CHIROPRACTIC BOARD
ADMINISTRATORS COMMITTEE
BOARD MEMBER
ORIENTATION
MAY 2, 2012
BOARD MEMBER ORIENTATION
WHY? WHY? WHY? WHY? WHY? WHY?
WHY? WHY? WHY? WHY? WHY? WHY?
WHY? WHY? WHY? WHY? WHY? WHY?
WHY? WHY? WHY? WHY? WHY? WHY?
WHY? WHY? WHY? WHY? WHY? WHY?
WHY? WHY? WHY? WHY? WHY? WHY?
WHY? WHY? WHY? WHY? WHY? WHY?
PURPOSE OF ORIENTATION

ESTABLISH INITIAL AUTHORITY/STRUCTURE







(CORPORATE STRUCTURE)
SET TONE (This is NOT private practice!)
ESTABLISH LINES OF COMMUNICATION
CLARIFY DUTIES AND OBLIGATIONS
CLARIFY ACCOUNTABILITIES
EXPLAIN BOARD MEMBERS PURPOSE
TAKES TIME / REDUCES HEADACHES
EXECUTIVE DIRECTORS ATTITUDE





PILOT ANALOGY
KNOWLEDGABLE AUTHORITY
STATE/STAKEHOLDER CONNECTIONS
“GO TO” PERSON
PURPOSE IS TO ASSIST BOARD MEMBERS
BE AS EFFECTIVE AS POSSIBLE
BOARD FUNCTION VS STAFF FUNCTION
BOARD
ESTABLISH THE POLICIES OF THE BOARD
STAFF
IMPLEMENT THE POLICIES ESTABLISHED BY BOARD
ORIENTATION SUBJECTS





STRUCTURE (MAKEUP OF DC’S VS PUBLIC)
ORGANIZATIONAL CHART (INCLUDING
DUTIES OF EACH STAFF PERSON)
TIME COMMITMENT
LIABILITIES
ORGANIZATIONAL RELATIONSHIPS
ORIENTATION SUBJECTS






DIFFERENT BOARD REGULATORY DUTIES
DISTINCTION BETWEEN STATUTES/RULES
COMMITTEE STRUCTURE/DESCRIPTIONS
OPEN MEETING LAWS
BOARD OVERSIGHT
ADMINISTRATIVE CONSIDERATIONS (PAY)
OK…LET’S GET STARTED
Board Makeup

7 Members Total


5 Licensee Members (DC’s)
2 Public Members
Public Members
Members who are not licensees of this or any
of the other health related boards, nor who
have a financial or other vested interest in
the profession of chiropractic
MBCE STAFF
Larry A. Spicer, DC
Executive Director
651-201-2846
Anne Braam
Administrative
Assistant
651-201-2847
Lori Blanski
Licensing
Micki King
Enforcement
John Burbey
Reception/CE
651-201-2848
651-201-2849
651-208-1850
ORGANIZATIONAL CHART
BOARD
(President/Chair/EC)
Larry A. Spicer, DC
Executive Director
651-201-2846
Anne Braam
Administrative
Assistant
651-201-2847
Lori Blanski
Licensing
Micki King
Enforcement
John Burbey
Reception/CE
651-201-2848
651-201-2849
651-208-1850
Duties at a glance…
Executive Director








Complete office administrative oversight (inc.
Staffing/HR
Board Policy implementation
Budget development/oversight
Liaison between Board, staff, profession,
Legislature, Attorney General’s office, Governor’s
office, Media, etc.
Complaint/Disciplinary administration
Chair all Committees
Candidate Competency Assessment
Custodian of records.
Duties at a glance…
Office Manager





Administrative Assistant to Executive Director
Schedule and prepare for meetings
Minutes of Board/Committee meetings
Accounting/bill paying
Preparation of Various Board Reports
Duties at a glance…
Complaint Resolution





Complaint processing
Scheduling of complaint resolution
committee meetings
Minutes, complaint resolution committee’s
Enforcement administration
Rules Promulgation coordinator
Duties at a glance…
Licensing Coordinator




Coordinate administration of new licenses
Coordinate administration of new
registrations
Coordinate Licensing/Registration renewals
Clerical support
Duties at a glance…
Communications and CE






Administrative Division Support
Reception
Licensing Division Support
Enforcement Division Support
Continuing Education coordinator
Mail receipt and processing
Board Member Time Commitment




Board meetings (typically 5 per year)
Monthly Complaint Panel meetings (approx.
3-4 hours each)
Meetings of other committees if assignment
offered and accepted
Occasional phone calls/correspondence
Board Member Liability
In general, Board members
are protected from liabilities
for the proper performance
of their duties as a Board
member.
Organizational Relationships
Regulatory
Board
Doctor
Professional
Chiropractic
Associations
College
Organizational Relationships
Chiropractic College
The purpose of the Chiropractic College is to
provide the required graduate education
necessary to achieve entry level competency.
The college has no regulatory or other
authority following graduation.
Organizational Relationships
Professional Associations
The purpose of the professional
association is to improve the social,
economic, or political environment for the
professional.
The Professional association has no
regulatory authority.
Organizational Relationships
Regulatory Board
The purpose of the regulatory Board is to protect
the public from unprofessional, improper, unlawful
conduct or substandard care by a doctor of
chiropractic.
Organizational Relationships
Attorney General
The Attorney General acts as the Boards
attorney, including giving legal advice, and
handling all legal matters related to the
function of the Board.
MISSION STATEMENT
The mission of the Minnesota Board of
Chiropractic Examiners (MBCE) is to protect the
public through effective licensure and enforcement
of the statutes and rules governing the practice of
chiropractic to ensure a standard of competent and
ethical practice in the profession.
LICENSE TYPES




Active
Inactive
Voluntarily Retired
DC Emeritus
ACTIVE LICENSE
An active license allows for the unrestricted*
practice of the chiropractic profession in the
state of Minnesota, including all the rights,
privileges, and responsibilities associated
with that right.
*An exception is an active license that
has been restricted by a disciplinary
action. While still active, the
practitioner may practice subject to
the restrictions of the disciplinary
order
INACTIVE LICENSE
An inactive license is designed for a
professional who is in practice in another
jurisdiction, but wishes to maintain an
easy return to active practice in
Minnesota.
A practitioner must convert his/her inactive
license to an active license in order to be
authorized to provide services in
Minnesota.
VOLUNTARILY RETIRED LICENSE
This is designed for a practitioner who is
essentially retiring from practice. It does
allow a window of time to be able to return
to an active status without retesting.
DC EMERITUS
This is essentially an “honorary” title for
those persons who have permanently
retired from practice.
REGISTRATIONS





Acupuncture
Independent examiner
Graduate Preceptor
Professional Firms
Animal Chiropractic
ACUPUNCTURE REGISTRATION
Chiropractors wishing to provide acupuncture in
conjunction with their chiropractic care* must
register separately with the Board.
This requires separate additional training, and
regular additional continuing education
*Such care must be designed to “prepare for, or complement the
chiropractic adjustment.”
INDEPENDENT EXAMINERS
Chiropractors wishing to perform independent
exams on behalf of insurance providers in auto
accident cases must be separately registered
with the Board.
GRADUATE PRECEPTOR
Experienced Chiropractors wishing to act in
teaching and supervisory status for graduates
(externs) who are in the process of pursuing
licensure.
PROFESSIONAL FIRMS
For those chiropractors who wish to practice
under the protections and benefits of a
corporate structure.
ANIMAL CHIROPRACTIC
With additional specialized training and
registration, may provide chiropractic care to
animals.
NON BOARD FUNCTIONS…




Protection of the profession
Defining the Scope of Practice
Entering disputes with insurance companies
Entering billing disputes between doctors
and third party payors*
*An exception may be made if the billing
dispute resulted from a violation of the
chiropractic practice act.
OPERATING CODES

Statutes

Rules (Regulations)

Administrative Procedures (Internal)
OPERATING CODES
Statutes




Written by the Legislature
Provide basic framework of law
Define the scope of practice
MS 148.01 through 148.108
OPERATING CODES
Administrative Rules




Written by the agency
Designed to further interpret statutes
Submitted to public scrutiny
2500.0100 through 2500.7090
COMPLAINT RESOLUTION PROCESS
General Process





Receipt of complaint
Jurisdictional Evaluation
Request for response from Doctor
Dismissal or …
Meeting if necessary



Educational Meeting
Administrative Conference
Dismissal, agreement, or further pursuit in
administrative court.
STATUS OF INFORMATION
Information regarding complaints is
classified in one of two major
categories:

Non- public

Public
STATUS OF INFORMATION
NON-PUBLIC
Complaints received, investigative
data, and all other material related
to complaints is considered to be
Non-Public, unless and until a public
action is taken.
STATUS OF INFORMATION
PUBLIC
Information regarding complaints may
become public in one of four ways:
•An Agreement for Corrective Action is executed
•A Stipulation and Order is executed
•A Notice Of, And Order For, Administrative
Hearing is issued
•There is a final Order following an Administrative
Hearing.
BOARD COMMITTEE’S

Standing






Complaint panels
Executive Committee
Rules Committee
Test Development Committee
Legislative Committee
Ad Hoc


Rules Review Committee
Others for Special projects
BOARD COMMITTEE’S
Complaint panels
Complaint panels are established for the purpose of
resolving complaints. They are composed of two
Board members, and the Executive Director
BOARD COMMITTEE’S
Executive Committee
The Executive Committee is established to
handle the more regular policy business of the
Board. It is composed of the Officers of the
Board (President, Vice President, and
Administrative Officer) and the Executive
Director.
BOARD COMMITTEE’S
Rules Committee
The Rules Committee is established to
develop the rules assigned by the Board,
and to oversee the rules through the
promulgation process. It is composed of
three Board members, and the Executive
Director.
BOARD COMMITTEE’S
TEST DEVELOPMENT COMMITTEE
The test development committee is
established to provide input and oversight
to the National Board of Chiropractic
Examiners (NBCE) regarding examination
subject matter and to act as liaison
between this testing agency and the
Board. It is composed of Board members
assigned by the President
BOARD COMMITTEE’S
LEGISLATIVE COMMITTEE
The Legislative Committee is established to
oversee any legislative agenda of the Board. It is
composed of Board members assigned by the
President, and the Executive Director.
BOARD COMMITTEE’S
RULES REVIEW COMMITTEE (AD HOC)
This committee is established for the purpose of
reviewing rules that have been in place to determine
that the goals of the rules are being met. It is
composed of Board members appointed by the
President, a representative of the profession, and
the Executive Director.
FINANCIAL CONSIDERATIONS
The Board is fee supported.
This means that the income of the Board is
derived from the profession it regulates.
No funds come from the general taxpayer
fund.
FINANCIAL CONSIDERATIONS




Legislature appropriates (loans) funds to the
Board
The Board must repay appropriation with
receipts
Receipts must generally be equal to
expenditures
The Budget is established every two years
OPEN MEETING LAWS
In general, all state agencies must
conduct all regular meetings in an open
format, available to the public for
participation.

Exceptions are:



Meetings related to confidential disciplinary matters
Meetings related to personnel matters
Meetings requiring attorney-client privilege
BOARD OVERSIGHT

Biennial report to the legislature

Legislative audit
BOARD OVERSIGHT
BIENNIAL REPORT


Provided every two years
Describes all Board activities





Policy information
Fiscal information
Staffing information
Complaint resolution information
Licensing/registration information
BOARD OVERSIGHT
LEGISLATIVE AUDIT



Performed every 4 years (or so)
Detailed evaluation of programs, finances,
procedures, personnel, etc.
Concludes with Report to the Legislature
HEALTH PROFESSIONAL SERVICES
PROGRAM (HPSP)
A special program to monitor professionals who
are affected by mental, physical or chemical
dependency impairments, which may impact a
professional’s ability to deliver care with
reasonable skill and safety
HEALTH PROFESSIONAL SERVICES
PROGRAM (HPSP)
A professional may enter the program by:



Self referral (anonymously)
Board referral by agreement
Board order
Special Note: Board subsidizes costs of
program
OTHER RELATED ORGANIZATIONS





Federation of Chiropractic Licensing Boards
(FCLB)
Federation of Association of Regulatory
Boards (FARB)
Citizens Action Council
National Board of Chiropractic Examiners
(NBCE)
Minnesota Chiropractic Association (MCA)
PROFESSIONAL AND PUBLIC
COMMUNICATIONS

Newsletter (previously quarterly but impacted
by budget cuts)

Web Site
(www.mn-chiroboard.state.mn.us)
MY CONTACT INFORMATION…
LARRY A. SPICER, DC
EXECUTIVE DIRECTOR
MINNESOTA BOARD OF CHIROPRACTIC EXAMINERS
2829 UNIVERSITY AVENUE, SU 300
MINNEAPOLIS, MN. 55414
651-201-2850