Tenn. Comp. R. & Regs. 1020-01-.07 - QUALIFICATIONS FOR LICENSURE
To practice as a nursing home administrator in Tennessee, a person must possess a license lawfully issued by the Board. Paragraphs (2) through (7) of this rule describe the six (6) categories to obtain licensure as a nursing home administrator. Combining requirements from different categories is not permitted, and will not constitute completion of licensure requirements. In addition to the requirements of this rule, all applicants, regardless of which category is used, must successfully complete the examinations required in rule 1020-01-.10 Examinations.
(1) "Acceptable
Management Experience," as used in this rule, means the actual practice of
health care facility administration in an inpatient health care facility with
guidance and sharing of responsibility from the administrator and not related
to the role of an administrative clerk. "Acceptable management experience"
contemplates experience in all departments or areas of the facility, provided,
however, the applicant is not required to have spent the entire five (5) years
in the capacity of an assistant administrator. Responsible supervisory
experience in various departments within the facility may be applied to meet
the requirements of paragraph (6) of this rule, and the time spent in a board
approved Administrator-In-Training (A.I.T.) program may also be counted toward
these requirements. However, no more than two-thirds (2/3) of the required
"acceptable management experience" can be obtained in any one area of the
facility, e.g., in dietary, nursing, financial, etc.
(2) Licensure by examination - A
baccalaureate, masters, or doctorate degree in the area of Health Care
Administration from an accredited college or university is required. The
curriculum shall include a four hundred (400) hour internship taken for credit
and served in a licensed long term care nursing facility.
(3) Licensure by experience and education as
a hospital administrator combined with a Limited Administrator-in-Training
(A.I.T.) program - A baccalaureate, masters or doctorate degree from an
accredited college and a four hundred (400) hour Board-approved A.I.T. program
to be completed in no less than three (3) months and no more than six (6)
months combined with a minimum of five (5) of the last seven (7) years as the
chief executive officer of a licensed hospital is required. This individual is
appointed by the governing authority and is responsible to it for the executive
management of the organization according to the mission, goals and objectives
that have been adopted.
(a) The administrator
must develop an organizational structure to provide the patient care services
that are offered by the facility which is consistent with the mission and meets
all applicable legal, licensure and accreditation requirements; assure that
appropriate mechanisms are in place for an organized medical staff and (if
applicable) a volunteer organization; also oversee long range planning and
possibly even joint ventures. The individual must work with community, county
and state governmental agencies on a wide variety of topics.
(b) In a multi-hospital organization, the
chief executive officer may be directly responsible to a corporate official and
may have a local advisory board or other consultative
group.
(4) Licensure by
experience and education as an assistant/associate hospital administrator
combined with a Limited Administrator-in-Training (A.I.T.) program - A
baccalaureate, masters or doctorate degree from an accredited college and a
four hundred (400) hour Board-approved A.I.T. program to be completed in no
less than three (3) months and no more than six (6) months combined with a
minimum of five (5) of the last seven (7) years as the chief operating officer
of a licensed hospital is required. This individual is appointed by the chief
executive officer, usually with the concurrence of the governing authority.
(a) The assistant/associate administrator is
directly responsible for the operation of several hospital departments and
assists the administrator, as assigned, in other executive management
functions. The individual must work with community, county and state
governments on a wide variety of topics.
(b) The assistant/associate administrator is
"in charge" of the facility during the absence of the administrator and must
follow its mission, goals and objectives that have been
adopted.
(5) Licensure by
education combined with an Administrator-In-Training (A.I.T.) program - A
baccalaureate, masters or doctorate degree from an accredited college combined
with a Board approved A.I.T. program of at least six (6) months is
required.
(6) Licensure by
education and experience combined with an Administrator-In-Training (A.I.T.)
program - An associate degree and five (5) years of acceptable management
experience in a licensed long term care facility combined with a Board approved
A.I.T. program of at least six (6) months is required.
(7) Licensure by reciprocity - An active
license as a nursing home administrator in another state is required.
(a) An applicant must demonstrate to the
Board's satisfaction a successful completion of requirements that are
substantially equivalent to or exceed the requirements of paragraphs (2), (3),
(4), (5), or (6) of this rule; or
(b) An applicant must demonstrate to the
Board's satisfaction a successful completion of requirements that are
substantially equivalent to or exceed the requirements for certification by the
American College of Health Care Administrators; or
(c) An applicant must demonstrate to the
Board's satisfaction successful completion of NAB's Health Service Executive
(HSE) qualification; or
(d) An
applicant working for a minimum of five (5) of the last seven (7) years as a
licensed nursing home administrator in another state in lieu of a degree or in
lieu of an A.I.T. program.
(8) An applicant who chooses to qualify for
licensure by meeting the requirements of paragraphs (5) or (6) of this rule
must obtain Board approval to begin the A.I.T. program.
(a) Successful completion of the A.I.T.
program as governed by rule
1020-01-.06
is a prerequisite to approval to take the licensure examination.
(b) The time an applicant spends in the
A.I.T. program may be credited toward the last six (6) months needed to meet
the "acceptable management experience" requirement for admission to the
examination.
(c) The Board shall
concurrently determine eligibility for both admission to the examination and
commencement of the A.I.T. program upon review of both
applications.
Notes
Authority: T.C.A. ยงยง 4-5-202, 4-5-204, 63-16-103, 63-16-104, 63-16-105, 63-16-106, and 63-16-109.
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