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NBCOT - National Board for Certification of Occupational Therapists - Braindumps Information

Vendor : Medical
Exam Code : NBCOT
Exam Name : National Board for Certification of Occupational Therapists
Questions and Answers : 110 Q & A
Updated On : March 16, 2018
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NBCOT Questions and Answers

NBCOT National Board for Certification of Occupational Therapists

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Medical National Board for

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national Board of clinical Examiners pronounces New government Board Positions | killexams.com real questions with brain dumps

PHILADELPHIA, PA April 19, 2017 – The countrywide Board of scientific Examiners (NBME),

co-sponsor and creator of the us clinical Licensing Examination (USMLE) and a lot of other healthcare evaluation equipment and services, is glad to announce new executive board individuals and officers elected at its 2017 annual assembly. Dr. Latha Chandran, Dr. Donna Elliott, Dr. Reena Karani, and Ms. Pat Mastors have been elected to four-year terms as government Board contributors. Dr. Alfred Tallia has been elected Treasurer of the NBME, and Dr. Paul Wallach has been elected Vice Chair.

Dr. Latha Chandran, MD, MPH, the Miriam and David Donoho extraordinary instructing Professor, is Vice Dean for tutorial and school Affairs at SUNY Stony Brook school college of medicine, and Founding Director of the Donoho Academy of Medical & tutorial scholars (ACES). Dr. Chandran is being inducted into the SUNY distinct Academy this 12 months. during the past Dr. Chandran has received the SUNY Chancellor’s Award for Excellence in teaching, the President’s Award for Excellence in educating as well because the Aesculapius Award for Excellence in clinical teaching, the maximum faculty educating award granted by means of the school of drugs at Stony Brook. Her research and apply hobbies include time-honored pediatrics, adolescent medicine, tutorial scholarship and college building. Dr. Chandran has served as a volunteer with the NBME due to the fact 2003, as a part of examine building committees, interior review and commonplace environment committees, as well as finance and audit committees.

Dr. Donna Elliott, MD, EdD, is the Senior affiliate Dean for student and tutorial Affairs, and Professor of clinical Pediatrics on the college of Southern California’s Keck faculty of medicine. She focuses her research and training activities on cultural competence and professionalism schooling and assessment in Medical schooling. She is the recipient of the mind-blowing women of USC Award, and a large number of teaching and management honors. Dr. Elliott has served as a volunteer with the NBME considering the fact that 2009, as part of the USMLE Step 1 and administration committees among others, and currently serves on NBME’s overseas Oversight Committee.

Dr. Reena Karani, MD, MHPE, is Senior affiliate Dean for Undergraduate Medical schooling and Curricular Affairs at the Icahn faculty of medication at Mount Sinai, and a Professor of clinical training, drugs and Geriatrics and Palliative drugs. Dr. Karani is the 2013 recipient of the countrywide Award for Scholarship in scientific education from the Society for well-known interior medication, apart from a large number of other honors. She is also the recipient of a number of awards for educating, mentorship and educational leadership. Her research hobbies focal point on learner assessment methodologies, workplace-primarily based learning and curriculum design. Dr. Karani has served as a volunteer with the NBME seeing that 2011, as a member and chair of a number of check fabric building committees for the USMLE, as well as inner evaluation, finance and audit, and administration committees.

Pat Mastors is Co-Founder, Director of Engagement, and Board Chair of the sufferers’ View Institute, a non-profit organization committed to organizing and amplifying the patient voice to raise the exceptional of care. Ms. Mastors is a tireless patient recommend, speaker, creator, and affected person/household advisor to each govt health businesses and health care professional practices, and works with agencies nationwide on merchandising patient defense and engagement. She is additionally patient co-chair of the country wide fine discussion board (NQF) affected person and household Engagement motion group, and has been part of a success efforts to move two affected person protection legal guidelines in her domestic state of Rhode Island. She is additionally Coordinator of the women’s fitness Activist stream (WHAMGlobal.org), a “network of networks” based in 2016, created to empower and domesticate feminine leaders who strengthen healthcare programs which are transparent, respectful, accountable, and equitable. Ms. Mastors has served as a volunteer with NBME seeing that 2015 as a member of the general public Stakeholders Committee, and as a member at-colossal.

Dr. Alfred Tallia, MD, MPH, is Professor and Chair of household and community health at the Robert timber Johnson Medical college of Rutgers tuition, and a Fellow of the Rutgers center for Organizational building and leadership. Dr. Tallia additionally served because the founding government director of Robert timber Johnson companions, the accountable care organization designed to convey the research, tutorial, and scientific substances of Rutgers institution and the Robert timber Johnson Barnabas health equipment to remedy modern issues in healthcare birth for sufferers across the socioeconomic spectrum. In 2014, Dr. Tallia got the Chair Award for Lifetime provider from the brand new Jersey Academy of family unit Physicians, is a recipient of the Edithe J. Levit extraordinary carrier Award from NBME, and is the 2017 recipient of the Peter W. Rodino, Jr. residents Award from the Edward J. ill foundation for scientific Excellence, among other honors. He has served on the government committee of the Washington-primarily based patient established simple Care Collaborative, the coalition of Fortune 500 payers, providers, and buyers advancing healthcare reform, and on the boards of Horizon (Blue cross/Blue shield of recent Jersey) health improvements, the Robert wood Johnson school hospital and health gadget, and continues to serve on boards of a lot of other public and private fitness-related agencies. Dr. Tallia has served the NBME as a volunteer for greater than twenty years as a part of USMLE Step three examination committees, the family medication area Examination project drive, the USMLE funds, Finance & Audit, and examine accommodations Committees, the centennial steerage committee, chair of the USMLE assessment program, as a board member, and government Board member-at-gigantic, amongst other roles. He chairs the Composite Committee governing the USMLE program, the general licensure evaluation pathway for all international and home scientific college graduates.

Dr. Paul Wallach, MD, is Vice Dean for tutorial Affairs at Medical school of Georgia at Augusta institution. Dr. Wallach turned into the recipient of the special Alumnus Award from the college of South Florida faculty of drugs in 2011, and has been honored with a broad array of teaching and leadership awards all the way through his career. promoting high first-class and creative processes for Medical training has been a priority for Dr. Wallach, and he has selected Medical pastime in hypertension, lipid disorders, and preventive care. He has published and presented greatly on themes ranging from affected person & health professional roles in end-of-existence selections to the have an impact on on health of serving as a standardized affected person. Dr. Wallach has served the NBME as a volunteer for more than two decades, together with roles on USMLE examination committees, the Composite Committee, and the Committee to evaluate the USMLE application. He has supplied leadership as Chair of the Step 2 Ambulatory Committee, the Step 1 Gross Anatomy and Embryology Committee, the Step 2 Committee, the Advisory Committee for clinical faculty courses, the foreign Oversight Committee, and the NBME Finance Committee. He has volunteered as a member of the Board seeing that 1998, the government Board due to the fact 2011, and as Treasurer of the NBME government Board from 2015-2017.

The NBME membership consists of approximately 80 individuals representing the tutorial community, national expert agencies, state licensing boards, college students, residents, the federal executive and the public. tasks of the membership of the NBME consist of recommending policy to and electing its board of administrators.

The NBME is an impartial, now not-for-earnings firm that gives first rate assessments for the health professions. insurance policy of the fitness of the public through state-of-the-art assessment is the mission of the NBME, along with a big dedication to research and development in contrast and measurement. The NBME develops the three-step u.s. clinical Licensing Examination (USMLE®), which offers a standard contrast gadget and centered minimum standards for all Medical doctors of medication looking for an initial license to observe medicine within the u.s.. USMLE is a joint program of the NBME and the Federation of State clinical Boards. outcomes of USMLE are mentioned to all licensing authorities within the u.s. and its territories to be used in granting the preliminary license to follow medication. The NBME’s examinations and services are also regularly occurring by way of the clinical training equipment both in the u.s. and around the world.

# #  #

countrywide Labor relations Board files criticism against Jersey city scientific core | killexams.com real questions with brain dumps

The national Labor relations Board has filed a grievance against Jersey metropolis clinical core based on claims that the Medical institution president tried to bust the union that has represented 600 employees for 35 years.

The board brought the case after investigating allegations that management had suspended, transferred and fired three union officers "as a result of they assisted the union and engaged in blanketed, concerted actions," according to the board's complaint. The health facility is additionally accused of failing to bring together dues from employee paychecks, circulating a secret ballot asking personnel whether they wanted to disband the union, and imposing a contract before it became ratified by personnel.

The complaint turned into filed on behalf of Council fifty two and locals 2254 and 3680 of the American Federation of State, County and Municipal employees.

“For over a yr, we've fought towards the anti-union, anti-worker plan on the scientific middle to deny our individuals their rights,” said wealthy Gollin, AFSCME Council fifty two govt director. “by means of issuing these complaints of unlawful acts, the NLRB has given new hope to the employees that the mistreatment they have got continued could soon be over.”

Jersey city scientific middle CEO Joseph Scott stated he "looks ahead to resolving these concerns. This might be our possibility to give our aspect of the story."

An administrative legislations judge in Newark will preside over the case, scheduled to start March 19, in accordance with a statement issued by using the board.

The board also has introduced a case on behalf of the fitness professionals and Allied employees union towards Meadowlands Medical institution clinical center in Secaucus. the continuing trial all started in December. The board alleges Meadowlands homeowners laid off about 50 worker's without regard to seniority rights, didn't pay $four million in earnings and retirement contributions, and refused to barter foremost contract changes.

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• Jersey city clinical center nearer to becoming a member of St. Barnabas health system

• national Labor relations Board files criticism in opposition t Meadowlands health center

greater Politics

KCR for transparency in SCCL clinical board | killexams.com real questions with brain dumps

Chief Minister okay. Chandrasekhar Rao has called for trade within the orientation within the functioning of employees and people of Singareni Collieries enterprise restrained within the backdrop of the risk of bribes for ‘each and everything’ in the company while he announced enhancement in the interest-free housing mortgage to personnel from ₹6 lakh to ₹10 lakh.

He expressed problem over the miners and worker's having to pay bribes for obtaining ‘unfit’ certificate from the enterprise’s clinical board, seeking a metamorphosis in the quarters and different considerations.

“Why for those who (the employees) pay for the capabilities which might be your appropriate? We should still punish those that are trying to find bribe as well as people who supply bribes” he mentioned.

Addressing a meeting of Singareni people right here on Sunday following the TRS-backed TBGKS profitable the bulk union elections within the SCCL lately, Mr. Rao was specially aggravated with the Medical board which, he talked about, may still be fully overhauled. a new clinical board which would render selfless features to people in taking care of their health needs can be put in region soon.

The government would put in place a device wherein workers and employees would get their functions delivered within the specific time without paying any bribes, he noted.

He showered a spree of sops on the staff including the government’s intentions to provide air-conditioning facility to the staff’ quarters with free vigour supply, price of price for little ones of people who qualify for admission into premier institutions just like the IITs and IIMs and a cadre scheme drawn on the lines of Coal India restricted enabling people to get time-sure promotions besides regularisation of services of 2,750 laborers which became held up because of problems relating muster rolls.

“The govt is committed to give ₹10 lakh activity-free housing loan to personnel. we are prepared to set apart a element of our gains if need be during this path,” he observed.

Launching a scathing assault on the country wide exchange unions which contested the polls, he mentioned that they did not trouble to notify workers that the executive had set aside ₹375 crore out of the close to ₹800-crore income earned by means of the company against price of arrears of the pay revision fee.

Mr. Rao introduced his resolve to behavior a Singareni Yatra quickly for in my opinion checking the amenities and amenities made available for staff including the circumstance of the quarters wherein they lived as also the hospitals where they endure verify-up and treatment.

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Medical NBCOT Exam (National Board for Certification of Occupational Therapists) Detailed Information

NBCOT Certification
The National Board for Certification in Occupational Therapy (NBCOT) administers the examination for Occupational Therapist, Registered (OTR). The Board is independent from the American Occupational Therapy Association. Upon successfully completing the exam, the graduate will be an Occupational Therapist, Registered (OTR).
Eligibility: Students should be aware that a felony conviction might affect their ability to sit for the certification exam. For more information, contact the National Board for Certification in Occupational Therapy. When you apply to write the certification examination with the National Board for Certification in Occupational Therapy (NBCOT), you will be asked to answer questions related to the topic of felonies. A felony conviction may affect a graduate’s ability to attain state licensure.
For further information contact NBCOT at: www.nbcot.org
National Board for Certification in Occupational Therapy, Inc.
800 S. Frederick Avenue, Suite 200
Gaithersburg, MD 20877-4150
(301) 990-7979
The table below presents data on national certification (NBCOT) exam results by graduates of the University of Florida MOT Program.
NBCOT Exam Results by MOT Graduates
Exam Period Number of UF first-time test takers Number of UF first-time test takers who passed the exam Percentage of UF first-time test takers who passed the exam Percentage of UF graduates who passed the exam within 1 year of graduation
For official program performance data on the NBCOT National Certification Exam see: https://secure.nbcot.org/data/schoolstats.aspx
2013 42 42 100% 100%
2014 47 46 98% 100%
2015 44 44 100% 100%
Total 2013-2015 133 132 99% 100%
Certification Exam Online Tutorials
Certified Occupational Therapy Assistant COTA® Exam Tutorial
This tutorial will demonstrate the functionality of the Certified Occupational Therapy Assistant COTA exam in the computer-based testing environment. The timer clock for the online tutorial is presented for illustration purposes only. During the test tutorial at the Prometric Testing Center, the tutorial clock will indicate the time you have remaining for the tutorial. The time you are allotted for the tutorial is separate from the actual exam time.
View the COTA exam tutorial.
Occupational Therapist Registered OTR® Exam Tutorial
This tutorial will demonstrate the functionality of the Occupational Therapist Registered OTR exam in the computer-based testing environment. Please note that during the actual OTR exam, the tutorial is presented in two distinct sections. The first tutorial is presented at the start of the clinical simulation section of the exam and the second tutorial is presented at the start of the multiple choice section of the exam.
The timer clock for the online tutorial is presented for illustration purposes only. Candidates are provided ample time to complete each tutorial prior to the start of the actual exam. The time allotted for each tutorial is separate from the actual exam time. During the test tutorial at the Prometric Testing Center, the tutorial clock will indicate the time you have remaining for the tutorial.
- See more at: http://www.nbcot.org/tutorials#sthash.lIXou8RX.dpuf
Eligibility Confirmation Notice
Certification candidates who wish to have a confirmation notice sent to a regulatory entity, employer, or themselves can select this service when applying online, or order through the MyNBCOT portal. The confirmation notice includes:
Confirmation that the candidate’s examination application and fees have been processed
Confirmation that the candidate’s official final transcript or NBCOT Academic Credential Verification Form (ACVF) is in order
Confirmation that the candidate is approved to schedule his/her test date with Prometric Test Center
The candidate’s examination history—a listing of the candidate’s examination dates from 1997-present
Important Notes:
There is a $40 fee per notice. When a confirmation notice is requested for a third party, the candidate will receive a copy at no charge.
The following states do NOT accept confirmation notices: Alabama, Colorado, Connecticut, Hawaii, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, New Hampshire, North Carolina, South Carolina, Washington, and Wisconsin.
- See more at: http://www.nbcot.org/eligibility-confirmation#sthash.4CLYC1ry.dpuf
NBCOT Professional Development Plan and Certification Renewal Process
The National Board for Certification in Occupational Therapy, Inc. (NBCOT) provides certification for the occupational therapy profession. Keep NBCOT updated with your current contact information. This is your responsibility. NBCOT uses that information to inform you when you need to renew your certification, yet ultimately, it is your responsibility to assure that you are in compliance with NBCOT if you are a COTA or OTR.
Continued certification with NBCOT is voluntary; if you do not renew your certification with them, you cannot use the credentials Occupational Therapist Registered OTR and/or Certified Occupational Therapy Assistant COTA which are owned by NBCOT (not AOTA). OTAC will continue to remain neutral regarding NBCOT’s certification renewal process; however, should you decide to renew your certification, the Professional Development and Continuing Education Chair will continue to be a resource for you.
Missions of NBCOT, and of state regulatory boards (OTAC is not a regulatory board), are to serve the public interest and provide consumer protection. In that light, they are complimentary, supporting one another and making each agency stronger. When NBCOT designed the Professional Development Plan, it was to add value and substance to the earned “C” and “R” credentials. Because OT practitioners practice in such diverse arenas, NBCOT purposefully integrated flexibility into the certification renewal process when they designed it. They created a framework, and within those parameters, YOU are designing your own professional development plan.
Complete NBCOT’s Self-Assessment or AOTA’s Professional Development Tool – PDT. You will identify your strengths and weaknesses, what your professional roles are, and the practice areas related to the delivery of OT service in which you want to become more proficient.
Use your self-assessment to choose activities that will assist you with improving your skills. NBCOT provides an “Activity Checklist,” which is a professional development parameter guideline that lists categories, descriptions of learning and service activities, and professional development unit (PDU) values.
Be involved in continuing education – learn, have fun, network, teach others, relish in opportunities to enhance your professional knowledge and skills, etc…
It is your responsibility to collect, track, and save your PDU information. (Do not expect educational agencies to retain this data.) Required verifiable documentation is listed on NBCOT’s “Activity Checklist.” You must earn 36 PDUs within your 3-year renewal cycle (you can earn more of course; NBCOT requires a minimum of 36).
Auditing is completed via a random selection process. Several of your colleagues have been audited each year, and most have successfully passed through the process. If you are audited, NBCOT will send information on what and how to submit documentation verifying your continuing education; you will also be expected to sign an attestation statement. If you have further questions, first contact NBCOT. You may also contact OTAC’s Professional Development and Continuing Education Chair for suggestions. (Please note that this assistance is a “Member Services” benefit.)

Workforce Series: Allied Health

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  • 1 National Rural Health Association Policy Position Workforce Series: Allied Health Recruitment and Retention of Quality Health Workforce in Rural Areas: A Series of Policy Papers on the Rural Health Careers Pipeline, Paper #11. Introduction and Background The IOM report Quality Through Collaboration: The Future of Rural Healthcare recognizes that an adequate supply of properly educated health care professionals is critical to meeting the health needs of rural and frontier communities, and dedicates an entire chapter to human resources for supporting healthcare needs in rural communities (Institute of Medicine, 2005). Historically many of the programs addressing rural healthcare workforce needs have focused on physicians and nurses. These efforts have more recently broadened to address a broader spectrum of health care providers including dentists, pharmacists, EMS and allied health professionals (Advisory Committee on Interdisciplinary, Community-Based Linkages, 2005). Allied health professionals are a key component of the rural health care delivery system. Allied health workers can be defined as: health care practitioners with formal education and clinical training who are credentialed through certification, registration andor licensure. They collaborate with physicians and other members of the health care team to deliver high quality patient care services for the identification, prevention, and treatment of diseases, disabilities and disorders. The diversity and specialization of health care has created the need and use of various allied health services that enhance and extend health care. As a result, allied health occupations and services are imperative to the health care delivery systems and the overall health of the nation (Health Professions Network, 2007) Allied Health professionals comprise the majority of the health care workforce, and include more than 85 distinct occupations. Some of the most common allied health professions in rural health care delivery include physical and occupational therapists, clinical laboratory technicians, radiology technicians, health information technicians, respiratory therapists, optometrists, and registered dietitians. Allied health professionals include over 6 million providers of the 11 million health care workforce in the United States. Allied Health professionals typically attend a minimum of 2 to 4 year educational programs either at community colleges or universities. Most allied health professions also have a certification process, typically at a national level. In addition, many allied health professions are subject to varying licensure requirements depending on the state in which they practice. A sample of the types of educational and certification requirements for a variety of allied health professionals is shown in the grid below (All Star Directories, 2008): Occupation Education Certification Physical Therapist Masters required, majority of schools and new National Physical Therapist Examination graduates Doctoral prepared (DPT). (NPTE). Other state board requirements may Physical Therapist Assistant Occupational Therapy 2-year associate degree from accredited program required. As of 2007 Masters degree required. also apply Licensing requirements vary from state-to-state. Most states require passage of a state examination, CPR and First Aid certification, and completion of a minimum number of fieldwork hours. National certification examination from the National Board for Certification in Occupational Therapy (">NBCOT). Other state board requirements may apply 1

    2 Respiratory Therapists Clinical Laboratory ScientistMedical Technologist Medical RecordsHIT Technician Radiologic Technologists Dietician Nutritionists 2-year associate s degree or 4-year bachelor s degree programs. Most respiratory therapists obtain a four-year or higher degree from an accredited institution. However, there are associate s degree and certificate programs that can get you started. All states, except Alaska and Hawaii, require respiratory therapists to obtain a license in order to practice. Four-year bachelor s degree program in Medical Technology or Clinical Laboratory Science. Medical records and health information technicians entering the field usually have an associate degree from a career college or community college. Experienced technicians may specialize in coding, particularly Medicare coding, or in cancer registry. Most coding and registry skills are learned on the job. Some schools offer certificates in coding as part of the associate degree program for health information technicians. Radiologic technician program options include: - 1-year certificate or diploma - 2-year associate s degree - 4-year bachelor s degree Upon completion of an associate degree, opportunities exist to continue education and obtain a bachelor s degree. A bachelor s or master s degree in one of the radiologic technologies is desirable for supervisory, administrative, or teaching positions. Dietitian qualifications are a 4 year degree in dietetics or nutrition with a 9-12 month internship or completion of a coordinated undergraduate program that combines classroom and clinical experience. National exam to become a Certified Respiratory Therapist (CRT). After passing this exam, you can decide to sit for two additional tests to become a Registered Respiratory Therapist (RRT). Clinical laboratory scientists must pass a national certification examination given by The American Society for Clinical Pathology (ASCP), the National Credentialing Agency for Laboratory Personnel (NCA), American Medical Technologists (AMT), or the American Association of Bioanalysts (AAB). California, Florida, Georgia, Hawaii, Louisiana, Montana, Nevada, North Dakota, Rhode Island, Tennessee, and West Virginia all require licensure of individuals. Other states require licensure of clinical laboratories. Most employers prefer to hire Registered Health Information Technicians (RHIT) or Registered Health Information Administrators (RHIA), who must pass a written examination offered by the American Health Information Management Association (AHIMA). To take the examination, a person must graduate from a 2-year associate degree program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). In 2005, 38 states required radiologic technologists and technicians to be certified. Graduation from an accredited program in medical radiography or radiologic sciences satisfies academic eligibility to apply to take the national certifying examination given by the American Registry of Radiologic Technologists (ARRT). Most states require licensure or certification. The Commission on Dietetic Registration (CDR) offers national certification and testing which earns dietitians the title Registered Dietitian (RD). The wide variety in the type of professional services needed and scope of training required to provide the spectrum of care is one of the challenges rural communities face when working to address workforce needs for allied health services. There are over 1,000 educational programs for Allied Health professionals nationally, which enroll over 30,000 students annually. Many allied health careers are also among the fastest growing professions (Bureau of Labor Statistics, 2006). 2

    3 Although it is common knowledge that rural health care facilities face challenges in attracting and retaining qualified professionals to meet their allied health needs, consistent data regarding workforce shortages for allied health professions in rural communities is not readily available (Mueller, K.J., 2003). Issues Lack of Allied Health Workforce Data Rural shortages of certain health care providers, such as physician, nurses, nurse practitioners, physicians, dentists, and mental health care providers are typically well documented. However, despite the fact that similar rural shortages in allied health are commonly acknowledged, consistent data is unavailable at the national or state levels to quantify the issues. Studies measuring outcomes of inclusion of allied health in the patient care process are limited and discipline specific. This further limits knowledge related to the impact of allied health as a member of the health care team. Federal funding under for the Title VII Health Professions Workforce Information and Analysis program, which supports the compilation and analysis of data on the nation s health workforce, was eliminated in FY 2006, further hampering efforts to evaluate and access aggregate workforce issues for allied health. Varying Practice Regulations, Requirements and Reimbursement The role of each allied health discipline differs based on the regulations governing the practice of that particular discipline which is often individualized to each state. Entry into practice of each discipline may also be varied. Practice can also be regulated based on referrals of health care providers and consideration of insurance reimbursement. The presence of allied health often depends of the value of the service by the population and by the providers. The diversity and specialization of health care has created the need and use of various allied health services that enhance and extend the delivery of health care. Outcomes based reimbursement depends on using what ever possible to help the population achieve better health and decreased relapse and hospitalizations. Standards of care are uniform regardless of rural or urban setting, and providers are held to that standard regardless of resources available. Appropriate levels of service may not always be possible due to the lack of allied health resources, and fear of legal recourse could prevent providers from practicing in rural areas due to the lack of allied health services. Rural and frontier areas have significant health care professional shortage areas which directly impact the development of collaboration and use of allied health care professionals. When providers are not available to order the services, the services cannot be performed regardless of the need. Recruitment and retention of allied health care decreases when health care providers leave due to financial and reimbursement issues. Rural areas have experienced declines in available health care providers and subsequently, allied health services which are provider driven also have diminished in rural areas. Relocation of allied health providers can also be difficult when spousal employment is needed and specialized jobs are sparse. Rural areas have a high number of Medicaid and Medicare populations which may limit income for the allied health provider. State policy is varied in every state and with every discipline. Facilities that are needed to house the discipline, such as physical therapy, also may not be available. Access to education and training programs Access to education and training for allied health professionals can be difficult, even though many courses are now available online. Universities provide interactive class via the web and have electronic means of testing and receiving grading paper work. Many rural areas do not have an internet carrier that has the speed to support institutional programs that house the classes. This reduces the opportunity to train willing individuals already living in rural communities to gain the skills and certification to provide services. The availability of rural internship andor practicum opportunities can also be limited, and having enough faculty to support training programs in rural areas adds an additional challenge. Once in practice, network support for collaboration of allied health professions can be sparse, leading to frequent on-call schedules. Professional support may not be available for isolated rural providers making practice in more urban areas a more attractive option. 3

    4 Strategies The solution to improving and restoring health to rural and frontier areas is multi-factorial and requires actions at every level as a partnership. Rural and frontier community members deserve the same access to health care as individuals in urban areas, including services from a team of professionals of which allied health is an imperative part. A team approach of educational institutions, health care providers and local, state, and federal government is needed to address the challenges in recruiting and retaining the necessary allied health professionals in rural communities. Examples of potential strategies to address the Allied Health workforce pipeline are listed below: Educational Institutions Develop innovative interdisciplinary training programs to accommodate workforce needs in rural areas. Make training programs more assessable by using information technology or developing regionalized access points. Recruit from vo-technical programs, and give credit for high school programs. Expand health related educational courses offered that begin in high school that transfer to the college level. Enhance student recruitment programs to encourage health occupations. Engage in welfare to work programs and offer tuition waivers for those trying to establish a work career. Advertise programs through the media to attract potential students of all ages and offer programs to acclimate older students to the educational process. Provide resources and support for allied health students to ask questions, or seek advice and peer support. rease the number of faculty available to support the demand for training health professions students. Enhance and expand the availability of clinical training sites in rural settings. Rural Health Facilities Partner with educational institutions to develop programs that will allow students to continue current employment and family responsibilities while enhancing their careers. Develop career ladder training programs. Recruit professionals that could provide clinical training for potential students. Collaborate with local and state education agencies to expose elementary, junior high and high school students into health professional programs and careers. Work with State High School educational agencies to develop vocational educational opportunities as an entry to allied health careers. Partner with local economic development to create local opportunities. Search for links outside the realm of health care. Attach needs to economic growth and meet with industries and business that have not linked with health care previously. Enhance retention activities and increased opportunities to maintain Allied Health Professionals currently employed. Partner with local Foundations and businesses to offer tuition reimbursement and loan repayment incentives. States Offer financial incentives to encourage allied health professionals to locate in rural underserved areas in the state. These incentives could include scholarships, loan repayment programs and tuition waivers to students from areas that lack in specific allied health professionals. Develop formal programs to ensure an adequate healthcare workforce, to include training, recruitment and retention. Support funding at the university level to enhance the availability of clinical instructors. Provide capital resources necessary to fund distance education programs. 4

    5 Develop statewide career ladder training programs through campus and distance learning options. Promote practice parameters that are national to reduce licensure problems with recruiting from other states. Support programs that link educational facilities and rural areas. Offer tax breaks to allied health professionals that practice in underserved areas, return to school for education that will fill needs and vacancies in these areas. Offer tax breaks to institutions that financially support training and recruitment of needed allied health care professionals to their area. Support the delivery and reimbursement of allied health via telemedicine. Develop formal Workforce Tracking Programs to collect and analyze allied health workforce trends and opportunities. Require public service providers who provide or could provide high speed internet to cover all of the state and offer incentives for those who extend into rural areas. Congress Reauthorize and increase funding for Title VII and VIII to support workforce development programs. Promote universal licensing and practice parameters of allied health to simplify requirement from state to state. rease funding and grants available for the recruitment and retention of allied health professionals to the rural areas. Provide personal tax breaks for health care professional that practice in rural and underserved areas. Promote and fund research that evaluates the impact of allied health in rural areas as compared to urban areas that have these resources available. Recommendations The Institute of Medicine outlined key strategies and findings relating to rural healthcare workforce issues in their 2005 report Quality Through Collaboration (see below). The NRHA endorses the following recommendations aligning with the IOM report with a focus on allied health professionals: IOM Recommendation To target workforce training programs most effectively, federal, state, and local governments need better information on the current supply and types of health professionals. Data that would be particularly useful include the numbers of providers and provider hours of clinical practice, practice specialties, and sites of service. Financial and policy incentives at the federal and state levels could be put in place to facilitate the gathering, analysis, and retention of health professions workforce data that are comparable across states. Allied Health Application Although most states have some availability of workforce data on physicians and nursing professions. There is a particular lack of workforce data regarding allied health professions. What data is available is frequently inconsistent or not comparable from state to state. Financial and policy incentives for development of workforce data centers and increased health care workforce data development need to include a focus on allied health professions to best target programs and incentives in the workforce pipeline for this broader scope of health care professional. IOM Recommendation Congress should provide appropriate resources to the Health Resources and Services Administration to expand experientially based workforce training programs in rural areas to ensure that all health care professionals master the core competencies of providing patient-centered care, working in interdisciplinary teams, employing evidence-based practice, applying quality improvement, and utilizing informatics. These competencies are relevant to the many discipline-specific and multidisciplinary programs supported under Titles VII and VIII of the Public Health Service Act. 5

    6 Allied Health Application Title VII funding is a key resource to ensuring an adequate allied health workforce in rural communities. Title VII programs such as Area Health Education Centers (AHECs), interdisciplinary training programs, and workforce programs that recruit students from minority and underserved communities, all play a key role in the pipeline for engaging and recruiting allied health professionals. The Area Health Education Centers can also play a key role in helping engage and prepare K-12 students from rural communities with adequate educational preparation, and consideration of allied health professions as a viable career option. IOM Recommendation Schools of medicine, dentistry, nursing, allied health, and public health and programs in mental and behavioral health should: Work collaboratively to establish outreach programs to rural areas to attract qualified applicants. Locate a meaningful portion of the educational experience in rural communities. Universities and 4-year colleges should expand distance learning programs andor pursue formal arrangements with community and other colleges, including tribal and traditionally African American colleges, located in rural areas to extend the array of rural-based education options while encouraging students to pursue higher levels of education. Make greater effort to recruit faculty with experience in rural practice, and develop rural-relevant curricula addressing areas that are key to improving health and health care, including the five core competencies (i.e., providing patient-centered care, working in interdisciplinary teams, employing evidence-based practice, applying quality improvement, and utilizing informatics), the fundamentals of population health, and leadership skills. Develop rural training tracks and fellowships that (1) provide students with rotations in rural provider sites; (2) emphasize primary care practice; and (3) provide cross-training in key areas of shortage in rural communities, such as emergency and trauma care, mental health, and obstetrics. Allied Health Application Training programs that include an emphasis on practice opportunities in rural communities are of key importance in developing an adequate allied health workforce. In addition, many allied health profession training programs can be amenable for working adults. orporation of a wide variety of strategies to engage and support working adults in selecting allied health as a career option, and to support current allied health professionals in furthering their education and skills will also be critical in addressing the allied health workforce pipeline. References Advisory Committee on Interdisciplinary, Community-Based Linkages. (2005). Advisory committee on interdisciplinary, community-based linkages, fifth annual report to the secretary of the U.S. department of health and human services and to the congress, Rockville, MD: HRSA, Health Resources and Services Administration. (report from 5th). All Star Directories. (2008). Health care careers. Retrieved 512009, from Bureau of Labor Statistics. (2006). Occupational employment and wages. Washington, DC: U.S. Census Bureau, U.S. Department of Labor. Health Professions Network. (2007). Communication, consensus, and advocacy. Reston, Virginia: Health Professions Network. Retrieved from Institute of Medicine. (2005). Quality through collaboration: The future of rural health (Medical No. 2005). Washington, DC: The National Academies Press. Mueller, K. J., Stoner, J. A., Shambaugh-Miller, M. D., Lucas, W. O., & Pol, L. G. (2003). A method for identifying 6

    7 places in rural America at risk of not being able to support adequate health services. The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association, 19 (4), Wakefield, M., Amundson M., Moulton, P., Gibbens, B. (2007). North Dakota Health Care Workforce: Planning Together to Meet Future Health Care Needs. Policy Brief from the North Dakota Center for Rural Health. January Policy adopted October Government Affairs Office 1108 K Street NW, 2nd Floor Washington, DC (202) You can access this document online at 7

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  • ">NBCOT and State Regulatory Agencies: Allies or Adversaries?

    Departments The Issue Is

    In Brief   |   January 1997 ">NBCOT and State Regulatory Agencies: Allies or Adversaries?

    American Journal of Occupational Therapy, January 1997, Vol. 51, 74-75. doi:10.5014ajot.51.1.74

    ">NBCOT to Certify Alien OTs Entering U.S. for P

    ">NBCOT to Certify Alien OTs Entering

    U.S. for Permanent Work Visas

    The Immigration and Naturalization Service has named the National Board for Certification in Occupational Therapy (">NBCOT) in an interim rule which will implement, on a temporary basis, certain portions of section 343 of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA). ">NBCOT announced the decision in an Oct. 15 press release. The rule "grants temporary authorization to ">NBCOT to issue certificates to aliens coming to the United States on a permanent basis to work in the field of occupational therapy. ">NBCOT is authorized to issue such certificates solely because of ">NBCOT's proven track record in issuing certificates for the position of occupational therapist and the current acceptance of these certificates by the various regulatory boards in the field of occupational therapy."

    Section 343 provides that aliens coming to the United States to perform labor in covered health care occupations (other than physicians) are inadmissible unless they present a certificate relating to their education, qualifications, and English language proficiencyæskills that affect the provisions of health care services in the United States. According to the release, a valid certificate issued by ">NBCOT must be presented to the consular officer at the time that the alien occupational therapist applies for an immigrant visa and to the immigration service at the time of admission or adjustment of status.

    The interim rule requires that ">NBCOT verify:

    * that the alien OT's education, training, license and experience are authentic and meet all applicable statutory and regulatory requirements for admission into the United States, are comparable with that required for an American OT, and (in the case of licenses) are unencumbered.

    * that the alien OT has passed the occupation's licensing or certification exam (the ">NBCOT certification exam).

    * that the alien OT has passed the Test of English as a Foreign Language (TOEFL) with a minimum score of 560 (paper-based) or 220 (computerized), the Test of Written English (TWE) with a minimum score of 4.5, and the Test of Spoken English with a minimum score of 50. Graduates of educational programs in Australia, Canada (except Quebec), Ireland, New Zealand, the United Kingdom, and the United States are exempt from the English language requirements.

    The Commission on Graduates of Foreign Nursing Schools (CGFNS), the only other organization named in the interim rule, "is authorized to issue certificates only for the occupation of nurses, for which it has an established track record of issuing certificates, and not for the occupation of occupational therapy." Until a final rule is promulgated:

    * Applications for immigrant visas in physical therapy, speech language pathology, medical technology, medical technician and physician's assistant will be held in abeyance.

    * The certification requirements of section 343 are temporarily waived for aliens coming to the US as non-immigrant health care workers. The period for which a waiver is granted has been extended from six months to one year.

    At this time, INS has not extended the application of section 343 beyond the seven occupations listed above. Forthcoming proposed rules may include additional health care occupations. The interim rule becomes effective on Dec. 14.

    Alien occupational therapists should not confuse the certificate required by these interim rules with ">NBCOT certification. Depending on when the individual completed the ">NBCOT pre-screening process, there may be additional requirements for obtaining a certificate for immigrant visa purposes. Please contact ">NBCOT for information regarding visa certificates by e-mail, fax, phone and letter (e-mail: mspaldinnbcot , fax: 301-869-8492, tel: 301-990-7979, address: 800 S. Frederick Ave, Suite 200, Gaithersburg, MD 20877-4150.

    The Interim Rule can be viewed on ">NBCOT's Web page at .nbcot.

    ">NBCOT Annual Newsletter, Winter 2014

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