CHIROPRACTIC BOARD ADMINISTRATORS COMMITTEE

1. CHIROPRACTIC BOARD ADMINISTRATORS COMMITTEE BOARD MEMBER ORIENTATION MAY 2, 2012

2. 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?

3. 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

4. EXECUTIVE DIRECTORS ATTITUDE • PILOT ANALOGY • KNOWLEDGABLE AUTHORITY • STATE/STAKEHOLDER CONNECTIONS • “GO TO” PERSON • PURPOSE IS TO ASSIST BOARD MEMBERS BE AS EFFECTIVE AS POSSIBLE

5. BOARD FUNCTION VS STAFF FUNCTION BOARD ESTABLISH THE POLICIES OF THE BOARD STAFF IMPLEMENT THE POLICIES ESTABLISHED BY BOARD

6. ORIENTATION SUBJECTS • STRUCTURE (MAKEUP OF DC’S VS PUBLIC) • ORGANIZATIONAL CHART (INCLUDING DUTIES OF EACH STAFF PERSON) • TIME COMMITMENT • LIABILITIES • ORGANIZATIONAL RELATIONSHIPS

7. 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

8. Board Makeup • 7 Members Total • 5 Licensee Members (DC’s) • 2 Public Members

9. 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

10. MBCE STAFF

11. ORGANIZATIONAL CHART

12. 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.

13. 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

14. Duties at a glance… Complaint Resolution • Complaint processing • Scheduling of complaint resolution committee meetings • Minutes, complaint resolution committee’s • Enforcement administration • Rules Promulgation coordinator

15. Duties at a glance… Licensing Coordinator • Coordinate administration of new licenses • Coordinate administration of new registrations • Coordinate Licensing/Registration renewals • Clerical support

16. Duties at a glance… Communications and CE • Administrative Division Support • Reception • Licensing Division Support • Enforcement Division Support • Continuing Education coordinator • Mail receipt and processing

17. 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

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

19. Organizational Relationships Regulatory Board Doctor Professional Associations Chiropractic College

20. 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.

21. 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.

22. 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.

23. 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.

24. 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.

25. Active Inactive Voluntarily Retired DC Emeritus LICENSE TYPES

26. 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

27. 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.

28. 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.

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

30. REGISTRATIONS • Acupuncture • Independent examiner • Graduate Preceptor • Professional Firms • Animal Chiropractic

31. 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.”

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

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

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

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

36. 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.

37. OPERATING CODES • Statutes • Rules (Regulations) • Administrative Procedures (Internal)

38. OPERATING CODES Statutes • Written by the Legislature • Provide basic framework of law • Define the scope of practice • MS 148.01 through 148.108

39. OPERATING CODES Administrative Rules • Written by the agency • Designed to further interpret statutes • Submitted to public scrutiny • 2500.0100 through 2500.7090

40. 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.

41. STATUS OF INFORMATION • Non- public • Public Information regarding complaints is classified in one of two major categories:

42. 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.

43. 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.

44. BOARD COMMITTEE’S • Standing • Complaint panels • Executive Committee • Rules Committee • Test Development Committee • Legislative Committee • Ad Hoc • Rules Review Committee • Others for Special projects

45. 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

46. 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.

47. 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.

48. 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

49. 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.

50. 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.