1. 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

2. Agenda Welcome & Introductions About the NAB Programs and Services About the NAB NCERS Who Benefits NCERS Growth Who Else is Doing It?

3. Agenda NCERS/PACE Similarities NCERS/PACE Differences Primary NCERS Challenges Sample Regulatory Language NCERS Brochure/Marketing Why Participate in PACE? Questions?

4. Great Ideas Can Be Thankless!

5. Getting There Can Be Painful!

6. Getting Everyone on Board Can Be Challenging!

7. About the NAB National Association of Boards of Examiners of Long Term Care Administrators (NAB) Mission – Public Protection Membership – Regular – Associate – Subscribing

8. 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

9. Programs and Services Model Regulations and Standards Annual and Mid-Year Meetings Academic Accreditation Program Publications Marketing & Public Relations

10. 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

11. 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

12. 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

13. NCERS Growth - Programs Growth in Number of Programs Reviewed 1988-2006 – 168 to 2100 (450 Providers)

14. NCERS Growth - Revenue Growth in Revenue 1988-2006 – $17,000 to $522,000

15. Who Else is Doing It? Medical Doctors Dentists Social Workers Accountants Optometrists Veterinarians Veterinary Technicians Long Term Care Administrators Nurses and Nursing Specialty Groups

16. Who Else is Doing It? Counselors Canadian Rehabilitation Professionals Disability Management Specialists Bankers Fundraising Professionals Home Inspectors Midwifery Pharmacy And Many Others…..

17. 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

18. 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

19. 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

20. 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

21. 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)

22. Primary NCERS Challenges Reporting – All Education Offerings – All Sites – Changes in Instructors/Presenters – Changes in Program Content

23. Primary NCERS Challenges Monitoring – Ensuring an adequate sampling of programs are audited annually Reviewers – Ongoing Training – Consistency of Review Process – Adequate Supply of Reviewers

24. 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.

25. 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.

26. 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.

27. 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.

28. 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.

29. 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;

30. 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

31. 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

32. 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.

33. 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.

34. 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.

35. 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.

36. “Finding a Career To Match Your Heart”

37. “Finding a Career To Match Your Heart”

38. 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

39. 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

40. Why Participate in PACE? – Licensees – They Love It! Assurance of Quality Education Offering Reporting of Earned CEUs One Stop Shopping for Educational Offerings

41. Contact Information 1444 I St. NW, Suite 700 Washington, DC 20005 Tel: 202-712-9020 Fax: 202-216-9646 nab@bostrom.com www.nabweb.org nab@bostrom.com www.nabweb.org