knr 273: credentialing. credentialing process where by the competency of a professional is ensured...
TRANSCRIPT
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KNR 273:Credentialing
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Credentialing
Process where by the competency of a professional is ensured as a provider of quality services
Defines minimum competence to practice
What is the difference between credentialing and accreditation?
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Credentialing vs. Accreditation
Credentialing Individual
NCB (CPRP) NCTRC (CTRS)
If in community/SRA may need both CTRS and CPRP
Accreditation Agency
COAPRT CAAHEP
Council on Accreditation of Allied Health Education Programs
CARTE (adopted in 2010)
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Quality in TR
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Credentialing
3 types: Registration Certification Licensure
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Registration
The process by which qualified individuals are listed on an official roster maintained by a governmental or non-governmental agency Could be state, national or professional
organization Can look at education & professional experience
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Certification
A governmental or non-governmental agency grants recognition to an individual who has met certain predetermined qualifications set by a credentialing agency or association Education & professional practice Greater weight than registration Restricts use of title, does not restrict practice
Title protection
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Licensure
An agency of government grants permission to an individual to engage in a given occupation upon finding that applicant has attained the minimal degree of competency required to ensure that the public health, safety, and welfare will be reasonably well protected
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Licensure
Strictest form of credentialing Requires state government to enact
legislation that defines the professional practice
Practice protection---illegal to practice if not licensed
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Why is it important to have professional credentials?
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Credentialing
Enables: the public (and gov't and 3rd party payers) to distinguish those who have attained some qualifying level of competency from those who have not
Provides: prestige, recognition and earning power
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Credentialing Increases the quality and accountability of
services to the consumer Increases credibility, respect, and professionalism Increases the minimal qualifications of the
professional Increases the likelihood of providing uniform
services based on consumer need Encourages education and continuing education
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Credentialing in TR
Registration 1956: Council for the Advancement of Hospital
Recreation created National Voluntary Registration Plan for Hospital Recreation Personnel
1969: National Therapeutic Recreation Society created the NTRS Voluntary Registration Plan
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Credentialing in TR
Certification---Certified Therapeutic Recreation Specialist (CTRS) 1981: National Council for Therapeutic Recreation
Certification (NCTRC) is established by NRPA 1985: NCTRC is legally incorporated 1988: NCTRC conducts initial Job Analysis Study November 1990: 1st NCTRC exam administered 1994: CTRS credential trademark is registered 1997: 2nd Job Analysis Study completed November 2001: 1st computer based exam is offered 2007: 3rd Job Analysis Study completed
International Job Analysis of CTRS
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International
CTRS working in 9 countries Braham Great Britain Bermuda Australia Asia
2009 Canadian Therapeutic Recreation Association = CTRS is preferred credential
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Credentialing in TR
Licensure Few states have licensure for TR
Utah (1974) North Carolina (2005) New Hampshire (2006) Oklahoma (2009) Georgia in the past, sunset law
Periodically TR has drives toward licensure 7-8 states working on (including New York) 7-8 thinking about starting (including Illinois) CTRS exam = basis of licensure
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Credentialing in TR
State Registration Texas California
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NCTRC
National Council for Therapeutic Recreation Certification
Independent of NTRS and ATRA Why?
Independence provides for a better relationship with regulatory groups like JCAHO and CARF
Doesn’t appear to be self serving
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NCTRC - Mission
To protect the consumer of therapeutic recreation services by promoting the provision of quality therapeutic recreation services by NCTRC certificants
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NCTRC - Purpose To establish national (& international) evaluative
standards for the certification and recertification of individuals who attest to the competencies of the therapeutic recreation profession
To grant recognition to individuals who voluntarily apply and meet established standards for certification in therapeutic recreation; and
To monitor adherence to the standards by the certified therapeutic recreation personnel.
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General Requirements for CTRS
Education Minimum: Bachelor-level degree
Experience Documented field placement or work experience
in TR Examination
Successful completion of NCTRC exam
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2 Paths
Academic Major in TR or recreation with option in TR
Accredited university or college Not program
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NCTRC Requirements (Effective 1/1/13)
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NCTRC Requirements (Effective 1/1/13)
• 18 semester hours of supportive course work
• Courses outside of department
• Minimum of:• 3 in anatomy and physiology (1/2)• 3 in abnormal psychology• 3 in human growth & development across the lifespan• Remaining in content areas of social science and humanities
• Medical terminology
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NCTRC Requirements (Effective 1/1/13)
Internship Minimum 14 consecutive weeks/560 hours
In TR services that use the TR process as defined by the current NCTRC Job Analysis
No less than 20 hours/week and no more than 45 hours/week Must be at 1 agency Keep log of hours & duties
Supervisor Agency supervisor must be CTRS for 1 year before supervise intern
ISU says must be in field 2 years plus 1 year as CTRS
University supervisor must be CTRS Online verification
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Internship Cont.
Supervisor Must be full time at agency (32 hours/week) 50% of job duties must be in an established TR
program in an agency Must be 1 identified primary supervisor
Work consistently with student Coordinates all secondary supervision Oversees/signs off all evaluations and reports Ensures exposure to all Job Analysis Task Areas Signs field placement verification form
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2 Paths
Equivalency – work experience Path A
Same courses plus 5 years full time in TR Path B
Same courses plus 1 year full time under supervision of CTRS
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Internship Cont.
Job Analysis Basis of internship Basis of exam content Basis of continuing education Basis of ISU TR curriculum
MUST BE exposed to ALL of the job task areas in internship
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2007 Job Tasks (Practical Experience/Basis of Internship)
Job Task = TR Process
Professional roles & responsibilities Assessment Planning interventions/programs Implementation Evaluate outcomes Documentation Work with treatment/service teams Organizing programs Managing TR services Public awareness/advocacy
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2007 Job Tasks (Professional Knowledge Domains - Theoretical Knowledge)
Basis of TR exam
Foundational knowledge (33%)
Practice of TR/RT (47%)
Organization of TR/RT service (13%)
Advancement of the profession (7%)
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Foundational Knowledge Examples Theories of play/rec/leisure Diversity factors Human growth/development Theories of human behavior Leisure thru lifespan Leisure lifestyle Health/human services Societal attitudes Legislation Guidelines & standards
Cognition & related impairments
Anatomy, physiology Senses & related impairments Psychology & related
impairments Normalization & inclusion Accessibility & barriers Group interaction/leadership Behavioral change
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Practice of TR/RT Examples Concepts of TR/RT Models Practice settings Standards of practice Code of ethics Impact of impairment Selection of assessment Implementation of assessment Behavior observation Interview techniques Functional testing
TR/RT assessments Other sources of assessment
data Interpretation of assessment Documentation Activity analysis Leisure education Activity modifications Modalities/interventions Facilitation techniques
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Organization of TR/RT Service Examples
Program design Goal/behavior
objectives Progress notes Evaluation Quality improvement
Plan of operation Personnel/volunteer
supervision Payment Facility/equipment
management Budgeting
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Advancement of Profession Examples
History Accreditation
standards Professionalism Certification Advocacy Legislation
Standards Ethics Public
relations/marketing Professional
association Continuing education
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Accommodations for Examination
When submit application, include a separate letter describing Candidate’s disability or special need Adaptations being requested Documentation from doctor that confirms disability and
prescribes appropriate accommodations (Disability Concerns)
If approved must contact Special Conditions Coordinator at the Prometric Candidate Services Contact Center at 1-800-967-1139 to schedule appointment for administration
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Accommodations for Examination
Accommodations available are: Reader Marker/writer Sign language interpreter for instructions Separate room Double test time Extended time by 1.5
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CTRS Examination Must meet all eligibility requirements Then pass a written, knowledge-based examination
Pass courses, qualify for test, pass test Do ASAP because qualification standards can change and
then would not be eligible to sit for examination Offered 3 times a year (5 day period)
February 1 for May July 1 for October October 1 for January
New: Can take during internship ($25) www.2test.com for locations
Prometric
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CTRS Examination
Mastery testing Some receive more questions Starts with base test everyone takes
90 questions / 86 minutes Pass/fail/unclear Testlets
15 questions / 14 minutes Maximum of 6 testlets
Get preliminary score of if not pass feedback on weak areas
Last 3 years, 66-75% passed
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CTRS Examination
Cost New application: $100 Exam registration fee: $300 Total: $400
If do early = $425
Certification good for 5 years Annual maintenance fee ($80)
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CTRS
Can’t say certification eligible until receive notification from NCTRC
Can’t use CTRS until receive official letter from NCTRC of passing
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How Prepare for Exam?
STUDY
STUDY
STUDY
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How Prepare for Exam?
Print/review current standards Make sure all areas have been covered in internship Go over requirements with supervisor Complete practice application
Review texts & notes Practice tests
NCTRC 50 sample questions ~$25
Study guides (Stumbo & Folkerth) Study groups / sessions Flash cards (cost ~$50)
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How maintain certification?
Annual Renewal Form Fee
Recertification to proved continuing professional competence Form Fee Documentation
Keep: Original documentation Conference schedule Hours NCTRC areas
Audit process
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Recertification
Must earn 100 credits to renew certification after 5 years
Points can be earned Professional Experience (minimum of 480 hours over 5
years…could be volunteer) and Continuing Education (50 hours) or Reexamination (passing score on exam)
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Recertification
Continuing education Conferences, workshops Publications Presentations (c/b online) Academic courses
(take/audit) Webinar/teleconference Thesis or dissertation Guest lecture NCTRC test writing
No more than 25 credits from publications/presentations
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Continuing Education Points are measured according to the
equivalency of an educational contact hour (60 minutes)
1 contact hour = 0.1 CEU = 1 credit Content of the experience must be linked
with the knowledge areas of the NCTRC Job Analysis Study ** be careful because some things don’t count
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How keep up with NCTRC changes?
NCTRC Newsletter NCTRC Web site Meetings at conferences Professional journals/literature
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Specialty Certification (2010)
Physical Medicine/Rehabilitation Geriatrics Developmental Disabilities Behavioral Health Community Inclusion Services
Valid 5 years $100/$20 year
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Specialty Certification Path A
CTRS active status 5 years FT experience in area (1,000 hours) 75 continuing education hours
Min of 3 professional certificate trainings Each training must be min. of 6 CE hours
2 professional references
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Specialty Certification Path B
CTRS active status Graduate degree in TR/RT 9 graduate-level credit hours in specialty 1 year FT experience in area 2 professional references
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Why don’t people seek out continuing education opportunities? Cost Work constraints Lack of benefits Family constraints Disengagement