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Enhancing the Professional Competency of Assisted Living Administrators

Enhancing the Professional Competency of Assisted Living Administrators/Managers/Directors. IntroductionAbout the NABNAB Programs and InitiativesCurrent State Competency InitiativesWhy Establish Competency Standards?Benefits: Managers/Directors/AdministratorsWhy NAB?History of Competency Exam

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Enhancing the Professional Competency of Assisted Living Administrators

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    1. Enhancing the Professional Competency of Assisted Living Administrators/Managers/Directors Assisted Living Administrator Licensure Competency Initiatives And an Overview of the NAB Competency Examination for Assisted Living Administrators/Managers and Directors

    2. Enhancing the Professional Competency of Assisted Living Administrators/Managers/Directors Introduction About the NAB NAB Programs and Initiatives Current State Competency Initiatives Why Establish Competency Standards? Benefits: Managers/Directors/Administrators Why NAB? History of Competency Exam Development Job Analysis Process The RC/AL Exam Current RC/AL Exam Utilization Contact Information

    3. About the NAB National Association of Boards of Examiners of Long Term Care Administrators (NAB) Mission – Public Protection Members Regular – 52 State Regulatory Boards/Agencies Associate - Former Board Members Subscribing - Academia, Allied Associations, Others

    4. NAB Programs & Initiatives Academic accreditation of Undergraduate and Graduate Degree Programs in LTC Administration Continuing educational approvals Standards of practice Reciprocity development Model regulations and standards RC/AL Examination NHA Examination State Law Exam Administration Publications

    5. Current State Administrator Competency Initiatives Licensure by the State* Alabama – Initial regs required state law exam only, must expand to include knowledge based exam in two years Delaware (NHA License) Idaho requires NAB National Exam Indiana recently passed legislation requiring licensure, regs under development Kansas (Adult Care Home Admin license or engage in operator training) Maine (NAB NHA or AL National Exam or training program required in Level IV Facilities) Missouri (NHA for Level II Facilities, NHA or education requirement for Level I) – are currently planning to separate NHA and AL licensure requirements Montana (NHA license or Assisted Living University Training Program) Nevada requires NAB National Exam, is currently implementing Administrator in Training Program New Jersey (NHA license or AL Certification) Ohio (NHA or Health Care Prof License, or College Degree) Oklahoma (NHA license, or AL Certificate) Pennsylvania recently promulgated regulations for AL licensure South Carolina requires NAB National Exam and State Law Exam South Dakota (Health Care Professional License or Approved Training Program and Competency Evaluation) Virginia recently passed legislation requiring licensure for assisted living administrators * Assisted Living Administrator License Required unless other specified

    6. Current State Administrator Competency Initiatives (continued) Certification by the State Arizona Arkansas California New Jersey (AL Certification or NHA License) North Carolina Oregon (NAB National AL Exam or Training Program) Rhode Island Other The remaining state’s requirements range from a combination of education, training and/or experience, to no specified requirements.

    7. Why Establish Competency Standards? Identify and establish standards of practice Responsibilities Knowledge Skills Tasks Evaluate Strengths and Weaknesses Establish curriculum Education Training programs Assure stakeholders of competency Public protection Employers

    8. Benefits: Managers/Directors/Administrators Professional Development vs. Government Regulation Commitment to Quality Care Development of Minimum Qualifications Commitment to Continuing Education Personal Recognition and Reward

    9. Why NAB? Experience Knowledge Integrity Independence Resources Supports NAB’s Mission of Public Protection

    10. NAB COMMITMENT TO INDEPENDENCE OF RC/AL EXAMINATION All activities of the RC/AL examination process have been independent of the Nursing Home Administrators examination to assure that the exam represents the RC/AL administrator and the philosophy of Assisted Living: Independent Exam Committee Assurance of RC/AL Content Experts Independent Job Analysis Independent Item Writing and Exam Development Process

    11. Exam: Development Job analysis was undertaken Define job-related activities, knowledge and skills Panel of subject matter experts generated the work-related activities and content areas. Components validated by a random sample of administrators. Objective was to choose content areas relevant to practice and critical to assessing administrator competence at entry level.

    12. Exam: Development Annually - Item Writing Workshops Held each February with Practicing Assisted Living Administrators Participating Annually – Two New Forms of the Exam Reviewed by Exam Committee at the NAB June Annual Meeting Annually - Standard Setting Workshop to Establish Pass Point Score conducted at the November NAB Mid-Year Meeting

    13. Exam: Developmental Process Item bank classified by content areas of test specifications Meet minimum standards concerning importance and criticality Relates to an aspect of work in the field that is frequently performed at entry level. Items written by assisted living administrators throughout the United States with a rigorous review process.

    14. Exam: Specifications Subject Matter Areas Covered The examination covers five subject areas. These areas, as well as the percentage of questions per area were determined in the job analysis study. In each area, the daily tasks of the administrator, the knowledge needed for each task area, and the skills in developing and implementing those tasks were defined.

    15. Domain 1: Client/Resident Services Management The development and implementation of services consistent with client needs and preferences. (32%)

    16. Domain 2: Human Resources Management The planning, organization, implementation, and evaluation of recruitment and training policies and procedures to develop and retain a competent and caring staff. (19%)

    17. Domain 3: Leadership and Governance The development and implementation of principles, practices, and ethics for operating a residential care/assisted living community. (19%)

    18. Domain 4: Physical Environment Management The creation and maintenance of a healthy and safe physical environment for clients and staff consistent with residential care/assisted living philosophy. (13%)

    19. Domain 5: Financial Management The development and implementation of systems and procedures that sustain a financially viable community. (17%)

    20. Exam Format: Examination Questions 150 questions on the exam. Three types of multiple choice questions: Knowledge - Remembering & understanding previously learned material. May also require candidate to demonstrate interrelationship among given facts. Interpretation - Understanding and making use of information presented. Problem Solving and Evaluation - Organizing the facts, interpreting the data, assessing the situation and choosing the best alternative or course of action.

    21. Current RC/AL Exam Utilization Licensure Hawaii considering NAB Exam Idaho using NAB Exam Indiana considering NAB Exam Missouri considering NAB Exam Nevada using NAB Exam South Carolina using NAB exam Maine (as one of several options) Virginia in 2007 Training Requirement Option Oregon Alliance Offers NAB National AL Exam Voluntary Sponsorship North Carolina Minnesota North Dakota Individual Voluntary Access All Other States & the District of Columbia

    22. Exam: Administration CBT Administration More than 200 Exam Sites $265 Exam Fee Certificate for Voluntary Candidates

    23. Exam: Preparation The NAB developed resources to assist candidates in preparing for the Exam Information for Candidates Handbook Residential Care/Assisted Living Administrators Exam Study Guide Bibliography

    24. How To Contact the NAB Tel: 202-712-9040 Fax: 202-216-9646 www.nabweb.org National Association Of Boards of Examiners of Long Term Care Administrators 1444 I Street NW, Suite 700 Washington DC, 20005-2210

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