UNIVERSITY OF CALIFORNIA, SAN FRANCISCO AUDIOLOGY XIII Marcia - - PDF document

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UNIVERSITY OF CALIFORNIA, SAN FRANCISCO AUDIOLOGY XIII Marcia - - PDF document

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10/16/2018 UNIVERSITY OF CALIFORNIA, SAN FRANCISCO AUDIOLOGY XIII Marcia Raggio, PhD Vice-Chair, SLPAHADB OCTOBER 20, 2018 THE SLPAHADB Who Are We? Part of the Department of Consumer Affairs Responsible for regulating the practices

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UNIVERSITY OF CALIFORNIA, SAN FRANCISCO AUDIOLOGY XIII Marcia Raggio, PhD Vice-Chair, SLPAHADB OCTOBER 20, 2018 THE SLPAHADB – Who Are We?

  • Part of the Department of Consumer Affairs
  • Responsible for regulating the practices of speech-language

pathology, audiology, and hearing aid dispensing

  • Composition of the Board

– 2 Speech-Language Pathologists – 2 Audiologists – 2 Hearing Aid Dispensers – 3 Public Members

  • Board Office staff – 10 employees
  • Partnership with Attorney General’s Office, Division of Investigation,

DCA, and other contracted experts

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Why Do We Need a Licensing Board?

§ 2530.1. Legislative findings The Legislature finds and declares that the practice of speech-language pathology and audiology and hearing aid dispensing in California affects the public health, safety, and welfare and there is a necessity for those professions to be subject to regulation and control. Added to B&P Stats 1972 § 2531.02. Priority of board; Protection of the public Protection of the public shall be the highest priority for the Speech- Language Pathology and Audiology and Hearing Aid Dispensers Board in exercising its licensing, regulatory, and disciplinary functions. Whenever the protection of the public is inconsistent with other interests sought to be promoted, the protection of the public shall be paramount. Added to Statutes 2002

What Does a Licensing Board Do?

  • License
  • Develop,

approve, and conduct examinations

  • Promote

standards through legislative and regulatory processes

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Licensure

  • Authorizes the individual to practice his or

her profession

  • Privilege that must be earned and

maintained

  • Required to maintain a minimum standard
  • Governed by state laws and regulations-

administered and enforced by the Board

Maintaining Your License

  • Audiologist license renews every 2 years. Expires on

the last day of birth month.

  • Dispensing Audiologist license renews every year.

Expires on the last day of date-issued month.

  • See Board website table explaining CE requirements for

licensees at speechandhearing.ca.gov. Under “Licensee/Continuing Education”

  • DCA sends courtesy renewal form approximately 90

days prior to license expiration date. Renew at this time – do not wait!

  • Keep your address current with the Board, to ensure

that you receive a renewal by mail.

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Maintaining Your License

Complete the renewal application (allow at least 6-8 weeks for processing the renewal application) 1) Certify completion of the CE. 2) Answer the conviction declaration question. 3) Complete an address change if necessary. 4) Pay the appropriate renewal fee by check or money order. 5) Renewals are processed by “Central Cashiering.” 6) Your license is deemed active and current when the renewal application is processed, check has cleared, and status of your license is updated on the Board’s website.

CE Requirements Non-Dispensing Audiologists

California Code of Regulations 1399.160.3‐4 TWO YEAR - License Renewal Requirements:

  • 24 hours every 2-year license renewal
  • 6 hours may be obtained through self-study

– Self-Study is defined as viewing pre-recorded courses, listening to audiotapes, and/or online courses which are non-participatory (recorded courses that include a live chat or test upon completion are still considered self- study.) Live online courses are not self-study and are considered the equivalent to sitting in a class.

  • 4 hours may be obtained through related or indirect client

care courses

  • Not more than 50% of the CE hours required of a licensed

non-dispensing audiologist, may be in hearing aid courses, but shall not be obtained from courses where the content focuses on equipment, devices, or other products of a particular publisher, company or corporation. CCR§ 1399.160.3.(e)

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CE Requirements Dispensing Audiologists

California Code of Regulations 1399.160.3-4 ONE YEAR - License Renewal Requirements:

  • 12 hours of CE per annual renewal
  • 50% of the CE hours shall be in courses related to hearing

aid dispensing, but shall not be obtained from courses where the content focuses on the equipment, devices, or

  • ther products of a particular manufacturer.
  • 50% of the CE hours shall be relevant to the practice of

audiology and shall not be coursework focused on hearing aid dispensing.

  • 1.5 hours may be obtained through self-study, 1.5 hours

may be obtained through related or indirect client care courses.

CE Audits Resuming

  • A total of 733 licensees from all license types

were randomly selected and audited for compliance during their last renewal cycle.

  • The initial pass rate was 79 percent (579).
  • Audiologist pass rate was 89 percent.
  • Approximately, 17 percent (126) failed the

initial audit and approximately 4 percent (28) did not respond.

  • As of July 1, 2018, of those who failed the initial

audit, 81 licensees corrected their deficiency.

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Licenses Issued Annually

LICENSES ISSUED FY12/13 FY13/14 FY14/15 FY15/16 FY16/17 FY17/18 AU 76 57 89 48 53 77 DAU 19 UA UA 26 24 30

SLP 1056 974 1143 1352 1457 1482 SLPA 407 325 550 606 501 558 RPE 727 702 836 834 897 945 HAD Permanent 84 49 92 140 120 137 HAD Trainee 95 139 145 180 152 169 HAD Temp (Out‐of‐ State) 7 5 9 16 16 20

TOTAL LICENSES ISSUED 2532 2306 2929 3268 3285 3473

Licensee Population

LICENSEE POPULATION FY12/13 FY13/14 FY14/15 FY15/16 FY16/17 FY17/18 AU 609 584 612 556 698 720 DAU 942 971 988 1,045 1,211 1,246 Both License Types 1,551 1,555 1,600 1,601 1,909 1,966

SLP 12,696 13,285 13,967 14,860 18,024 19,161 SLPA 1,771 1,969 2,343 2,795 3,752 4,118 RPE 682 768 802 806 1,174 1,232 AIDE 120 119 124 133 235 216 HAD 946 913 948 996 1,179 1,266 HAD Trainees 95 145 160 158 238 204 HAD Temp (Out‐of‐ State) 9 8 7 18 18 28

TOTAL LICENSEES 17,870 18,762 19,951 21,367 26,529 28,191

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Enforcement Statistics

Fiscal Year 2017-18

*Includes convictions/subsequent arrest reports. License Type Population Complaints Received* Citation Formal Discipline Audiologists 1,966 (1,246 DAUs) 38 3 SLPs 19,161 69 6 5 SLPAs 4,118 47 3 RPEs 1,232 21 2 1 Aides 216 2 HADs 1,266 84 7 4 HAD Trainees 204 17 2 HAD Temp (Out‐of‐ State) 28 Total 28,191 278 20 13

Audiologist Complaint Issues

2017-18 Board received 38 complaints against audiologists

  • 17 – Advertising
  • 6 – Criminal charges/Convictions
  • 6 – Unprofessional conduct
  • 3 – Fraud
  • 3 – Unlicensed activity
  • 1 – Discipline by another state agency
  • 1 – Negligence/incompetence
  • 1 – Refund/Warranty Issues
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Audiologist Complaint Outcomes

Since 2011, the Board has received 15-20 complaints annually against audiologists

  • 33% - No action taken
  • Non-jurisdiction, no violation, record on file
  • 24% - Educational letter
  • 15% - Duplicate
  • Less than 10% - Formal discipline
  • Probation, revocation, surrender, etc.
  • Less than 10% - Citation and fine

Board Enforcement

The board does not investigate:

  • Fee or billing disputes
  • Personality conflicts
  • Anything outside of the Board’s legal

jurisdiction

  • General business practices
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Licensing Fees Update

  • California Code of Regulations, Section 1399.157 and 1399.170.13

list current, affected licensing board fees, effective January 1, 2002.

  • Board regulations to be updated to reflect fee increase for initial

and renewal fees. License Type Current Fees (2002) Proposed Fee Renewal (24 months) ‐ Audiologist (non‐dispensing) ‐ Speech‐Language Pathologist $110 $150 Initial Application ‐ Audiologist ‐ Speech‐Language Pathologist $60 $150 Renewal (24 months) ‐Speech‐Language Pathology Assistant $75 $100 Audiology Aide $10 $30

Changes to Self-Study CE Hours for Licensure Renewal

  • California Code of Regulations Section

1399.160.3. Continuing Professional Development Requirements state audiologists can complete a maximum of 6 hours of self-study every two years.

  • Board approved an increase in self-study

hours from a maximum of 6 hours to a maximum of 12 hours (out of the minimum of 24 hours) at the November 2015 Board meeting.

  • New regulations to increase allowable

self-study hours should become effective 2018/2019.

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New Notice to Consumers Requirement

  • California Code of Regulations Section

1399.157. Notice to Consumers approved by the Board at its May 2017 meeting.

  • Regulation requires practitioners to

display a consumer notice at the practitioner’s point of service regarding the roles and responsibilities of the Board similar to other healing arts boards consumer notices.

  • Regulation will apply to all Board

licensees, including those licensed professionals working in school settings.

  • Effective date will be approximately

2019/2020.

New Fingerprinting Requirements

  • Language in California Code of

Regulations Section 1399.112 Requirements for Renewal of License updated and approved at the May 2017 licensing board meeting.

  • Licenses expiring after June 30,

2018 and those not previously electronically fingerprinted, as a condition of renewal, must get provide a full set of electronic fingerprints to Department of Justice for the purpose of conducting and successfully completing a criminal history record check through the Department of Justice.

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Coming Soon: Online License Renewal

  • Online renewal by Spring of

2019

  • Will update daily
  • Limited to renewals
  • Interim solution until we

upgrade our database

– Board has begun work on database conversion

CURRENT SELECTED BOARD INITIATIVES

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2017 Occupational Analysis

  • At the May 2018 Board meeting, the Office of Professional

Examination Services (OPES), presented the 2017 Occupational Analysis (OA) of the Audiology

  • profession. The analysis included the dispensing audiology

exam and licensing requirements.

  • Based on the OA, OPES determined that audiologists wishing

to dispense hearing aids should not have to take the hearing aid dispensers’ practical exam.

  • Doctoral level of education

– Training/supervised clinical experience – Performance-based assessment on hearing aid dispensing – Taking of ear impressions, assessing and fitting patients for hearing aids, and programming and troubleshooting hearing aids.

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  • Current law, BPC Section 2539.1(a) requires that audiologists

“pass an examination, approved by the Board, relating to selling hearing aids.“ – This section of the law was enacted during the 2010 merger

  • f the HAD Bureau & SLPAB.
  • BPC Section 2391.1 (d) further directs the Board to require the

exam provided by the HAD Bureau until DCA completes an exam validation and Occupational Analysis and a determination is made that a different exam is to be administered.

MOVING FORWARD

  • August 2018, the Board voted in favor
  • f accepting OPES’ recommendations
  • NEXT STEPS: Proposed language

changing dispensing audiologist exam requirements in regulations.

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INTRAOPERATIVE NEURAL MONITORING (IOM)

  • A group of audiologists who practice

IOM throughout the state approached the board about their inability to be paid by insurance companies. This apparently occurs because the scope of practice language in California statute for audiologists does not specifically mention this aspect.

  • The board was sympathetic to their

concerns, but it could not simply change the statute without legislation, which would have to be instigated by these audiologists or possibly CAA.

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Ultimately, the IOM audiologists and the licensing board worked together to develop a letter that recognizes IOM as an aspect of the scope of practice of audiologists. The letter covered support for pre-and post-

  • perative evaluation of neural function

including the CNS, spinal cord, and cranial nerve function. This was validated by the Occupational Analysis of the Audiologist Profession by the DCA, Office of Professional Examination Services. The letter is available on the board’s webpage.

We Need Subject Matter Experts

  • Subject matter experts assist the Board in any of the

following areas:

– Examination development – Serving as “Examiners” for Hearing Aid Dispenser practical – Assisting the Board with enforcement case review

  • Interested in Serving as an subject matter expert?

– Please visit speechandhearing.ca.gov for more information

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Connect with the Board

Future Board Meetings:

  • November 29-30, 2018, Sacramento
  • February 7-8, 2019, Los Angeles
  • May 2-3, 2019, Northern California

Web address: speechandhearing.ca.gov Address: 2005 Evergreen Street, Suite 2100, Sacramento, CA 95815 Email: speechandhearing@dca.ca.gov Telephone: 916-263-2666