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CHIROPRACTIC BOARD ADMINISTRATORS COMMITTEE. BOARD MEMBER ORIENTATION MAY 2, 2012. BOARD MEMBER ORIENTATION. WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY? WHY?

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Chiropractic board administrators committee
CHIROPRACTIC BOARD ADMINISTRATORS COMMITTEE

BOARD MEMBER

ORIENTATION

MAY 2, 2012


Board member orientation
BOARD MEMBER ORIENTATION

WHY? WHY? WHY? WHY? WHY? WHY?

WHY? WHY? WHY? WHY? WHY? WHY?

WHY? WHY? WHY? WHY? WHY? WHY?

WHY? WHY? WHY? WHY? WHY? WHY?

WHY? WHY? WHY? WHY? WHY? WHY?

WHY? WHY? WHY? WHY? WHY? WHY?

WHY? WHY? WHY? WHY? WHY? WHY?


Purpose of orientation
PURPOSE OF ORIENTATION

  • ESTABLISH INITIAL AUTHORITY/STRUCTURE

    • (CORPORATE STRUCTURE)

  • SET TONE (This is NOT private practice!)

  • ESTABLISH LINES OF COMMUNICATION

  • CLARIFY DUTIES AND OBLIGATIONS

  • CLARIFY ACCOUNTABILITIES

  • EXPLAIN BOARD MEMBERS PURPOSE

  • TAKES TIME / REDUCES HEADACHES


Executive directors attitude
EXECUTIVE DIRECTORS ATTITUDE

  • PILOT ANALOGY

  • KNOWLEDGABLE AUTHORITY

  • STATE/STAKEHOLDER CONNECTIONS

  • “GO TO” PERSON

  • PURPOSE IS TO ASSIST BOARD MEMBERS BE AS EFFECTIVE AS POSSIBLE


Board function vs staff function
BOARD FUNCTION VS STAFF FUNCTION

BOARD

ESTABLISH THE POLICIES OF THE BOARD

STAFF

IMPLEMENT THE POLICIES ESTABLISHED BY BOARD


Orientation subjects
ORIENTATION SUBJECTS

  • STRUCTURE (MAKEUP OF DC’S VS PUBLIC)

  • ORGANIZATIONAL CHART (INCLUDING DUTIES OF EACH STAFF PERSON)

  • TIME COMMITMENT

  • LIABILITIES

  • ORGANIZATIONAL RELATIONSHIPS


Orientation subjects1
ORIENTATION SUBJECTS

  • DIFFERENT BOARD REGULATORY DUTIES

  • DISTINCTION BETWEEN STATUTES/RULES

  • COMMITTEE STRUCTURE/DESCRIPTIONS

  • OPEN MEETING LAWS

  • BOARD OVERSIGHT

  • ADMINISTRATIVE CONSIDERATIONS (PAY)

    OK…LET’S GET STARTED


Board makeup
Board Makeup

  • 7 Members Total

    • 5 Licensee Members (DC’s)

    • 2 Public Members


Public members
Public Members

Members who are not licensees of this or any of the other health related boards, nor who have a financial or other vested interest in the profession of chiropractic




Duties at a glance
Duties at a glance…

Executive Director

  • Complete office administrative oversight (inc. Staffing/HR

  • Board Policy implementation

  • Budget development/oversight

  • Liaison between Board, staff, profession, Legislature, Attorney General’s office, Governor’s office, Media, etc.

  • Complaint/Disciplinary administration

  • Chair all Committees

  • Candidate Competency Assessment

  • Custodian of records.


Duties at a glance1
Duties at a glance…

Office Manager

  • Administrative Assistant to Executive Director

  • Schedule and prepare for meetings

  • Minutes of Board/Committee meetings

  • Accounting/bill paying

  • Preparation of Various Board Reports


Duties at a glance2
Duties at a glance…

Complaint Resolution

  • Complaint processing

  • Scheduling of complaint resolution committee meetings

  • Minutes, complaint resolution committee’s

  • Enforcement administration

  • Rules Promulgation coordinator


Duties at a glance3
Duties at a glance…

Licensing Coordinator

  • Coordinate administration of new licenses

  • Coordinate administration of new registrations

  • Coordinate Licensing/Registration renewals

  • Clerical support


Duties at a glance4
Duties at a glance…

Communications and CE

  • Administrative Division Support

  • Reception

  • Licensing Division Support

  • Enforcement Division Support

  • Continuing Education coordinator

  • Mail receipt and processing


Board member time commitment
Board Member Time Commitment

  • Board meetings (typically 5 per year)

  • Monthly Complaint Panel meetings (approx. 3-4 hours each)

  • Meetings of other committees if assignment offered and accepted

  • Occasional phone calls/correspondence


Board member liability

Board Member Liability

In general, Board members are protected from liabilities for the proper performance of their duties as a Board member.


Organizational relationships
Organizational Relationships

Regulatory

Board

Doctor

Professional

Associations

Chiropractic

College


Organizational relationships1
Organizational Relationships

Chiropractic College

The purpose of the Chiropractic College is to provide the required graduate education necessary to achieve entry level competency.

The college has no regulatory or other authority following graduation.


Organizational relationships2
Organizational Relationships

Professional Associations

The purpose of the professional association is to improve the social, economic, or political environment for the professional.

The Professional association has no regulatory authority.


Organizational relationships3
Organizational Relationships

Regulatory Board

The purpose of the regulatory Board is to protect the public from unprofessional, improper, unlawful conduct or substandard care by a doctor of chiropractic.


Organizational relationships4
Organizational Relationships

Attorney General

The Attorney General acts as the Boards attorney, including giving legal advice, and handling all legal matters related to the function of the Board.


Mission statement
MISSION STATEMENT

The mission of the Minnesota Board of Chiropractic Examiners (MBCE) is to protect the public through effective licensure and enforcement of the statutes and rules governing the practice of chiropractic to ensure a standard of competent and ethical practice in the profession.


License types

Active

Inactive

Voluntarily Retired

DC Emeritus

LICENSE TYPES


Active license
ACTIVE LICENSE

An active license allows for the unrestricted* practice of the chiropractic profession in the state of Minnesota, including all the rights, privileges, and responsibilities associated with that right.

*An exception is an active license that has been restricted by a disciplinary action. While still active, the practitioner may practice subject to the restrictions of the disciplinary order


Inactive license
INACTIVE LICENSE

An inactive license is designed for a professional who is in practice in another jurisdiction, but wishes to maintain an easy return to active practice in Minnesota.

A practitioner must convert his/her inactive license to an active license in order to be authorized to provide services in Minnesota.


Voluntarily retired license
VOLUNTARILY RETIRED LICENSE

This is designed for a practitioner who is essentially retiring from practice. It does allow a window of time to be able to return to an active status without retesting.


Dc emeritus
DC EMERITUS

This is essentially an “honorary” title for those persons who have permanently retired from practice.


Registrations
REGISTRATIONS

  • Acupuncture

  • Independent examiner

  • Graduate Preceptor

  • Professional Firms

  • Animal Chiropractic


Acupuncture registration
ACUPUNCTURE REGISTRATION

Chiropractors wishing to provide acupuncture in conjunction with their chiropractic care* must register separately with the Board.

This requires separate additional training, and regular additional continuing education

*Such care must be designed to “prepare for, or complement the chiropractic adjustment.”


Independent examiners
INDEPENDENT EXAMINERS

Chiropractors wishing to perform independent exams on behalf of insurance providers in auto accident cases must be separately registered with the Board.


Graduate preceptor
GRADUATE PRECEPTOR

Experienced Chiropractors wishing to act in teaching and supervisory status for graduates (externs) who are in the process of pursuing licensure.


Professional firms
PROFESSIONAL FIRMS

For those chiropractors who wish to practice under the protections and benefits of a corporate structure.


Animal chiropractic
ANIMAL CHIROPRACTIC

With additional specialized training and registration, may provide chiropractic care to animals.


Non board functions
NON BOARD FUNCTIONS…

  • Protection of the profession

  • Defining the Scope of Practice

  • Entering disputes with insurance companies

  • Entering billing disputes between doctors and third party payors*

*An exception may be made if the billing dispute resulted from a violation of the chiropractic practice act.


Operating codes
OPERATING CODES

  • Statutes

  • Rules (Regulations)

  • Administrative Procedures (Internal)


Operating codes1
OPERATING CODES

Statutes

  • Written by the Legislature

  • Provide basic framework of law

  • Define the scope of practice

  • MS 148.01 through 148.108


Operating codes2
OPERATING CODES

Administrative Rules

  • Written by the agency

  • Designed to further interpret statutes

  • Submitted to public scrutiny

  • 2500.0100 through 2500.7090


Complaint resolution process
COMPLAINT RESOLUTION PROCESS

General Process

  • Receipt of complaint

  • Jurisdictional Evaluation

  • Request for response from Doctor

  • Dismissal or …

  • Meeting if necessary

    • Educational Meeting

    • Administrative Conference

  • Dismissal, agreement, or further pursuit in administrative court.


Status of information
STATUS OF INFORMATION

  • Non- public

  • Public

Information regarding complaints is classified in one of two major categories:


Status of information1
STATUS OF INFORMATION

NON-PUBLIC

Complaints received, investigative data, and all other material related to complaints is considered to be Non-Public, unless and until a public action is taken.


Status of information2
STATUS OF INFORMATION

PUBLIC

Information regarding complaints may become public in one of four ways:

  • An Agreement for Corrective Action is executed

  • A Stipulation and Order is executed

  • A Notice Of, And Order For, Administrative Hearing is issued

  • There is a final Order following an Administrative Hearing.


Board committee s
BOARD COMMITTEE’S

  • Standing

    • Complaint panels

    • Executive Committee

    • Rules Committee

    • Test Development Committee

    • Legislative Committee

  • Ad Hoc

    • Rules Review Committee

    • Others for Special projects


Board committee s1
BOARD COMMITTEE’S

Complaint panels

Complaint panels are established for the purpose of resolving complaints. They are composed of two Board members, and the Executive Director


Board committee s2
BOARD COMMITTEE’S

Executive Committee

The Executive Committee is established to handle the more regular policy business of the Board. It is composed of the Officers of the Board (President, Vice President, and Administrative Officer) and the Executive Director.


Board committee s3
BOARD COMMITTEE’S

Rules Committee

The Rules Committee is established to develop the rules assigned by the Board, and to oversee the rules through the promulgation process. It is composed of three Board members, and the Executive Director.


Board committee s4
BOARD COMMITTEE’S

TEST DEVELOPMENT COMMITTEE

The test development committee is established to provide input and oversight to the National Board of Chiropractic Examiners (NBCE) regarding examination subject matter and to act as liaison between this testing agency and the Board. It is composed of Board members assigned by the President


Board committee s5
BOARD COMMITTEE’S

LEGISLATIVE COMMITTEE

The Legislative Committee is established to oversee any legislative agenda of the Board. It is composed of Board members assigned by the President, and the Executive Director.


Board committee s6
BOARD COMMITTEE’S

RULES REVIEW COMMITTEE (AD HOC)

This committee is established for the purpose of reviewing rules that have been in place to determine that the goals of the rules are being met. It is composed of Board members appointed by the President, a representative of the profession, and the Executive Director.


Financial considerations
FINANCIAL CONSIDERATIONS

The Board is fee supported.

This means that the income of the Board is derived from the profession it regulates.

No funds come from the general taxpayer fund.


Financial considerations1
FINANCIAL CONSIDERATIONS

  • Legislature appropriates (loans) funds to the Board

  • The Board must repay appropriation with receipts

  • Receipts must generally be equal to expenditures

  • The Budget is established every two years


Open meeting laws
OPEN MEETING LAWS

In general, all state agencies must conduct all regular meetings in an open format, available to the public for participation.

  • Exceptions are:

    • Meetings related to confidential disciplinary matters

    • Meetings related to personnel matters

    • Meetings requiring attorney-client privilege


Board oversight
BOARD OVERSIGHT

  • Biennial report to the legislature

  • Legislative audit


Board oversight1
BOARD OVERSIGHT

BIENNIAL REPORT

  • Provided every two years

  • Describes all Board activities

    • Policy information

    • Fiscal information

    • Staffing information

    • Complaint resolution information

    • Licensing/registration information


Board oversight2
BOARD OVERSIGHT

  • Performed every 4 years (or so)

  • Detailed evaluation of programs, finances, procedures, personnel, etc.

  • Concludes with Report to the Legislature

LEGISLATIVE AUDIT


Health professional services program hpsp
HEALTH PROFESSIONAL SERVICES PROGRAM (HPSP)

A special program to monitor professionals who are affected by mental, physical or chemical dependency impairments, which may impact a professional’s ability to deliver care with reasonable skill and safety


Health professional services program hpsp1
HEALTH PROFESSIONAL SERVICES PROGRAM (HPSP)

A professional may enter the program by:

  • Self referral (anonymously)

  • Board referral by agreement

  • Board order

Special Note: Board subsidizes costs of program


Other related organizations
OTHER RELATED ORGANIZATIONS

  • Federation of Chiropractic Licensing Boards (FCLB)

  • Federation of Association of Regulatory Boards (FARB)

  • Citizens Action Council

  • National Board of Chiropractic Examiners (NBCE)

  • Minnesota Chiropractic Association (MCA)


Professional and public communications
PROFESSIONAL AND PUBLIC COMMUNICATIONS

  • Newsletter (previously quarterly but impacted by budget cuts)

  • Web Site

    (www.mn-chiroboard.state.mn.us)


My contact information
MY CONTACT INFORMATION…

LARRY A. SPICER, DC

EXECUTIVE DIRECTOR

MINNESOTA BOARD OF CHIROPRACTIC EXAMINERS

2829 UNIVERSITY AVENUE, SU 300

MINNEAPOLIS, MN. 55414

651-201-2850


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