Annual Report

2017

Honourable Kelvin Goertzen Minister of Health Room 302 The Legislative Building of Manitoba 450 Broadway Winnipeg MB R3C 0V8

Dear Minister Goertzen:

RE: College of Audiologists and Speech – Language Pathologists of Manitoba

Annual Report 2017

I am pleased to present the Annual Report of the College of Audiologists and Speech – Language

Pathologists of Manitoba (the College), including the Financial Review for the 2017 fiscal year.

The College operates to regulate the professions of audiology and speech – language pathology in Manitoba under the authority of the Regulated Health Professions Act of Manitoba.

The Annual Report 2017 is presented in accordance with The Regulated Health Professions Act.

Respectfully Submitted,

“Original signed by”

Lori McKietiuk, RSLP, M.Sc.

Registrar, College of Audiologists and Speech – Language Pathologists of Manitoba

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TABLE OF CONTENTS Registrar’s Letter PAGE 1 Introduction PAGE 5 2017 Spotlight PAGE 6 President’s Messages PAGE 7 College Structure PAGE 8 College By – Laws PAGE 11 Registration Summary PAGE 12 Complaints Investigation, Inquiry PAGE 15 College Programs PAGE 16 Financial Report PAGE 18

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NOTE TO READERS Questions should be directed to: Lori McKietiuk, RSLP, M. Sc. Registrar, College of Audiologists & Speech – Language Pathologists of Manitoba Unit 1 – 333 Vaughan Street Winnipeg, MB R3B 3J9 T: 204 453 4539 Ext: 2 E: LoriMcKietiuk@caslpm.ca This Report is available on – line at: www.caslpm.ca

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INTRODUCTION

This Annual Report is provided to the Honourable Kelvin Goertzen, Minister of Health, Seniors and Active Living, in accordance with the Regulated Health Professions Act (RHPA), Section142.

The report outlines the structure of the College, its Council and Committees. The most recently confirmed edition of the College By – Laws is provided, and amendments made in the reporting year are indicated. Reports of registration, applications, complaints, are presented and regulatory programs of the College are described.

The 2017 Financial Statements of the College of Audiologists and Speech – Language Pathologists of Manitoba, as prepared by Mr. Dean Jenkyns, Jenkyns Smith Chartered Professional Accountants LLP, are provided in Appendix 3.

ABOUT THE COLLEGE

The College of Audiologists and Speech – Language Pathologists of Manitoba (the College) is established under the Regulated Health Professions Act, (RHPA).

The purpose of the College is to regulate the professions of audiology and speech – language pathology serving the public interest. By exercising the privilege of self-regulation, the College governs its registrants in accordance with the RHPA, regulations, practice directions, and by-laws.

MISSION

The College of Audiologists and Speech – Language Pathologists of Manitoba protects and serves the public by regulating and ensuring competent, safe, ethical practice of audiologists and speech – language pathologists in Manitoba.

CORE FUNCTIONS

The College protects, serves, and regulates through:

• Conducting the affairs of the College in a transparent, objective, impartial and fairmanner

• Setting standards for practice• Registering qualified audiologists and speech – language pathologists who wish to

practice their professions in Manitoba• Ensuring the continuing competence of its registrants• Receiving complaints, conducting investigations and appeals, and taking appropriate

disciplinary action

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2017 Spotlight With the foundations of operations and the fundamentals of regulatory functions in place, the College delved into more detailed aspects of its mandate. The College set a course to advance regulation of the professions under the Regulated Health Professions Act (RHPA). Council affirmed its responsibility to decision – making which upholds the public interest. It engaged in education opportunities tailored to regulators: CASLPM Council Orientation, CLEAR Regional Symposium. Council explored its responsibility of regulatory risk-management and participated in facilitated sessions to define risk identification and assessment as it pertains to protecting the public interest. This preliminary work in regulatory risk-management became the bases for regulatory strategic planning. The College sought to support and educate registrants of their ongoing obligations of registration: keeping current, accurate profiles; applying for Health Profession Corporation permits; interpreting standards and practice directions consistently and accurately. Committees of Council: prepared draft practice directions to enhance rules for Advertising, Medical Assistance in Dying, and Informed Consent for Service; developed policy to guide business arrangements, record and registry check submissions. As a member of the Canadian Alliance of Audiology and Speech – Language Pathology Regulators (CAASPR), the College pursued its commitment to a national, competency-based, entry-to-practice assessment process. Such a process will harmonize many registration requirements across regulated jurisdictions in Canada and provide a more consistent, fair assessment of applicants to both professions. The College contributed to: a CAASPR-approved, national language proficiency standard for internationally educated applicants to be implemented by all member jurisdictions; revised national competency profiles for both professions, including a validation survey to which all audiologists and speech – language pathologists could respond. Both projects will be adopted and implemented to support the application process for entry-to-practice in Manitoba.

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PRESIDENT’S MESSAGE Roland Street President, College of Audiologists and Speech – Language Pathologists of Manitoba Term of Office: December 2016 to December 2017 In 2017, Council committed to exploring risk management theory as it applies to regulators. To accomplish this, Council members attended special education sessions designed specifically for regulators, participated in activities to examine the organization as both a not-for-profit and a regulator, and set long – range goals for future planning to address the matter. Risk management is made up of a cycle of four steps: 1. risk identification, 2. assessment, 3. treatment and 4. monitoring, and assurance. The goal of identification is to review the environment in which a regulator functions and attempt to recognize events or influences that might prevent or help the regulator achieve its goals. In assessment, the regulator attempts to understand and prioritize the risks that the organization has identified. Early in the year, Council engaged Mr. Bruce Matthews, a well respected regulator who provides consulting, support, and training services to professional and occupational regulatory organizations, to present a full-day education session on Governance and Risk Management. Council then worked through various activities to identify and assess risk exposure specific to the College. It is a long road to developing a meaningful plan and effectively addressing potential risks of a regulator. In the upcoming term, Council will continue down this path to determine the best responses to treat the risks identified, starting with those assessed as highest priority. Council will participate in a facilitated strategic planning session, scheduled for early 2018, as a key step in this effort. In 2017, Council welcomed new elected members from each profession. The Council and committees are made up of elected and appointed audiologists, speech – language pathologists, and also of public representatives appointed by the Manitoba government. The College continues to benefit from the hard work of these dedicated individuals who bring a wide range of knowledge and experience to the table in their various roles on Council and committees. In closing, I would like to emphasise what an honour it is to serve the College as a government – appointed member of Council. I would like to thank Council, committees, and staff for their support and the work they have done to ensure the public interest is served and protected.

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COLLEGE STRUCTURE The College of Audiologists and Speech – Language Pathologists of Manitoba is delegated authority under The Regulated Health Professions Act (RHPA). The functions of the College are achieved under the direction of Council. Council sets policy and governs the College in the public interest. Council is made up of 9 members: two audiologists (elected), four speech – language pathologists (elected), and three public representatives (appointed by the Minister). Results of elections for two positions held in the fall 2017:

• Florent Gaudry, Audiologist, elected in District 1, three-year term

• Nancy Eason, Speech – Language Pathologist, acclaimed in District 1, three-year term The next elections for Council are scheduled for fall 2019.

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Council Terms 2017

Name Position Designation Term District First Term Current Term Next Election Cycle

Eligible for Re-election

Roland Street

President

Public Representative

4 year

March 2014 to 2016

2016 03 to 2020 03

N / A

N / A

Caitlin Buchel Vice President Speech-Language Pathologist

3 year District 1 (urban)

2014 09 to Fall 2017 2014 09 to Fall 2017 Fall 2017

YES

Mandy Watson Executive Cte Member

Audiologist 3 year District 1 (urban) 2014 09 to Fall 2017 2014 09 to Fall 2017 Fall 2017 YES

Colita MacTavish Audiologist

3 year District 2 (rural) 2016 09 to Fall 2019 2016 09 to Fall 2019 Fall 2019 YES

Shelley Day Speech-Language Pathologist

3 year District 1 (urban) 2016 09 to Fall 2019 2016 09 to Fall 2019 Fall 2019 YES

Leslie Goerzen Speech-Language Pathologist

3 year District 2 (rural) 2014 09 to Fall 2017 2016 09 to Fall 2019 Fall 2019 YES

Lindsay Lorteau Speech-Language Pathologist

3 year District 1 (urban) 2014 09 to Fall 2017 2014 09 to Fall 2017 Fall 2017 YES

Jamie Moses Public Representative

4 year March 2014 to 2018 March 2014 to 2018 N / A N / A

Vacant Public Representative

4 year N / A N / A

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Committee Appointments

STATUTORY COMMITTEES

Audiology Council Representatives

Speech – Language Pathology Council Representatives

Public Representatives Appointed

Non – Council Appointments

No. Required

Appointed

No. Required

Appointed

Appointed Required

Complaints Investigation Committee (6)

1

C. MacTavish

1

C. Buchel

Appointed from Roster: 1. L. Bernardin 2. Vacant

1. Stephanie Lau, Aud 2. Heather Shpak, SLP

1 Aud 1 SLP

Inquiry Committee (6)

1

F. Gaudry

1

S. Day

Appointed from Roster: 1. S. Stockwell 2. J. Cuvos

1. Ken Tugby, Audiologist 2. Lori Bastness, SLP

1 Aud 1 SLP

Continuing Competency Committee (6)

1

C. MacTavish

1

N. Eason

1. R. Street 2. Vacant

1. Andrea Richardson – Lipon,

Audiologist 2. SLP

1 Aud 1 SLP

STANDING COMMITTEES

Audiology Council Representatives

Speech – Language Pathology Council Representatives

Public Representatives

Non – Council Appointments

No. Required

No. Required

Appointed

Required

Executive Committee (3)

F. Gaudry

1

Shelley Day

1

1. R. Street

N / A

None

Audiology Practice Advisory Committee (6)

1. F. Gaudry 2. C. MacTavish

2 (all Auds on Council)

N / A

None

1. R. Street 2. Vacant

1. M. Watson 2. Aud

0 SLP 2 Aud

SLP Practice Advisory Committee (8)

N / A

None

1. C. Buchel 2. L. Goerzen 3. S. Day 4. N. Eason

4 (all SLPs on Council)

1. Vacant 2. Vacant

1. Kelly Ring – Whiklo 2. SLP

2 SLP 0 Aud

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COLLEGE BY – LAWS As per the RHPA, Section 222(6), the College By – Laws are confirmed annually by the registrants of the College. Most recently, the College By – Laws were confirmed by registrants attending the Annual General Meeting, 17th May 2017. The By – Laws, as confirmed at that time, are found at:

CASLPM By – Laws Confirmed May 2017

Since the By – Laws were last confirmed, Council approved amendments to the CASLPM By – Laws as follows: ARTICLE 17.0 FEES Amendments were made to:

• Align provisions with current practice and use of technology which supports on-line renewal

• Removed outdated provisions in reference to late penalties, notifications, and the instalment payment plan.

Article 17.0 FEES, as amended, is at: CASLPM By-Law Article 17.0

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REGISTRATION SUMMARY Registration Statistics The College of Audiologists and Speech – Language Pathologists of Manitoba maintains a Regulated Register and a Regulated Associate Register for each profession, in accordance with the RHPA. Registration Statistics as of 31st December 2017

REGULATED REGISTER

Audiologists

Speech – Language Pathologists

Registration Category

Certificate

of Practice

Number

Registered

Certificate

of Practice

Number

Registered

Full Regulated

74

74

362

362

Provisional Regulated

1

1

21

21

Non – Practising

Not Eligible

1

Not Eligible

5

Sub Total

77

389

REGULATED ASSOCIATE REGISTER

Not Eligible for a Certificate of Practice

Registration Category

Audiologists

Speech – Language Pathologists

Inactive / Retired

3

9

Combined Registers by Profession

Audiologists

Speech – Language Pathologists

478

Sub Total

80

398

Total Number of Registrants

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Advanced Competency Certifications The following tables outline the number of Advanced Competency Certificates held by registrants in the 2017 Practice Year.

Advanced Competency Certificates: Speech – Language Pathology

Number

Certified

1. Fibreoptic Endoscopic Evaluation and Management of Voice Disorders

10

2. Fibreoptic Endoscopic Evaluation and Management of Swallowing Disorders

10

3. Voice Restoration through the use of Voice Prostheses

4

4. Swallowing and voice restoration through the use of tracheotomy tubes or speaking valves

25

5. Videofluoroscopic Assessment of Adult Swallowing Disorders

42

6. Videofluoroscopic Assessment of Pediatric Swallowing Disorders

0

Advance Competency Certificates: Audiology

Number

Certified

1. Vestibular Assessment and Management

0

2. Cochlear Implant Management

4

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Applications for Registration 2017

Application Type / Entry Route

Profession

Disposition

Audiology

Speech – Language Pathology

Practicing Professional from other regulated Canadian Jurisdictions

3

6

7 Full Regulated Registrations granted 6 Certificates of Practice granted 2 Application carried over

Practicing Professional: Internationally Educated or from Unregulated Canadian Jurisdiction

0

3

0 Provisional Regulated Registration granted 2 Full Regulated Registrations granted 1 Certificates of Practice granted 1 Application carried over

New Graduate Accredited Canadian Program

0

10

9 Provisional Regulated Registrations granted 8 Certificates of Practice granted

New Graduate International Program

0

7

7 Provisional Regulated Registrations granted 7 Certificates of Practice Granted

TOTAL Applications in 2017 By Profession

3

26

Eighteen speech – language pathologists were granted Full Regulated registration in 2017. Five audiologists were granted Full Regulated registration in 2017. Zero audiologists were granted Provisional Regulated registration. Sixteen speech – language pathologists were granted Provisional Regulated registration. Twenty – Two applicants who were granted registration in 2017 applied for and were granted Certificates of Practice. Four applications were initiated in 2017 and remained in progress, as of 31st December 2017.

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COMPLAINTS INVESTIGATION, INQUIRY The College of Audiologists and Speech – Language Pathologists of Manitoba is committed to protecting the public interest and ensuring confidence in and respect of the health care services provided by audiologists and speech – language pathologists. In keeping with this commitment, the College supports its registrants to maintain standards of practice and ethical conduct to provide high – quality health care services and holds them accountable for their practice and conduct. The College responded to two formal complaints received in 2017. One was informally resolved. One was referred to the Complaints Investigation Committee and is ongoing. There were no complaints referred to Inquiry Committee, therefore no formal disciplinary hearings required. The College also responded to one report of unauthorized practice. The individuals were educated on legislative requirements and the matter was resolved.

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COLLEGE PROGRAMS Health Profession Corporations

A Health Profession Corporation may carry out the practice of one of the professions regulated by the College, either audiology or speech – language pathology, not both. Health care services are provided through regulated registrants of the College.

A health profession corporation granted a permit must comply with every provision of the Regulated Health Professions Act, Regulations, By – Laws, and Code of Ethics which apply to it. The College has responsibility to regulate a health profession corporation that is issued a permit; any power that the College may exercise in respect of a regulated registrant may also be exercised in respect of a health profession corporation.

Continuing Competency Program All Full Regulated, Provisional Regulated and Non- Practising Regulated Registrants of the

College are required to meet the obligations of the Continuing Competency Program. The

Continuing Competency Program promotes self – awareness through self-assessment of

current practice issues, informs ongoing learning, and contributes to continued quality

assurance and improvement in practice across one’s career.

As part of the Canadian Alliance of Audiology and Speech – Language Pathology Regulators (CAASPR), the College is working together with other regulated jurisdictions to revise the Competency Profiles and develop performance indicators for each profession. These competency profile packages will form the basis of a self – assessment survey within the CASLPM Continuing Competency Program. Participation in Continuing Competency Activities is one aspect of the Continuing Competency Program. Participation in a minimum of 45 hours of Continuing Competency Activities is required in a three – year cycle. Advanced Competency Certification The CASLPM General Regulation, Part 4: Specialized Health Care Services and Reserved Acts, requires that certain specialized health care services may be performed by a registrant of the College only if that registrant holds an Advanced Competency Certificate authorizing the registrant to provide the specialized health care service. There are two specialized health care services in the practice of audiology:

1. Vestibular Assessment and Management

2. Cochlear Implant Management

There are six specialized health care services in the practice of speech – language pathology:

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1. Fibreoptic Endoscopic Evaluation and Management of Voice Disorders

2. Fibreoptic Endoscopic Evaluation and Management of Swallowing Disorder

3. Voice Restoration through the use of voice prostheses

4. Swallowing and voice restoration through the use of tracheotomy tubes or speaking valves

5. Videofluoroscopic Assessment of Adult Swallowing Disorders

6. Videofluoroscopic Assessment of Pediatric Swallowing Disorders

The number of registrants who hold Advanced Competency Certification is included in the Registration Summary in this report. A registrant who holds an advanced competency certificate must complete at least four hours of competency activities specific to that advanced certification before the certificate’s expiry or renewal date to maintain certification. These activities contribute to the overall total of 45 hours required. Provisional Mentorship The Provisional Mentorship Program is a key component of entry-to-practice for those

applicants who do not meet the currency of practice requirement and provides a smooth

transition to the commitment of learning across the career.

During the Provisional Mentorship Program, the role of the Mentor is to provide the Provisional

Regulated Registrant with guidance and support in the process of self – reflection to assist the

Provisional Regulated Registrant in professional growth and skill development and to assure

that the Provisional Regulated Registrant develops a firm foundation for independent

professional practice.

The mentoring assessment process is consistent with the quality assurance process planned

across the career and sets the stage for career – long learning.

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FINANCIAL REPORT The College of Audiologists and Speech – Language Pathologists of Manitoba engaged Dean R. Jenkyns, Chartered Accountant Ltd., to conduct a review of the Statement of Financial Position of the College as at 31st December 2017, and the Statement of Operations, Changes in Net Assets and Cash Flow therein. The review was made in accordance with Canadian generally accepted standards for review engagements for not – for – profit organizations. The review did not constitute an audit, and no formal audited opinion was provided.

The complete Financial Statements of the College for the fiscal year ending 31st December 2017 are at: FINANCIAL STATEMENTS 2017

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