Welcome to the PROFESSIONS LEADERSHIP FORUM

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Welcome to thePROFESSIONS LEADERSHIP FORUM

• Thank you for joining us!
• www.op.nysed.gov

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OVERVIEW OF TODAYS DISCUSSIONS

• Agenda
• Introduction of our Team, our Strategies and
  Goals, with FOCUS
• We MUST perform processing and discipline and
  communication efficiently
• We MUST have contemporary and relevant regulation
• We MUST collaborate with all partners to succeed

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IMPORTANT PARTNERSHIPSThe Office of the
Professions State Boards Consumers
Professional Associations Legislature
Executive

• Support the important role of licensed
  professionals in the State
• Strengthen our ability to serve and protect the
  public

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Your Survey Responses

• Broad and Deepwe have studied them!
• General issues recruitment and retention
  reimbursements scopes of practice supervision
  and national mobility and portability of licenses
• Varied and strong responses to our Planting the
  Seed Proposal
• Generally supportive of Illegal Practice funding
  proposal

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ANNUAL RESPONSIBILITIES

• 50,000 new licenses issued
• 250,000 new registrations issued for individuals
  and corporations
• 260 NYS and 240 out-of-state registrations issued
  for pharmacies, manufacturers, repackers and
  wholesalers
• 7,882 investigations initiated
• 900,000 email/telephone inquiries
• 436 legislative bills for comment
• Regulations, Continuing Ed Providers, etc

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The Big Challenges

• Bread and Butter Conveyor Belt Issues
  (Licensing, Discipline)
• Broad Issues relating to access, quality,
  shortages, retention, expansion of scopes, and
  all issues raised in the survey
• Big increase in licensees
• Fewer staff than 200,000 licensees ago
• More complex regulation, i.e., discipline,
  continuing ed, all issues that you raised
• HOW??

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How? Office of the Professions Talent and
Commitment!
New Organizational Chart
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Goals for 2008 Performance Measures

• State-of-the-Art Licensing
• and Registration
• Measure 1 Fully implement On-Line
  Re-Registration for licensees over the next
  registration cycle.
• Measure 2 Assess DPLS processes and identify at
  least 20 improvements.
• Measure 3 Reduce DPLS and CompEd processing time
  and improve customer service.
• Measure 4 Collaborate with newly hired
  Technology Program Manager to develop a written
  Project Plan and Project Schedule.

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Goals for 2008 Performance Measures

• Improved System for Practice Clarification
  
• Measure 1 Review relevant rules and regulations
  to determine whether they reflect contemporary
  practice and regulations.
• Measure 2 Improve practice clarification
  process.
• Measure 3 Establish the processes to ensure that
  licensees complete required continuing education
  prior to re-registration and continued practice.

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Goals for 2008 Performance Measures

• State-of-the-Art Discipline System
• Measure 1 Increase use of Summary Suspension
  process.
• Measure 2 Implement enforcement of Illegal
  Practice.
• Measure 3 Increase productivity.
• Measure 4 Collaborate to use new processes to
  reduce the registration and inspection process
  for pharmacies.

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Goal for 2008 Performance Measures

• Maximize OP Efforts to Contribute
  to P16 Efforts to Improve Student Performance
• Measure 1 Establish a single, uniform source of
  information regarding opportunities in the
  professions.
• Measure 2 Professional boards and professional
  associations will be informed of the effort and
  their assistance solicited.
• Measure 3 An SED Office of the Professions
  Career Day will be held by the end of 2008.

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Project Teams managers and staff taking on new
challenges

• Process Improvements
• Technology
• Professional Practice
• Law/Regulation Updates
• P-16/Planting the Seed
• Communications

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Vital Workforce Research

• Barbara Zittel

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New RN Licenses Issued2000-2006
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RNs Registered to Practice 2000-2006
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NYSED Nursing Survey
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COLLABORATE
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CENTER for HEALTH WORKFORCE STUDIES

• School of Public Health, University of Albany
• One of six regional centers--agreement with
  HRSA/Bureau of Health Professions
• Conducts studies of the supply, demand, use, and
  education of the health workforce
• Collects and analyzes data to understand
  workforce dynamics and trends
• Informs public policies, the health and education
  sectors, and the public.

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• Performance Measure 1Develop State-of-the-Art
  Licensing and Registration
• Process Improvement and Technology Teams
• Tony Lofrumento Larry De Mers
• Dan Dustin

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Ongoing Improvement Activities

• Partnering Licensing and Board Office Staff
• Planning for Technology Changes/Streamlining
  Processes
• Moving to Online Registration
  http//www.op.nysed.gov/renewalinfo.htm

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Imaging Benefits

• Improves access to records
• Enables faster response to questions
• Increases accuracy
• Provides consistency across offices
• Increases security options
• Provides back-up
• Reduces storage space needs

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What is State-of-the-Art Licensing and
Registration?

• Responds effectively and efficiently to the needs
  of approximately 750,000 licensees in 47
  professions
• Responds to more than 900,000 inquiries from the
  public, licensees, employers, and professional
  programs
• Refines and further improves cycle times for
  investigations and adjudications by implementing
  a more efficient, paperless, case management
  system.

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Anticipated benefits for applicants and licensees
include

• Provide online access to OP systems for
  application and re-registration processes 24/7
• View online status of application for licensure
  or re-registration
• Reduced time in processing licenses, renewals,
  and disciplinary actions

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Actions taken to date

• Hired project manager
• Benchmarking other states licensing,
  registration and discipline systems
• Completed Business Case
• Vendor demos
• Request For Information (RFI)
• Established high level time line, including
  release of Request for Proposals (RFP) and
  implementation time line

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Performance Measure 2Improved System for
Practice ClarificationPractice Team

• Kathleen Doyle

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Purpose

• The Practice Teams goal is to identify,
  clarify, integrate, streamline, and evaluate the
  information on professional practice that
  practitioners, employers, consumers, and
  Department staff need to identify practices that
  will be consistent with law and regulation, while
  also changing with the times.

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Actions

• Identify and list a core of 25 commonly asked
  questions to list on the website as Frequently
  Asked Practice Questions
• Resolve practice questions that overlap two or
  more professions about which there is a conflict
• Identify and clarify at least 15 complex practice
  issues in accordance with Regents Rules or
  Commissioners Regulations
• Develop a common understanding of continuing
  education and its enforcement procedures

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Collaborate with OP Stakeholders

• Ensure that historical practice determinations
  are reviewed in light of contemporary preparation
  and practice directions
• Ensure that all stakeholders are included in the
  process - the Regents, State Boards, Consumers,
  Professional Associations, Legislators, Agencies,
  and Educators - when developing a clear and
  consistent determination of practice.

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Common Issues Questions

• Corporate Practice
• Advertising
• Fee Splitting
• Moral Character
• Restoration
• ADA Issues

• Name Badges
• Continuing Education
• Limited Permits
• Recordkeeping
• Confidentiality

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Where Do We Find Practice Answers?

• State Education Law
• Regents Rules
• Final Disciplinary Actions
• Case Law
• Past Practice Determinations

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How are they made known?

• Practice Alerts and Guidelines
• Consumer Brochures
• Website Q As
• Letters from Department Officers
• E-mail, letters, phone calls, faxes
• Meetings, Presentations, Other Media

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THE GOAL

• Practice questions will be answered clearly in
  consistent and legally correct communications
  using contemporary styles that are responsive to
  all users.
• Answers to practice questions will be available
  quickly and apply to current practice.
• Stakeholders will have had an opportunity to
  participate in identifying issues and concerns
  and resolving conflicts.

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Performance Measure 2Improved System for
Practice ClarificationRules and Regulations
Committee
Lawrence Mokhiber
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• A rather unusual approach for governmentan
  activity not mandated or precipitated by external
  pressures
• Rather, an internally driven determination to
  review laws, rules and regulations
• Guiding principles
• Is the provision contemporary?
• Is the provision understandable and consistent?
• Does the provision achieve its goal of public
  protection?

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• Process
• Everything is on the table
• Open and unrestricted dialogue/debate
• Referral back to Boards for input/confirmation of
  direction
• Input from affected professions

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• Amendments with broad support thus far
• Extension name badge provision to private
  practice offices
• Provision to allow full electronic record-keeping
  
• Pocket/picture registration ID in lieu of wall
  certificate
• A standard threshold for English language
  profiency

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• How new items are considered
• Simply communicate with your Board!

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BREAK
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Performance Measure 3Develop
State-of-the-Art Discipline System

• Illegal Practice Team
• Louis Catone

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Illegal Practice

• Investigation
• Cease and Desist Order if warranted
• Hearing
• Report by hearing officer
• Appeal by either side to RRC
• RRC Report to BOR
• BOR Determination
• Enforcement of Cease and Desist Order
• Civil penalties restitution
• Article 78

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Performance Measure 3Develop State-of-the-Art
Discipline System

• Corporate Practice
• and the
• Professions
• Doug Lentivech

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Historical Issues

• American Express
• HealthSouth

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Current Issues

• Prison Health Services
• Preschool / 4410 Services
• Retail Health Clinics
• Design Build
• CPA Firm Ownership

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Recent Developments

• OPMC v. Mukendi
• People v. Basbus and Yanayaco

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Whats Next
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Planting the Seed Initiative P 16
CommitteeRobert Lopez

• Performance Measure 4 Maximize OP Efforts to
  Contribute to P16 Efforts to Improve Student
  Performance

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• Vision for Planting the Seed
• Our focus is on enhancing student achievement by
  encouraging and enabling familiarity with the
  professions and teaching for New Yorks students.
  
• In so doing, students will become more interested
  in and will pursue careers related to the
  professions and teaching, particularly in
  shortage areas.

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3 Goals for 2008

• Goal 1 - Create Website for Professions
• Easy to Navigate for Students, Parents, Guidance
  Counselors
• Showcase Mentoring Opportunities for Students
• Professional Education Programs
• Scholarship Opportunities

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3 Goals for 2008

• Goal 2 - Involve and Engage the Professional
  Associations
• Involve and Engage the Professionals
• Leverage Existing Professional Mentoring Programs
• Create Ground-Level / Grass Roots Mentoring
  Opportunities

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3 Goals for 2008

• Goal 3 - Professions Career Day
• Invite Students (Middle School)
• Invite Colleges with Professional Programs
• Break Out Sessions with Hands on Activities for
  Students

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Achievements to Date

• Strategic Plan Completed
• Benchmarked Professions with Mentoring Programs
• Discussed Career Day with District
  Superintendents
• Benchmarked Career Websites

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Existing Programs

• Career Day, shadowing and mentoring opportunities
• Health Careers Academy
• Center for Architecture Foundation
• National School Backpack Awareness Days
• Career Opportunities in the Accounting Profession
  (COAP)

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COAP

• Louis Grumet
• Executive Director
• New York State Society of CPAs

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Communications Committee

• David Hamilton and Claudia Alexander

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Goal

• Committees goal is to work with our colleagues
  to facilitate timely, effective, and accurate
  communication regarding license, practice and
  discipline of the professions

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Achievements

• Create and disseminate electronic newsletter
  OPNEWS Online to provide updates on activities
  in the Office of the Professions
• Exploring knowledge-based search engines for
  access to frequently asked questions to provide
  24/7 access to accurate information about the
  licensed professions
• Participating in overall NYSED effort to
  evaluate, update and improve access to
  information on the Internet

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Collaborations

• OP web as a portal to licensure and registration
• Licensees can register on-line, purchase photo
  identifications and update address
• Future expansion to provide portal to on-line
  application for licensure
• Encourage professional associations to link to
  Office of the Professions web site
  (www.op.nysed.gov)
• Access information about education and licensure
  to practice
• Verify licensees registration to practice in New
  York
• Quickly communicate information including
  disaster response
• Utilize on-line surveys to solicit feedback

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Open Forum

• We want to hear from you!

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• Thank you for coming!
• www.op.nysed.gov

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NYSED Office of Professions Contact Information

• Albany Mailing Address NYSED Office of the
  Professions, 2nd Floor, West Wing, 89 Washington
  Avenue, Albany, NY 12234
• Associate Commissioner Frank Munoz 518-486-1765,
  fmunoz_at_mail.nysed.gov
• Claudia Alexander, 518-474-3817, ext. 180,
  calexand_at_mail.nysed.gov
• Sarah Benson 518-473-4963, sbenson_at_mail.nysed.gov
  
• Jane Blair, 518-474-3817, ext. 140,
  jblair_at_mail.nysed.gov
• Louis Catone 212-951-6400, lcatone_at_mail.nysed.gov
  
• Lawrence De Mers, 518-474-3817, ext. 100,
  ldemers_at_mail.nysed.gov
• Kathleen Doyle, 518-474-3817, ext. 150,
  kdoyle2_at_mail.nysed.gov
• Daniel Dustin, 518-474-3817, ext. 160,
  ddustin_at_mail.nysed.gov
• David Hamilton, 518-474-3817, ext. 450,
  dhamilto_at_mail.nysed.gov
• Leonard Lapinski, 518-474-3817, ext. 300,
  llapinsk_at_mail.nysed.gov
• Douglas Lentivech, 518-474-3817, ext. 190,
  dlentive_at_mail.nysed.gov
• Tony Lofrumento, 518-474-3817, ext. 340,
  tlofrume_at_mail.nysed.gov
• Robert Lopez, 518-474-3817, ext. 110,
  rlopez_at_mail.nysed.gov
• Lawrence Mokhiber, 518-474-3817, ext. 130,
  lmokhibe_at_mail.nysed.gov
• Susan Naccarato, 518-474-3817, ext. 480,
  snaccara_at_mail.nysed.gov
• Walter Ramos, 518-474-3817, ext. 560,
  wramos_at_mail.nysed.gov
• Barbara Zittel, 518-474-3817, ext. 120,
  bzittel_at_mail.nysed.gov