board of respiratory care approved minutes 11-6-15 · carl haas, lrt, rrt cheryl sherburn, mpa,...

STATE OF MICHIGAN RICK SNYDER MIKE ZIMMERDEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

GOVERNOR DIRECTORLANSING

MICHIGAN BOARD OF RESPIRATORY CARE

November 6, 2015 MEETING

APPROVED MINUTES

In accordance with the Open Meetings Act, 1976 PA 267, as amended, the Michigan Board of Respiratory Care met on November 6, 2015, at the Ottawa Building, Conference Room 4, 611 West Ottawa Street, Lansing, Michigan 48933.

CALL TO ORDER

Richard Tooker, MD, Chairperson, called the meeting to order at 10:09 a.m.

ROLL CALL

Members Present: Richard Tooker, MD, Chairperson

Jeremy Bainbridge, LRT, RRT

Beverly Cherwinski, Public Member

Debra Dix, LRT, RRT, CPFT

Veena Erinjeri, LRT

Carl Haas, LRT, RRT

Cheryl Sherburn, MPA, LRT, RRT

Members Absent: Shari Heydenburg, LRT

Helene Wiltse, Public Member

Staff Present: Amy Schneider, Secretary, Boards and Committees Section

Karen Carpenter, Policy Analyst, Boards and Committees Section

Elaine Barr, Policy Analyst, Boards and Committees Section

APPROVAL OF AGENDA

MOTION by Bainbridge, seconded by Haas, to approve the agenda as presented.

MOTION PREVAILED

APPROVAL OF MINUTES

-· MOTION by Dix, seconded by Bainbridge, to approve the May 1, 2015 meeting minutes as presented.

BUREAU OF PROFESSIONAL LICENSING 611 W. OTTAWA• P.O. BOX 30670 •LANSING, MICHIGAN 48909

www.michigan.gov/bpl • 517-373-8068

www.michigan.gov/bpl

Michigan Board of Respiratory Care Meeting Minutes November 6, 2015 Page 2 of 45

MOTION PREVAILED

REGULATORY CONSIDERATIONS

None

OLD BUSINESS

None

NEW BUSINESS

Need for Board Input on FAQ's

Haas inquired if the Board could be informed of all inquiries regarding scope of practice issues. Carpenter responded that all questions can be forwarded to the Department regarding scope of practice or other rules pertaining to the practice of Respiratory Care. She explained the Board authority is limited by the Public Health Code. Haas suggested for the Board to review the questions that are asked of the Department to determine whether a FAQ should be generated. He also suggested that the Board review the current FAQ's to determine whether any require updating. Carpenter will share FAQ's inquires with the Board in the future as requested.

CEUs - Human Trafficking and potential to add other CEU requirements

Bainbridge inquired about the Human Trafficking rules and the potential to add other CEU requirements. Barr and Carpenter explained the rule addressing human trafficking was a "training" requirement and did not constitute CE requirements. It was suggested to contact the Michigan Society for Respiratory Care (MSRC), association for the addition of CEU requirements.

NBRC's Annual September "State of the Licensure Liaison Group" meeting

Haas attended the State Licensure Liaison Group (SLLG) meeting hosted by the National Board for Respiratory Care (NBRC), as current NBRC President. The meeting was held in Olathe, Kansas on September 14, 2015. Haas summarized presentations from the meeting. Handouts from the seminar were made available to board members. See Addendum #1. Haas encouraged Board members or staff members to participate in the annual meeting, which is typically held at the NBRC home offices in the fall. An invite from the NBRC is sent to all licensure boards annually. The NBRC will pay for one Board member representative (Board member or Board administrator) to attend the event.

No one from our Board attended this meeting for the past two years. It was suggested that the topic "Attendance at NBRC SLLG meeting" be placed on the agenda of the first or second meeting of the year to ensure that attendance is considered.


Department Update

Barr introduced Karen Carpenter as the new Policy Analyst who will be working with the Board on its rules.

PUBLIC COMMENT

Bainbridge thanked Chairperson Richard Tooker and Board member Carl Haas for their service on the Board.

ANNOUNCEMENTS

The next regularly scheduled meeting will be held February 5, 2016 at 10:00 a.m. in the Ottawa Building, 611 W. Ottawa Street, Conference Room 4, Upper Level Conference Center, Lansing, Michigan.

ADJOURNMENT

MOTION by Haas, seconded by Bainbridge, to adjourn the meeting at 11 :05 a.m.

MOTION PREVAILED

Prepared by:

Amy Schneider, Board Secretary November 6, 2015


ADDENDUM #1 911412015

2015 State Llcensure Liaison

Group Meeting

NBRC: Past, Present, Future

lort M. Tlnk!or,MBA

A$S«:fate Exe


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The NBRCWho, What, Hovi

• \Vas 01lglnally formed In November 1960 to credential resplratorytherapfsts

• Has supported the ptofessloii through developmentof natlonal credentfats for 50 years

• Ads to ensure the continued recugn!Uon and value of the national credentials

The NBRC is sponsored by four professional organizations ...

• American Association for Respiratory C


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NBRC Credentials are

Standards of Excellence

• Cortll~d RMpfratory T~rapbt (CRl}

• Roghtcttd Rnp!ratorylhetaplsttRRn • Certified Pulmonary Functlon. Technotogtst (CPFT}

• R&gktered Pulmonary Function Technologist (RPFT)

• NeonaJaVPedlaltlo Respiratory Caro Spedallst (CRT·HPS'H RRT·NPS)

• Sl~p Dlw1i:f.ers Speclan'Jt (CRT·SDS Of' RRT * SOS)

• Adult Cdtlcal Care $peclaHy E.umlnallon (RRT· AC


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Application Process

• School c-onfhms graduation (electronic process or certlflt-ate of complelltHl/ graduation)

• CantHdati'! may apply, pay examination fee, receh·e ellg/blllty confirmation and schedule a testing appointment In one onllne session at WYJW.nbrc.otg

• Paper applications ate also accepted and candidates can call toll-ftee to schedule testing appointments

Examination Results

• The NBRC shares exarnlnatlon tesults with states using the entr)··fevel CRT Examtnatlon fot Ucensure

• the NBRC also shares examination results with accredited education p1og1ams and the Commission on Accreditation tot Respiratory Care (CoARC)

Candidates Receive Instant Examination Results on the Test Date

• Fina! score report Issued upon leaving the

Assessment center

• Candidate photos printed on the score

report

• Reapplication Josttuctlons ptoYlded If needed

4


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NBRC Credentials are recognized by ....

• State llcensure agencies

- Currently, 47 states regulat!ng respbatory care practice recognize the CRT credential as the requtslte credential for demon$batlng competence at beginning practice. TWO (2) states - California and Ohio - require the RRT credential fot lnltlal licensuro.

Continuing Competency Progran1 Effective July 1, 2002

• CE Credit - 30 hours/5 years

• Pass examination for highest credential

• Pass examination not preYlousfy completed

Continuing Competency Program

• Requires all Individuals who earn a NBRC credentlal on or after July 1. 2002 to participate

• C1edentlals ea1ned after July 1, 2002 are 'lalld for five years

• Continuing Competency Progmm does not effect credentials earned prior to July 1. 2002, but Individuals can-voluntarily participate In the program

5


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Continuing Competency Progran1 Requiren1ents

• CE Credit - 30 houts/5 years - AARC CRCE apptoved courses - Respiratory care specific courses

approved for state license renew.aI/conUnulng education

• Pass examination for highest credentlal held

• Pass examination not ptetiously completed

CCP Implementation Actions

• General lnfonnatlon ls ptovfded through the annual renewal proce.M.

• Pending credential expiration notloos provided as follows:

- one )'ear prior to expiration - official letter notice

- slx months prior to expiration - follow llP reminder postcard

- 90-days prior to expiration

- 30 day pflorto expiration - flnal temindet

CCP Continuing Education Submission

• Online process at www.nbrc.org

• Random audlt

• Simple and easy

• Can renew \la CE up until the day before ctedentlal expires

6

http:www.nbrc.org


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NBRC Disciplinary Database

• Estab!lshedl9 years ago • Repository for dlsclpllnary actions

• NBRC uses It to protect the public and the profession through the Judicial & Ethics Committee

NBRC Disciplinary Database

• Advantages - Allow~ authottrcd U!'Clts to dlrectty lnputdl!clpltnary

;tctlons !Mo tho datab;;ue

- Avtomatleally notlnM HBRC of actions

- Aflom UU-'1' to run reports

• A final order MUST be recel\led before the NBRC can take action!

• Database enrollment

Judicial & Ethics Policies • NBRC protects the public and the profession

through the Judicial & Ethics Committee

• The Judicial & Ethics Committee takes acUon against people who: - '-'lolate testing rules

- misuse ctedentlal trademarks - commit practlce-related offenses or sedous

crimes

- have their slate license re\vked or suspended

7

Michigan Board of Respiratory Care Meeting Minutes November 6, 2015 Page 11 of45

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SLLG Extranet • Main SLLG EAlranet SHe

- AJIOY.~us to cornmunluto y,fthyOtJ and )"Ou lo

communltato y,fth each othtt

- foeludu a dlseunlon. board fe


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PFT Examination Changes

• Slmllat to the CRT and RRT Written examinations, the CPFT and RPFTw1ltten exams were redeveloped to become. a ::;Ingle written exam wHh two cut scores

w P.aM!ng Iha k.'!"ct Invcl, CPrT credential granted - Passlng hl&Mt level, RPfT crodcnUal granted

Examination Vouchers No\V Available

• Examination vouchers allow third parUe.s to pay the full examination fee and receive a 't'Oucher code to be dispersed to examlnatton candidates.

• Candidates Input the voucher «>de when applying for the examination to receive the examination fee credit.

• Vouchers are only valid for one year frl'.lm the date of purchase and for the specific examination purchased.

Recertification Commission

• Convened on Septembet 17, 2015

• Review and Evaluate the Current NBRC CCP fot curcency and appUcablllty

• Discuss options. for changes to the program • Representatlonftorn related otganltatlons

9


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Questions?

10


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How have examination systems changed?

CRT, RRT, CPFT, RPH

CRT

Ch;111ged COM1ant

• !km distributlon Numbers ofitemi.3.Wl~ - Cu1~Mdxt-


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RRT

Details Chan,ted COr\$\tmt

WR.ii!T .rr;!T"Al.3.lion IN$J.OO P.iiss multii;te-choke f!~mdhl!il:Mlvn

uo lll!J'.tip.!.e


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CPFT

changed a..m di\tribution - Ct.Y.


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Details

Chiting~d Coostal'!t

R?FT Wm'o1tion fee~ tlumMrs of items !.coted Cognitive i-e-.".:tl di.IDobuliOll (100) af!d pttle1t{'d (15)

cut stOfe Teil admlni!itnition tiM


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5-year pass rates: CflT =80%, Written RRT "- 67%

"'61%

ic;.;-. _q~ ·~,;; 1-'1' ~~~ ,!o••-':: ,v;-;_, .'«:>" P~


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Summary

Examination system for the - CRT ucdentlal Is mostly the- ~rnC! - RRT ctl!dl!nt!al has th:ingcd Jn severJI rn5J)(!Cli

• h'u.'TIW of a.H11nstl•J41Slfd fl!S!~ s.;5$lons

• fEoel

Examination system for the - CPFT ~ ··-'·'.~=-,.-~:_~--~-;~¥!:.~~-~~~~-~ Summary About First Time Successes

TMC low


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fJf'iro1k'.~··.. - · ::.: ;,,.;,;i;;,~"• ;' ~-~~~-- -·-~~..:......=~-~------"'-

Summary About First Time Successes • PFT low cut and high

cut3re both respectively hlgher compt1red to CPFT cut and RPfT cut - Candid3lH rould opt out

of the RPFT tQi"np


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RT State and Federal Issues

Update

NBRC/AARC State Licensure

Boord Meeting

September 2D 15

l_ ._1L __L ____._____ -----i

HR 2948 The Medicare

Teleheallh Parity Act

oMedicarete!eheollh coverage expands

'of.-glloting siles" beyond the current rural & profenionol shortage areas Jo other heatth sties ITTdvdlng lhe patienr1 home

o Expands ptovider> e::tgible lo provk1e felehealth rervlce-s to: certi;ied olabetes educator, re5plralory therapist, phy1ical therapist, occupotkinal theropl1t. speech language polho~Bt. aOO:.Olog:st

I jLJ__···

HR 2948 The Medicare Telehealfh Parity Act

o Expands services that can be provided via le-!eheo!lh to; resp!tatory services. oucf.


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Ii i

Congress Intrigued with

Teleheallh

o C.on i:!i' !eis e~r.!lve. keeps peop'.e out of

~,ou:>;taf1, iru::1eoies p-ot~nf occ

Telehealfh & the Stales o State conskieratton:

o fcern:iJ1g remote leleheolth praclifioners

o If you e!ectronicofy fnle1oct wifh paffentsin other .slates or pre~be medlcaf.on IPhY!icionsJ ocroo;.s state lifles. do you sho1J\d you/ how do you es!abish ~!icensure" rn lhose other states- w/oanother state fcensel'

l l! I '

L-_ H__ !

Recent Slate Tele Laws Passed w/RT Impact

o 2015 -·Dfe,,oc:.ad te-ellecro


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L_____J

State llcensure Compact o Te-~~a!ih foer.IT.g >!;rue rn~ghtbe addtess-:d

i11 some slat:s by pas~'t19 Pfol&ss'cn specif.o

Comp.1ot to-o:-s

o Compoct: Portklp-afl\-Q slot;;$ a.gNe 'io o

m"lf.-s!G!e ~-cer,;e fct pract;f;:or.sJS

o Fr.:i.;:t;1oners mud !Ye !n a Comp.3ct stole lo

gel It.is fo. or.d mvit'-51Clfe fu.good orty\n

onot!'\e1Con1poct slo!e

"

Nurse Stale Licensure Compact: How It's Done o mmei~st~-eshse of doff than .:im;:;d to add:e.ss

t


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Ii I

RT Licensure: Sunset, Repeal,

Consolidation, Privatize

oSUNSET o C\.aor:y s!ole- i:neade•fifp ond rnch;,t~s

1,;:co-;il'lo1:.so SunH1t remu/ol Is no longer !


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,, I I'

RT Licensure: Sunset, Repeal, \ Consolidation, Privatize I o SUNSET o H


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' " I

Sunset Hawaii 2016 o HI Aud~o,·s R«pcrt on HI RT L' !avndr;;,:;p'rotw-1 t.'1'1-!0plfff freql'ent!y

coridvct lheii"y,'O

_j,-,

!__j]~----

~---~'-

TX RT Licensure Repeal Saga o r'.roa· ~;;pt gees to TXl.;;;g~e... o it7n11e!ert1 c-011t"o·•e,r;"11 100~ a...-.,:Mml!-fll O!'J:o 117 c·,

0 WoVdNn·-,;, tl';;O t--iL. o 81JT pre~'-""e o;ip.:·ed, CJTh?r"1ir~nr pv-ea o i;~.;o-;110 GO', em«. f9"5 ii" in Ir.--a o Hc.'g-ec Ja mo!lln glfOfl by nc Se


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li I

Michigan RT Licensure Repeal Saga o Go·r . .g ~~ro l"sJ>l ~""'' o sme!

S'f-fts lo vmtre:a s1ote [ceru.r.g CSMV

o Fr!App100.:-rr.01e:y;

0 1/3 lCtdl terod,repeal tr.nd 10 /'\-O;'E' m0


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RT licensure: Sunset, Repeal, Consolidation, Privatize COHSOUDATIOH II- ~!to d'GlO,"g d-0~ ~!'&! l!N!..Q. '*~d '.::!eoL.fr,.;!1 ell c:o.-; Mi t~e op~·;;n 10 1~;; admn l&f"flCCiCLIT

''

North Carolina Board of Dental Examiners v. Federal Trade Commission

Li~ !

Cl--.?I,,g e&d=o-:.iW"trofl::.!db •bp 1.m


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Jj f

LRT Licensure: Sunset, Repeal, Consolidation, Privatize oPhofue

om t-1,0 ott.:.,...pb

o 2012 State Agency Repf. -RT icer.w'e r,ot

needed, N3.RC c1i!d;:>r,1;.:.·.s v.Sit.Afce,

o IN RTs. NB.XC or.d AARC V...Jorously opposed o NBRC reo.ooru:e ;r.clvd:d ~·e


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Ii

RT Licensure: Sunset, Repeal,

Consolidation, Privatize

o fiivaffze

OTo repeat.... wou!d leave defirJng of iM

scope of pracf.ce 1o the outside entity,

could be onylt..in:C odY6e-s- l(TSoc'.afai:

o Navar toke the Svruet prcceu fer 91ot1ted os

a fo1~onacon-c~S..:in_._

o Everr Stole RT S«:Oety 11ri

Michigan Board of Respiratory Care Meeting Minutes November 6, 2015 Page 31of45

9/14/2015

II ! I

RRT Only for licensing

o Whlch sfotefi) hove shovm -ltlfere5f· oOR via teg c-honge ol me reque~f of !he

Oregon Soc!efy

ONJ & GA have conlocled AARC o~klng for info or;d whaf other stole~ have dooe

J - !I f

~~.~--------j --1 ~====~"'

State Biiis/Laws of Interest o AL er:ocled ., lo·.v fo de~ete te-mpemry RT

ker.ses

o Al enocled heollh cme we


9/14/2015

I'

State Biiis/Laws of Interest o CA Cillo e:p:i·-.;:I IC~ !Ci~'\. ror i

r::::;;:::.::::::~:n I! e-.T.yo;g:Jo~H".::>> ~e>cr>cr"ged>'i!llo


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I' slate Rules and Regs of

Interest

o CA Ck>rif>es _i;:c L'Q 8d. !iho~t


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Conclusion o Cont'.nued !eg'.~'


CoARC Update

,_...----.~~---~ --~-

---~·c:O?~if.'~

coA.-Rc::i!-CoMMIGSION ON AeeREOITATIOH FOR

RESPIRATORY CARE

2015 NBRC SLLG Meeting

CoARC Update

Ttoft atid to Identify piograim thatmC('t attr«!;tatiQn ~t;mdaids.

• F


CoARC Update

_...-~,-~·-

--------·-~-~=--------....._________~_ ------- Reports on Accreditation Data

• M of Matdi 201S., the foUo--...ing data~ rn;; rqxirted oo CoARC'~ v.eb ~te (V.'WW.(Ol!Kd 1:.1'\ng r~portM;

• GtT a"" AAT cre.:lffth~ngn.-.:ce1~; • Aftrifull;

• J-Obph-;f',,-.;;,-it;.an.1

• Total 11omb.Y cfprcgrim l!l\fO-'.'Hs and ~st1


CoARC Update

___.-••'''_,-_

·--Re·;;;;~t on Accreditation Hi!lhllghts The meln Ml!ilkm r.lte rem3ifleJ ;;t 19.1%with 12 pregra!'lti aOO,·e

th


CoARC Update

_______....

-~~----Definition of Graduation • The ne'N NS!lCThttai;.bt Multiple Chok

palklei. require the appkant to ·~a graduate and ha\'e a

minhnum of an as..OOatedegree ls:lu!!dtqthe sporu.cr~

!!d>Jtil~ll hitih.itloo..

• Both (OA'K f.nd the !IMC hi!>'e a niuhully-agrHd Upon &~l'litiit ~t v.h:tha sturlent is.:.Cl'!s;de~d a y~u~t


CoARC Update

_,......---"·

·-tlei~~d~~~~c Policies ~ndP~~;-dures f.;Jf.>

• CoARC program !D number$ must be added to lhl! ~latui disclosure of a program,

• for full details of policy WngQS. visit Y.W.Y.c0


CoARC Update

..---::·-----~- ~~--=-------------- -~----~-----------=~''-- Entry into Practice Baccalaureate

Degree Eligibility- Program #s

---=----~~--'-'--- ---~~-----------------~~---- Entry into Practice Baccalaureate

Degree Eligibility- Enroll/Grad #s

July 2015 6


CoARC Update

---~~--~---·~ -.-~tandated Credit Limits are Here to Stay

• Many ititl!:sr1n~titutioo~ hr,'(> mindated (t11dit lim\b foc as$o.U!! the 1hk of iTlpa~lng Ille stlJ!knti.' a!i.:t.ty topJH na~! tt.id!'nl!!l!if'!l t::«!rl'lS v.hith v.vuld thtn thriraten a PfDgram·~ accn;ditation.

'" Pn>tr-am~ that dorvJot get a fo!lor partialewrnpti«i trnw~ thclr stale often mu


CoARC Update

------- -- ----------~-,-~---- Why the Emphasis on Con1petencles?

• !r.{l'eailflA shift from a lra

• The Degree Ad'i'anccmcnt Standard$ arc des,!gncd to recognize the compctendes, and va11.1e,addcd above .:rnd beyond thn fl1tf)' Into respirntOfy care professkJnalpuxtke degree,

July 2015 8

http:nterP"'rtnii.al


CoARC Update

• fntry lilto t~pirat


CoARC Update

___.... ___..---~-------~-------. -----

-- APRT Program Eligibility • Pr&rarru l'>ith.i !lnmg fofn..ilflpfcva!andpq

a foe If th~r ~ttldcrits ~form din.icl! rolaWrufattatd d:~t~

----


CoARC Update

--~~'"-----------~--------------·

. Other Accreditation Issues of Interest to __State RG_Lic_e11stJr~ttatkm, Ht forth in lM rndprocify agre.e!TI«'.t, th11t arrfcoflege th.at offris (0-------~-----=-- ~- --------------- ---

Other Accreditation Issues of Interest to

State RC Licensure Agencies

• Higher Education Reauthortutlon Act and ftderal Government Agenda: • PaJ!Jthorizu>:in pro;:e1s contlnt.Hs;

• focus on ao:cwou!it.ty.«n~ a,'>d af:.:.r.::hb'!tr,

• ObJm~_.dm:'.11-WeilM Cl'•>'Wihtofh'jhu W-x" P~

board of respiratory care approved minutes 11-6-15 · carl haas, lrt, rrt cheryl sherburn, mpa,...

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