New Attendee Welcome Breakfast

1. New Attendee Welcome Breakfast CO-HOSTS: Dr. Daniel Saint Germain (PQ) FCLB Vice President Dr. Lawrence O’Connor (NJ) FCLB Treasurer

2. Mission “To protect the public and to serve our member boards by promoting excellence in chiropractic regulation.”

3. FCLB Milestones 1919: First meeting of chiropractic regulation 1926: Started meeting as Council of State Examining Boards 1947: Regulatory boards disaffiliated themselves from national professional associations

4. FCLB Milestones 1957: Council on Chiropractic State Examining Boards incorporated under Wyoming law 1961: Formed the NBCE (NBCE started testing in 1963)

5. FCLB Milestones 1968: Renamed to FCLB, designated non-profit organization: 501 (c) 6 by IRS 1974: Spearheaded CCE’s final recognition by U.S. Department of Education

6. FCLB Milestones 1987: Revamped the FCLB vision Upgraded education conferences 1991: Professional offices provided by NBCE 1993: CIN-BAD debut Computerized database of regulatory board actions

7. FCLB Milestones 1994: FCLB cited in Congressional legislation; regulators gain voice in military demonstration project 1996: CIN-BAD database recognized by US national insurance accreditor (NCQA) 2005: NBCE provides expanded office space and furnishings 2006: Launched PACE program

8. FCLB Today Energetic, visionary governing board Involved, creative members Professional staff Efficient offices Expanded member services Connected with the larger regulatory community

9. Purpose • Maintain high uniform standards • chiropractic licensure • regulation • discipline • education - FCLB Articles of Incorporation

10. Authority We have no binding authority over state or provincial licensing boards Their authority comes from statute and regulations specific to their state or province We do hold considerable authority as the national / international standard Our members help develop those standards!

11. FCLB Leadership FCLB Board of Directors (10) Districts elect 5 District Directors (the Executive Board) Assembly elects Officers, Executive Fellow ELECT FCLB Delegates / Alternates DESIGNATE FCLB Member Boards

12. Organization • Delegates and Districts: • Each board is represented by a delegate • (and alternate to serve in his/her absence) • Delegate can be DC, public member, or • Executive Fellow (up to each board to decide) • 5 geographical regions (districts) • Delegates elect a director for each district

14. Organization District Directors (5) - serve a maximum of two three-year terms - also called the “Executive Board” Dr. Carol J. Davis (AK) – District l Dr. LeRoy F. Otto (MN) – District ll * Dr. Ali Jafari (NY) – District lll Dr. Ron Tripp (OK) – District lV Dr. Farrel Grossman (SC) – District V *Current Executive Board Chair

15. Organization Officers (4) - elected by delegates - one 2-year term in each office President: Dr. Oliver “Bud” Smith, Jr. (TX) Vice President: Dr.Daniel Saint-Germain (PQ) Treasurer: Dr. Lawrence O’Connor (NJ) Imm. Past President: Dr. N. Edwin Weathersby (AZ) Executive Board Fellow (1) – delegates elect a Board administrator to a 2 yr term Mr. Joe Baker (FL)

16. Organization • Board of Directors – 10 members: 4 elected officers, 5 district directors and 1 Executive Fellow director • Executive Committee – executive board chair and 4 officers • Committees – 11 committees: 3 standing / 8 special committees • Staff – 5 staff (full-time and part-time)

17. It all starts with our members! Member roles Fellow – DC or public board member: • currently or within last 5 years Honorary Fellow – after 5 years • still part of the FCLB family! Executive Fellow – top chiropractic board administrator of each board

18. Other Organizations FCLB is highly involved with other organizations • Appoint regulatory representatives to: • Council on Chiropractic Guidelines & Practice Parameters • Department of Defense Oversight Committee • National Board of Chiropractic Examiners • Federation of Associations of Regulatory Boards • Nominate regulatory reps (CCE)

19. Other Organizations • Work with other leading organizations to help chart the future of the profession, speaking for public protection • Present official comments policy issues, from regulatory perspective • Inter-jurisdictional mobility • White paper on minimal qualifications to perform spinal manipulation

20. ACBA • Association of Chiropractic Board Administrators

21. Serving Member Boards Connecting, Communicating Official Directory PowerPolls Educational conferences

22. Serving Member Boards Meeting Annual business meeting Elections Adoption of resolutions Bylaws revisions District (Regional) Meetings Informal networking & problem-solving sessions

23. Serving Member Boards Sharing resources to reduce workload CIN-BAD Licensure & disciplinary info on the web PACE Streamlines continuing education program approval & record keeping

24. Serving Member Boards Sharing resources to reduce workload New board member orientation Model code of conduct for boards Model disciplinary code Fraud task force – position papers

25. Serving Member Boards Advance Notification News Alerts Advise of licensees in the media Gives boards “heads-up” about • DCs who may pose threat to public

26. Where is our energy currently focused?

27. Ethics – in Education Increased emphasis onETHICSin the college classroom FCLB campaign for ethics • Continued dialogue with college presidents about importance of the ethical component • ACC-RAC presentations on ethics • Encouraging colleges to perform background checks

28. Ethics – in Practice FCLB Campaign for Ethics – • presentations & handouts available on our website • speaking engagements with practicing DCs • how do ethical breaches occur? • how can they be prevented? • patient protection is the responsibility of EVERY DC • endorsing the NBCE E&B exam

29. Global Regulation How to keep offenders from crossing borders? Worldwide regulation is just now emerging in many countries • FCLB working with WFC to increase awareness • Plan to expand CIN-BAD to international practitioner registry

30. Global Regulation Conversely, how do we increase mobility for ethical DCs? More chiropractic colleges outside US! What does good education look like? Can mutual recognition of accreditation and exams serve as common credentials “currency”?

31. Federal OIG Report US Office of the Inspector General • Documentation & record-keeping errors • 2/3 of claims submissions have problems • Chiropractic leadership organizations working with CMS to address problem

32. Federal OIG Report FCLB 2006 Resolution • Encourages member boards to require CE in documentation & recordkeeping • Encourages CCE to include documentation & recordkeeping in chiropractic curriculum • Suggests NBCE reflect topics in exams

33. What’s next ? FCLB 83rd Annual Congress May 6 – May 10, 2009 Hollywood, California

34. What’s next ? 2008 Fall Regional Meetings Districts I & IV October 2-5 Nevada Districts III & V September 4-7 Florida District II September 25-28 Minnesota

35. Staff Resources Donna M. Liewer, Executive Director Bridget Seader, Program Administrator Julie Finn, Executive Assistant Joan Carl, Finance & Benefits Manager Kelly Webb, PR and PACE Coordinator, and all-around hottie

36. Contact Us … By phone: (970) 356-3500 (Colorado) Greeley office hours – 9 a.m. to 3 p.m. By fax: (970) 356-3599 By e-mail: info@fclb.org Or visit our website: www.fclb.org