Presents The Jimmy A Young Memorial Lecture

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

2. Jimmy Albert Young, MS, RRT1935 –1975 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.

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 22nd 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

4. The New Decade – Challenges and Opportunities in Credentialing

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

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

7. A Reflection 2000 TO 2009

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

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

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

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

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

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

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

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

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

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

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

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

20. Who Does the Work? All of the accomplishments of the last 10 years happened because of the volunteer work of the NBRC Board: American Thoracic Society 5 physician representatives American Society for Anesthesiology 5 physician representatives American College of Chest Physicians 5 physician representatives American Association for Respiratory Care 15 respiratory therapists 1 public advisor

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

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

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

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

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

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

27. Neonatal / Pediatric Adult Critical Care “New” specialty examinations

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

29. Example from ACC

30. Example from NPS

31. Secondary Specifications are New for ACC

32. And for NPS

33. Primary Specifications for ACC 39% 61%

34. ACC Item Distribution by Cognitive Level

35. Primary Specifications for NPS 62% 38%

36. NPS Item Distribution by Cognitive Level

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

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