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The Council for Allied Health in North Carolina
January 4th, 2006
9:30 AM – 12:30 PM
UNC General Administration Board Room, Chapel Hill

Council Member Attendees:
Judi Ashbaugh - NC Dept. of Health & Human Services, Office of Research, Demo., & Rural Health Dev.
Elizabeth Haile, NC AHEC Allied Health Representative
Thomas Bacon, Immediate Past Chair; Director, NC Area Health Education Kathryn Heilig, Chair, NC Hospital Association
Alan Brown, Treasurer; NC AHEC Program Karen Luken, Vice Chair, NC Office on Disability and Health
Amy Crisson, Allied Health Professional Rep. Group 6 Patricia Porter, Government Liaison, UNC Speech & Hearing Sciences
Carolyn Cusic, Associaion for Home & Hospice Care of North Carolina Elizabeth Rogers, Independent Colleges & Universities of NC Representative
Wayne Foster, Allied Health Professional Rep, Group 2, NC Speech, Hearing and Language Association James Sadler, UNC Systems Representative
Ned Fowler, Community College Allied Health Programs Rep., Asheville-Buncombe Tech. Community College Sharon Tanner, NC Community College System Representative
Erin Fraher, Cecil G. Sheps Center for Health Services Research Martha Taylor, Allied Health Professional Rep, Group 5
Chastity Glover, NC Association of Health Care Recruiters Steve Thomas, UNC Systems of Allied Health Programs Representative
Diane Groff, Allied Health Professional Rep. Group 1, Dept. of Recreation and Leisure Studies Vickie Whitaker, Dept. of Health & Human Services
Guests:
Kathy Baars, Dept. of Public Instruction, Exceptional Children Nicole Kahrberg, Western Carolina University
Allison Bordeaux, Wake AHEC Patrena Majette, NC Health Careers Access Program
Nancy Easterling, Carolinas Chapter of the American Horticultural Therapy Association Maggie McGlynn, McGlynn Associates for Health Care Works! Coalition
Kyle Gray, UNC-CH Dept. of Allied Health Sciences Brenda Mitchell, Carolinas College of Health Sciences
Linda Horton, NC Hospital Association Kristy Osterhout, NC State Lab, NC Dept. of Health & Human Services
Rees Jenkins, Former Council Chair Carol Siebert, NC Occupational Therapy Association
I. Welcome & Introductions - Kathy Heilig, Chair
II. Approval of November 2, 2005 Council Minutes

The Council minutes of November 2, 2005 were approved by voice vote.

III. Presentations

Linda Horton, the Workforce Initiatives Coordinator for NCHA spoke about collaboration between NCHA and the Jason Academy to develop an online teacher-training course emphasizing health care careers. The course allows middle and high school teachers to “shadow” health care professionals in hospitals, enabling them to gain the latest career information on these professions. Teachers returning to the classroom are then able to link school curriculum to these professional health careers in a relevant way for their students. Horton said that this collaboration enables hospitals and other health care providers to get close to teachers. Creating the healthcare workforce of the future must be done in large part by educating schoolteachers about healthcare careers, Horton concluded.

Maggie McGlynn, President, McGlynn Associates, Inc. spoke on the work of the Health Care Works! Coalition, with particular emphasis on the Coalition’s purpose, development and recent funded project outcomes. Primary among its project outcomes have been its Student/Faculty Support Project to train students at regional community colleges in professions such as nursing and radiography; the Health Career Pathway Program, which helps entry level hospital employees to advance into health care occupations; and the construction of Career Ladder Models to aid students in such fields as nursing and radiology to get the “big picture” on occupational advancement. All of theses outcomes are in line with the Coalition’s goal of making the health care industry the “industry of choice” for North Carolina’s emerging workforce.

IV. Business of the Council: Discussion and Action
  1. Request for Council membership: Carolinas Chapter of the American Horticulture Therapy Association – Nancy Easterling, Curator, N.C. Botanical Garden.

    Easterling, a practicing horticulture therapist for 22 years, gave a short presentation on the Functions and Purposes of Horticulture Therapy and the Carolinas Chapter of the American Horticulture Therapy Association (CCAHTA). She began by saying that through membership on the council she believed that CCAHTA would contribute to the Council’s mission of bolstering the allied health workforce in NC. Speaking about horticulture therapy in general, she explained that horticultural therapists believe that the quality of life is directly related to an individual’s ability to be connected to the natural world. Like other therapies, horticulture therapy involves a client, therapist and activity and that horticulture therapy uses plant activity to bring about therapeutic change. Horticulture therapy is very interdisciplinary and often involves working with OT’s, PT’s, recreational therapists, rehabilitation counselors and social workers to achieve results. Horticulture therapy can be found in diverse environments such as hospitals, nursing homes, residential care facilities, and correctional institutions.

    CCAHTA has over 110 members and has been established since 1988. Its mission is to support local and regional interest in horticulture therapy in NC. It coordinates programs throughout the state, disseminates information, assists other educational institutions in promoting horticulture therapy efforts, and promotes the recognition of horticulture therapists across the state. Easterling concluded that because of the nature of its work and its horticultural therapists backgrounds, CCAHTA has a lot to offer the field of allied health and healthcare in general.

    A motion was then made to accept CCAHTA as a member of the Council. The motion was seconded and passed by voice vote. Chair Heilig extended a welcome to CCAHTA as a new member of the Council.

    Easterling has made her Power Point presentation available on the Council’s website.
  2. Critical SLP Shortages in the N.C. Public School System – Wayne Foster

    Foster made a short presentation to the council about the SLP shortage in the N.C. Public school system. He began by emphasizing the importance of SLP’s in serving the public school population. Out of the 185,000+ students with disabilities in NC public schools, 21% are speech/language impaired, making speech/language impaired the second largest disability group in the system. Of this group, 45% to 52% end up being identified as LD in reading by the third grade. Research has shown that one can predict how students will perform at the end of high school by third grade predictors. A big part of SLP’s work now, therefore, become diagnosing emergent literacy skills among the speech/language impaired early in the elementary years.

    Unfortunately, Foster noted, the current scarcity of SLP’s in the school system to do this work has been projected to increase dramatically. A DPI survey of school districts (105 out of 115 reporting) last year projected that over 200 additional SLP’s will be needed for next year (2007). Additionally, 51 positions this year were staffed by people that have bachelor’s degrees and are now no longer eligible to provide services in the public schools. So 200 to 250 additional SLP’s will be needed next year. This projection does not take into account vacancies due to retirement and attrition.

    Foster also said that he thought there was an additional need for SLP Assistants. Unfortunately, however, it was noted that the 51 bachelor’s degree individuals who will no longer be able to function as SLP’s will not be able to function as SLP Assistants due to the current licensure law.

    Turning toward other matters, Yoder made a few comments before Fraher made her presentation on the N.C. Allied Health Workforce Data Questionnaire. He said that he, Fraher and Alan Brown had met to discuss the direction and structure of future workforce studies. He explained that Fraher had prepared a set of questions for Council members, association presidents, allied health deans and AHEC directors to assist with information. on which professions are currently facing shortages from the standpoint of the professions and the employers. Additionally, he said that questionnaires will also be distributed to University and Community College Deans and faculty associated with the council. The Allied Health Directors in the 9 AHEC regions will also be surveyed.
  3. 2006 N.C. Allied Health Workforce Data Questionnaire – Erin Fraher

    Fraher said that in the last vacancy report a number of questions came up such as why certain professions were not included and why the report only drew its data from newspaper job ads. She said that in the pursuit of continuous improvement, the vacancy report group (Yoder, Fraher and Brown) wanted to get feedback on what professions are most in demand and ideas on where data should be drawn from to create the future report. She then went into the specific instructions on how the questionnaires should be filled out. Fraher said that since the council was comprised of employers, educators and practitioners, she was interested to hear from all of these groups since each could offer a unique perspective on what should be covered in the next AH vacancy report.

    Fowler commented that several new professions and associations had been added to the Council since the last report and that he would like the Council to consider including at least one of these new groups in the survey this year as a way of showing them one of the benefits of their Council membership.

    Various members then offered suggestions for minor revisions to the questionnaire. Fraher said that they would be made, and then the questionnaire would be sent out electronically to the identified constituencies by the end of the week.
  4. Report and recommendation by the Council Advisory Board for future Council funding: Heilig and Bacon

    Bacon said that the purpose of the Advisory Board was to help in developing long term planning for the Council. He reported that the Advisory Board endorsed the Council’s continued seeking of permanent state funding for the Council via the request that had been put through the AHEC budget last year and officially continues to be a part of the request to the General Assembly from the University system because of it being a two-year budget request. He said that there is still that request for approximately $350,000 of permanent funding for the Council in the AHEC budget request, which is part of the 2006 University budget.

    Yoder said that Advisory Board Chairman Bill Pulley has set another Advisory Board meeting for February 22nd to examine how different lobbying strategies might be used to secure future Council funding.

    Yoder also said that on December 15th, lobyist Hugh Tilson with the NCHA gave a report to the Health Workforce Subcommittee of the House and made mention of the Council; about who the Council represents and that the Council needs support. The Advisory board has been discussing the names of legislators to contact to further increase support and awareness of the Council and that there would be further discussion about this at the Advisory Board’s February meeting.
V. Reports
  1. Council Financial Statement – Treasurer Alan Brown

    Brown announced that the Council had secured funding for the next two years through a continuation grant by the Duke Endowment. Brown shared a copy of the budget that they had sent the Duke Endowment, showing the breakdown of the money allocated to cover the Council’s various expenses. He made particular note of the $25,000 that had been allocated to do the job vacancy reports that Fraher had spoken of.

    Yoder said that the budget was very modest. He said that it will not allow the Council to do many of the things that the Council would like to do.

    Brown commented that this was a good point, and said that if Council members have the opportunity to approach their professional organizations to make a request for further support of the Council, that this would be good even if these organizations could only provide in kind support. He pointed out to the Council that some expenses were not listed in the budget, such as maintenance for the Council’s website. Some basic things such as this were not budgeted because it was known that there were not enough funds to cover such expenses, but that any support that could be provided by the professional organizations would help to change this. Yoder added that Andrea Catanero Doherty has consented to serve as the Council Webmaster pro bono. We very much appreciate her service to the Council in this capacity.

    Diane Groff said that Karen Luken and her were working on a letter that they would be happy to share with other individuals. The letter discusses ways in which the Recreational Therapy Association (in this case) can benefit from its Council member and at the same time addresses things that the association can do to help support the Council. Groff said that the letter attempts to make the relationship between the Association and the Council clear in that both can benefit the other. She said that ultimately they could share the template of the letter with anyone who is interested in sharing such a letter with their professional associations.

    Fowler said that the Council should recognize the efforts that had been made by Yoder, Heilig, Bacon and Brown to work with Duke Endowment to get continued funding, they worked hard to help the Duke Endowment see the need and the benefit, Fowler said.
  2. Federal and State Legislative activity affecting Allied Health Professions – Porter

    Porter said that the NC General Assembly would convene again on May 9th for its short session. Bills that were considered last time but were not addressed could be addressed in the short session. She said that although the short session is not typically known for allocating new funding, in reality it often does in the form of expanded or continuation funding. Porter said that this justifies a continued effort by the Council to seek funding during the short session.

    Porter reported that right now most of the work of the Legislature is being done in committee meetings. There are several legislative committees that are of concern to the Council. One is the House Select Committee on Health Care, which has been investigating all aspects of healthcare. Another is the Joint Legislative Oversight Committee, which has been looking at all things related to Medicare/Medicaid as well as state employee healthcare benefits. Each of these committees has a subcommittee. The House Select Committee on Healthcare has a subcommittee on Access to Healthcare. This subcommittee is having a meeting January 10th to address people’s access to healthcare across the state, which is an abiding interest of the Council.

    Other committees of interest to the Council are the following:
    The Healthcare Workforce Study Commission – Tom Bacon serving as one of the Governor’s appointees on this commission.
    The Joint Legislative Oversight Committee on Mental Health, Developmental Disabilities and Substance Abuse
    The Legislative Committee on New Licensing Boards – meeting periodically, may be of interest to the council.

    These committees can be attended either in person or heard over the Internet, Porter said.

    In the federal government, The Congress just recently completed the passage of spending bills for health and education. Discretionary Spending allocated for big programs that have to do with health services are really below what was allocated last year, Porter said.

    There had been a 1% across the board cut in funding for health services. This means that money for the NIH, the Centers for Medicaid and Medicare Services, Maternal and Child Health, etc. from which the state gets much of its funding for healthcare will have tighter budgets in the coming year.

    Porter advised visiting the Thomas website (http://thomas.loc.gov/) for more specific information on federal legislative matters and said that she would put a link to the Thomas website on the Council website.
  3. Executive Director – Yoder

    Yoder said that he included in everyone’s packet the report that he gave the Advisory Board on December 16th, which summarizes the Council’s activities in 2004 and 2005. He said that since he last reported to the Council he had been at the Summit Workforce Meeting in Missouri. This meeting will reconvene in the spring and Yoder said that he has an invitation to participate when it reconvenes. One of the major financial contributors to the Summit meeting was Dr. John Short, President and CEO of Rehab/Care which has rehab facilities across the United States. Dr. Short has consented to be the keynote speaker for the Council meeting in May.

    Immediately following the Summit meeting, Yoder reported that he spoke to the Deans of Allied Health to the College System in Ashboro. He then went to Kentucky and presented to the Kentucky Allied Health Consortium, a group interested in gathering together an allied health council. Yoder concluded by saying that he continues to meet monthly with the HealthCare Works! Coalition.
VI. Round Robin

Patrena Majette, Associate Director for the North Carolina Health Access Program said that the program is celebrating its 35th anniversary this year. She mentioned that Heather Scott, the Program’s AHEC liaison in collaboration with Brenda Mitchell of the UNC Dept. of Allied Health Sciences currently have an abstract pending to present on the North Carolina ARC Project at the National AHEC Conference.
Karen Luken announced that the speaker for the Council’s March meeting would be Maggie Sauer who is with Duke Medical Center. She is an allied health professional who is very aware of the Council. Her present work involves oversight of two statewide projects that involve obesity. She will be speaking on obesity and its impact on allied health practice.

Yoder then indicated that he inserted some information on obesity in everyone’s folder as a preview to the obesity topic for March.

Luken also said that she would send out electronically a recent study by Be Active NC on the economic impact of obesity. Obesity has a huge economic impact on our heath care system and on our state, Luken said.

Heilig said that the NC Hospital Association would be having its winter meeting February 16th and 17th. Two nationally recognized medical doctors and ABC’s Brit Hume would be speaking.

Bacon announced that the State AHEC meeting would be held February 15-17 at Pinhurst.

Linda Horton announced that the Legislative Workforce Subcommittee of the House Select Committee’s next meeting is 9:00am on January 26th. All the workforce issues will be on the table for those interested, Horton said.

Martha Taylor of the NC Dental Hygiene Association said that the NC State Board of Dental Examiners would institute a regional exam for dentists and hygienists. They will be holding a public hearing on the hygiene exam on Thursday night. The exam will be administered by an independent agency.

Heilig concluded the meeting by announcing the two next upcoming Council meetings:
March 1st, 2006 at the UNC General Administration Bldg., Board Room;
May 3rd, 2006 with the Professional Association Presidents at the Friday Center.

The meeting adjourned at 12:45pm.

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