Illinois Administrative Code
Title 68 - PROFESSIONS AND OCCUPATIONS
Part 1310 - NURSING HOME ADMINISTRATORS LICENSING AND DISCIPLINARY ACT
Section 1310.85 - Continuing Education
Universal Citation: 68 IL Admin Code ยง 1310.85
Current through Register Vol. 48, No. 38, September 20, 2024
a) Continuing Education Hour Requirements
1)
Every renewal applicant shall complete 36 hours of continuing education (CE)
relevant to the practice of nursing home administration required during each
prerenewal period. The Department shall conduct random audits to verify
compliance with this Section. The prerenewal period is the 24 months preceding
the expiration date of the license.
2) A renewal applicant is not required to
comply with CE requirements for the first renewal following the original
issuance of the license.
3) Nursing
home administrators licensed in Illinois but residing and practicing in other
states must comply with the CE requirements set forth in this
Section.
b) Activities for which CE credit may be earned are as follows:
1) Verified attendance or participation in
any CE course approved by the National Continuing Education Review Service of
the National Association of Boards of Examiners of Nursing Home
Administrators.
2) Verified
attendance at or participation in a program given by a sponsor as set forth in
subsection (c)(1).
3) A maximum of
12 hours per prerenewal period for:
A) Papers
prepared or delivered before recognized nursing home administration and nursing
home organizations;
B) Papers
published in nationally recognized nursing home administration journals;
and
C) A chapter in a book of
nursing home administration.
4) A licensee who serves as an instructor,
speaker or discussion leader of an approved course will be allowed CE course
credit for actual presentation time, plus actual preparation time of up to 2
hours for each hour of presentation. Preparation time shall not be allowed for
presentations of the same course and will only be allowed for additional study
or research. In no case shall credit for actual time of presentation and
preparation be given for more than 9 hours during any renewal period.
5) The CE hours used to satisfy the CE
requirements for renewal of a nursing home administrator license held in
another jurisdiction shall be applied to fulfillment of the CE requirements for
renewal of an Illinois nursing home administrator license.
6) Courses that are part of the curriculum of
a university, college or other educational institution shall be allotted CE
credit at the rate of 12 CE hours for each semester hour or 8 CE hours for each
quarter hour of school credit awarded.
7) A CE hour equals 60 minutes. After
completion of the initial CE hour, credit may be given in one-half hour
increments.
8) No credit will be
given for activities including, but not limited to, attendance at meetings or
reading of journals.
9) All CE
hours may be obtained through online courses.
c) CE Sponsors and Programs
1) Sponsor, as used in this Section, shall
mean:
A) LeadingAge Illinois;
B) The Illinois Council on Long Term
Care;
C) Illinois Health Care
Association;
D) The Illinois
Nursing Home Administrators Association;
E) National Continuing Education Review
Service;
F) The Illinois Chapter of
American College of Health Care Administrators; or
G) Any other school, college or university,
State agency, or any other person, firm, or association that has been approved
and authorized by the Department to coordinate and present CE courses and
programs in conjunction with this Section.
2) A sponsor shall file a sponsor
application, along with the required fee set forth in Section
1310.65, certifying that:
A) All courses and programs offered by the
sponsor for CE credit will comply with the criteria in subsection (c)(5) and
all other criteria in this Section. The applicant shall be required to submit a
sample 3 hour CE program with course materials, presenter qualifications, and
course outline for review prior to being approved as a CE sponsor;
B) The sponsor will be responsible for
verifying attendance at each course or program and provide a certificate of
completion as set forth in subsection (c)(7); and
C) Upon request by the Department, the
sponsor will submit such evidence as is necessary to establish compliance with
this Section. The evidence shall be required when the Department has reason to
believe that there is not full compliance with the Act and this Part and that
this information is necessary to ensure compliance.
3) Each sponsor shall submit, by November 30
of each odd-numbered year, a sponsor renewal application, along with the
required fee set forth in Section 1310.65. With the renewal application, the
sponsor shall be required to submit to the Department a list of all courses and
programs offered in the past 2 years that includes a description, location,
date and time the course was offered.
4) State agencies, colleges and universities
shall submit a sponsor application in accordance with subsections (c)(2) and
(3); however, they shall be exempt from payment of the fee in accordance with
Section 1310.65.
5) All courses and
programs shall:
A) Contain materials that
contribute to the advancement, extension and enhancement of professional skills
and knowledge in the practice of nursing home administration;
B) Specify the course objectives, course
content and teaching methods to be used;
C) Be developed and presented by persons with
education and/or experience in the subject matter of the program;
D) Specify the number of CE hours that may be
applied to fulfilling the Illinois CE requirements for license renewal;
and
E) Include some mechanism by
which participants evaluate the overall quality of the program.
6) An approved sponsor may
subcontract with individuals and organizations to provide approved programs.
All advertising, promotional materials, and certificates of attendance must
identify the licensed sponsor and the sponsor's license number. The presenter
of the program may also be identified, but should be identified as a presenter.
When a licensed sponsor subcontracts with a presenter, the licensed sponsor
retains all responsibility for monitoring attendance, providing certificates of
attendance, and ensuring the program meets all of the criteria established by
the Act and this Part, including the maintenance of records.
7) All programs given by sponsors shall be
open to all licensed nursing home administrators and not be limited to the
members of a single organization or group.
8) Certificate of Attendance or
Participation. It shall be the responsibility of the sponsor to provide each
participant in an approved program or course with a certificate of attendance
or participation that shall contain the following information:
A) The name and address of the
sponsor;
B) The name, address and
license number of the participant;
C) A brief statement of the subject
matter;
D) The number of clock
hours actually attended in each program;
E) The date and place of the program;
and
F) The signature of the
sponsor.
9) The sponsor
shall maintain course materials and attendance records containing all
information in subsection (c)(8) for not less than 5 years, except for the
signature of the sponsor.
10) The
sponsor shall be responsible for assuring that no renewal applicant shall
receive CE credit for time not actually spent attending the program.
11) If a sponsor should fail to comply with
any of the foregoing requirements, the Department, after notice to the sponsor
and hearing before, and recommendation by, the Board, shall thereafter refuse
to accept for CE credit attendance at or participation in any of that sponsor's
CE activities until the Department receives assurances of compliance with this
Section.
12) Notwithstanding any
other provision of this Section, the Department or Board may evaluate any
sponsor of any CE program at any time.
13) The Department shall maintain a list of
all approved CE sponsors.
d) Continuing Education Earned in Other Jurisdictions
1) If a renewal applicant will
be earning or has earned CE hours in another jurisdiction, but is not licensed
in that jurisdiction, and when the course is not presented by an approved
sponsor, the applicant shall submit an individual program approval request
form, along with a $20 processing fee, to have the program reviewed. The Board
shall review and recommend approval or disapproval of the programs using the
criteria set forth in subsection (c)(5). Applicants may seek individual program
approval prior to participation in the course or program. All individual
program approval requests shall be submitted prior to the expiration date of
the license.
2) If a licensee fails
to submit an out-of-state CE approval form within the required time, late
approval may be obtained by submitting the application with the $20 processing
fee plus a $10 per hour late fee not to exceed $150. The Board shall review and
recommend approval or disapproval of this program using the criteria set forth
in this Section.
e) Certification of Compliance with CE Requirements
1) Each renewal applicant shall certify, on
the renewal application, to full compliance with the CE requirements set forth
in subsection (a).
2) The
Department may require additional documentation in order to demonstrate
compliance with the CE requirements. It is the responsibility of each renewal
applicant to retain or otherwise produce evidence of compliance. The additional
documentation will be required in the context of the Department's random
audit.
3) When there appears to be
a lack of compliance with CE requirements, an applicant will be notified and
may request an interview with the Board, at which time the Board may recommend
that steps be taken to begin formal disciplinary proceedings as required by
Section 10-65 of the Illinois Administrative Procedure Act [5 ILCS
100].
f) Restoration of Nonrenewed License. Upon evidence of compliance with CE requirements, the Department shall restore the license upon payment of the required fee.
g) Waiver of CE Requirements
1) Any renewal applicant seeking renewal of a
license without having fully complied with this Section shall file with the
Department a renewal application, the required renewal fee, a statement setting
forth the facts concerning the non-compliance, and a request for waiver of the
CE requirements on the basis of these facts. If the Department, upon the
written recommendation of the Board, finds from the applicant's affidavit or
any other evidence submitted, that extreme hardship has been shown to
substantiate the granting of a waiver, the Department shall waive enforcement
of those requirements for the renewal period for which the applicant has
applied.
2) If an interview with
the Board is requested at the time the request for the waiver is filed with the
Department, the renewal applicant shall be given at least 20 days written
notice of the date, time and place of the interview by certified mail, return
receipt requested.
3) Extreme
hardship shall be determined on an individual basis by the Board and be defined
as an inability to devote sufficient hours to fulfilling the CE requirements
during the applicable prerenewal period because of:
A) Full-time service in the armed forces of
the United States of America during a substantial part of the prerenewal
period;
B) An incapacitating
illness, documented by a currently licensed physician, physician assistant,
advanced practice registered nurse, or full practice authority advanced
practice registered nurse;
C) A
physical inability to travel to the sites of approved programs documented by a
currently licensed physician, physician assistant, advanced practice registered
nurse, or full practice authority advanced practice registered nurse;
or
D) Any other similar extenuating
circumstances (i.e., family illness and prolonged hospitalization).
4) Any renewal applicant who,
prior to the expiration date of the license, submits a request for a waiver,
pursuant to the provisions of this Section, shall be deemed to be in good
standing until the Department's final decision on the application has been
made.
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