FCLB 81st Annual

Educational Conference Continuing Competency

Through a National Continuing Education

Review Service

Presented by:Randy Lindner, MHSA, CAE,

Executive Director

National Association of Boards of Examiners of Long Term Care

Administrators

Agenda

• Welcome & Introductions

• About the NAB• Programs and Services• About the NAB NCERS• Who Benefits• NCERS Growth• Who Else is Doing It?

Agenda

• NCERS/PACE Similarities• NCERS/PACE Differences• Primary NCERS

Challenges• Sample Regulatory

Language• NCERS

Brochure/Marketing• Why Participate in PACE?• Questions?

Great Ideas Can Be Thankless!

Getting There Can Be Painful!

Getting Everyone on Board Can Be Challenging!

About the NAB

• National Association of Boards of Examiners of Long Term Care Administrators (NAB)

• Mission – Public Protection• Membership

– Regular– Associate– Subscribing

Programs and Services

• National Continuing Education Review Service (NCERS)

• Nursing Home Administrator Examination Program (NHA)

• Residential Care/Assisted Living Examination (RC/AL)

• State Exam Program

Programs and Services

• Model Regulations and Standards

• Annual and Mid-Year Meetings

• Academic Accreditation Program

• Publications• Marketing & Public

Relations

About the NCERS

• The National Continuing Education Review Service (NCERS) was established as an arm of the NAB in 1988

• Established to provide a vital service to state regulatory boards who monitor continuing education programs for long term care administrators

Who Benefits

• State Licensing Jurisdictions– Relieves state boards of the

task of reviewing continuing education programs

• Program Sponsors– Single source approval

accepted by licensing jurisdictions•NCERS is accepted by 47 of the 49 states that require continuing education

Who Benefits

• Licensees– NCERS approved CE

units are valid in the majority of states

• Public Protection– Uniform Standards– Quality Continuing

Education Contributes to to Quality Care

NCERS Growth - Programs

• Growth in Number of Programs Reviewed 1988-2006– 168 to 2100 (450

Providers)

0

500

1000

1500

2000

2500

1988 1998 2006

#ProgramsReviewed

NCERS Growth - Revenue

• Growth in Revenue 1988-2006– $17,000 to $522,000

0

100,000

200,000

300,000

400,000

500,000

600,000

1988 1998 2006

Revenue

Who Else is Doing It?

• Medical Doctors• Dentists• Social Workers• Accountants• Optometrists• Veterinarians• Veterinary Technicians• Long Term Care Administrators• Nurses and Nursing Specialty

Groups

Who Else is Doing It?

• Counselors• Canadian Rehabilitation

Professionals• Disability Management

Specialists• Bankers• Fundraising Professionals• Home Inspectors• Midwifery• Pharmacy• And Many Others…..

PACE and NCERS Have Many Similarities

• Provide uniform criteria for approval of continuing education programs nationally

• Provide for multi-jurisdictional approval

• Reserve approval authority of the board

• Voluntary Participation by State and Provider

PACE and NCERS Have Many Similarities

• Requires Annual Provider Registration – Annual Fee

• Requires Program Submission & Review – Per Program Fee

• Approved Providers May Use NCERS Logo

• Approved Programs Posted in Searchable Data Base

PACE and NCERS Have Many Similarities

• Policy & Procedure Established by National Continuing Education Committee (NCE), Approved by the Board

• Criteria Established by NCE Committee, Approved by the Board

• Appeals Process Exists• Complaints Investigated

Through Audit and/or Review

PACE and NCERS Have Minor Differences

• Reporting of CEUs– NCERS – To the State Board– PACE – To ALLDOCS

• Program Review– PACE – Paper Review– NCERS – Random on Site

Monitoring and Detailed Review of First 10 Programs•Reviewers Monitor 10 Hours or 2 programs Annually, Complaints Trigger Monitoring

PACE and NCERS Have Minor Differences

• Who/What is Approved– PACE Approves Providers– NCERS Approves

Providers and Programs•After First Ten Programs, Eligible Application as a Certified Provider (Program Review Not-Required, Program Registration Required)

Primary NCERS Challenges

• Reporting– All Education Offerings– All Sites– Changes in

Instructors/Presenters– Changes in Program

Content

Primary NCERS Challenges

• Monitoring– Ensuring an adequate

sampling of programs are audited annually

• Reviewers– Ongoing Training– Consistency of Review

Process– Adequate Supply of

Reviewers

Sample Regulatory Language for NCERS Approval

• Pennsylvania• 39.61. Requirements.•  (a)  A licensee shall complete

at least 48 clock hours during the preceding biennial period.

•  (b)  Of the 48 hours required, the following applies:

•    (1)  At least 24 hours shall be taken in lecture or computer interactive courses approved by NAB or the Board.

•       

Sample Regulatory Language for NCERS Approval

• Pennsylvania•    (2)  Up to 24 clock hours may

be taken through college or university courses, including distance learning, approved by NAB or the Board.

•    (3)  A maximum of 12 clock hours may be taken in the following categories:

•      (i)   Individual study using NAB or Board approved correspondence courses.

•      

Sample Regulatory Language for NCERS Approval

• Pennsylvania

•         (ii)   Serving as an instructor of a NAB or Board approved continuing education program or a college or university course. Instructors may earn 1 clock hour for each hour of instruction up to 12 clock hours.

Sample Regulatory Language for NCERS Approval

• California

– In 1981, the National Association of Boards of Examiners for Nursing Home Administrators (NAB) developed the National Continuing Education Review Services (NCERS) to review and approve continuing education programs submitted by sponsoring organizations and groups.

Sample Regulatory Language for NCERS Approval

• California– In January 1982, the California

Board of Examiners of Nursing Home Administrators (now the Nursing Home Administrator Program) agreed to accept the NCERS review process for continuing education courses and to recognize NAB-NCERS approval of regional and national continuing education programs.

Sample Regulatory Language for NCERS Approval

• Texas

– §18.35  Continuing Education Requirements for License Renewal

– (a) • The 40 clock hours of

continuing education required for license renewal must:

• (1) be completed during the previous two-year licensure period;

Sample Regulatory Language for NCERS Approval

• Texas

• (2) include one or more of the five domains of the National Association of Boards of Examiners of Long Term Care Administrators, Inc. (NAB) listed in §18.11 of this chapter (relating to Academic Requirements);

• (3) include at least six clock hours in ethics; and

Sample Regulatory Language for NCERS Approval

• Texas

• (4) be: –(A)

»approved by the National Continuing Education Review Service;

–(B) »a Texas Department of

Human Services (DHS)-sponsored event; or

Sample Regulatory Language for NCERS Approval

• Texas (cont.)– (C)

» an upper-division semester credit course taken or taught at a post-secondary institution of higher education accredited by an association recognized by the Texas Higher Education Coordinating Board.

– (b) • DHS accepts no more than six

hours of NAB-approved self-study courses toward the required 40 hours of continuing education.

Sample Regulatory Language for NCERS Approval

•New Hampshire•           Nuh 403.03  Approval of

Programs.  Approval of continuing education programs shall be based upon the following standards:

•           (a)  The program shall directly relate to nursing home administration.

•                    

Sample Regulatory Language for NCERS Approval

• New Hampshire•                     (b)  The program shall

be sponsored by an accredited college or university, or a recognized state or national professional association or trade association, or both, or shall have received the endorsement of the American College of Health Care Administrators, National Association of Boards of Examiners for Nursing Home Administrators.

•          

Sample Regulatory Language for NCERS Approval

• Florida• Rule 64B10-15.002(8) reads,

Continuing education courses offered and approved by the National Association of Boards of Examiners of Long Term Care Administrators are accepted as long as the requirements are similar to or more stringent than those required by the Board in subsection 64B10-15.002(1) and Rule 64B10-16.005, F.A.C.

“Finding a Career

To MatchYour

Heart”

“Finding a Career

To MatchYour

Heart”

Why Participate in PACE?

• It’s a Win Win For All Stakeholders – Its The “RIGHT” Thing To Do– Enhance Board Staff

Resources•Allows Board Staff to Focus on Mission of Public Protection

•Frees Staff Resources to Do Other Important Work

Why Participate in PACE?

– Public Protection•Uniform Criteria & Approval Process

•Its Defensible - Enhances and Assures Quality

– Providers – They Love It!•Efficient & Cost Effective•Unparalleled Market Exposure

•Validity

Why Participate in PACE?

– Licensees – They Love It!•Assurance of Quality Education Offering

•Reporting of Earned CEUs

•One Stop Shopping for Educational Offerings

Contact Information

1444 I St. NW, Suite 700Washington, DC 20005

Tel: 202-712-9020Fax: 202-216-9646nab@bostrom.comwww.nabweb.org