1. “Setting Up and Maintaining an Inter-jurisdictional Registry ” Randy Lindner Executive Director National Association of Boards of Examiners of Long Term Care Administrators Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona

2. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Agenda Background Planning Policy Issues Implementation Barriers Current Status Lessons Learned

3. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Background NAB –Mission NAB is the national not-for-profit association serving jurisdictions that license, credential, and regulate long term care administrators. NAB protects public and consumer interests by establishing and advocating model competency standards, and by serving as a national resource of information. –Members –Governance –Programs Exams Continuing Education Approval Academic Approval Publications Standards

4. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Purpose of Registry National Registry of Licensed LTC Professionals Exam Application Research Disciplinary Reporting Continuing Education Endorsement/Reciprocity Licensure Renewals Preceptor Certification

5. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Planning Process Appoint Task Force Engaged IT Consultant Identified Functional Requirements Document vs. Functional Specifications –Identify Functional Objectives –Identify Key Stakeholders/system users –Define Business Processes of system users

6. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Planning Process (Cont.) Define Costs –System Build Cost –Implementation Cost –Ongoing Support/Maintenance Cost Identify Revenue Sources –Application Fees –Annual Registry Fee –Sponsorship/Advertising –Job Bank –Mailing List Sales

7. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Policy Issues Data Collection Data Ownership Data Distribution Privacy User Access –Read –Write –View –Access Restrictions by User Type

8. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Implementation Strategy Three Phase Approach –Phase I Exam Application –Phase II National Registry –Phase III Disciplinary Actions CE Renewals Reciprocity/Endorsement Preceptors

9. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Implementation Strategy Funding Options –Self Fund –Partnership –Sponsorship –Self Supporting

10. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Barriers Cost Technology –Build –Buy –Partner –Data Sharing/Transfer Stakeholder Participation Competition/Duplication/Redundancy Risk

11. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Current Status Phase I Implemented January 03 –Self Funded 2004 Issued RFP to Develop Phase II –On hold pending: identification of revenue opportunities identification of participation incentives funding

12. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Lessons Learned Plan carefully and realistically Anticipate barriers Don’t rush the process Get buy in of stakeholders Be realistic in assessing the cost of building and maintaining the system

13. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona Speaker Contact Information Randy Lindner, Executive Director National Association of Boards of Examiners of Long Term Care Administrators 1444 I Street NW, Suite 700 Washington, DC 20005 Tel: 202-712-9040 Fax: 202-216-9646 E-mail: rlindner@bostrom.com Website: www.nabweb.org