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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.

    INSIDE THIS ISSUE

     

    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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