of model legislation, samples of state licensing laws, and examples of licensure board exams. A section on emerging issues referenced telepractice regulations, while another included the reporting of sanctions to the national data bank. Plans are to offer the training as part of the 2008 conference in Virginia. Look for details in the summer edition of Licensure.


    SPOTLIGHT ON LICENSURE BOARDS

     

    Nebraska LAP Achieves High Ratings on Client Satisfaction with Services

    Nebraska Licensee Assistance Program clients with alcohol/drug abuse or dependency problems may be embarrassed or ashamed and find it difficult to ask the NE LAP for help. Some clients are referred for services because they are in legal, practice or employment trouble and they are angry about their referral. In some cases, our clients are upset with their diagnosis or treatment recommendations. Some are just not ready to give up drinking or drugging and are resistant to receiving the NE LAP's assistance.

    In each and every type of licensee situation, the NE LAP strives to provide professional and compassionate service to the licensee. A review of the satisfaction ratings from the forty-four NE LAP clients who returned our satisfaction questionnaires over the past two year period indicated the NE LAP maintained excellence in services to all licensee clients.

    100% were able to successfully contact the NE LAP when needed.

    98% were treated courteously, professionally, and in a timely fashion.

    93% indicated the NE LAP staff seemed genuinely interested in providing the assistance they required.

    93% felt their confidentiality was handled appropriately by staff.

    88% agreed the NE LAP counselor was effective in helping them.

    87% felt they received an appropriate referral from the NE LAP.

    88% found the referral services helpful.

    84% overall, were satisfied with NE LAP services.

    88% would recommend the NE LAP to others.

    Included with the satisfaction ratings were many positive comments on the NE LAP services. The following two seem to sum up the sentiments of the licensees who felt the NE LAP had been very helpful to them.

    "I would like to thank the NE LAP for their part in my sobriety. Even though I work with patients on a daily basis who are dealing with substance abuse issues, I could not abstain from alcohol abuse until the NE LAP told me that I needed to abstain. Again, thank you for your support and guidance in my recovery"*

    "I was very satisfied. I really enjoyed talking with Judi. It gave me a sense to see some things I have accomplished. And also to give a person a look at my life before my world of crimes and drugs and alcohol and the after life. I was very pleased with this program. I would definitely refer a colleague to the NE LAP."*

    If you are a licensed health service professional and would like to take advantage of the NE LAP services, please contact the NE LAP at (800) 851-2336 or (402) 354-8055 or visit our website at http://www.lapne.org/.

    *Reprinted with permission of the licensee

    Submitted by: Stephen Boney

    BOARD PROFILE: ALABAMA

    Board Facts

    * Passed legislation in 1975
    * Joined NCSB in 1979
    * Board Composition-3 SLP, 3 AUD, 1 Consumer, Executive Director, Speech and Hearing Association of Alabama liaison member-3 year appointments
    * Meets monthly
    * Annual license renewal; 12 hours per year continuing education
    * Support personnel requires registration
    * Hearing aid dispensing permitted with Audiology license
    * Doctoral degree required for audiologists after 2007

    Interviews with Executive Director Wanda Rawlinson and Board Chair Margaret Hemm by NCSB Board member, Alma Peters

    Question-What value did Alabama see for joining an organization like NCSB in 1979?

    Wanda Rawlinson chuckled and said "You have to remember that this was before the date of the internet and there was a real need to be able to network and share information with other states. We all had similar issues we were facing and to be able to have a forum to actually discuss these issues with other states was invaluable."

    Question-Now that we have the internet and endless information access, why do you continue to find value in NCSB?

    Wanda responded "Chat rooms and bulletin boards are helpful but it's still much better to be able to get together and talk. I get so much out of the group discussions at the annual meeting. It's great to be able to put a face with the story."

    Question (directed to Board Chair)-Is there anything interesting/unusual going on with your Board?

    Margaret Hemm replied "In fact there is and it's the result of the last NCSB meeting in San Antonio. We always have a Board meeting at our state convention and this year the entire Board is coming in a day ahead and we're going to develop a 5 year Strategic Plan. There are so many issues that come up at the NCSB meeting such as telehealth and foreign trained therapists that we don't have time to deal with at our monthly meeting, but they need to be part of a plan.

    Question-As Chair, what do you get out of attending NCSB's annual meeting?

    "For me it's getting the bigger picture of what is going on around the nation. And the Board training that happens the day before is invaluable let me tell you why. As part of the training there's a mock trial that helps participants to understand the process of a trial and the power of the Board and the consequences of their actions. We no sooner got back from that meeting when we found ourselves preparing for a trial of our own."

    NCSB WELCOMES NEW BOARD MEMBER

     

    Lisa O'Connor, a speech-language pathologist from California, was recently elected to serve a three-year term on the NCSB Board of Directors. After receiving a Master's degree from California State University, Los Angeles, Lisa worked in the public schools as a speech-language specialist, as well as a program specialist and Special Education consultant. During her 20 years as a faculty member in the Department of Communication Disorders at California State University, Lisa taught courses at both the undergraduate and graduate levels. She also served as the Clinical Director of the on-campus speech and language clinics and supervised students both on and off-campus. She is currently involved in early intervention serving children from birth to three years and has a small private practice in Marin County, California.

    Lisa has served on task forces and committees developing guidelines for the use of support personnel. She is a past President of the California Speech-Language-Hearing Association and has served on the ASHA Legislative Council for over fifteen years. She recently served as Chair of the ASHA Ad Hoc Committee on Supervision facilitating the development of updated ASHA policy documents on supervision. Lisa is the current Chair of the Speech-Language Pathology and Audiology licensing Board in California. NCSB is pleased to have an individual with Lisa's professional and licensure experience as a member of the Board of Directors.

     

    LOG ON TO THE NCSB WEBSITE

     

    Please visit the NCSB website at http://www.ncsb.info/ and peruse the information that is currently listed. Send suggestions for items you would like to have included to member(s) of the Board of Directors.

     

    NCSB LISTSERV

     

    NCSB provides a listserv for state board members of NCSB and for individual members. The listserv is designed to post the latest issues in the professions and to provide licensees with an opportunity to share their views with other professionals across the country. Subscribe to the NCSB listserv.

    Go to: http://groups.yahoo.com/group/ncsb.

    To post a message, send it to: ncsb@eGroups.com
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