1798300 Clarifying the procedures for participating as an administrator in a training program, and adds substantive requirements for continuing education.
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DEPARTMENT OF HEALTH
NOTICE OF FINAL RULEMAKING
The Director of the Department of Health, pursuant to the authority set forth in section 302(14) of the District of Columbia Health Occupations Revision Act of 1985 (Act), effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1203.02(14)(2007 Repl.)); section 205(b) of the Act (D.C. Official Code § 3-1202.05(b)(2007 Repl.)), and Mayor’s Order 98-140, dated August 20, 1998, hereby gives notice of his intent to adopt the following amendments to chapter 62 (Nursing Home Administration) of title 17 (Business, Occupations, and Professions) of the District of Columbia Municipal Regulations (DCMR).
The final amendments will clarify procedures for participating as an administrator in a training program, and adds substantive requirements for continuing education.
These rules were previously published as proposed rulemaking on May 20, 2011, 58 DCR 4352. No written comments were received, and no substantive changes were made to the rulemaking since it was published as proposed.
The Director adopted the rules as final on October 24, 2011. These regulations will become effective upon publication of this notice in the D.C. Register.
Chapter 62, NURSING HOME ADMINISTRATION, of title 17, BUSINESS, OCCUPATIONS, AND PROFESSIONS, of the DCMR is amended as follows:
Section 6202, EDUCATIONAL REQUIREMENTS, is amended as follows:
Section 6202.4(d) is amended to read as follows:
(d) If the applicant demonstrates by education or professional experience that any portion or all of the practice experience required under § 6202.1(c) has been met, the Board, in its discretion, may approve up to one thousand (1000) hours of practical credits toward the Administrator In Training Program (A.I.T.). The Board may award credit for prior experience if the experience was received within the immediately preceding five (5) years and in one (1) of the following areas:
(1) Assistant administrator in a hospital;
(3) Assistant administrator or a department head in a licensed nursing home;
(4) Nursing home administrator licensed in another state;
(5) Resident or intern in a program offered by an accredited college or university for the purpose of satisfying the requirements for a baccalaureate or master’s degree in health care administration;
(6) An A.I.T. program in another state, if the program is substantially comparable to the A.I.T. program in the District of Columbia, as determined by the Board, and the individual successfully completed the program;
(7) Executive director of a continuing care retirement community;
(9) Health-care-related senior management official; or
(10) Non-health-care-related senior management official.
New subsections 6202.7 through 6202.12 are added to read as follows:
6202.7 A person who is required to complete an A.I.T. program shall submit an application for the program. The application shall be on a form provided by the Board.
6202.8 The Board may approve an application for an A.I.T. program if it determines that the application contains satisfactory evidence that:
(a) The background and circumstances of the applicant and preceptor, or preceptors, qualify them for the A.I.T. program;
(b) The applicant is at least eighteen (18) years old;
(c) The applicant is of good moral character;
(d) The applicant’s training will be supervised by a preceptor approved by the Board; and
(e) The A.I.T. program meets all the other requirements of this section.
6202.9 The Board shall issue an approval specifying the length of time of the A.I.T.
6202.10 The A.I.T. candidate or preceptor may request a meeting with the Board at the mid-point of the A.I.T. program.
6202.11 A preceptor for an A.I.T. program may not be responsible for more than two (2) A.I.T.s at any one time.
6202.12 If an A.I.T. candidate does not meet all of the requirements for licensure after completing the A.I.T. program, the preceptor and candidate may request the Board allow the candidate and preceptor to work out a plan satisfactory to the Board to continue the A.I.T. program beyond the time originally specified until all the requirements are met.
Section 6206, CONTINUING EDUCATION REQUIREMENTS, is amended as follows:
Subsection 6206.4 is amended to read as follows :
6206.4 An applicant for renewal of a license shall submit proof of having completed forty (40) hours of approved continuing education credit during the two (2)-year period preceding the date the license expires. At least ten (10) hours of the required forty (40) hours shall have been in one (1) or more of the following areas:
(a) Staff management;
(b) Continuity in assigning the same nursing staff to the same residents as often as practicable;
(c) Creating a resident-centered environment;
(d) Activities of daily living and instrumental activities of daily living;
(e) Wound care;
(f) Pain management;
(g) Prevention and treatment of depression;
(h) Prevention of pressure ulcers;
(i) Urinary incontinence management;
(j) Discharge planning and community transitioning;
(k) Fall prevention;
(l) Geriatric social services and individual competency; or
(m) Behavior management.
Section 6207, APPROVED CONTINUING EDUCATION PROGRAMS AND ACTIVITIES, is amended by adding new subsection 6207.7 to read as follows:
6207.7 The Board may grant continuing education credit to a person who serves as a preceptor for an A.I.T. program under § 6202.8.
Section 6208, CONTINUING EDUCATION CREDITS, is amended by adding new subsections 6208.6 and 6208.7 to read as follows:
6208.6 The Board may in its discretion grant up to twenty (20) hours of continuing education credit under § 6207.7.
6208.7 The Board may audit a percentage of the number of licensees to determine compliance with the Board’s continuing education requirements. The percentage to be audited shall be at the Board’s discretion. A licensee required to submit proof of completion of continuing education credits pursuant to a Board audit shall submit such proof within thirty (30) days after receipt of the Board’s request.
Section 6299, DEFINITIONS is amended as follows:
The definition of “preceptor” in subsection 6299.1 is amended to read as follows:
Preceptor - a licensed nursing home administrator with at least three (3) years of experience who is approved by the Board to serve as a preceptor.
