1. Presents The Jimmy A Young Memorial Lecture Sunday, July 18, 2010 8:30 to 9:30 AM Marco Island, FL 1

2. The NBRC has sponsored this lecture series in honor of Jimmy A. Young since 1978. The NBRC honors his memory and many contributions he made to respiratory care through this annual program. Jimmy Albert Young, MS, RRT 1935 –1975 2

3. Jimmy Albert Young, MS, RRT was one of the profession’s most outstanding and dedicated leaders –1935 – born in South Carolina –1960 – 1966 – served as Chief Inhalation Therapist at the Peter Bent Brigham Hospital in Boston –1965 – earned the RRT credential, Registry #263 –1966 – 1970 – served in many roles including Director of the Program in Respiratory Therapy at Northeastern University in Boston –1970 – became Director of the Respiratory Therapy Department at Massachusetts General Hospital –1973 – became the 22 nd President of the American Association of Respiratory Care –1975 – was serving as an NBRC Trustee and Member-at-Large of the Executive Committee when he passed away unexpectedly 3

4. The New Decade – Challenges and Opportunities in Credentialing 4

5. Presenters Lori M Tinkler MBA –NBRC Associate Executive Director Gregg L Ruppel MEd RRT RPFT FAARC –NBRC President Robert C Shaw Jr PhD RRT FAARC –NBRC Assistant Executive Director and Psychometrician 5

6. Five-Step Process This is the only way a new NBRC specialty examination can be started The steps –Viability study –Personnel study –Job analysis study –Test specification development –Criterion-related validation study 6

7. 2000 TO 2009 A Reflection 7

8. 2000 Transitioned six credentialing programs to administrations by computer –On-line application submission –Year-round availability with self-scheduling of administration appointments –Release of examination outcomes on the day of each administration Conducted job analysis studies –Certified Pulmonary Function Technologist –Registered Pulmonary Function Technologist 8

9. 2001 Developed study guide and self assessment examinations –Certified Pulmonary Function Technologist –Registered Pulmonary Function Technologist 9

10. 2002 Implemented policies for a continuing competency program Conducted job analysis studies –Certified Respiratory Therapist –Registered Respiratory Therapist –Neonatal Pediatric Specialist 10

11. 2003 Conducted criterion validation and test bias studies for multiple-choice examinations –Certified Respiratory Therapist –Registered Respiratory Therapist Developed study guide and self assessment examinations –Certified Respiratory Therapist –Registered Respiratory Therapist –Neonatal Pediatric Specialist 11

12. 2004 Conducted criterion validation and test bias study –Clinical Simulation Examination 12

13. 2005 Conducted a viability study for a potential new specialty examination –Sleep Disorders Specialist 13

14. 2006 Conducted job analysis studies –Certified Pulmonary Function Technologist –Registered Pulmonary Function Technologist Conducted a personnel study for a potential new specialty examination –Sleep Disorders Specialist Conducted a viability study for a potential new specialty examination –Adult Critical Care 14

15. 2007 Conducted job analysis studies –Certified Respiratory Therapist –Registered Respiratory Therapist –Sleep Disorders Specialist Conducted a personnel study for a potential new specialty examination –Adult Critical Care Developed study guide and self assessment examinations –Certified Pulmonary Function Technologist –Registered Pulmonary Function Technologist Managed credential renewal for the first therapists, specialists, and technologists under the continuing competency program 15

16. 2008 Conducted criterion validation and test bias studies for multiple-choice examinations –Certified Respiratory Therapist –Registered Respiratory Therapist Developed the first test forms for the sleep disorders specialist program 16

17. 2009 Launched the sleep disorders specialist program Conducted job analysis studies –Neonatal Pediatric Specialist –Adult Critical Care Developed study guide and self- assessment examinations –Sleep Disorders Specialist 17

18. Summary of Studies 12 job analysis studies 5 criterion validity and test bias studies Added two specialty examination programs –2 viability studies –2 personnel studies 18

19. Summary of Policy Changes Implemented –Associate degree entry –continuing competency program –three-year limit on RRT eligibility 19

20. All of the accomplishments of the last 10 years happened because of the volunteer work of the NBRC Board: American Thoracic Society5 physician representatives American Society for Anesthesiology5 physician representatives American College of Chest Physicians5 physician representatives American Association for Respiratory Care15 respiratory therapists 1 public advisor Who Does the Work?

21. Board Work Load 2 week-long meetings each year to develop items for test forms –20 meetings total for the decade –31 trustees and 9 staff averaged 4 days per meeting for a total of 320 per year 1 week-end meeting each year for the Executive Committee of the Board Numerous hours of homework and conference calls 21

22. Resources Consumed to Accomplish this Work Time –Volunteers and the employers who make these people available Money –Fees to take examinations, maintain active status, and renew credentials Examination fees have not increased since 2000 22

23. Responsibilities of a typical board member Pamela L. Bortner, MBA, RRT, FAARC –Examination committee member Chairperson for the Clinical Simulation Member for the Adult Critical Care –Standing committee member Admissions Nominations Examination Committee Chairmen 23

24. Time Commitment in 2010 Clinical Simulation – 5 full days Adult Critical Care – 12 full days Nominations – ½ of a day Admissions – ½ of a day Examination Committee Chairmen – ½ of a day 24

25. The New Decade – Challenges Maintain high standards for credentialing, balancing healthcare cost reductions AND quality improvement Provide examinations that meet states’ needs to protect the public AND promote excellence in Respiratory Care Promote respiratory care credentials in healthcare workplaces 25

26. The New Decade – Opportunities Develop credentialing examinations for areas of specialty practice in respiratory care as they emerge Adapt content of examinations to –reflect evidence-based respiratory care –meet changing needs of healthcare consumers –evaluate respiratory therapists in an era of changing competencies 26

27. “NEW” SPECIALTY EXAMINATIONS Neonatal / Pediatric Adult Critical Care 27

28. What is New? Some items will engage judgment about ethics to select the best answer –5 out of 150 for the adult critical care specialty –3 out of 120 for the neonatal / pediatric specialty 28

29. Example from ACC 29

30. Example from NPS 30

31. Secondary Specifications are New for ACC 31

32. And for NPS 32

33. Primary Specifications for ACC 33 39% 61%

34. ACC Item Distribution by Cognitive Level RecallApplicationAnalysisTotal 124593150 8%30%62%100% 34

35. Primary Specifications for NPS 35 62% 38%

36. NPS Item Distribution by Cognitive Level RecallApplicationAnalysisTotal 96150120 8%51%41%100% 36

37. Summary Challenges and opportunities continue The credentialing system continues to evolve The NBRC continues to build on the hierarchical structure of the credentialing examination system 37

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39. 18000 W 105 th St Olathe, KS 66061-7543 Phone (913) 895 4900 FAX (913) 895 4650 www.nbrc.org Contact Information 39