On-Boarding of Citizen Appointees to Health Professional Regulatory Boards Troy E. Costales Capstone Project Presentation June 13, 2015 Advisor: Dr. Douglas Morgan

Presentation Order Background Research Questions Research Methods Findings Conclusions Implications and Next Steps Leadership Reflection Acknowledgements

Background The State of Oregon relies on Boards and Commissions for governance Over 250 boards and commissions 17 are considered health professional regulatory boards Each board has public citizen membership Secretary of State audit findings

Research Questions Assessment of citizen appointee knowledge by the board administrator Assessment of self-knowledge by citizen members Areas needing additional training by both groups

Literature Review State of Oregon – Governor’s Office Member Handbook Online Resources Board Summaries Secretary of State audits Movement of adding citizens to licensing boards Impacts of citizen involvement Noted absence of publications for on-boarding needs of citizen appointees

Research Methods Survey sent to administrators and citizen members Style of survey Yes/No Five-level Likert scale Open ended On-line through email

Survey Topics (Part 1) 25 questions in four subject areas for administrators Initial knowledge Two years later How learning occurred Needs for future training

Survey Topics (Part 2) 32 questions in five subject areas for citizen members Initial knowledge Two years later How learning occurred Technical aspect of their board Needs for future training

Administrator Opinion

Administrator Opinion 80% 20% 3 “Unique” Members

Member Opinion 100%

Comparison of Training Need 12% 88% 100% “I didn’t realize there was so much to learn.” Board Member

Conclusions for Administrators Members lacked understanding and knowledge There was growth over the first two years Governor’s Handbook was of little use Took their own time to provide training Specific training needs for: Ethics Administrative Procedures Act Technical language

Conclusions for Members Lacked understanding and knowledge at on-boarding Increased their knowledge over two years Governor’s Handbook was of little use Many needs still today in operations understanding Ability to be productive based on Administrator

Implications and Next Steps Find an interested host for the training Create on-boarding training Request another Secretary of State audit Mandate the training in state statute

Leadership Reflections Instill reflective practices Citizen engagement in governance Power rests with the team, not any one individual Prepare leaders Prepare followers “Oregonize” for successful legacy “This is important work that you are doing.” Board Member

Acknowledgements Health Professional Regulatory Board Administrators Citizen Members of the Boards All EMPA Faculty, Mentors, and Staff Capstone Advisor, Dr. Morgan Cohort 2013! Friends and Family

On-Boarding of Citizen Appointees to Health Professional Regulatory Boards Troy E. Costales Capstone Project Presentation June 13, 2015 Advisor: Dr. Douglas Morgan