DEPARTMENT OF HEALTH 1
MEDICAL QUALITY ASSURANCE 2
BOARD OF NURSING HOME ADMINISTRATORS 3
4
MINUTES 5
GENERAL BUSINESS MEETING 6 By Telephone Conference 7 8 May 25, 2012 9 10 11 CALL TO ORDER: 12
Ms. Patricia Freeman, Chairman, called the meeting to order at 9:02 a.m. Those present for all or 13
part of the meeting included the following: 14
15
MEMBERS PRESENT: 16
Patricia Freeman, Chairman 17
Cathy Bracher 18
Robert Rosenthal, Vice-Chairman 19
Jeri Francoeur 20
21
MEMBER NOT PRESENT: 22
Keith Myers, (excused) 23
24
STAFF PRESENT: 25
Bruce Deterding, Board Executive Director 26
Sharon Guilford, Program Operations Administrator 27
Edith Rogers, Regulatory Specialist II 28
29
BOARD COUNSEL: 30
Deborah Loucks, Assistant Attorney General 31
Office of Attorney General 32
33
DISCUSSION OF - Administrator-in-Training (AIT) and Preceptor Information 34
Guide 35
36
Ms. Freeman related her experience as a board monitor and the information packet she 37
provided to the AIT and Preceptor to ensure that the training meets requirements of the 38
laws and rules of this profession. The information has been helpful to the AITs and 39
Preceptors in following the laws and rules. 40
41
Mr. Rosenthal and Ms. Berkowitz agreed. 42
43
Mr. Deterding asked if the board would accept any future changes made to the 44
information packet without having to bring it back before the board. 45
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Ms. Freeman concurred. 47
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DISCUSSION OF DEGREE PROGRAMS: 49
1
Florida Agricultural and Mechanical University – Bachelor of Science in 2
Health Care Management
3
University of Central Florida – Bachelor of Health Services Administration 4
University of North Florida, Brooks College of Health Undergraduate 5
Program – Bachelor in Health Administration 6
University of South Florida – Bachelor of Science in Long Term Care 7
Administration 8
University of Florida – College of Public Health and Health Professions – 9
Bachelor of Health Science
10
University of Miami – School of Nursing and Health Services – Bachelor 11
of Science Health Science
12 13
Ms. Freeman stated that the board has been struggling with determining an appropriate 14
degree program for the provision of the necessary credentials to become a nursing home 15
administrator. The law presently requires a degree in health care administration; 16
however, effective July 1, 2012, the language in 468.1695, Florida Statutes, the new 17
language will include ”health services administration or an equivalent major…” 18
19
468.1695 Licensure by examination. 20
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(2) The department shall examine each applicant who the board certifies has completed 22
the application form and remitted an examination fee set by the board not to exceed $250 23
and who: 24
(a) 1.Holds a baccalaureate degree from an accredited college or university and majored 25
in health care administration, health services administration, or an equivalent major, or 26
has credit for at least 60 semester hours in subjects, as prescribed by rule of the board, 27
which prepare the applicant for total management of a nursing home; and 28
2. Has fulfilled the requirements of a college-affiliated or university-affiliated internship 29
in nursing home administration or of a 1,000-hour nursing home administrator-in-training 30
program prescribed by the board; or 31
(b)1. Holds a baccalaureate degree from an accredited college or university; and 32
2.a. Has fulfilled the requirements of a 2,000-hour nursing home administrator-in-33
training program prescribed by the board; or 34
b. Has 1 year of management experience allowing for the application of executive duties 35
and skills, including the staffing, budgeting, and directing of resident care, dietary, and 36
bookkeeping departments within a skilled nursing facility, hospital, hospice, assisted 37
living facility with a minimum of 60 licensed beds, or geriatric residential treatment 38
program and, if such experience is not in a skilled nursing facility, has fulfilled the 39
requirements of a 1,000-hour nursing home administrator-in-training program prescribed 40
by the board. 41
42
DISCUSSION of 468.1695, Florida Statutes – Licensure by Examination 43
Mr. Deterding stated he had drafted language to be proposed to the governor. He read 1
into record the following language, “major in appropriate in healthcare or long term care 2
as defined by board rule.” 3
4
(2)The department shall examine each applicant who the board certifies has completed 5
the application form and remitted an examination fee set by the board not to exceed $250 6
and who: 7
(a)1.Holds a baccalaureate degree from an accredited college or university and majored 8
in an appropriate health care or long term care discipline as prescribed by the board in 9
rule administration, health services administration, or an equivalent major, or has credit 10
for at least 60 semester hours in subjects, as prescribed by rule of the board, which 11
prepare the applicant for total management of a nursing home; and 12
2. Has fulfilled the requirements of a college-affiliated or university-affiliated internship 13
in nursing home administration or of a 1,000-hour nursing home administrator-in-training 14
program prescribed by the board; or 15
(b)1. Holds a baccalaureate degree from an accredited college or university; and 16
2.a. Has fulfilled the requirements of a 2,000-hour nursing home administrator-in-17
training program prescribed by the board; or 18
b. Has 1 year of management experience allowing for the application of executive 19
duties and skills, including the staffing, budgeting, and directing of resident care, dietary, 20
and bookkeeping departments within a skilled nursing facility, hospital, hospice, assisted 21
living facility with a minimum of 60 licensed beds, or geriatric residential treatment 22
program and, if such experience is not in a skilled nursing facility, has fulfilled the 23
requirements of a 1,000-hour nursing home administrator-in-training program prescribed 24
by the board. 25
26
Ms. Loucks stated that the board may consider listing a minimum number of hours in a 27
closely related field and indicate the number of hours in an internship program. 28
29
Ms. Freeman provided an overview of the spreadsheet that she created indicating the 30
course requirements from UCF, USF, UNF, and FAMU. 31
32
Mr. Rosenthal stated that the board needed to consider online programs as well. 33
34
Ms. Freeman requested Mr. Deterding to draft language to include internship programs 35
and email the draft to the board members for review. 36
37
APPROVAL OF APPLICATIONS: 38
39
Examination/Endorsement/Temporary – Rule 64B10-11.001, F.A.C. 40
Re-examination – Rule 64B10-11.003, F.A.C. 41
42
Ms. Bracher moved to accept the Examination/Endorsement/Temporary and Re-43
examination applications. The motion was seconded and carried 4/0. 44
Ms. Bracher moved to issue a Notice for Rule Development to modify the 1
Examination/Endorsement/Temporary, Rule 6410-11.001, F.A.C., and Re-2
examination, Rule 64B10-11.003, F.A.C. The motion was seconded and carried 4/0. 3
4
BOARD COUNSEL’S REPORT: 5
6
Ms. Loucks stated that she had provided draft language for Rule 64B10-10.014, F.A.C. 7
8
Mr. Deterding read the language into the record. 9
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64B10-10.014 Administration Security and Monitoring Procedures for 11
Licensure Examination. 12
13
The Board adopts by reference Rule 64B-1.003 64B-1.010, F.A.C., of the Department of 14
Health as its rule governing examination administration security and monitoring. 15
16
Mr. Rosenthal moved to adopt the language presented. The motion was seconded 17
and carried 4/0. 18
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Annual Regulatory Plan 20
21
Ms. Loucks stated that the board needed to consider the rules that may be addressed for 22
the Annual Regulatory Plan. 23 24 64B10-10.014 25 64B10-11.001 26 64B10-11.002 27 64B10-11.003 28 64B10-11.007 29 64B10-11.012 30 64B10-14.004 31 64B10-14.005 32 64B10-14.006 33 64B10-16.001 34 64B10-16.002 35 64B10-16.003 36 64B10-16.005 37 38
Rules Status Report 39
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Ms. Loucks provided a brief report. 41
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PROPOSED MEETING DATES FOR 2013 43
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October 11th Tampa 1
2
The board requested to consider October 4 or 18th if necessary. 3
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NEXT MEETING DATE – August 31st – Orlando 5
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ADJOURNMENT: 7
8
Mr. Rosenthal moved to adjourn the meeting at 10:35 a.m. The motion was 9
seconded and carried 4/0. 10