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The
Council for Allied Health in North Carolina
Association Presidents' Meeting
May 3rd, 2006
9:30 AM – 12:30 PM
Friday Center, Chapel Hill
| Members,
Staff and Consultants: |
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Judi Ashbaugh - NC Dept. of Health
& Human Services, Office of Research, Demo., & Rural
Health Dev. |
Diane Groff, Allied Health Professional Rep.
Group 1, Dept. of Recreation and Leisure Studies |
| Thomas Bacon, Immediate Past Chair; Director,
NC Area Health Education |
Elizabeth Haile, NC AHEC Allied Health Representative,
Greensboro AHEC |
| Kathy Baars, Dept. of Public Instruction, Exceptional
Children |
Kathryn Heilig, Chair, North Carolina Hospital
Association |
| Alan Brown, Treasurer; NC AHEC Program |
Karen Luken, Vice Chair, NC Office on Disability
and Health |
| Carolyn Cusic, Association of Home and Hospice Care
of NC |
Carolyn Mayo, North Carolina Health Careers Access
Program |
| Wayne Foster, Allied Health Professional Rep,
Group 2, NC Speech, Hearing and Language Association |
Kristy Osterhout, NC State Lab, NC Dept.
of Health & Human Services |
| Ned Fowler, Community College Allied Health Programs
Rep., Asheville-Buncombe Tech. Community College |
Patricia Porter, Government Liaison,
UNC Speech & Hearing Sciences |
| 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 |
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| Guests: |
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| Terry Barber, NC Association of EMS Administrators |
Karen Lunnen, Dept. of Physical Therapy, Western
Carolina University |
| Allison Bordeaux, Wake AHEC |
Rachel Mann, American Massage Therapy Association,
NC Chapter |
| Mary Lee Campbell, NC Association of Blood Bankers |
Lee McLean, Professor and Chair, UNC Allied Health
Sciences |
| Tom Connelly, Cabarrus College of Health Sciences |
Amber Milliken, NC Recreational Therapy Association |
| Trinnette Cooper, Area L AHEC |
Brenda Mitchell, Clinical Asst. Professor, UNC Dept.
of Allied Health Sciences |
| Dan Dore, NC Physical Therapy Association |
Margaret Ottofy, NC Society of Medical Assistants |
| Nancy Easterling, Carolinas Chapter of the Americal
Horticulture Therapy Association |
Nancy Porter, NC Deans Association, Gaston College |
| Becky Engen, Music Therapy Association of NC |
Alice Schenall, Area L AHEC |
| Larry Freeman, Northwest AHEC |
Carol Siebert, NC Occupational Therapy Association |
| Jane Girardi, Greensboro College |
Josh Smith, NC Academy of Physicians Assistants |
| Rennie Habel, NC Association of Blood Bankers |
Diana Statler, NC Society of Respiratory Care |
| Nedra Edwards Hines, Northwest AHEC |
Samir Thaker, Cecil G. Sheps Center for Health Services
Research |
| Tim Holmes, NC Occupational Therapy Association |
Chris Thompson, EMS Administrators Association |
| Linda Horton, NC Hospital Association |
Ken Whitehurst, NC Community College System Office |
| Rees Jenkins, Former Council Chair |
Edna Williams, State Education Assistance Authority |
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| I.
Welcome & Introductions - Kathy Heilig, Chair |
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| II.
Approval of March 5th, 2006 Council Minutes |
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Heilig asked for corrections or additions to the March 5
Council minutes. Hearing none, it was moved that the minutes
be approved. The minutes were approved by voice vote.
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| III.
Presentations |
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- Allied Health Workforce Issues, An Economists
Perspective John H. Short, Ph.D. President and
CEO, Rehab Care Group, Inc.
Yoder introduced Dr. Short along with his two colleagues from
Rehab Care Group: Sean Maloney, Senior VP for Clinical Research
and Development and Barbara Wallace, Assistant VP for Campus
Relations.
Short began by saying that he wished there were councils like
the Council for Allied Health in NC in the other 41 states
that Rehab Care serves. He said that he saw the value of a
council that brings together representatives from industry,
education and health care to address common problems in the
allied health field. Currently, one of the largest problems
for Rehab Care and the health care industry is the growing
demand for PTs and OTs. Demand for the services
of these professionals is a primary factor in the growing
cost of healthcare. To address these issues Rehab Care co-sponsored
(along with the University of Missouri) the FuturePoint Summit
in November of 2005. The objective of the Summit was to assemble
a group of academic leaders, industry executives legislators
and allied health practitioners to identify and implement
solutions to allied healthcare workforce challenges. Out of
this assembled group a National Coalition was formed which
determined four primary goals: a) to establish an Allied Health
Research Foundation, b) create a Central Data Repository to
pool and analyze industry information, c) work to achieve
common objectives in the areas of education, training and
d) public awareness and advocacy. Short invited everyone to
attend the upcoming FuturePoint Summit meeting June 15-16
in St. Louis, Missouri. The goals of the second meeting are
to expand the membership of the National Coalition and to
implement, plan and fund the four primary initiatives set
by the National Coalition at the first Summit meeting. Short
also invited anyone interested in these allied health issues
to become part of the National Coalition, because it was a
place to share ideas and come up with a better set of solutions
to current problems in the field. The National Coalition is
structured so that academics and clinicians lead the way in
determining clinical policy while industry leaders work to
implement it. Short concluded that a combined effort of this
type would get legislators on board so that legislative policy
would better reflect the reforms advocated by academic, clinical
and industrial leaders. Dr. Shorts power point presentation
will be put on the Council web site for those who were not
able to attend.
In the questions and answer period that followed, Dan Dore
President of the NCPTA, voiced concerns regarding the accuracy
of the material presented and the use of what he considered
misleading points by Dr. Short, as he represented the for-profit
sector of health care delivery.
- 2006 Allied Health Workforce Vacancy Study:
Preliminary Report - Erin Fraher, Director, NC Health
Professions Data System, Sheps Center and Samir Thaker, Graduate
Research Assistant.
Samir Thaker made the primary presentation on the Allied Health
Job Vacancy Tracking Project. He began his remarks by cautioning
that the results presented were from a preliminary analysis
of the data and that they should be considered with this fact
in mind. The purpose of the Project was to quantify workforce
demand for selected allied health professions. To do this,
Thaker and Fraher looked at the number of classified ads placed
in a variety of sources for a given profession. The help wanted
ads were used as an indicator of the number of vacancies that
exist for the professions being studied. 2,968 ads were gathered
for eleven professions over an eleven-week period (Feb. 7
to Apr. 23, 2006). Results provide information on the number
of vacancies, the distribution of vacancies by region and
profession, and the types of employers advertising vacancies.
The eleven professions studied were selected based upon a
survey given to Council members at the beginning of the year.
About 75 survey responses were received from a variety of
professions. The professions chosen to be studied were based
on which ones indicated that they were facing the greatest
shortage and on those that indicated that they employed a
large workforce and would like to know more about demand based
on the workforce needs they faced. The professions selected
for study were as follows:
Medical Technologist
Medical Laboratory Technician
Occupational Therapist
Certified Occupational Therapist
Emergency Medical Technician (Basic, Intermediate, Paramedic)
Physical Therapist
Physical Therapy Assistant
Radiologic Technician
Radiologic Technologist
Speech Language Pathologist
Speech Language Pathology Assistant
The sources used to retrieve vacancy ads included ten major
newspapers that cover all the geographic regions of the state.
This year these newspapers were supplemented with a variety
of online sources, in response to the results of the survey,
which indicated that many allied health professionals search
for jobs online as well as in newspapers.
There are some methodological limitations to this study. To
begin with, it is impossible to capture all the vacancy data
that is available. A specific list of sources, the ten newspapers
and the ten online sources, were therefore selected. Employer
specific websites were not looked at because it would have
been too difficult to monitor all the different employer websites
in the state and around the country. Data was collected during
a specific time period, so if there is a seasonal demand for
a profession(s), this is not reflected in the data. Advertisements
providing no information on job location were excluded.
Finally, the results are not sensitive to repeat advertisements
placed by a single employer in multiple sources. This last
point might result in an overstatement, for example, of vacancies
for physical therapist because one particular online source,
PT Bulletin, included multiple postings for the same positions.
After the raw vacancy numbers were adjusted to account for
the different workforce sizes of the professions within the
state, an accurate view of demand was attained. Even when
taking into account the possibility of PT overstatement due
to multiple postings, physical therapists had the highest
vacancy index at 33.7%. OT Assistants (21.8%), PT Assistants
(21.7%), OTs (13.4%) and Speech Language Pathologists
(7.5%) round out the top five with the largest vacancy index.
The vacancy data can be analyzed by profession and AHEC regions
as well as by employer type. While the data generally followed
population patterns (e.g. greater demand in urban areas),
some regional differences in demand were discovered for specific
professions across AHEC regions. There is a greater demand,
for instance, for EMTs in the Coastal AHEC than in Charlotte
AHEC, even though Charlotte has a greater population. When
broken down by employer type, the largest demand was found
in staffing agencies (35%), with hospitals (26%), private
practice (17%), government (9%) and long term care (3%) rounding
out the top five.
Sign-on bonuses were found to be more prevalent in this years
study, being offered in 13% of ads (n=385), up from 3% in
the 2005 report. Bonuses for PTs and Medical technologists
were most common, and ranged from $1,000 to $10,000. They
were mostly offered by large employers such as hospitals,
home health, and staffing agencies.
To conclude, the highest demand was for PTs, OT Assistants,
and PT Assistants while the lowest demand was for Medical
Laboratory Technicians and Medical Technologists.
Demand for certain professions appears to vary by region across
the state; the statistical significance and causes of this
are yet to be determined. Finally, questions remain about
the online sources indexed in this vacancy report and whether
or not the additional data they provide is worth the uncertainty
they introduce. The complete analysis and study will be available
in June.
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| IV.
Presentations by Professional Association Presidents |
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- Music Therapy Association of NC Rebecca Engen
Engen reported that MTANC had another strong year. The NC
Association has increased to a point where it has better paid
membership in the state than the American Music Therapy Association
(AMTA) has on average nationwide. The NC Associations
dues are much less and the continuing education programs are
more cost effective. Members are active at the local, state,
regional, and national levels. The current President of AMTA
and the current President of the Southeastern Region of AMTA
are both from NC.
Trends and Concerns:
Last year Engen reported difficulty with communication and
the Associations website. The state board has worked
hard this year to update Association files and to inform the
clinicians about the organization. MTANC now has a new website
that is easier to locate with search engines and is being
updated by an active member on a regular basis. In fact, MTANC
has had numerous reports by clinicians of self-referrals based
on use of the website. Engen reported that as a faculty member
at Queens University of Charlotte they have had student inquiries,
from both traditional and nontraditional prospective students,
direct from the MTANC web links.
Engen reported that membership may be at a record high this
year. While there are well over 100 Board Certified MTs
living in NC, many are not currently practicing or are working
out of the field. At last count, there were 64 paid members
of MTANC. Many of these were persons who attended a continuing
education program and paid membership to get the discounted
registration. This is a plan MTANC will continue to follow
as it helps improve its rolls and inform its clinicians.
High School Senior Exit Projects continue to be a problem
for the universities and selected individuals. Engen said
that she personally fielded 19 requests this past year, some
of which were not prepared and others were quite informed
and clear in their purpose. Engen has developed a list of
FAQs and suggested websites for all student inquiries. Since
implementing that, only about half of the students have contacted
Engen for additional questions or observations. A similar
sheet will be developed and posted on the website for access
by everyone.
There are three undergraduate programs in the state with one
more pending final approval. This year a second Masters
degree program was approved at App. State (ECU already has
one). While the education of Music Therapists is booming,
there are not enough clinical training programs in the state
and many students who leave for this final degree requirement
do not come back. New jobs for Musical Therapists are not
increasing by as much as MTANC would like. However, private
practice and hospice are the fastest growing areas in NC right
now. MTANC members are also pleased that two school districts,
Gaston and Union counties, are now employing Music Therapists
as therapists vs. educators.
- Carolina Chapter of the American Horticulture Therapy
Association Nancy Easterling
Easterling said that she is pleased that CCAHTA is now a member
of the Council. She said that many people still do not understand
what horticultural therapy is and what horticultural therapists
believe. As she reported to the Council in January, the CCAHTA
premise and belief is that quality of life is directly related
to peoples ability to be connected to the natural world.
The purpose and mission of CCAHTA is to promote and advance
the practice of horticulture as therapy. CCAHTA has 125 members
in the state of NC. The American Horticultural Therapy Association
has 850 members nationally. CCAHTA members are OTs,
social workers, psychologists, and activity professionals.
Members come from all backgrounds as horticultural therapists.
Members working in the state work in the prison system, residential
care facilities, hospice, retirement communities and in hospitals.
The current status of the horticultural therapy profession
in NC is that 53% of members are employed as horticultural
therapists. Reasons for unemployment include a lack of acceptance
of who horticultural therapists are and what they do. Currently
there are limited job opportunities and these jobs are low
salaried. The average salary for a horticultural therapist
is $40,000. Therefore, individuals that are well qualified,
as HTs are not practicing because they feel they can
be paid better doing something else. 26% of CCAHTA members
are registered HTs.
Registration is a peer-reviewed, professional registration.
To maintain their professional status CCAHTA members believe
that they need to focus on research, improve communication
with other allied health professionals, emphasize their credentials
and expand educational opportunities. CCAHTAs current
goals are to build capacity, increase information and education,
increase membership, implement more professional standards
and do more outcome oriented research. CCAHTA has a conference
coming up in Sept. in Asheville. The Carolinas Chapter website
is horticulturaltherapy.net. There is a national conference
in June in Portland, Oregon entitled Gardens and Healthcare.
The national organizations website is http://www.AHTA.org.
- NC Recreation Therapy Amber Milliken
NCRTA is continuing to revise and update its website at http://www.ncrta.org.
NCRTA continues its strong relationship with its national
foundation, the American Therapeutic Recreation Association.
The ATRA is working on a Medicare Project. In NC, NCRTA is
working with Senator Burr on this and hope that he will be
a big supporter of the Medicare Project. NCRTA is currently
waiting for a call for action from the ATRA to move further
on getting support for the Medicare project in NC.
NCRTAs president- elect recently attended the Mid-Year
Forum in Plano, Texas (March 17-20, 2006). It was apparent
at the forum how strong a chapter NCRTA is and how it has
become a standard of practice for other chapters throughout
the nation.
NCRTA recently revised its by-laws. NCRTA has just received
licensure within the past year. To be consistent with licensure,
the group is now called the NC Recreational Therapy Association,
where as previously it was not. Another change is the enlargement
of the NCRTAs board of directors from nine to eleven
through the addition of two more members-at-large. Additionally,
the terms of the Secretary and Treasurer have been increased
from one to two year terms.
The group held a successful Student/Professional Issues Forum
(SPIF) on Feb. 10th, 2006. Over 80 professionals and students
were in attendance. NCRTA will be having their annual conference
in Asheville September 24-26 this year.
The North Carolina Board of Recreational Therapy Licensure
has a new website at http://www.ncbrtl.org.
Currently there are 204 licensed professionals in NC. There
have been many good reports on the advantages of being licensed
in the workplace from members. The NCBRTL Ethics Committee
has just started on adopting one code of ethics for the NCBRTL.
They hold workshops on the licensure process and these have
been well attended and received.
The NCRTA is currently working with a representative at DHHS
to have recreational therapy added to the list of approved
Medicaid providers. Establishing this is very important to
the NCRTA membership and the profession.
NCRTA currently has 317 professionals and students as members.
This is a five high. The group just put a membership directory
online and this has been a great way for professionals and
students to network with one another in the profession.
The organization is also currently doing town hall meetings
to reach out to students and schools and figure out what the
students want from the NCRTA and the recreational therapy
profession. Over the last year, they have met at seven schools
and have received feedback from the students that they are
now applying to their goals for the year. Finally, NCRTA has
established a new $500 academic scholarship for recreational
therapy students.
- NC Chapter: American Massage Therapy Association
Rachel Mann
The AMTA-NC Chapter was organized in 1984 with seven members.
They now have over 1300 in the state, with over 55,000 nationally.
We are the oldest massage therapy association in the nation,
63 years, and are the only non-profit, member driven massage
association. Everyone working on the state level is a volunteer.
We have recently completed a redesign of our website
http://www.amtanc.org.
Our next major undertaking is seeing that our membership committee
visits all 29 training programs in the state to give the students
information about our association and the benefits of belonging.
We offer continuing education for our members, with two major
statewide conferences per year and several unit meetings,
which are local, with about 350 attendees. Our next convention
is Sept 8-10 in Raleigh, where we anticipate 125 attendees.
Our national organization has a locator service available
where you can find a qualified therapist in your area. Visit
http://www.amtamassage.org,
and click on Find a Massage Therapist, or link through our
website. National Massage Therapy Week will be held Oct 24-31,
2006.
The AMTA-NC Chapter will be re-introducing our Practice Act
Revision Bill in the May legislative session. The bill was
introduced last year, but it didnt pass due to some
objections from affiliated parties. The Community College
System also filed a bill to allow their programs to be exempt
from the Licensing Board regulations. Their bill didnt
pass, but the language was inserted into the Budget Bill and
was passed. Therefore, the Community College exemption goes
into effect 7/1/06, along with any other program offered by
a degree or diploma granting college or university. All Proprietary
Schools are required to be approved by the BMBT. Included
in our Bill will be provisions for the BMBT to charge the
schools fees for this approval. We are also allowing for fee
increases to licensees, and changing our continuing education
requirements from 25 hours to 24 hours every two years to
be consistent with our national certification board.
NC has had state licensing for massage therapists since 1998,
with the first licenses were issued in early 2000. The Board
of Massage and Bodywork Therapy have issued over 6200 licenses
since then, with 4900 in good standing. Relating to Dr. Shorts
presentation, many of the state licensing boards have joined
the Federation of State Massage Therapy Boards (FSMTB). This
groups intent is to work toward standardizing the licensing
process and reciprocity across the country. Our national office
has just introduced a Government Relations Program with similar
goals.
Thank you for the opportunity to belong to this Council. We
appreciate being considered equals in the Allied Health Field,
since we are licensed Health Care Providers. We are working
to educate other health professions, insurance companies,
and consumers, of the benefits of therapeutic massage.
- NC Occupational Therapy Association Carol
Siebert
The North Carolina Occupational Therapy Association
is pleased to report that we just hosted over 3500 colleagues
from across the nation at the 86th annual AOTA Conference
and Expo held in Charlotte last week. This was the largest
AOTA annual meeting in 5 years and by every measure, a great
success. NCOTA had a booth in the exhibit hall and we had
a number of North Carolina attendees who joined the association
last week. AOTA has about 700 members in North Carolina, and
that includes a significant number who are not among the 630
NCOTA members. We anticipate a significant bounce
from the conference in terms of membership numbers and member
involvement in the association.
The meeting of Affiliated State Association Presidents preceded
the AOTA conference, where I welcomed 51 other state and territorial
presidents to N.C. with the most recently updated occupational
therapy practice act. On September 22, 2005, the amended practice
act was signed into law. The amendments update standards for
initial licensure; sundowns permitted practice for new grads
prior to licensure (and strengthens supervision requirements
for these limited permitees), strengthens enforcement, and
explicitly regulates practice delivered using Internet and
telehealth technologies. The updated act also added a second
public member to the NCBOT. That member is from education
professionals, acknowledging that public school practice accounts
for nearly a third of all OT practice in the state. Efforts
to make the practice definition more current and specific
were opposed by chiropractors. Despite urgings from committee
chairs to reach a resolution, we were unable to engage those
opposed in a dialogue on this issue. Therefore, the amended
practice act retains the very general definition of practice
from the 1984 statute, which results in permitted practice
being interpreted broadly.
It is our understanding that the NCBOT is now developing revisions
and updates to the rules to operationalize the amended practice
act. We anticipate proposed rules being published later this
year.
NCOTA is making plans to celebrate our fiftieth anniversary
as a professional association in 2007. We are developing plans
for a special anniversary celebration conference in fall 2007.
Two of our professional level curricula are moving into new
quarters this month as a result of the higher education bonds
passed earlier this decade. Both the UNC Occupational Science
Division and the ECU Occupational Therapy Department will
move into new buildings this month. UNC is also enrolling
students for its newly established Ph.D. program in occupational
science.
We continue to experience challenges as a result of policies
developed in Raleigh and in
Washington. The implementation of Medicare part B therapy
caps has begun to have an effect. We have anecdotal evidence
of backlogs of referrals to hospital outpatient departments
(exempt from the cap) and access problems for individuals
in rural areas who cannot access outpatient therapy through
a hospital setting. Medicaid recently implemented a policy
on payment for orthotics and prosthetics which 1) is inconsistent
with the single explicit statement of scope in our practice
act, and 2) creates access problems for Medicaid recipients,
requiring them to be seen by two professionals for services
which were previously performed by a single practitioner.
On a positive note, policy and payment changes in home health
have created a growing demand for occupational therapy practitioners
in that practice venue. We are also experiencing a continually
growing need for occupational therapy practitioners in the
public schools.
- NC Physical Therapy Association Daniel Dore
The mission of the North Carolina Physical Therapy Association
(NCPTA), a component of the American Physical Therapy Association
(APTA), is to represent and promote the profession of physical
therapy in North Carolina, and to further the NCPTA members
role in the prevention, diagnosis and treatment of movement
dysfunctions and the enhancement of the physical health and
the functional abilities of the people of North Carolina.
The vision of the NCPTA in that by the year 2020, physical
therapy will be provided by physical therapist who are doctors
of physical therapy and who may be board certified specialists.
The Doctor of Physical Therapy may be assisted by physical
therapist assistants to provide physical therapist directed
and supervised components of intervention. All physical therapists
and physical therapy assistants will recognize their responsibilities
to be active participants in their professional association
and advocacy activities for patients. Guided by the Professionalism
in Physical Therapy Core Values, life-long learning and a
commitment to comprehensive and accessible quality health
programs for all people, physical therapist and physical therapy
assistants will render evidence-based service throughout the
continuum of care and improve the quality of health for society.
The people of North Carolina will have direct access to physical
therapists in all environments for patient/client management,
prevention and wellness services. Physical Therapists will
be recognized as the sole providers of physical therapy and
the practitioners of choice in all clients health networks
and will hold all privileges of autonomous practice. The NCPTA
will maintain active responsibility for the growth of the
physical therapy profession and the health of the people it
serves.
- NC Speech, Hearing and Language Association
Wayne Foster
The North Carolina Speech, Hearing and Language Association
(NCSHLA) recently held its 52nd Annual Convention with over
500 attendees. David Mills, long time special education administrator
with the Department of Public Instruction and speech/language
pathologist, was awarded the Honors of the Association. This
is the highest honor that can be bestowed by the Association.
David was the president of NCSHLA during its 25-anniversary
year.
Licensure for Audiologists: There are always several hot issues
being addressed by the Association. I will discuss a few of
these. We have been working on potential revisions to the
state licensure law for audiologists for several years. At
this time last year we thought we had devised a plan that
made sense to address audiologists scope of practice
and dual licensure issues. The latter requires audiologists
who dispense hearing aids to hold a separate license to dispense.
Our Board is moving cautiously on this issue knowing that
whenever you open the licensure law for review there is a
potential for the unexpected. At this point, the Board of
Directors has opted to move carefully.
Unfilled SLP Positions: There remains some question as to
how many speech/language pathologist (SLP) positions have
been left unfilled this year, particularly in the public schools,
and how many are anticipated to be open next year. There are
slightly over 100 currently open positions in the public schools.
The anticipated number for next year is somewhere over 150.
NCSHLA wants to assist in helping solve this problem in at
least two ways.
Speech/Language Pathology Assistants: Speech/language Pathology
Assistants (SLPA) are graduating from two community college
sites. These individuals could go a long way towards serving
students in conjunction with licensed SLPs who are currently
going without services or are receiving limited services.
However, special education directors and lead SLPs do not
generally understand how to utilize these professionals. A
presentation has already been planned for special education
directors at one of the major state conferences.
NCSHLA is also going to endorse the use of SLPAs along with
models of service provision and press this agenda with SLPs
within the state. Private practice SLPs appear to be utilizing
SLPAs effectively in many parts of the state already.
Recruitment Strategies: The second strategy is to help special
education directors with recruitment. There is enormous frustration
with advertising in traditional ways. For example, it seems
that advertising in a local paper after school has started
is notoriously ineffective and, hence, is rarely used as a
tool for recruitment. Use of professional publications and
more active linkage with the training sites make better sense.
NCSHLA will be working on tools to assist in effective recruitment
of SLPs.
Continuing Education Endeavors: NCSHLA has had good success
this past year in the use of the web to increase membership
and attendance at meetings. We are looking at how to use the
web to provide continuing education opportunities with distance
learning for example. Clearly, SLPs and audiologists are looking
for ways to gain knowledge and skills in specific areas such
as autism and cochlear implants without having to travel or
expend limited education funds. NCSHLA will be working on
developing training modules that can be accessed through the
web. These modules can be updated as information changes.
This year NCSHLA held its second Leadership Conference. While
attendance was somewhat less than expected, this conference
was rated highly by the attendees and will be replicated.
The Association draws new members each year but creating excitement
about serving in the state association has always been a challenge.
The Leadership Conference gives us an opportunity to invite
potential leaders and generate enthusiasm about serving.
Medicaid Reimbursement: NCSHLA has been working hard to address
reimbursement issues along with several other allied health
professions as reported last year. This year we have added
a new component to the endeavor. It has come to our attention
that North Carolinas Medicaid reimbursement plan for
the schools is one of the most restrictive in the United States.
These are funds that come from the federal government and
are automatically matched by the states special education
funding. NCSHLA is assisting on addressing how to change that
plan and make it easier for schools to provide a wider scope
of services to children.
Summary: NCSHLA is thriving and working hard to address the
difficult issues that face the professions. After over 50
years the Association continues to show leadership nationwide
in many areas. An experienced and skilled slate of officers
was elected in April and the new Board takes over on July
1st.
- NC Association of Blood Bankers Rennie Habel
The NCABB was established August 30, 1972 and held its first
annual meeting
on May 3, 1973 in Asheville, NC. In September 1997 the organization
celebrated its 25th anniversary. A memorial scholarship was
established in 2005 that is given to a student and/or medical
technologist to attend the groups annual fall seminar.
The NCABB holds two workshops per year: one in the spring
and another in the fall. The workshops are held in different
locations around the state on a rotating basis. Currently,
the organization has a database of approximately 240 individuals.
Seminar attendance, however has dropped from 200-250 in the
1990s to about 135-140 today.
In March 2000 the organization became incorporated. Following
this, they established their own website, http://www.ncabb.org,
in 2001. The Associations greatest challenge is to maintain
a viable organization given the aging population of blood
bankers, the diminishing level of educational funding from
hospitals and blood centers, the closing of several schools
of medical technology across the state, and the current shortage
of staffing that appears to be nationwide.
- NC Society for Clinical Laboratory Science
Libby Haile for Kathleen Shulman, President
Thanks to dedicated officers and members the North Carolina
Society for Clinical Laboratory Science has had another productive
year. During 2005-2006 the society:
a. Maintained a membership of 231 laboratory professionals
b. Advocated for the profession of clinical laboratory science
by celebrating National Medical Laboratory Professionals Week.
NCSCLS representatives contacted TV and radio stations and
local newspapers to let the public know about clinical laboratory
scientists and the roles they play in healthcare.
c. Held two continuing education meetings- Fall Focus in October
and Carolinas Clinical Connection in Asheville last week.
At the Carolinas Clinical Connection meeting, twenty-four
speakers presented continuing education to over three hundred
attendees on topics encompassing the four major laboratory
disciplines, management and education.
The Fall Focus and Carolinas Clinical Connections meetings
represent collaborative efforts of the various North and South
Carolina clinical laboratory science organizations to provide
continuing education and networking opportunities to clinical
laboratory professionals in North and South Carolina and surrounding
states. NCSCLS works with American Medical Technologists and
the North Carolina chapter of the American Association for
Clinical Chemistry (AACC) to present Fall Focus. These same
organizations and nine others work with NCSCLS and clinical
laboratory organizations from South Carolina to present Carolinas
Clinical Connections. The continued success of these meetings
has made North Carolina a national model for collaboration
among different clinical laboratory organizations in presenting
continuing education.
The next Fall Focus meeting will be held November 4, 2006
at Wake Technical Community College. The next Carolinas Clinical
Connection meeting will be held March 28-30, 2007 at the Springmaid
Beach Resort in Myrtle Beach, SC.
d. Presented local continuing education events. NCSCLS is
divided into eight
membership districts, each of which is overseen by a district
chair. Regions five and seven in Raleigh and regions four
and two in Winston-Salem presented continuing education events
to the members in their districts this year. By hosting these
events in the various districts NCSCLS can provide a convenient
way for laboratory professionals to easily meet continuing
education requirements to maintain their professional certifications.
AHEC often works with the local district chairs to set up
these events.
Current issues of concern to the society include:
a. Personnel Shortage-Title VII & VIII
b. The decline in applicants for clinical laboratory technician
and clinical laboratory science education programs
c. Loss of funding for Allied Health education programs
Congress cut funding for Title VII by 68% in 2005. Title VII
provides funding to establish or expand allied health education
programs.
d. State licensure of clinical laboratory professionals
e. Competitive bidding for clinical laboratory services
f. Clinical Laboratory Coalition Issues
g. Allied Health Reinvestment Act (AHRA)
h. House bill: H.R. 1175- Medical Laboratory Personnel Shortage
Act of 2005
i. Clinical Laboratory Fee Schedule
j. Medicare Laboratory Reimbursement
- NC Society of Medical Assistants Marge Ottofy
Ottofy said that she had just returned from the state Society
meeting. The meeting was in Charlotte and about 300 were in
attendance.
The Society has over 2000 members. The NC Society is one of
the medical assistant societies in the country whose membership
is growing. Ottofy said that this was largely due to the number
of educational programs that the NC Society offers. The Society
has 35 programs approved by the Commission on Accreditation
for Allied Health Education. These programs are in community
colleges and private colleges across the state, serving rural
as well as urban areas. The Society is very supportive of
students and educators and will be having a College
Bowl at its next annual meeting. The objective of the
bowl is to promote friendly competition between the different
school programs. Educators within the society have been working
on the idea for several months. A trophy will be passed around
to the different schools that win the bowl.
The Society offers scholarships through its national, state
and local chapters. NCSMA continues to be watchful for legislation
that may restrict the professions scope of practice.
The Society continues to grow in membership and is planning
more educational programs for the colleges.
- NC Dental Hygiene Association Betsy Hardin
2005 2006 has been an interesting year for NCDHA.
Although we are the only professional organization to represent
NC dental hygienists, we are not usually consulted regarding
the job market for dental hygienists in NC. Currently, there
are 12 dental hygiene schools across the state with a 13th
one slated to open in the fall of 2006 and we have heard that
there are plans for another school. Just looking at the number
of new schools one would conclude that there is a shortage
of dental hygienists and the new schools are needed to help
eliminate the shortage. In reality, that is not the case.
In NC, by law, each dentist is only allowed to supervise 2
dental hygienists. Over the past 3 years, approximately 3
graduates per class have been unable to find a job. Hygienists
are required by NC law to work under the direct supervision
of a dentist. This prevents hygienists from seeking employment
in nursing homes, hospitals or extended care facilities where
patients cannot easily travel to a dentist for any type of
dental treatment. Rural areas that do not have a dentist nearby
also lack preventive services that could be provided by a
dental hygienist.
The most exciting news we have heard is that the American
Dental Hygienists Association is developing a curriculum
for an Advanced Dental Hygiene Practitioner. Last summer the
Senate Committee on Appropriations unanimously approved HR
3010 which encourages the Health Resources Services Administration
(HRSA) to explore development of an advanced dental hygiene
practitioner who would be a graduate of an accredited dental
hygiene program and complete an advanced educational curriculum,
which prepares the dental hygienist to provide diagnostic,
preventive, restorative and therapeutic services directly
to the public in rural and underserved areas.
Our second challenge this year has been the creation of a
new regional dental hygiene licensing exam. The students and
we are excited about a regional exam because that would allow
hygienists who pass the board to be able to practice in other
states who also recognize that board. North Carolina has chosen
to write its own board which at this point is recognized by
only one state.
- EMS Administrators Association Terry Barber
NC EMS has its roots in volunteerism and volunteerism remains
an important component in many EMS Systems. However, due to
a decreasing pool of capable volunteers this service is gradually
being transformed into career or paid structures to maintain
quantity of available responders to an ever-increasing demand.
EMS in NC got its official start in 1973 with passage of the
EMS Act that provided state guidelines for the development
of EMS systems. It established EMS as a function of County
Government. In most counties it is provided directly by county
government. Systems vary across the state and include a combination
of volunteer rescue squads, county third service providers,
private ambulance companies, hospital based ambulance programs,
and fire departments.
EMS (EMT, Paramedic) is still a young profession continuing
to define itself. It is unique in its position and mission
because it is solidly an emergency first responder, but is
also a health care entity. It has been aptly named the publics
health care safety net due to the integrated acute health
care resources it can and will provide.
A group of administrative and management professionals early
in the development of EMS in North Carolina formed the NCAEMSA.
They had the vision and foresight to understand that EMS would
grow and change requiring an ongoing effort to exchange information
and ideas including best practices for providing evolving
emergency health care services to the citizens of their jurisdictions.
We have 200+ members representing a majority of the EMS systems
across the state. Members serve on committees promoting Associational
objectives. Along with EMS advocacy we provide two educational/networking
conferences per year, summer and winter.
Associations Purpose:
To raise professional standards and to improve EMS management
practices. This is done by providing guidance, coordination,
a forum for the exchange of ideas, and an informational network
for EMS.
Objectives:
To develop professional standards for EMS Administrators
To identify and coordinate entry-level education opportunities
for EMS Administrators
To identify and coordinate continuing education for EMS Administrators
To provide a forum for the exchange of information and development
of possible resolutions to common problems regarding EMS administrative
matters.
To coordinate the activities of the Association with State
and Federal agencies to improve the standards of Emergency
Medical Services.
Membership:
Membership is composed of individuals within North Carolina
concerned with the management of EMS, emergency medical programs,
or emergency medical organizations.
Educated and credentialed pre-hospital personnel are in short
supply across the state and nation. The NCAEMSA is in the
forefront encouraging ideas and motivating government at all
levels to stay engaged. It is also among the leadership motivating
and addressing EMS System personnel needs.
- NC Academy of Physician Assistants Josh Smith
Smith began by saying that he was speaking for Audrey Tuttle,
the Academys President, who was unable to attend the
meeting.
The NCAPA has had a very strong year and the profession in
general has had a strong year as well. Recently, CNN.com had
a list of the top 50 professions and PAs were ranked
5th on the list (based on Job satisfaction, growth, security
and salary). The Journal of the American Academy of Physician
Assistants listed NC as the number one state to be a physician
assistant. APAA voted NCAPA as runner up for the best performing
constituency at the national convention last year.
NCAPA has 1500 active members including 400 students from
four schools (Wake Forest, Duke, ECU, and Methodist). The
academy holds two conferences a year, which offer over 70
hours of CME. One is held in the winter in Raleigh and the
summer conference is held at Myrtle Beach. NCAPA had 1000
attendees last year and this year at their new location at
Kingston Plantation they are expecting over 1200.
Smith stated that the main thing he wanted to report was the
opening of the Eugene A. Stead, Jr. Center, which is NCAPAs
new facility, which is located in RTP. It is a 4000 square
foot building; one half of it houses the NCAPA administration
and the Society for PA History. The other half is the E. Harvey
Estes Conference Center, which has 2000 square feet of conference
space available to any organization that wishes to hold a
meeting there. It can hold up to 75 people and has a full
service kitchen and catering staff. Smith said that if any
organization present at the Council meeting was interested
in holding a meeting there, the Estes Conference Center offers
competitive prices. The phone number for the center is (800)
352-2271. You can also visit the NCAPA web page at http://www.ncpa.org
for more information.
- NC Association for Deans and Chairs of Health Sciences
Nancy Porter
The NC Association for Deans and Chairs of Health Sciences
was established in 2004. The purpose of the organization is
to promote the advancement of health sciences education
by encouraging innovation, collaboration, cooperation, and
communication among the Deans and Chairs of Allied Health
Sciences. The association also seeks to provide leadership
by advocating the interest of health science and by reflecting
the broad scope of health science disciplines. Sharing information
regarding current issues in health science education and responding
to those issues in a manner deemed appropriate by the membership
will always be a focus of the association. Additionally, the
association will participate in the development and seek implementation
policies, programs and procedures to address concerns of the
Deans and Chairs of Health Sciences.
Several members accepted the offer of David Yoder to attend
meetings of the Council for Allied Health in March. The organization
scheduled a meeting for that afternoon to enable members to
attend both meetings with limited traveling. We anticipate
scheduling similar joint meetings in the future.
The membership looks forward to a close working relationship
with the Council as we are addressing many similar issues.
A major concern for the Deans and Chairs is having the health
leadership positions filled at the NCCCS office as well as
recruiting and retaining qualified faculty for health programs
at the 58 community colleges.
The next meeting of the Association is scheduled for October
at the NCCCS Conference.
- The North Carolina Society for Radiologic Technologists
Bob Styres
The North Carolina Society of Radiologic Technologists, Inc.
(NCSRT) is alive and well and we anticipate working with the
Council for Allied Health in all future endeavors. We have
secured a succession of strong leadership and continue to
supplement our infrastructure with dependable chairpersons
and growing participation of our membership. Legislative initiatives,
professional recognition and membership growth will be the
main areas of focus during our 2006-2007 year.
Concerning legislation, H.R. 1426, the CARE Bill, continues
to garner support. As of April 23rd, 125 Congressmen have
signed up to co-sponsor this legislation. The purpose of both
this and Senate Bill, S. 2322, with 15 co-sponsors, is to
establish minimum educational standards for people performing
diagnostic or therapeutic radiologic procedures. This will
be tied to Medicare reimbursement in the same fashion the
Federal Government tied highway monies to lowering the threshold
on breathalyzer tests for DUI to 0.08 nationally. Five of
the thirteen Congressmen from North Carolina, Representatives
Miller, Watt, Price, Butterfield and Jones are listed as co-sponsors
of the House Bill and Senator Burr has given his support for
the Senate Bill. We hope all of you will lend your support
to this effort.
Professional recognition is vital for our area of healthcare.
We are specially trained in the usage of ionizing radiation
and the effects of this exposure to our patients. No other
healthcare professionals share this expertise. The NCSRT,
Inc. is promoting the field of Radiology by being proactive
in both education of the general public to the need of trained
personnel performing Radiologic procedures and by recognizing
our peers who display extraordinary commitment to their patients
and the profession. To this end, the NCSRT, Inc. has developed
the Imaging professionals for Excellence award
and will honor our first recipients at our Annual Conference
in 2007.
Membership has remained at a constant level over the last
2 years. This year, we plan to grow by 10%. This will be accomplished
by focusing on the benefits of membership and by keeping the
membership excited and involved in our growth. Plans are being
made by the President to visit major imaging centers throughout
the state, spreading the excitement of our new initiatives.
We are also asking our members to BE A PART. The
acronym of PART is professional, Active, Radiologic Technologist.
We are excited about the future and appreciate being here
today.
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- The Treasurers Report Alan
Brown
The Council is in the first year of a two year Duke
Endowment Continuation Grant that funds the Council.
The grant is $70,000 for each of the two years.
There are matching funds from five or six Council
members. The NC Hospital Association, NC Facilities
Association, ECU, Western Carolina and AHEC all
have given matching funds to this grant.
The Council has requested in the UNC budget for
permanent state dollars and this will be considered
in the near future by the Legislature. Hopefully,
the Council will attain permanent funding.
Council funding goes to personnel and the like but
a significant portion also goes to funding workforce
studies such as the one presented today by Erin
Fraher and Samir Thaker.
- Federal and State Legislative Activity
Affecting Allied Health Professions Pat Porter
The North Carolina General Assembly begins its short
session on May 9th. The short session takes up two
basic topics: 1) bills that are carried over from
last year and 2) consideration of the recommendations
from the many commissions, sub-committees and committees
that were established in the last session. The website
from which you can get details on legislative action
is http://www.ncleg.net.
- Activities of the Executive Director
David Yoder
Yoder said that since he had last seen the association
presidents, Erin Fraher and he were both invited
to the Associated Schools of Allied Health Professions
meetings spring conference in Washington,
D.C.. He was also invited to give the Deans Memorial
Lecture in March. He attended meetings of the NC
House Select Committee on Health Workforce. He and
Erin Fraher also presented on allied health workforce
issues to the committee.
Yoder reported that the Council office was moving
to Bondurant Hall on UNCs campus over the
next two weeks. It will have office space in the
Dept. of Allied Health Sciences.
Yoder has been attending The HealthCare Works Coalition
meetings on a monthly basis. Yoder announced that
he was going on personal leave on Friday, May 5th
for a couple of weeks.
Yoder concluded by saying that the Executive Committee
will have its annual retreat on Friday, July 28.
At the meeting they will be discussing the Councils
agenda for the next year.
Chair Heilig said that the meeting would forego
the Round Robin portion because it was running into
lunchtime. She concluded the meeting by announcing
that the next Council meeting will be on September
6th at the UNC General Administration Building in
the Board Room.
The meeting adjourned at 12:15pm.
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