OK ST BD OF EXAMINERS FOR LONG TERM CARE ADMS., 6-30-2010

MINUTES

The Regular Board meeting of the Oklahoma State Board of Examiners for Long Term Care Administrators (OSBELTCA) was held June 30, 2010. The meeting was held in the Construction Industry Board Conference Room, Suite 5, in the Shepherd Mall Office Complex, 2401 NW 23rd, Oklahoma City with Dr. Tom O’Connor, Chair, presiding.

MEMBERS PRESENT

Dr. J. T. (Tom) O’Connor, Jr., Chair, Marietta

Ms. Peggy Wiebener, Vice-Chair, Thomas

Dr. Maurice Payne, Checotah

Mr. Jim Jakubovitz, Tulsa

Ms. Marlene Asmussen, OK City

Ms. Susan Barnes, Marlow

Ms. Nancy Pfeifer, Tulsa

Ms. Nancy Atkinson, OK City

Mr. Bill Pierce, OK City

Mr. Bill Weaver, OK City

MEMBERS ABSENT

Ms. Jeannie Gault, Sec-Treasurer, Lawton

Ms. Stella Church, OK City

Ms. Stacie Ware, Broken Arrow

Mr. Terry Williams, OK City

Mr. Marc Edwards, OK City

OTHERS PRESENT

Mr. Gaylord Z. Thomas, Executive Director

Ms. Brinda White, Assistant Attorney General

Ms. Pam Duren

Ms. Becky Moore

Mr. Ed Hendrix

Mr. Nathan Purifoy

Mr. Randy Voigtschild

Mr. Joseph Hogan

Dr. Tom O’Connor, Chair, called the meeting to order at 9:00 a.m. and stated that we were in compliance with the Open Meeting Act and Authority.

Dr. O’Connor asked Ms. Pam Duren to call roll to establish a quorum.

Present were Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Mr. Bill Weaver, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Dr. Maurice Payne. There was a quorum present.

Dr. O’Connor asked the public to introduce themselves to the Board members. This being Dr. O’Connor’s last Board meeting, Ms. Peggy Wiebener presented Dr. O’Connor with a plaque from the Board and stated that the Board has been so inspired and appreciative of his leadership from 2006 to the present. Everyone will miss Dr. O’Connor immensely. Dr. O’Connor thanked the Board and stated that he would take this experience and put it in use within his everyday life. There will be a reception for Dr. O’Connor at the conclusion of the meeting today.

Motion was made by Mr. Bill Weaver, seconded by Mr. Bill Pierce, that the minutes of the 5-26-2010 Regular Board meeting be approved as submitted. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Bill Weaver, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Dr. Maurice Payne. Negative – None. Abstaining – Mr. Jim Jakubovitz and Ms. Marlene Asmussen.

Mr. Jim Jakubovitz, Chair of the Education Committee, gave the Education Committee Report.

Mr. Jakubovitz informed the Board that Mr. Nathan Purifoy met the requirements for licensure as an Oklahoma Long Term Care Administrator.

Motion was made by Mr. Bill Weaver, seconded by Mr. Bill Pierce, to approve Mr. Nathan Purifoy as an Oklahoma Long Term Care Administrator. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Mr. Bill Weaver, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Dr. Maurice Payne. Negative – None. Abstaining – None.

Mr. Jakubovitz informed the Board that Mr. Randy Voigtschild met the requirements for licensure as an Oklahoma Long Term Care Administrator.

Motion was made by Mr. Bill Weaver, seconded by Ms. Peggy Wiebener, to approve Mr. Randy Voigtschild as an Oklahoma Long Term Care Administrator. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Mr. Bill Weaver, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Dr. Maurice Payne. Negative – None. Abstaining – None.

Mr. Jakubovitz led the review, discussion and possible action regarding the request of continuing education for the following program:

OSBELTCA

Preceptor Training

7-30-2010

OK City, OK

Requesting 6 hrs CE (partial credit 3 hrs AM & 3 hrs PM)

Requesting approval for up to four offerings within a one year period.

Motion was made by Mr. Bill Weaver, seconded by Ms. Peggy Wiebener, to approve the aforementioned continuing education program requested from OSBELTCA. Motion carried with voting as follows: Affirmative - Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Mr. Bill Weaver, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Dr. Maurice Payne. Negative – None. Abstaining – None.

Dr. O’Connor led the review, discussion and possible action regarding the request of Mr. Joe Hogan to take the NAB exam.

Motion was made by Mr. Jim Jakubovitz, seconded by Ms. Nancy Pfeifer, to approve Mr. Joe Hogan to take the NAB exam. Motion carried with voting as follows: Affirmative - Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Mr. Bill Weaver, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Dr. Maurice Payne. Negative – Ms. Marlene Asmussen. Abstaining – None.

Dr. O’Connor led the review, discussion and possible action regarding the request to approve the prosecuting attorney’s contract for FY 2011.

Motion was made by Ms. Nancy Pfeifer, seconded by Mr. Bill Weaver, to approve the prosecuting attorney’s contract for FY 2011. Motion carried with voting as follows: Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Mr. Bill Weaver, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Dr. Maurice Payne. Negative – None. Abstaining – None.

Dr. O’Connor led the review, discussion and possible action regarding the EEOC Charge of Discrimination filed by former Board Director, Roger Lanier.

Motion was made by Mr. Bill Weaver, seconded by Ms. Peggy Wiebener, to convene into Executive Session. Motion carried with voting as follows: Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Mr. Bill Weaver, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Dr. Maurice Payne. Negative – None. Abstaining – None.

Motion was made by Mr. Bill Pierce, seconded by Dr. Maurice Payne, to convene into Open Session. Motion carried with voting as follows: Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Mr. Bill Weaver, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Dr. Maurice Payne. Negative – None. Abstaining – None.

Dr. O’Connor led the discussion regarding the Election of Officers.

Dr. O’Connor opened the floor for nominations for Chair.

Mr. Bill Pierce nominated Mr. Bill Weaver as Chair.

Mr. Jim Jakubovitz nominated Ms. Jeannie Gault as Chair.

Ms. Peggy Wiebener informed the Board that Ms. Gault had some health issues at this time and would be unable to accept the position of Chair, however would take the Sec-Treasurer position again.

Mr. Jim Jakubovitz rescinded his nomination of Ms. Jeannie Gault as Chair.

There were no other nominations for Chair, therefore the floor was closed.

Motion was made by Mr. Bill Pierce, seconded by Dr. O’Connor, to elect Mr. Bill Weaver as Chair. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Mr. Maurice Payne. Negative – None. Abstaining – Mr. Bill Weaver.

Dr. O’Connor opened the floor for nominations for Vice-Chair.

Mr. Bill Weaver nominated Mr. Bill Pierce as Vice-Chair.

There were no other nominations for Vice-Chair, therefore the floor was closed.

Motion was made by Mr. Bill Weaver, seconded by Ms. Nancy Pfeifer, to elect Mr. Bill Pierce as Vice-Chair. Motion carried with voting as follows: Affirmative - Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Weaver, Ms. Peggy Wiebener and Mr. Maurice Payne. Negative – None. Abstaining – Mr. Bill Pierce.

Dr. O’Connor opened the floor for nominations for Sec-Treasurer.

Mr. Bill Weaver nominated Ms. Jeannie Gault for Sec-Treasurer.

There were no other nominations for Sec-Treasurer, therefore the floor was closed.

Motion was made by Mr. Bill Weaver, seconded by Ms. Peggy Wiebener, to elect Ms. Jeannie Gault as Sec-Treasurer. Motion carried with voting as follows: Affirmative - Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Dr. Tom O’Connor, Mr. Bill Pierce, Ms. Nancy Pfeifer, Mr. Bill Weaver, Ms. Peggy Wiebener and Mr. Maurice Payne. Negative – None. Abstaining – None.

In the absence of Ms. Jeannie Gault, Chair of the Finance Committee, Mr. Z Thomas, Executive Director, informed the Board that the Financial Report was in their packets for review. Mr. Thomas informed the Board that the report was received by the Office of State Finance. Discussion followed.

Motion was made by Ms. Peggy Wiebener, seconded by Mr. Bill Weaver, to accept the Financial Report. Motion carried with voting as follows: Affirmative - Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Mr. Bill Weaver, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Dr. Maurice Payne. Negative – None. Abstaining – None.

There was no Personnel Committee Report.

In the absence of Mr. Terry Williams, Chair of the Legislative Committee, Mr. Bill Weaver informed the Board that he and Mr. Thomas would be working together on the legislative changes to be presented to the Representatives, Senators, etc. by the middle of November 2010. Discussion followed.

There was no Quality Assurance Committee Report.

There was no Rules Revision Committee Report.

There was no Code of Ethics Committee Report.

Mr. Z Thomas gave his report as follows:

1.  Case Closure – #10-40 was opened upon receipt of the referral; it was discovered that there was no AOR at this facility at the time of the survey (and this was, in fact, one of the tags identified by the Survey Team). There had been a vacancy at this home for about a month. Therefore, there was no administrator to feasibly hold responsible for the referral. The case itself was actually referred (substandard quality of care) for what appeared to also be a nursing issue (a swallow study that was not conducted for a single resident). Based on the lack of an AOR and the nature of the case not being something attributable to the previous administrator, also occurring at a time during the vacancy, I have administratively closed this case (FYI).

2.  CEU Audits – We were asked to address how to audit non-AORs and include them in our random process. We will continue to do what we’ve been doing with referrals and complaints, but when we pull their record, we will also pull the next non-AOR record not previously audited this year, alphabetically, and request their CEUs for the previous year for audit as well. This is still random and will ensure we get a full cross-section of all administrators and will clearly include more than the required 5%. This process is in effect now.

3.  Travel – have been busy and reported separately on my experiences at the NAB Annual meeting and the National Emerging Leadership Summit (both very positive). Still have some upcoming travel in the coming months.

  1. Governor’s Executive Development Program – August 1-5, Stillwater. As part of this program, I’m being asked to provide email addresses of some of the people I work with/for to complete a “survey” (feedback) on how I’m perceived. If you don’t wish to be bothered by that survey, please let me know so I don’t include you; likewise, if you want to participate, also tell me so I can include you.
  2. Tulsa – July 21 & 22 (CEUs and “presence” at OSDH’s 2010 LTC Provider Training). OKC session occurring yesterday and today (unable to attend).
  3. CLEAR Investigator Certification – September 20-22, Nashville – considering (also overlaps with the September Board meeting…). I still believe being a certified investigator myself would meet/exceed this Board’s needs for investigation of the cases requiring deeper investigation.

Motion was made by Dr. Tom O’Connor, seconded by Mr. Bill Weaver, that Mr. Z Thomas attend the Clear Investigator Certification being held September 20-22, 2010 in Nashville, Tennessee. Motion carried with voting as follows: Affirmative - Ms. Nancy Atkinson, Ms. Susan Barnes, Mr. Jim Jakubovitz, Ms. Marlene Asmussen, Mr. Bill Weaver, Dr. Tom O’Connor, Ms. Nancy Pfeifer, Mr. Bill Pierce, Ms. Peggy Wiebener and Dr. Maurice Payne. Negative – None. Abstaining – None.

There was discussion possibly sending Ms. Pam Duren also to the Clear Investigator Certification program. Discussion followed.

  1. NAB’s Mid-Year meeting is in Scottsdale, AZ – November 10-12 – in case any of you are inclined to attend (and I recommend it if you can).

4.  AU – Fall term begins August 12th; schedule (instructors) is pretty firm at this point.

5.  Preceptor Training – Scheduled for Friday, July 30th (with Stella Church).

  1. AIT – FYI…will be physically going out/sending Pam out for future AITs to set up the schedule/program with the AIT and Preceptor; will incur mileage costs (minor) and some acceptable out of office time. This has been a missing link in recent years and should help to have the process explained to both participants, together, and help to manage expectations. I also expect we will start to make some unannounced visits during the training to see how things are going and answer any questions, etc. This program has not had enough oversight (and involvement) in recent years so we’re going to turn up our involvement a couple of notch.

6.  RC/AL, Adult Day Care… initial meeting – Set for Thursday, July 29th (Suite 40B).