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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: |
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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
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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 |
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| Guests: |
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| 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 |
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| I.
Welcome & Introductions - Kathy Heilig, Chair |
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| II.
Approval of November 2, 2005 Council Minutes |
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The Council minutes of November 2, 2005 were approved by
voice vote.
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| III.
Presentations |
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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 Coalitions 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 Coalitions
goal of making the health care industry the industry
of choice for North Carolinas emerging workforce.
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| IV.
Business of the Council: Discussion and Action |
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- 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 Councils 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
individuals 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 OTs, PTs, 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 Councils website.
- 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 SLPs 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 SLPs
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 SLPs
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
SLPs will be needed for next year (2007). Additionally,
51 positions this year were staffed by people that have bachelors
degrees and are now no longer eligible to provide services
in the public schools. So 200 to 250 additional SLPs
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 bachelors degree individuals who will no longer
be able to function as SLPs 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.
- 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.
- 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 Councils
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 Boards February meeting.
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| V.
Reports |
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- 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
Councils 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 Councils
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.
- 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 peoples
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 Governors
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.
- Executive Director Yoder
Yoder said that he included in everyones packet
the report that he gave the Advisory Board on December
16th, which summarizes the Councils 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.
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| VI.
Round Robin |
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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 Programs 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 Councils
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 everyones 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 ABCs 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 Committees 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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