1. 1 OHIO BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SLP SUPERVISORY NETWORK MEETING December 9, 2010 OHIO CENTER FOR AUTISM AND LOW INCIDENCE

2. 2 PRESENTED BY: Gregg B. Thornton, Esq. Executive Director Michelle Cunningham Licensing Administrator

3. 3 BRIEF OVERVIEW OF THE BOARD Eight members appointed by the Governor Three Audiologists Three Speech-Language Pathologists Two Public Members Three year term with optional second term Meets approximately 7 times a year Usually meets in the Riffe Center in Columbus from 9 AM to 3 PM on meeting dates

4. 4 BRIEF OVERVIEW OF THE BOARD Audiology Members (3) Helene Levenfus, Au.D. Jane Kukula, Au.D. Karen Mitchell, Au.D. Speech Language Pathology Members (3) Loretta Embry, M.A., SLP Patricia Leppla, M.A., CCC-SLP Amy Thorpe, M.Ed., CCC-SLP Public Members (2) Malcolm Porter J. Paul Good

5. 5 BRIEF OVERVIEW OF THE BOARD Board Staff Gregg B. Thornton, Executive Director Michelle Cunningham, Licensing Administrator Darlene D. Young, Administrative Assistant Connie J. Stansberry, Investigator

6. 6 BRIEF OVERVIEW OF THE BOARD Speech-Language Pathology 6155 Conditional SLP 356 Speech Pathology Aide 19 Audiology 976 Audiology Aides 65 Permit Holders 41 TOTAL 7612

7. 7 TOPICS FOR DISCUSSION Supervision Trends Related To: Conditional Licensees - PEY Student Permit Holders SLP-Aides Teleheath Questions

8. 8 Supervision of Conditional Licensees (D) Supervisor qualifications and responsibilities (1) In order to supervise professional experience, a supervisor shall: (a) Hold a current Ohio license in the same area as the conditional license applicant or licensee. (b) Have twenty-four months of full time clinical experience or the equivalent within the last sixty months under a valid license or certification by the “American Board of Audiology” or the “American- Speech and Hearing Association.”

9. 9 Supervision of Conditional Licensees (D) Supervisor qualifications and responsibilities (2) The supervisor shall agree to supervise the practice of speech-language pathology or audiology experience of the applicant according to a plan approved by the board. (3) The supervisor of professional experience shall complete the supervisor’s portion of the “Supervised Professional Experience Plan,” “Supervised Professional Experience Report,” and “Supervision Contacts Log” as required by this rule.

10. 10 Supervision of Conditional Licensees (D) Supervisor qualifications and responsibilities (4) The supervisor shall retain copies of all professional experience supervision documents. (5) No supervisor of persons completing professional experience may concurrently supervise more than four supervisees unless approved by the board.

11. 11 Supervision of Conditional Licensees SPE Plans must be submitted within 30 calendar days of employment or a change in the plan. The Plan for Supervised Professional Experience is submitted for changes in employment AND supervision. The Amended Plan for Supervised Professional Experience is submitted for changes in employment OR supervision OR dates.

12. 12 Supervision of Conditional Licensees When a plan is not submitted within thirty days upon employment, it will be considered late and the experience shall be adjusted to extend the plan by the number of days the plan was late. Failure to submit the plan or failure to practice according to the plan shall be considered practice without a license and, therefore, cause for suspension, probation, or revocation of the conditional license according to Chapter 119. of the Revised Code.

13. 13 Supervision of Conditional Licensees What Information Is Shared With Graduate Students About PEY (F) Supervision of professional experience (1) Professional experience shall entail the direct involvement of the supervisor in any and all ways that will permit the supervisor to monitor, improve, provide feedback, and evaluate the applicant’s performance in professional employment.

14. 14 Supervision of Conditional Licensees What Information Is Shared With Graduate Students About PEY (2) Mentoring paradigm (a) The supervisor’s role throughout the professional experience year shall be viewed as that of a mentor. This mentoring paradigm shall include a schedule of regular monthly communication around mutually developed goals including professional, educational and personal objectives.

15. 15 Supervision of Conditional Licensees What Information Is Shared With Graduate Students About PEY (3) Supervision requirements (a) Supervision of the professional experience shall include: (i) Eighteen on-site conferences with the conditional licensee and the supervisor of the professional experience with at least six of the on-site conferences during each third of the professional experience. (ii) A monthly evaluation conference which may be in conjunction with one of the on-site conferences.

16. 16 Supervision of Conditional Licensees What Information Is Shared With Graduate Students About PEY (b) Supervisory activities may include, but are not limited to: (i) Conferring with the applicant concerning clinical treatment strategies; (ii) Monitoring changes in communication behaviors of person(s) served; (iii) Evaluating the applicant’s clinical records, including: diagnostic reports, treatment records, correspondence, plans of treatment; and summaries of clinical conferences. (iv) Monitoring the applicant’s participation in case conferences; (v) Evaluating the applicant’s performance by professional colleagues and employers; (vi) Evaluating the applicant’s work by person(s) served and their parents; and (vii) Monitoring the applicant’s contributions to professional meetings and publications, as well as participation in professional growth opportunities.

17. 17 Supervision of Conditional Licensees What Information Is Shared With Graduate Students About PEY 6) Conferences (a) The supervisor shall share and discuss their evaluation with the conditional licensee in a monthly supervision conference. (b) The supervision conference shall include: (i) Providing detailed feedback to the conditional licensee regarding their clinical performance; and (ii) Summarizing for the conditional licensee a list of clinical strengths and goals on the “Supervision Contacts Log”.

18. 18 Supervision of Conditional Licensees What Information Is Shared With Graduate Students About PEY The SPE Report and Contacts Log are due within 30 calendar days upon completion of the professional experience or a change in the plan After submission of the “Supervised Professional Experience Report” and “Supervision Contacts Log,” the conditional licensee shall abide by the requirements for conditional licensure until full licensure is granted.

19. 19 Supervision of Conditional Licensees Board Action Complaints resolved via Consent Agreements Repeat part of the PEY Continuing Education - 5 hours on documentation and/or 5 hours on ethics CEU audits for up to two cycles Any suspension is usually served during breaks Follow-up with supervisor – warning letter

20. 20 Supervision of Student Permits 4753-10-03 Supervision of speech- language pathology permit holders. (A) The speech-language pathology student permit holder will be supervised by a speech- language pathologist licensed in Ohio, and under the direction of the college or university graduate program of the speech-language pathology student permit holder. (B) Supervision of the speech-language pathology student permit holder will be detailed in the student permit plan.

21. 21 Supervision of Student Permits 4753-10-03 Supervision of speech-language pathology permit holders. (C) Credit for student clinical experience may be granted when supervision is conducted in accordance with requirements of the American speech-language-hearing association and this board. Minimum supervision of the student permit holder will consist of twenty-five per cent direct supervision of treatment activities and must be in real time and must never be less than twenty-five per cent of the student permit holder’s total contact with each client or patient and must take place periodically throughout the experience. The supervisor will be accessible to the student permit holder during all client contact. (D) No supervisor of persons holding a student permit may supervise more than one student permit holder unless approved by the board.

22. 22 Supervision of Student Permits 4753-10-03 Supervision of speech- language pathology permit holders. What does this mean? Student intern will require direct observation of student contact time at a minimum of four hours per week, as detailed in the OBSLPA Permit Plan. Memorandum of Understanding

23. 23 Supervision of Student Permits 4753-10-06 Identification of speech- language pathology student permit holder. Other Important Points For Supervisors (A) Each applicant who is approved for a speech-language pathology student permit shall receive a certificate for office display. All permit holders shall display their certificate in a conspicuous place where the permit holder practices.

24. 24 Supervision of Student Permits 4753-10-06 Identification of speech- language pathology student permit holder. Other Important Points For Supervisors (B) Each student permit holder shall wear identification indicating status as a “student permit holder.

25. 25 Supervision of Student Permits 4753-10-06 Identification of speech- language pathology student permit holder. Other Important Points For Supervisors (C) Any signature on documents must indicate “student permit holder status.”

26. 26 Supervision of SLP-Aides (A) Supervision of a speech-language pathology aide or an audiology aide shall be provided by a person who is actively licensed as a speech-language pathologist or audiologist under section 4753.06 of the Revised Code. The licensed speech-language pathologist or audiologist who signs the application for the aide shall supervise that particular aide. The aide may provide services only under the supervision of the speech-language pathologist or audiologist of record for that applicant. If more than one supervisor is to be involved with the aide, an application shall be submitted by each supervisor.4753.06

27. 27 Supervision of SLP-Aides (B) The supervisor shall be able to provide direct, comprehensive, documented and immediate supervision to the aide. “Direct supervision of an aide” shall be defined as that given by a supervisor who is either present in the room in which the services are being given, or, who is immediately available to provide assistance to the aide within that particular contact with patient/client(s) served.

28. 28 Supervision of SLP-Aides (C) The supervisor of an aide shall maintain the legal and ethical responsibilities for all assigned activities provided by the aide; shall make all decisions relating to the diagnosis, treatment, management and future disposition of the patient/client(s) served; and shall have the responsibility for the health, safety and welfare of the patient/client(s) served by the aide. The supervisor shall be responsible for the aide’s competence to perform board approved activities and adherence to the code of ethics as defined by rule 4753-9-01 of the Administrative Code.

29. 29 Supervision of SLP-Aides (D) An aide shall not begin practice until approved by the board. (E) The supervisor of an aide shall notify the board of any changes in the approved application required in rule 4753-7-01 of the Administrative Code as a condition of licensure, including termination of employment of either party. Failure to notify the board of a change or termination of an approved application shall be grounds for discipline in accordance with section 4753.10 (M) of the Revised Code. Supervision of an unlicensed aide shall be aiding and abetting unlicensed practice and shall be grounds for discipline in accordance with section 4753.10 (D) of the Revised Code.

30. 30 Rules adopted or amended in 2010 related to supervision Professional Experience Requirements 4753-3-07 (Amended) – clarified due date for Plans, Reports & Logs; eliminated reference that the length for a conditional license is twenty months (statute references 18 months). Final File Date: 4/16/10 Effective Date: 5/1/10

31. 31 Rules adopted or amended in 2010 related to supervision Web-based Supervision 4753-3-07 (Amended) – allows for onsite supervision during the PEY to occur via telepractice applications using real time, synchronous, encrypted videoconferencing. Final File Date: 9/29/10 Effective Date: 10/11/10

32. 32 Other Important Updates Licensure Renewal Year – SLP, AUD, and Aide licenses expire on 12/31/10 Renewal notices initially mailed in August Reminder notice being mailed in December Renewal fee is $100.00 Online renewal strongly recommended Inactive License status available

33. 33 BOARD CONTACT Contact Information: Mailing Address Ohio Board of Speech-Language Pathology and Audiology 77 South High Street, Suite 1659 Columbus, OH 43215-6108 Telephone Numbers (614) 466-3145 – Main office number (614) 995-2286 – Facsimile E-mail Address Board@slpaud.ohio.gov

34. 34 BOARD CONTACT Gregg Thornton Executive Director Gregg.Thornton@slpaud.ohio.gov Telephone: 614-644-9046 Michelle Cunningham Licensing Administrator Michelle.Cunningham@slpaud.ohio.gov Telephone: 614-644-9073

35. 35 QUESTIONS ????????????????