“Setting Up and Maintaining an Inter-jurisdictional Registry ”

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

3. 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 Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona

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

5. 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 Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona

6. 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 Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona

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

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

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

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

11. 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 Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona

12. 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 Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona

13. 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 Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona