1. Accountability Board Member Training Robert A. Nebiker Director Virginia Department of Health Professions Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona

2. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Accountability is in the System Governmental accountability -- that is, the duty of public officials to report their actions to the citizens, and the right of the citizens to take action against those officials whose conduct the citizens consider unsatisfactory -- is an essential element, perhaps the essential element of democracy… Robert S. Barker

3. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona We are accountable As individuals and agencies To whom –Governors and Secretaries –Courts –Legislatures –Federal Government – Public

4. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona For What Decisions Regulations Finances Performance

5. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Case Decisions Determination that individuals an entities are or are not in compliance with law and regulations Litigation and reversals  on appeal Changes to authority Promptness Recidivism Others ?

6. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Regulations Statement of general application, having the force of law, affecting the rights or conduct of any person, adopted by an agency Court Challenges Antitrust Petitions for changing Legislation or executive action Others ?

7. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Finances The collection, disbursement and reporting of public funds of public funds which are reasonable and necessary to meet statutory mandates and in compliance with law. Audit findings (lack of internal controls, late or missing reports, reconciliations) Repeat audit findings  Complaints of fraud, waste and abuse Deficits  Excessive fund balances Others ?

8. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Performance There is valid public need for the program; The legislative intent is being carried out; It is in the public interest; Objectives have been defined; Intended program outcomes are measurable and have been accomplished; and Operations are managed efficiently, economically, and effectively.

9. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona There is valid public need for the program Is the problem that the agency was intended to solve still in existence? Does the program address that problem? Others?

10. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona The legislative intent is being carried out Are all activities within the scope of the agencies authority?  Are there mandates in the law which are not carried out ? Are mandates prioritized ? Others?

11. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona It is in the public interest The unregulated practice of the profession can harm or endanger the health or safety the public, and the potential for harm is recognizable and not remote or dependent upon tenuous argument; The practice of the profession has inherent qualities peculiar to it that distinguish it from ordinary work and labor; The practice of the profession requires specialized skill or training and the public needs, and will benefit by, assurances of initial and continuing professional ability; and The public is not effectively protected by other means.

12. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Intended program outcomes are measurable and have been accomplished Measures Be careful what you ask for you will surely get it  Surveys of client satisfaction Timeliness, speed Recidivism Sanction standards Others? Are reported

13. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Operations are managed efficiently, economically, and effectively Cost per unit reduced over time No unnecessary costs Cost produces a valued outcome Others?

14. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Speaker Contact Information Robert A. Nebiker, Director Virginia Department of Health Professions 6606 West Broad Street Richmond, VA 23230 robert.nebiker@dhp.virginia.gov www.dhp.virginia.gov