TENNESSEE BOARD OF COMMUNICATION DISORDERS AND SCIENCES DATE: November 6, 2012 TIME: LOCATION: BOARD MEMBERS PRESENT: BOARD MEMBERS ABSENT: STAFF MEMBERS PRESENT: 10:00 A.M., CST Health Related Boards Ground Floor, Iris Room 227 French Landing Nashville, TN 37243 Lynne Harmon, M.A., CCC-SLP, Chair, Speech Pathologist Whitney Mauldin, Au.D, CCA, FAAA, ABA, Audiologist Terri Philpot, M.S., CCC-SLP, Speech Pathologist John Ashford, Ph.D., CCC-SLP, Speech Pathologist Valerie Matlock, Ed.D, Audiologist, Audiologist O. H. Freeland, Citizen Member Alex Munderloh, Assistant General Counsel Stacy Tarr, Board Administrator Charles Custer, Board Administrator Ms. Harmon, board chair, called the meeting to order at 9:59 a.m. A quorum was present. Rule-Making Hearing The Board decided to rearrange the agenda, in order to start with the Rule Making Hearing, due to out of town guests that will be commenting and discussing the proposed rules. The Rule Making Hearing was being held to discuss changes to the following rules: Rule 1370-01-.09 (Renewal of License or Registration) Rule 1370-01-.10 (Clinical Fellowships, Clinical Externs, and Supervision) Rule 1370-01-.12 (Continuing Education) Rule 1370-01-.14 (Speech Language Pathology Assistants and Supervision) Mr. Munderloh called the Rule Making Hearing to order at 10:00 a.m. A recap of the proposed rules was read by Mr. Munderloh. In addition to Board discussion, comments were heard from John Williams, representing the Tennessee Association of Audiologists and Speech-Language Pathologists (TAASLP); Jim Hall, attorney for Deborah L Curlee Communication Consultants, Inc (CCC); and Debbie Hall, representing Deborah L Curlee Communication Consultants, Inc.
The Board chose to discuss and vote on each individual section of the rules, to have a better understanding and discussion of the rules. Along with discussing each rule individually, the Board chose to go with a Roll Call vote from the Board on each section, instead of a group vote, to carry any motion. Rule 1370-01-.12(1)(a)(3) and 1370-01-.12(1)(b): Dr. Mauldin made a motion, Ms. Philpot- Flynn seconded, to accept the changes to these proposed sections of the rule, which clarified language regarding continuing education and new licensees. The motion carried with no additional discussion. Rule 1370-01-.12(1)(f)(1): Ms. Philpot-Flynn made a motion, seconded by Dr. Matlock, to accept the proposed changes of this section, which was changed to allow all continuing education hours to be obtained online, instead of limiting the number of online hours accepted. Discussion was heard from John Williams from TAASLP. During the individual query of the Board, Dr. Mauldin opposed acceptance of this proposed rule section. With the remainder of the Board accepting the motion and second, the motion carried. Rule 1307-01-.12 (1)(f)(3): Dr. Matlock made a motion, seconded by Ms. Philpot-Flynn, to accept this proposed change as written, defining multi-media courses accepted for continuing education. The Board discussed the rule. Upon individual query, motion was denied. Rule 1307-01-.12 (1)(f)(3): Dr. Mauldin made a motion, seconded by Dr. Ashford, to accept rule with changes in wording, changing reading journals/newsletters. to peer reviewed journals and newsletters at the end of subsection (ii). Motion carried. Rule 1307-01-.12 (4)(a): Ms. Philpot-Flynn made a motion, seconded by Dr. Mauldin, to accept proposed rule change, allowing a 100 hour cap on continuing education when reactivating a retired or expired license. Motion carried. Rule 1307-01-.09: Dr. Matlock made a motion, seconded by Ms. Philpot-Flynn, to accept rule as written, specifying the requirements for reinstatement of an expired license. Motion denied, after discussion. Rule 1307-01-.09: Dr. Matlock made a motion, seconded by Dr. Mauldin, to accept rule with changes in wording to subsection (3)(c) to include or equivalent after ASHA certification. Motion carried. Rule 1307-01-.10(4)(a), Rule 1307-01-.10(4)(b), Rule 1307-01-.10(4)(c): Dr. Mauldin made a motion, seconded by Ms. Philpot-Flynn, to accept the proposed rule, to clarify supervision limitations for supervising licensees of Clinical Fellows and Speech Language Pathology Assistants, as written. Motion carried. Rule 1307-01-.14(1): Ms. Philpot-Flynn made a motion, seconded by Dr. Mauldin, to accept rule as written, specifying the requirements to be registered as an SLPA. Motion carried.
Rule 1307-01-.14(2): Dr. Ashford made a motion, seconded by Dr. Mauldin, to accept rule as written, detailing the scope of practice of an SLPA. Discussion was held to delete subsection (a)(10). Motion was amended by Dr. Ashford to delete subsection (a)(10). Motion carried. Rule 1307-01-.14(3): Dr. Ashford made a motion, seconded by Dr. Mauldin, to accept rule as written, detailing the supervision requirements of a licensee supervising an SLPA. Discussion was held to amend subsection (3)(b) to change the wording to read The supervising licensee is responsible for ensuring that the designated alternate licensed speech language pathologist. Motion was amended by Dr. Ashford to include change. Motion carried. A motion was made by Dr. Ashford to accept all proposed rules as written and amended; seconded by Dr. Mauldin. Motion carried. The Board briefly discussed the creation of a Task Force to visit the issues regarding SLPAs, especially since ASHA is restructuring their rules regarding SLPAs. The Rule Making hearing was declared to be concluded by Mr. Munderloh at 12:58 p.m. Minutes Dr. Mauldin made a motion, seconded by Dr. Matlock, to approve the August 30, 2012 minutes with minor changes. The motion carried. OGC Report There are no current cases in OGC for the CDS Board and there are no cases that have been appealed to the Chancery Court. There are no consent orders to present to the Board at this time. Proposed rules for Tele-Practice are still in the internal review process, should be finalized for a rule making hearing at the next Board meeting set for February 12, 2013. No legislation, as General Assembly not currently in session. Financial Report For fiscal year ending June 30, 2012, the Board had direct expenditures of $42,213.16; indirect expenditures of $45,463.91; and revenues of $116,900.56. Administrative Report There are 362 licensed audiologists, 2100 speech pathologists and 83 speech language pathology assistants. Investigative Report There are six (6) open complaints against speech pathologists and one (1) complaint against an audiologist, all are waiting review. There are no open complaints for Speech Language Pathology Assistants.
Monitored Practitioners Investigations are currently monitoring five (5) practitioners and one (1) unlicensed person. Newly Licensed SPEECH 1 Allen Jody 4909 2 Bailey Lauren 4901 3 Blair Savannah 4567 4 Brumfield Sierra 4595 5 Bush Dequeshia 4597 6 Calla Abby 4831 7 Campbell Suzan 1838 8 Carlson Kathryn 4858 9 Childs Jennifer 4905 10 Coleman Kendra 4842 11 Davis Chezlie 4552 12 Dotson Jennifer 4894 13 Edwards Kristin 4792 14 Eggers Michell 4870 15 Falen Vania 4893 16 Farrar Julie 4868 17 Fayne Ashia 4881 18 Garrett holly 4877 19 Grower Julie 4844 20 Handy Ila 4471 21 Harris Gena 4810 22 Harwell Aimee 4845 23 Hassell Carolyn 4866 24 Hatteberg Rachel 4886 25 Henderson Sondra 4808 26 Howard Kirstan 3380 27 Huddleston Brandi 4562 28 Johnson Ashley 4660 29 Jordan Deborah 4843 30 Justiss Michelle 4895 31 Kellum Staci 4589 32 King Kathryn 4841 33 Lynch Yashara 4908 34 Maher Kaitlyn 4621 35 Menge Stephanie 4506
36 Mitchell Julie 4514 37 Naessens Christina 4504 38 Nix Natalie 4860 39 Oliver Sarah 4633 40 Proctor Aundrea 4614 41 Rassel Christy 4813 42 Rensch Alexandria 4888 43 Richards Kaley 4572 44 Richardson Chanel 4526 45 Robinson Katherine 4889 46 Rothschild Meredith 4859 47 Taylor Malee 4804 48 Tillman Amy 4599 49 Wallace Trecienda 4856 50 West Lauren 4522 51 Wright Marjorie 2182 52 Yenter Jaclyn 4516 AUDIOLOGY 1 Bidelman Jennifer 1647 2 Crutcher Skye 1646 3 Killins Carla 1615 4 Moore Travis 1621 5 Pack Sheila 1644 6 Swain Brenda 1584 SPEECH LANGUAGE PATHOLOGY ASSISTANT 1 Bonner Linda 393 2 Dunn Brittney 387 3 Goodlow Yvette 385 4 Hollowell Mary 375 5 Maxon Rivers 391 6 McBeath Tiffany 388 7 Pittenger Caroline 386 8 Roberts Neely 379 SPEECH REAPPLY 1 Miller Karen 968 2 Murphy Susan 899 3 Schultz Charlotte 1763
4 Wright Anne 4878 Ms. Philpot-Flynn made a motion, seconded by Dr. Mauldin, to approve the list of newly licensed Speech Pathologists, Audiologists and Speech Language Pathology Assistants. The motion carried. Reinstatements Speech: 1 Boutwell Delia 2570 2 Byram Emily 3509 3 Clark Patricia 3927 4 Fowler Ashley 4043 5 Lazenby Kristin 2423 6 Lenden-Holt Jessica 3930 7 Looney Carol 1407 8 Simmons Amy 2153 Audiology: 1 Wark David 2 Dr. Ashford made a motion, seconded by Dr. Matlock, to approve the list of reinstatements. The motion carried. Closed Files 1.) Brown, Cynthia Audiology Dr. Ashford made a motion, seconded by Dr. Matlock, to approve the list of closed files and retract the approval letter. The motion carried. File Review Upon review of the application for Cathy Walker, CFY, Ms. Philpot made a motion, seconded by Dr. Mauldin, to deny any further extensions, pending a reapply as new applicant, and file, along with Praxis score, must then be brought before the Board for consideration. The motion carried. Upon review of the application for Rose Ann Hutton, SLPA, Dr. Matlock made a motion, seconded by Dr. Ashford, to deny the application and subsequently close the file, based on the applicant s failure to meet the requirements set forth in Rule 1370-01-.14(1)(b)3, as the course of study and subsequent degree awarded did not meet the qualifications. Dr. Mauldin again recused herself from reviewing this file. Motion carried, as there was still a quorum present.
Agreed Citations Dr. Mauldin made a motion, seconded by Dr. Matlock, to approve the agreed citation for Amy Yates, SLP, for failure to obtain sufficient continuing education credits. The motion carried. Dr. Matlock made a motion, seconded by Dr. Mauldin, to approve the agreed citation for Angela Love, SLP for failure to obtain sufficient continuing education credits. The motion carried. Online Applications The Board was advised by Administration of the intent of Health Related Boards (HRB) to move forward with online application submissions. The Board unanimously gave the approval for HRB to move forward for the CDS applications to be online applications. Jurisprudence Exam The Board revisited the proposed questions for the jurisprudence exam. Dr. Mauldin made a motion, seconded by Dr. Ashford, to begin the Jurisprudence Exam on March 1, 2013. The Board agreed the the Jurisprudence Exam should apply for both new applicants, as well as reinstatements. The Board agreed to set the passing score at 80%. Motion Carried. Correspondence Upon review of the letter from Kimberly Dismukes, who was requesting the Board allow all of her continuing education hours for 2012 as the online hours she had obtained. Dr. Matlock made a motion, seconded by Dr. Mauldin, to deny waiver of the rule. Motion carried. After further discussion, Dr. Mauldin made a motion, seconded by Dr. Matlock, to allow a six (6) month extension of the continuing education, due to Ms. Dismukes pregnancy issues and misunderstanding of the rule. Motion carried. Upon review of the letter from Marion Hammett, who was requesting the Board allow an exemption from the continuing education requirements, due to severe medical complications, Ms. Philpot-Flynn made a motion, seconded by Dr. Mauldin, to approve the exemption. Motion carried. Upon review of the letter from Ann Harrell, who is requesting reinstatement of her license, the Board decided there was not enough information presented to make a decision. The Board requested that the applicant provide more information regarding her continuing education hours obtained over the last 19 years. The Board decided not to take any action until they could review the continuing education to be submitted. The Board reviewed a letter from Holly Christopher, representing Stellar Therapy Services. Ms. Christopher s letter was regarding tele-practice and SLPAs. The Board declined to take action at this time, as they will visit the SLPA issue at a later time, with a task force. Administration was requested to send a letter to Ms. Christopher advising her of the Board s decision, and that the letter would be held for future review at that time.
Review Continuing Education The Board reviewed the continuing education submitted in accordance with the continuing education audit, for Wanda Williams. After review, the Board declined the submitted continuing education, as it was work related. The Board allowed only five (5) hours of the submitted continuing education. Miscellaneous Business Ms. Harmon addressed Sunset meeting issues. Concerns were raised about the State taking fees from the Board budget. The State Regulatory Fees were brought into question, as fees have been same for about 15 years. Recommendation was made by the Commerce and Insurance Commissioner that each Board would need to review fees and determine what the fees should be. Also, there was discussion with regard to National Practitioner Data Bank not being used sufficiently. Dr. Mauldin made a motion, seconded by Ms. Philpot-Flynn, to appoint a special task force to look into possible rule changes regarding SLPA guidelines and requirements. The Board discussed possible members of the task force, as well as gathering input from different sources. It was determined that Dr. Matlock would be part of the task force, representing the Board. Dr. Matlock will work with Mr. Munderloh in putting together the task force. Ms. Tarr brought to the Board s attention that a Board representative would need to attend the meeting when the rules approved in the Rule Making Hearing go before the Government Operations Committee. She will notify Ms. Harmon when the meeting is set. Adjournment With no other Board business to conduct, Dr. Mauldin made a motion, seconded by Dr. Ashford, to adjourn at 2:20 p.m. The motion carried.