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Louisiana Board of Examiners for Speech-Language Pathology and Audiology Spring 2003Printed Newsletter Editor: Gay T. Vekovius / Online Newsletter Editor: Onesimus Internet Solutions, Inc.
NEW BOARD MEMBERS APPOINTED BY GOVERNOR Suzanne H. Kimball, Ph.D., L-AUD and Natalie H. Robottom, M.A., L-SLP were appointed to fill the vacancies left by Annie Mouton, and Glenn M. Waguespack., whose term of office recently expired.
CURRENT BOARD MEMBERS
MEETING DATES REMAINING IN 2003
ON-LINE LICENSE RENEWAL IS HERE ! Full Speech-Language Pathologists and Audiolgists have been approved to renew on-line beginning April 15, 2003, the same time renewal notices and forms will be mailed to all licensees. Dual Licensees and all licensees in supervision will be required to submit renewals in the regular manner. Licensees eligible to renew on-line will have to complete several screens of information, including directory information, impaired professional questions, and continuing education verification. Credit cards authorized for payment will be: Discover, Visa, and Mastercard. If you encounter any problems, please contact the Board office.
Accepting Orders For Service by Kerri Phillips The Louisiana Board of Examiners for Speech-Language Pathology and Audiology (LBESPA) received questions concerning the acceptance of orders for services from nurse practitioers in the State of Louisiana. On August 2, 2002 the LBESPA determined that speech-language pathologists and audiologists could accept orders from nurse practitioners. Nurse practitioners, in the State of Louisiana, have full prescriptive authority and are not required to be under the supervision of a physician. However, the majority of nurse practitioners in Louisiana are supervised by or practice within the office of a physician. Therefore, as a speech-language pathologist or audiologist, it is acceptable to act on orders for service from nurse practitioners. Physician assistants on the other hand are not able to request services without a physician’s signature. Thus, a speech-language pathologist or audiologist could not accept an order from a physician assistant without a physician’s signature. It is left to each individual agency (i.e., Medicare, Medicaid, third party insurers) to decide if services rendered are accepted for payment. Therefore, it is recommended that a speech-language pathologist or audiologist should check with the payor to determine benefits.
IMPAIRED PRACTITIONERS PROGRAM National statistics indicate that 10% of the professional population is addicted to either alcohol, drugs or both. The members of the Louisiana Board of Examiners for Speech-Language Pathology and Audiology (LBESPA) recognize that impairments in the functioning of persons licensed to practice under the auspices of the LBESPA can affect competent delivery of services and impair professional judgment. In an effort to safeguard the public health, safety and welfare and to protect the public from incompetent and unprofessional conduct by speech-language pathologists, audiologists, and speech-language pathology assistants, LBESPA added questions to the initial application for license and the renewal application to determine if an individual has an addiction problem. If an individual answers yes to one of the questions, s/he is required to attach a notarized explanation and in some cases, must appear before the Board for a Compliance Hearing. Depending on the information and testimony at the Compliance Hearing, the Board may offer the individual an opportunity to enter an Impaired Practitioners Program in order to receive or renew their professional license. Briefly, the Impaired Practitioners Program will consist of requirements such as:
Board members and staff have developed this program to enable the Board to meet the requirements of public protection and allow professionals to continue to work and receive the treatment they need. The Board adopted the program August 2, 2002.
LOUISIANA COMMISSION FOR THE DEAF (LCD) HEARING AID PROGRAM On December 2, 2002, the Louisiana Commission for the Deaf (LCD) began taking applications for its hearing aid program. According to the terms of the program, residents of Louisiana who meet age, income, and audiological requirements are entitled to hearing aid(s) at no charge. The aids may be provided by a licensed audiologist, a licensed hearing aid dealer, or a physician, and are available to residents who are fifty years or older and who have at least a 40 decibel (pure tone average at 1000, 2000, 3000, and 4000 Hz) or greater hearing loss in the better ear. These individuals cannot be eligible for any other state or federal program that provides assistance with hearing aid purchases, and they must meet the financial need requirement of having income of no more than 250% of federal poverty guidelines. The LCD program has generated considerable concern and discussion among audiologists, specifically with respect to its structure, its reimbursement schedule, and its potential impact on the restriction of free trade. Additionally, audiologists have questioned their ethical responsibilities with respect to their obligation to inform consumers of the availability of the hearing aid program. In January 2003, a memo was sent to all licensed audiologists informing them that it is in the best interests of consumers served if potential hearing aid wearers are made aware of the program offered through LCD. The purpose of licensure has always been protection of the consumer, and audiologists who have voluntarily agreed to participate in the program are honoring their responsibility to the public when they fully inform patients who otherwise could not afford hearing aid(s) of the availability of this program. The memo sent to audiologists has generated some positive feedback, but LBESPA has also received letters of concern from audiologists who maintain that it is not the responsibility of a licensure board to publicize the LCD program or to legislate professional ethics. It should be noted that LBESPA was not asked by the LCD to provide input into the implementation of the program nor was the board made aware of the existence of the program until vendor applications were sent to audiologists. While the LCD program may serve the function of providing hearing aids to those who could not otherwise afford them, the Board fully understands the impact that this program may have on the practice of audiology in Louisiana. LBESPA cannot mandate that it is the ethical responsibility of audiologists to inform all potential hearing aid patients of the program. However, the Board is empowered to safeguard the public health, safety, and welfare of the consumer, and it is with this intent that the memo was sent to all licensed audiologists.
As a service to the licensees the Board recently obtained a toll free telephone number to be used by licensees within the State of Louisiana, in addition to the standard telephone number.
FAQ’s from the Chairperson
Question: Are all activities in my therapy room considered to be on-site, in-view supervision if my supervisor is present?
Question: I work in the schools and have heard that the HIPAA regulations regarding confidentiality go into effect soon. I am concerned that I might unknowingly violate the LBESPA Code of Ethics if there are new confidentiality standards. Can you clarify this situation for me?
LBESPA’S VIDEO LIBRARY The Board office houses a video library for use by the licensees as a resource in obtaining continuing education hours. Each year, five hours may be obtained by viewing videos and completing an assessment form. There are presently over 130 titles in the library in all areas of speech-language pathology and audiology. You may rent these tapes for a reasonable fee and have two weeks to view them alone or with other licensees. You may view the video catalog on-line at www.lbespa.org or purchase the catalog for $5.00. The following list are additions to the video library:
Healthcare Integrity and Protection Data Bank The Healthcare Integrity and Protection Data Bank or HIP Data Bank as it is called was created by Federal Law to improve the quality of health care by encouraging hospitals, state licensing boards, professional societies and other health care entities, to identify and discipline those who are incompetent or who engage in unprofessional behavior. Additionally, the law protects the public by restricting the ability of incompetent practitioners to move from state to state without disclosure or discovery of the practitioners’ previous damaging or incompetent performance. As required by Federal Law, LBESPA submitted data on all disciplinary actions taken since 1972 to the Data Bank in 2003. Accordingly, in the future all disciplinary actions taken by LBESPA will be reported in the LBESPA Newsletter and submitted to the following agencies:
OPEN BOOK EXAMINATIONS The individuals listed below practiced more than 10 days in the State of Louisiana with out applying for a license in accordance with La. R.S. 37:2652. By Board policy, these individuals took and passed an Open Book Examination on the Practice Act, Rules, Regulations and Procedures, and Ethical Questions/Situations in order to receive their license.
Stefani D. Crosby #3418, was sanctioned by the Board on, April 27, 2001, for violation of LSA R.S. 37:2662 and Chapter 7, Code of Ethics, Section 701, 4, b and Section 701, 4,g. relative to misrepresentation of coverage dates on a memorandum of insurance. Christi Ratcliff, #3783, was sanctioned by the Board on January 31, 2002, for violation of LSA R.S. 37: Chapter 37:2662, A, 7, b and violation of Chapter 7, Code of Ethics, Section 701 A, 11 and D,7 in relation to providing services while impaired. Kathleen H. West, #2746, was sanctioned by the Board on December 6, 2002, for violation of LSA R.S. 37: 2662, A, 5, and violation of Chapter 7, Code of Ethics, Section 701, B,2 and C,1 and D,7 relative to misrepresentation of credentials.
CONTACT LBESPA LBESPA Website: www.lbespa.org Staff:
NEW LICENSEES JANUARY 1, 2002 - APRIL 1, 2003 Adams, Lesley Alexander, Dawn Ard, Becky Ashton-Jones, Evelyn Authement, Shelley Bailey, Angela Baker, Jessica Bankston, Laura Barrilleaux, Kristy Baur, Sarah Beazley, Sharon Bene=, Amanda Blanchet, Paul Boover, Christina Boudet, Courtney Boudoin, Tonya Bourgeois, Heather Bradford, Stacey Brewer, Tammy Brister, Allison Brown, Barbara Brunet, Trisha Burns, Diana Camiolo, Sarah Campo, Mary Cancienne, Carol Carbajal, Patricia Carlini, Tara Casassa, Angela Cobb, Dorothy Cochran, Jamie Collins, Jennifer Crittenden, Heather Coonrod, Kristi Cotton, Dione Cranford, Jerry Creek, Gwyn Cruz-Mitchell, Allison Daigle, Susan Danos, Ashley Day, Jennifer Delarose, Shayla Delatorre, Charlotte Diedrich, Elizabeth Ditcharo, Danielle Dixon, Rosailyn Domingue, Amanda Doosey, Megan Dugas, Jamie Dymond, Ariane Elsass, Misty Eversmeyer, Melissa Fields, Audra Fontenot, Angela Franklin, Susan Fuselier, Carol Galbraith, Anne Giannobile, Christina Gibson, Christine Girten, Gregory Gray, Candice Green, Altha Hanson, Laurie Harrell, Sandy Hartenstein, Aimee Hasbargen, Brandi Hebert, Jamie Hebert, Vicki Helmick, Deanna Hendrix, Jennifer Hodge, Jennifer Howard, Carrie Hudgins, Amanda Jefcoat, Casie Johnson, Misty Jolla, Andrea Jones, Chalsea Jones, Julie Jones, Natalie Keller, Abby Kent, Garret Korowin, Michael Landry, Stephanie Lantier, Kami Lavergne, Simone Lavespere, Stephanie LeBoeuf, Cheryl LeGoullon, Marsha LeJeune, Sharrid Lemoine, Jessica Lichtll, Marta Lockett, Terrence Manley, Genia Manuel, Rachel Massett, Jennifer Mather, Marcy Matthews, Cissy Mayeux, Nicole Mayeux, Tiffany McAllister, Tamie McClendon, Alison McKelton-Braxton, S. Moore, Janet Moorhead, Kimberly Morris, Samantha Morrow. Sharon Moss, Miranda Mouch, Kelley Mulkey, Melanie Nash, Clara Ness, Melody Newberry, Tiffany Nieto, Elizabeth Olivier, Kerri Ortego, Brandy Paley, Julie Parche=, Shelly Parich, Kimberly Paul, Sara Payne, Nell Perrodin, Kelly Peyton, Emily Pippen, Rebekah Platz, Bridgett Pontiff, Naomi Pourciau, Tracy Powers, Ruth Prejean, Aimee Preskitt, Kelly Prevost, Sandra Pruitt, Sonja Quebodeaux, Trecia Raines, Mary Rettig, Lea Rice, Patricia Riche, Callie Roberts, Dejoundla Robin, Raymie Rodrigues, Angie Rogers, Angelle Romig, Shaye Roquevert, Michael Sagett, Jennifer Sanders, Nancy Savoy, Kodi Schexnayder, Ami Schultz, Misty Serna, Karen Sharp, Kelly Simms, Charlinda Smith, Charlene Soileau, Denee= Solomon, Denise Strand, Christy Stratton, Deborah Strong-Eisenzopf, K. Talmore, Nichelei Taylor, Sharan Terrebonne, Adrienne Theriot, Dawn Thomas, Tara Jane Thompson, Heather Tompkins, Sally Toney, Hope Torricelli, Tara Trahan, Elizabeth Venable, Aimee Vermillion, Louise Wagner, Michelle Waldrop, Kelly Walton, Corrie Walton, Jonathan Weiner, Whitney Whitmire, Arianne Wiley, Melissa Williams, Kenyetta Wilson, Shecoda Winfrey, Michelle Wynn, Christy Zaunbrecher, Erica Zeringue, Sandy
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