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MQA Today | June 18, 2010 1

MQA Today | June 18, 2010 3

MESSAGE FROM
THE HCPR BUREAU CHIEF
THE DIVISION DIRECTOR IS OUT OF THE OFFICE PROFESSIONS
this week. In her absence, I would like to take this oppor- • Acupuncture
• Anesthesiology Assistants
tunity to introduce you to the Division of Medical Quality • Athletic Trainers
Assurance, Bureau of Health Care Practitioner Regulation • Audiology
• Certified Master Social Workers
(HCPR). HCPR has approximately 175 employees who per- • Certified Nursing Assistants
form two major functions. First, HCPR licenses health care • Chiropractic Medicine
practitioners and other health-related professions. The sec- • Clinical Laboratory Personnel
• Clinical Social Workers
ond major function is staffing the regulatory bodies consist- • Dental Hygiene
ing of 22 health care boards, 6 health care councils and the • Dentistry
Drug Wholesale Distributor Advisory Council. • Dietetics & Nutrition
• Electrolysis
• Emergency Medical Technicians
During Fiscal Year 2008-2009, HCPR staff received • Hearing Aid Specialists
112,697 applications for licensure. This number rep- • Marriage and Family Therapists
• Massage Therapy
resents an increase of approximately 14,000 applica- • Medical Physicists
tions from Fiscal Year 2007-2008. This increase was • Medicine
due primarily to the addition of a new profession, • Mental Health Counseling
• Midwifery
pharmacy technicians, which will be discussed in a • Naturopathy
separate article. At the end of Fiscal Year 2008-2009, • Nursing
• Nursing Home Administrators
MQA was responsible for regulating 905,262 licenses • Occupational Therapy
and permits. • Opticianry
• Optometry
To manage our workload, HCPR is divided into • Orthotists
• Osteopathic Medicine
eight board offices; each board office is responsible • Paramedics
for licensing and permitting multiple professions. Ex- • Pharmacists
• Pharmacist Interns
ecutive Directors oversee the operations within the • Pharmacy Technicians
Board Offices (review their profiles on pgs. 4-11). • Physical Therapy
• Physician Assistants
I am privileged to work with such great leaders. I • Podiatric Medicine
• Prosthetists
would be remiss if I did not take this opportunity to • Psychology
acknowledge the Board and Council Members who • Radiologic Technologists
• Respiratory Therapy
volunteer their time to ensure the quality of health • School Psychology
care services received in Florida. We strive to never • Speech-Language Pathology
lose sight of our mission and purpose.
FACILITIES
• Dental Labs
Sincerely, • Drugs, Devices, & Cosmetics
• Electrolysis Facilities
• Massage Establishments
• Office Surgery Registration (Level 2 & 3)
• Optical Establishments
• Pharmacies
• Pain Management Clinics

Cassandra G. Pasley, BSN, JD, Chief


Bureau of Health Care Practitioner Regulation
HCPR EXECUTIVE DIRECTORS
Continued from page 3

JOE BAKER, JR., serves


as the Executive Director
for the Board of Nursing
which regulates Advanced
Registered Nurse Practi-
tioners, Registered Nurses,
Clinical Nurse Specialists,
Licensed Practical Nurses,
Certified Nursing Assistants
and Nursing Education
Programs. The Certified
Nursing Assistant Council
is a subpart of the Board of
Nursing.

Joe
Baker, Jr.
MQA Today | June 18, 2010 5

BRUCE DETERDING be-


gins today as the Execu-
tive Director of the Boards
of Chiropractic Medicine,
Podiatric Medicine, Optom-
etry, Nursing Home Admin-
istrators, Clinical Laboratory
Personnel, and Orthotists
and Prosthetists. SHARON
GUILFORD’S tenure as Act-
ing Executive Director for
this Board Office ended yes-
terday. Her service is greatly
appreciated.

Bruce
Deterding
SUE FOSTER serves as Execu-
tive Director for the Boards of
Dentistry, Clinical Social Work,
Marriage and Family Therapy
and Mental Health Counseling,
Hearing Aid Specialists, Opti-
cianry and Athletic Trainers.

Sue
Foster
MQA Today | June 18, 2010 7

VICKI GRANT serves as


Executive Director for the
Certification Unit, which li-
censes Emergency Medical
Technicians, Paramedics,
Radiologic Technologists
and Medical Physicists.

Vicki
Grant
ALLEN HALL serves as Executive Di-
rector for the Boards of Respiratory
Care, Occupational Therapy, Physical
Therapy and Psychology. This Board
Office also serves as staff to the Elec-
trolysis Council and the Dietetic and
Nutrition Practice Council. The staff
licenses School Psychologists as well.

Allen
Hall
MQA Today | June 18, 2010 9

CHRISTY ROBINSON currently serves


as the Acting Executive Director for
the Boards of Osteopathic Medicine,
Massage Therapy, Acupuncture and
Speech-Language Pathology and Au-
diology. This Board Office also serves
as staff to the Council of Licensed Mid-
wifery (This profession differs from
RN/ARNP Midwives.). Effective June
25, 2010, ANTHONY JUSEVITCH will

Anthony
assume the role of Executive Director.

Jusevitch
LARRY MCPHERSON serves
as the Executive Director for the
Board of Medicine. The Board of
Medicine regulates Medical Doctors.
The Board of Medicine also regulates
Physician Assistants, Anesthesiology
Assistants, Office Surgery Centers and
Pain Management Clinics, in conjunc-
tion with the Board of Osteopathic
Medicine. In addition, the Board of

Larry
Medicine is responsible for certain func-
tions as it relates to the Physician Assis-
tant Council, Electrolysis Council and the

McPherson
Dietetic and Nutrition Practice Council.
MQA Today | June 18, 2010 11

REBECCA POSTON serves as Execu-


tive Director for the Board of Pharma-
cy and manages the Drugs, Devices
and Cosmetic Program and the Cancer
Drug Donation Program. The Board
of Pharmacy regulates Pharmacies,
Pharmacists, Pharmacy Interns, and
Pharmacy Technicians. The Drugs, De-
vices and Cosmetic Program regulates
the manufacturing and distribution of

Rebecca
prescription drugs, and several other
related businesses.

Poston
PHARMACY TECH
REGISTRATION IN
ON OCTOBER 1, 2009 THE FLORIDA BOARD OF
Pharmacy launched the Registered Pharmacy
Technician Online Initial Application in order

REGISTERED to register more than 30,000 Pharmacy Tech-


nicians in Florida by January 1, 2010 for a one-
PHARMACY TECHNICIANS year registration. The law allowed for a one
year ‘grandfathering’ period in which techni-
Number of Applicants though May
2010
cians could complete one of three require-
ments for full registration: Board approved
training course; documentation of 1500 hours
ONLINE 30,932 of work experience; or national certification
PAPER 1,251 by either the Pharmacy Technician Certifica-
tion Board (PTCB) or the Institute for the Certi-
TOTAL 32,183 fication of Pharmacy Technicians (ICPT).
APPROVED THROUGH
31,715 The online application allows applicants to
2010
apply and track the status of their application,
1500 HOURS communicates via email at various stages of
1,494
VERIFICATION ONLINE the licensure process, and provides employ-
ers a method to pay for their employees’ ap-
NATIONAL
plication fees. The system was designed to
CERTIFICATION 7,606
automatically process the registration of ap-
VERIFICATION
plications that met all requirements and to
FULL REGISTRATION identify applications that require further anal-
15,327 ysis based on the applicants response to spe-
THROUGH 2012
cific questions. This technology reduced aver-
age application processing time to as little as
LICENSES three days. In 15 days following the release of
STILL NEEDING 16,388 the online application, over 5,000 pharmacy
TO MEET technicians applied online, which allowed the
REQUIREMENTS Board to register 1,500 applicants.

Over 200 employers took advantage of a


new technology that allowed them to pay the
registration fee for their employees by provid-
ing applicants a unique payment code to use
MQA Today | June 18, 2010 13

HNICIAN In 15 days
NITIATIVE following
the release
in lieu of a credit card. Once the technician
registered online, the employer logged into
MQA Services and paid for applicants’ fees.
of the online
By January 1, 2010 over 27,000 pharmacy
technicians applied, of which 90% received
their one year registration.
application,
To support the full registration process, the
department developed a secure web based over 5,000
pharmacy
employer verification system which allows
employers to login and verify their employ-
ees individually or upload a list of employees
who have a minimum of 1500 hours of work
experience with their company. In addition,
the department partnered with the PTCB and
ICPT to electronically verify national certifica-
technicians
applied on-
tion. Once this information is matched to the
registered Pharmacy Technician, the depart-
ment’s licensing database automatically reg-

line, which
isters the technician through December 31,
2012.

All of these systems reduced the amount


of paper documentation required for regis-
tration allowing pharmacy technicians to be
fully registered as quickly as possible. To date,
allowed the
Board to reg-
31,715 Pharmacy Technicians have been reg-
istered, of which 98% (31,121) applied online.
Over the next six months, the Florida Board of

ister 1,500
Pharmacy will be focused on fully registering
more than 16,000 pharmacy technicians for
full licensure through 2012. For more infor-
mation regarding registration of Pharmacy
Technicians, visit www.doh.state.fl.us/mqa/
pharmacy/ph_applicantinformation.html. applicants
BOARDS OF MEDICINE &
OSTEOPATHIC MEDICINE

WORKING
• Patient records,

• Training requirements for all facility

TOGETHER
health care practitioners who are not
regulated by another board,

• Inspections, and
MQA HAS BEEN AT THE FOREFRONT OF THE
pain management clinic campaign since the • Data collection and reporting require-
ments.

*
Governor signed into law Senate Bill 462 in
2009 requiring the creation of a Prescription CONTINUES -->

Drug Monitoring Program, the registration


and inspection of pain management clinics,
and the development of new standards of check this out
practice for physicians who practice in pain
management clinics.
CUSTOMER CONCERNS &
Currently, all privately owned pain man- SUGGESTION SURVEY
agement clinics which advertise in any me-
dium for any type of pain services, or employ Are you unable to find information on
a physician who is primarily engaged in the our website? Do you have a complaint
treatment of pain by prescribing or dispens- or a suggestion about how we can
ing controlled substance medications, are improve our services? If the answer to
required to register with the Department of any of these questions is yes, please
Health. There are over 1,000 clinics registered complete our CUSTOMER CONCERNS
with the Department. AND SUGGESTION SURVEY.

To develop the new standards for physi-


cians at these clinics, the Boards of Medicine
^

and Osteopathic Medicine created the Joint


Standards of Practice for Physicians Practicing
in Pain Management Clinics Committee. The
Joint Committee is made up of four physician
RENEWAL CORNER
members and one public member from the
Board of Medicine and two physician mem- A P P R O A C H I N G
bers of the Board of Osteopathic Medicine.
The Committee conducted six rule workshops
CURRENT LICENSE
in 2009 and early 2010 to develop these stan-
dards.
EXPIRATIONS
This Joint Committee proposed rules cover- > Advanced Registered
ing the following topics:
Nurse Practitioner 7/31
• Facility/physical operations,
> Registered Nurse 7/31
• Infection control requirements,
> Clinical Nurse Specialist 7/31
• Health and safety requirements,
> Radiologic Technology 4/30-6/30
• Quality assurance requirements,
MQA Today | June 18, 2010 15

The Boards took action on the Committee’s


draft rules and the Boards have conducted public
hearings on the proposed rules. The comments
and concerns presented at the public meeting
are being considered by the Joint Committee at
a public meeting on July 24, 2010 in Tampa. The CLICK FOR RECENT
recommendations of the Committee will then be PRESS RELEASES
provided to the Boards to vote on at their next
scheduled meetings. Once this rulemaking pro-
cess is completed, the pain management clinic
standards will be in force and, together with new
pain management clinic provisions that become
effective October 1, 2010, they will provide an
arsenal of regulatory tools to promote patient Take our online survey and tell us
safety. what you think about MQA Today!

The new law, SB 2272, provides provisions im-


pacting pain management clinics, including:

• Additional exemptions for registration,


UPCOMING
BOARD MEETINGS
• Grounds to deny/revoke pain manage-
ment clinic registrations,
BOARD OF
CHIROPRACTIC
• Grounds for disciplinary action, MEDICINE
WHEN: 6/25/2010
• Ensures Department inspectors have ac- 8:30AM -7:00PM
cess to patient records, WHERE: Orlando
CLICK FOR DETAILS
• Restrictions/limitations on pain manage-
ment clinic ownership/operations, BOARD OF
CSW/MFT/MHC
• Prohibition on advertising use, sale, or WHEN: 7/8 - 7/9/2010
dispensing of controlled substances, and 2:00PM - 2:30PM
WHERE: Orlando
• Limitations on prescribing/dispensing CLICK FOR DETAILS
controlled substances at pain manage-
ment clinics. BOARD OF
These are just a few of the provisions. The
RESPIRATORY THERAPY
WHEN: 7/16/2010
Joint Committee will continue to meet and draft
9:00AM - 5:00PM
rules to implement the new provisions and to
WHERE: Tampa
continue this cooperative effort to change the
CLICK FOR DETAILS
landscape of pain management clinics in Florida.

To review the new pain management clinic BOARD OF


legislation, the draft standards of practice rules, ORTHOTISTS &
minutes of the Committee meetings, or to exam- PROSTHETISTS
ine the list of Florida’s registered pain manage- WHEN: 7/16/2010
ment clinics, please visit the Board of Medicine or 9:00AM - 5:00PM
Board of Osteopathic Medicine websites. WHERE: St. Petersburg
CLICK FOR DETAILS

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