HORIZONS Second Quarter 2015 V. 41 / N. 2 CREDENTIALING FOR THE RESPIRATORY CARE PROFESSION AARC Summer Forum 2 THE DIFFERENCES IN STATE LICENSURE AND NBRC CREDENTIALING By Chelsea Earhart, MBA, Assistant Executive Director New Board of Trustees Member Glenna L. Tinney, MSW3 Reminder of Upcoming Examination Changes 4 Scholarships and Grants Available!5 2013 2012 2011 ates u d m Gra d Progra 81.5% Advance – n % io .1 at 81 min 78.7% CRT E xa 26.6% 27.2% didates 26.8% New Can 2014 Examinations es m at gra andid Level Pro Repeat C – Entr yminationin Review 6 6.67% CRT E xa 70.0% es 72.6% Graduat didates New Can 2014 Recredentialing7 Credentialed Practitioners by State8 T he NBRC frequently receives calls or questions from practitioners who are confused about the renewal of NBRC credentials in relation to the renewal of a state license to practice respiratory therapy. This article will address the differences between the two distinct entities and the importance of renewing both. Beginning with credentials issued July 1, 2002, the NBRC’s Continuing Competency Program (CCP) was put in place to assure the public and others that individuals credentialed by the NBRC continue to demonstrate a level of excellence in professional knowledge, skills and abilities as respiratory therapists and pulmonary function technologists. The purpose behind the CCP is to establish standards by which continued competency of credentialed practitioners working in defined areas of respiratory care, including assessment, may be determined. The CCP was designed to enhance and contribute to the continued competence of credentialed respiratory therapists and pulmonary function technologists, as well as demonstrate concern for patient safety. Most individuals required to participate in the program have successfully renewed their national credentials issued by the NBRC by providing evidence that they continue to meet current standards of practice. All credentials subject to the CCP must be renewed every five years. There are three ways to renew credentials subject to the CCP: retake and pass the respective examination for the highest credential held, take and pass a new NBRC credentialing examination, or provide proof of completion of a minimum of 30 hours of Category I Continuing Education (CE) acceptable to the NBRC. If a practitioner does not use one of the three routes of credential renewal and allows the credential(s) to expire, the practitioner will no longer be able to use the credential designation(s). The effect of allowing a credential to lapse can be widespread. An expired credential means that unless steps are taken to reinstate the credential, the practitioner is no longer recognized as holding the national designation. For those allowing their CRT or RRT credential(s) to expire, a practitioner’s lapsed credential(s) CONTINUED ON PAGE 4 » 1 HORIZONS he American Association for Respiratory Care (AARC) Summer Forum, to be held in Phoenix, Arizona, July 12 through July 15, 2015, promises to be filled with valuable information for the respiratory care community. During this meeting, the NBRC will present the 2015 Jimmy A. Young Memorial Lecture on July 15 from 8:00 – 9:30 a.m. This year’s topic is, “Criterion Validation of the Therapist Multiple-Choice Examination and the Clinical Simulation Examination – Results from the 2013 Studies.” Since 1978, the NBRC has sponsored this lecture series in honor of Jimmy A. Young, MS, RRT. Mr. Young was a respected author, educator, humanitarian and manager, and his contributions to respiratory care were immense. He was the 22nd President of the AARC (1973) and was serving as a Trustee and Member-at-Large on the NBRC Executive Committee when he passed away unexpectedly in 1975. The NBRC honors his memory and the many contributions he made to respiratory care through this annual program. The 37th annual Jimmy A. Young Memorial Lecture is entitled, “Criterion Validation of the Therapist NBRC Horizons is published quarterly to communicate information about the admission policies and procedures, the day-to-day activities, and the short-term and long-range plans of the National Board for Respiratory Care, the national certifying board for the respiratory care profession. The NBRC is sponsored by the American Association for Respiratory Care, the American Society of Anesthesiologists, the American Thoracic Society and the American College of Chest Physicians. Subscriptions to NBRC Horizons are free for active credentialed practitioners and $24 for inactive practitioners and others. Subscription forms can be obtained by contacting the NBRC Executive Office. 2 Multiple-Choice Examination and the Clinical Simulation Examination – Results from the 2013 Studies.” This presentation will provide details about two studies done in 2013. Results were intended to document whether, and by what magnitude, test scores were related to the clinical performances of respiratory therapists. The NBRC will also sponsor a Simulation Problem Development Workshop as a “pre-session” associated with this year’s AARC Summer Forum. The workshop will be conducted on Sunday, July 12, 2015 from 7:00 a.m. to 11:00 a.m. Because the NBRC has changed some of the specifications about assembling simulation examinations, the respiratory care community may find information about the development of simulation-style problems useful. This is a FREE workshop and the session has been approved for three CRCEs by the AARC. Preregistration is not required. For more information, email Assistant Executive Director Robert C. Shaw, PhD, RRT, FAARC at [email protected]. The NBRC looks forward to the 2015 Jimmy A. Young Memorial Lecture and the opportunity to provide the profession important credentialing information. The AARC Summer Forum program has been approved for Continuing Respiratory Care Education (CRCE), and may be used towards fulfillment of NBRC Continuing Competency Program requirements as appropriate. Make plans now to attend! For more information about the Summer Forum, contact the AARC at 972-243-2272 or www.aarc.org. m T Published Quarterly by the NATIONAL BOARD FOR RESPIRATORY CARE, INC. 18000 W. 105th St. Olathe, Kansas 66061-7543 913-895-4900 Fax: 913-895-4650 Email: [email protected] Website: www.nbrc.org Second Quarter 2015 MEMBERS OF THE BOARD Doreen J. Addrizzo-Harris, MD, FCCP (ATS) Sherry L. Barnhart, RRT, RRT-NPS, FAARC (AARC) Todd G. Bocklage, MPA, RRT (AARC) Suzanne Bollig, RRT, RRT-SDS, RPSGT, R. EEG T., FAARC (AARC) William W. Burgin Jr., MD, FCCP (ATS) Brian W. Carlin, MD, FCCP, FAARC (ACCP) Robin J. Elwood, MD, FAAP (ASA) Katherine L. Fedor, RRT, RRT-NPS, CPFT (AARC) Hyacinth M. Johnson, RN, BSN, MPA, RRT (AARC) Carl A. Kaplan, MD, FCCP (ACCP) David C. Levin, MD, FCCP (ATS) Robert A. May, MD, FCCP (ACCP) Omid G. Moayed, MD, MBA (ASA) Carl D. Mottram, BA, RRT, RPFT, FAARC (AARC) Theodora K. Nicholau, MD, PhD (ASA) Donald S. Prough, MD, FCCP (ASA) Gregg L. Ruppel, MEd, RRT, RPFT, FAARC (AARC) Robert A. Sinkin, MD, MPH, FAAP (ATS) Mark S. Siobal, BS, RRT, RRT-ACCS, FAARC (AARC) Copyright © 2015. The National Board for Respiratory Care, Inc. Permission must be secured in writing to reprint any portion of this issue. State societies for respiratory care, respiratory care education programs and state licensure agencies may reprint any portion of this publication in their newsletter provided they mention the source. EXECUTIVE COMMITTEE Carl F. Haas, MLS, RRT, RRT-ACCS, CPFT, FAARC (AARC), President Alan L. Plummer, MD, FCCP, FAARC (ATS), Vice President Linda A. Napoli, MBA, RRT, RRT-NPS, RPFT (AARC), Secretary Robert A. Balk, MD, FCCP (ACCP), Treasurer Kerry E. George, MEd, RRT, RRT-ACCS, FAARC (AARC), Past President PUBLIC ADVISOR Glenna L. Tinney, MSW MEMBERS-AT-LARGE Susan B. Blonshine, BS, RRT, RPFT, AE-C, FAARC (AARC) Robert L. Joyner Jr., PhD, RRT, RRT-ACCS, FAARC (AARC) Stephen A. Stayer, MD (ASA) 2 David L. Vines, MHS, RRT, FAARC (AARC) Teresa A. Volsko, MHHS, RRT, FAARC (AARC) TRUSTEE EMERITUS H. F. Helmholz Jr., MD, FAARC Robert M. Lawrence, MD Theodore Oslick, MD, FCCP, FAARC CHAIRMAN OF NBRC PUBLIC RELATIONS AND PUBLICATIONS COMMITTEE Carl Mottram, BA, RRT, RPFT, FAARC (AARC) STAFF Gary A. Smith, RRT (Hon), FAARC, Chief Executive Officer and Executive Director Lori M. Tinkler, MBA, Chief Operating Officer and Associate Executive Director Chelsea Earhart, MBA, Assistant Executive Director Robert C. Shaw Jr., PhD, RRT, FAARC, Assistant Executive Director Homer Rodriguez, RRT, Director, International Affairs Ami Bishop, Administrative Support Specialist Scott M. Hermansen, CPA, Chief Financial Officer Glenda Hocker, Executive Assistant Nancy Sachen, Administrative Assistant HORIZONS Second Quarter 2015 3 NEW BOARD OF TRUSTEES MEMBER GLENNA L. TINNEY, MSW P lease help us welcome Glenna L. Tinney, MSW, as Public Advisor to the Board of Trustees. Glenna Tinney is a lifelong activist and advocate. She has experience in outreach, networking, collaboration, and community organization. She has also been involved in legislative advocacy and development of public policy on violence against women and children and environmental and animal welfare issues. Ms. Tinney began her career in the United States Navy in 1980. During her 24-year military career, she earned the rank of Captain and held various leadership positions. She spent a portion of that time in the Navy Medical Department, and has significant healthcare experience. That experience includes policy development and implementation, program management, credentialing, scope of practice, standards of care, shared decision-making, and providing technical assistance and training. Furthermore, Ms. Tinney served as the Deputy Executive Director for the Defense Task Force on Domestic Violence from 2000-2003. Through her work on the task force, several strategic plans were developed and nearly 200 recommendations were made to Congress and the Secretary of Defense to update their policies on domestic violence throughout the Department of Defense. After completion of the Task Force, Ms. Tinney was selected to implement the Task Force recommendations. Due to the significant impact of her work, the White House selected Ms. Tinney as a Woman Veteran Champion of Change in March 2013. Additionally, Ms. Tinney managed a contract with the Department of Transportation for a congressionally mandated initiative to improve public safety on the nation’s highways. Ms. Tinney joins the Board of Trustees with experience in developing a national training program and a certification examination for medical examiners who perform physical examinations for commercial motor vehicle drivers. The NBRC is fortunate to have Glenna L. Tinney, MSW, as Public Advisor to the Board of Trustees. She, along with the entire Board of Trustees, provides leadership, direction, and guidance to the NBRC staff in carrying out the responsibilities of the credentialing agency. The NBRC greatly appreciates Ms. Tinney’s expertise and dedication, as well as her professional commitment. We welcome her influence to the respiratory care profession during her time on the Board. m 3 HORIZONS Second Quarter 2015 4 THE DIFFERENCES … º CONTINUED FROM PAGE 1 may violate their licensure status, causing the state to reevaluate whether the practitioner has violated the terms of licensure by no longer holding the national credential. This may cause a practitioner to lose their license to practice respiratory care in their state. No longer holding an NBRC credential may affect a practitioner’s status in the workplace. Therapists who no longer hold the CRT credential will lose the ability to become eligible for the RRT credential. Additionally, organizations requiring the advanced-level RRT credential as a condition of employment may re-evaluate the nature of a respiratory therapist’s employment, or consider adjusting the pay scale for any employee not meeting predetermined professional requirements for respiratory care practitioners. The main source of confusion usually stems from a practitioner believing that renewing a state license to practice also renews his or her NBRC credential(s). Although 49 states use the NBRC’s CRT or RRT credential as the basis for licensure, the state licensing boards and the NBRC are completely separate entities. All states that require a license to practice respiratory care also require some form of license renewal. Each state has different requirements on the length of time required between renewals and the method of renewal. Additionally, states also differ on the required status of NBRC credentials when renewing a state license to practice. If a practitioner is unsure about what requirements are necessary in their state, it is best to contact the state licensing board directly to find out what is required in the state(s) where the license(s) are held. In order to ensure that neither NBRC credentials nor a state license to practice lapse, it is important to keep all contact information current with BOTH organizations. This ensures that important notices regarding these two very crucial career tools are received. It is also imperative to note that state licensure boards, the AARC, and the NBRC do not share common databases, CEU records or contact information. Each organization has its own database systems and processes for practitioners to submit the necessary information required for renewal. More detailed information regarding compliance with the CCP can be found on our website, www.nbrc.org. For questions about how a change in credential status, such as expiration, may affect employment, practitioners are encouraged to speak with their employer. Additionally, inquiries regarding how credential status may affect a state-issued license to practice should be addressed by the individual’s state licensure agency. A directory of these agencies can be found on our website, http://apps.nbrc. org/statelic/. The NBRC Board of Trustees and its committees are interested in your comments, questions and concerns. You may contact the NBRC at 18000 W. 105th Street, Olathe, KS 66061, by email at [email protected], by phone at 888-341-4811 or visit www.nbrc.org. m REMINDER OF UPCOMING EXAMINATION CHANGES As of June 15, 2015, the CPFT and RPFT credentialing programs will transition to the Pulmonary Function Technologist Examination (PFT), which combines the CPFT and RPFT Examinations into one multiple-choice examination with two different cut scores. If a candidate achieves the lower cut score, they will earn the CPFT credential. If a candidate achieves the higher cut score, they will earn the RPFT credential. The last date applications were accepted for the current CPFT and RPFT Examinations was April 30, 2015. These applicants must schedule testing appointments by May 31, 2015. Applications received on or after May 1, 2015 will be processed for the new examination with an eligibility start date of June 15, 2015. m 4 HORIZONS Second Quarter 2015 5 SCHOLARSHIPS AND GRANTS AVAILABLE! LAMBDA BETA SOCIETY NBRC/AMP William W. Burgin, Jr., MD And Robert M. Lawrence, MD Education Recognition Award The Lambda Beta Society will once again recognize academic excellence in respiratory care by awarding scholarships at their annual reception at the AARC International Congress. Lambda Beta is the academic honor society for respiratory care and has over 8,000 members in 150 chapters affiliated with accredited respiratory care education programs. Each year, the Lambda Beta Society awards scholarships to recognize and encourage academic excellence in respiratory care. More details are available on the Lambda Beta website, www.lambdabeta.org. New criteria for Lambda Beta scholarships was sent electronically to all CoARC accredited respiratory care programs in April. There are three scholarships/awards now available – the H. Frederic Helmholz, Jr., MD Scholarship ($2,500), the CoARC Stephen P. Mikles, EdS, RRT, FAARC Media Award ($2,000) and the AMP/ Hill Leadership Award ($2,000). In addition to the scholarship award, travel expenses for airfare and one night’s hotel stay (up to $750) to the 2015 International Congress held in Tampa, Florida, November 7-11, 2015 are provided by NBRC/AMP, and complimentary registration to the Congress provided by AARC. Information concerning the scholarships/awards can also be found on the Lambda Beta website at www.lambdabeta.org. Scholarship packets must be submitted electronically to Lambda Beta no later than May 31, 2015. The American Respiratory Care Foundation and the National Board for Respiratory Care, together with its wholly owned subsidiary, Applied Measurement Professionals, Inc. may award up to $7,500 annually to a third or fourth-year student enrolled in an accredited respiratory therapy program leading to a baccalaureate degree. This award also consists of a certificate of recognition, coach airfare, one night’s lodging, and registration for the AARC Congress 2015. NBRC/AMP Gareth B. Gish, MS, RRT Memorial Postgraduate Education Recognition Award The American Respiratory Care Foundation and the National Board for Respiratory Care, together with its wholly owned subsidiary, Applied Measurement Professionals, Inc., awards up to $2,500 in memory of Gareth B. Gish, MS, RRT to a respiratory therapist pursuing postgraduate education leading to an advanced degree. The award consists of a certificate of recognition, coach airfare, one night’s lodging, and registration for the AARC Congress 2015. NBRC/AMP H. Frederic Helmholz, Jr., MD Educational Research Fund The National Board for Respiratory Care/Applied Measurement Professionals, Inc. has provided an endowment to the American Respiratory Care Foundation to support up to $5,000 for educational or credentialing research. A master’s thesis, or doctoral dissertation with practical value to the respiratory care profession are acceptable submissions by a candidate. Others may submit a complete research proposal for consideration. This award consists of cash, certificate of recognition, airfare, one night’s lodging and registration for the AARC Congress 2015. AMERICAN RESPIRATORY CARE FOUNDATION If you are a student in an accredited respiratory care education program or are completing an advanced degree or a research project applicable to credentialing or education, the NBRC encourages you to apply for one of the available education recognition or research awards through the American Respiratory Care Foundation. The number of applications received each year is not large, so every applicant has a very good opportunity to be considered. The application process is simple and the requirements are easy to meet. The following awards are available. Applications and additional information concerning these awards can be found on the American Respiratory Care Foundation website at www.arcfoundation.org. PLEASE APPLY! By applying for one of these awards you can help the ARCF, the Lambda Beta Society, as well as the NBRC and AMP support respiratory care education and credentialing-related research, while obtaining funding for your continued study. The NBRC and its subsidiary plan to continue to support the ARCF and Lambda Beta in providing these recognition awards as part of our efforts to support the growth and success of respiratory care in the future. 5 HORIZONS I Second Quarter 2015 6 2014 EXAMINATIONS IN REVIEW n 2014, the NBRC Board of Trustees continued to focus its efforts on ensuring that examination candidates experienced the best possible testing service. Throughout 2014, 37,635 appointments were scheduled online, constituting 88.72% of all examinations scheduled. The AMP Assessment Center Network continues to offer convenient daily testing Monday through Saturday, with morning and afternoon testing sessions at over 190 locations. Pulmonary Function Technologist Examinations The NBRC awarded a total of 16,627 new CRT, RRT, CPFT, RPFT, Neonatal/Pediatric Specialty, Sleep Disorders Specialty, and Adult Critical Care Specialty credentials in 2014. A total of 42,248 examinations were administered. The charts that follow present the pass/fail statistics for the respective NBRC examination programs for the past three years. Three hundred eighty-eight (388) attempts of the EntryLevel Pulmonary Function Technology Examination were recorded last year, with 246 individuals earning the Certified Pulmonary Function Technologist (CPFT) credential. In 2014, there were 111 total attempts of the RPFT Examination and 62 CPFTs achieved the advanced Registered Pulmonary Function Technologist (RPFT) credential. CRT Examination The NBRC administered 12,324 CRT Examinations in 2014. Seven thousand seven hundred nine (7,709) individuals passed the examination and earned the CRT credential. The following displays historical pass rate information: 2012 2013 2012 2013 2014 New Candidates 73.4% 67.8% 73.4% Repeat Candidates 36.5% 54.3% 38.2% CPFT Examination 2014 CRT Examination – Advanced Program Graduates RPFT Examination New Candidates 81.1% 81.5% 81.8% New Candidates 81.3% 56.5% 58.3% Repeat Candidates 27.2% 26.6% 25.9% Repeat Candidates 28.6% 46.4% 51.3% CRT Examination – Entry-Level Program Graduates New Candidates 70.0% 66.7% 66.7% Repeat Candidates 15.9% 14.6% 10.9% Neonatal/Pediatric Specialty Examination One thousand one hundred four (1,104) CRTs and/ or RRTs attempted the Neonatal/Pediatric Specialty Examination in 2014. Seven hundred four (704) practitioners earned the CRT-NPS or RRT-NPS credential. RRT Examination In 2014, 14,289 candidates attempted the Written Registry Examination and 13,226 candidates attempted the Clinical Simulation Examination. A total of 7,268 individuals earned the Registered Respiratory Therapist (RRT) credential by successfully completing both portions of the Registry Examination. The following displays historical pass rate information: 2012 2013 2014 2012 66.7% 68.6% 66.7% Repeat Candidates 33.0% 34.0% 34.2% 2014 Neonatal/Pediatric Specialty Examination New Candidates 68.6% 71.1% 69.7% Repeat Candidates 43.5% 45.1% 47.1% Sleep Disorders Specialty Examination Eighty (80) CRTs and/or RRTs attempted the Sleep Disorders Specialty Examination in 2014. Seventy-three (73) practitioners earned the CRT-SDS or RRT-SDS credential. Written Registry Examination New Candidates 2013 2012 Clinical Simulation Examination 2013 2014 New Candidates 62.6% 62.7% 61.4% Sleep Disorders Specialty Examination Repeat Candidates 51.3% 49.1% 49.7% New Candidates 86.4% 91.3% 94.5% Repeat Candidates 33.3% 66.7% 57.1% CONTINUED ON PAGE 7 » 6 HORIZONS Second Quarter 2015 7 2014 RECREDENTIALING 2014 EXAMINATIONS … º CONTINUED FROM PAGE 6 Adult Critical Care Specialty Examination The NBRC commends the following individuals for their commitment to excellence and the initiative they have demonstrated to voluntarily evaluate their continued competence by passing an examination in 2014 for recredentialing. Seven hundred twenty-six (726) RRTs attempted the Adult Critical Care Specialty Examination in 2014. Five hundred sixty-five (565) practitioners earned the RRTACCS credential. 2012 2013 CRT EXAMINATION 2014 LAST NAME FIRST NAME CITY STATE CREDENTIAL Adult Critical Care Specialty Examination ADAMS JAMES WATERBURY VT CRT New Candidates 83.3% 87.7% 81.8% ADAMS KRISTEN DOWNERS GROVE IL CRT Repeat Candidates 22.2% 47.4% 50.5% The Board of Trustees extends congratulations to the respiratory care professionals who earned the 16,627 new credentials awarded by the NBRC in 2014! At the end of 2014, the total number of NBRC credentials awarded was 404,529. The addition of 7,709 new CRTs in 2014 increased the total number of CRT credentials awarded to 230,934. With the 7,268 individuals who earned the RRT credential in 2014, the total number of RRTs was 142,323. The number of individuals holding the CPFT credential totaled 13,069 and 4,380 CPFTs have also earned the RPFT credential. The number of CRTs and/or RRTs now recognized as Neonatal/Pediatric Respiratory Care Specialists totaled 12,520 and those CRTs and/ or RRTs recognized as Sleep Disorders Specialists now total 314. The number of RRTs who earned the Adult Critical Care Specialty credential at the end of 2014 totaled 989. m BRIDGES THOMAS ANDERSON SC CRT BURGOYNE KAREN PORTLAND OR CRT DAMERON GENGLER JANET BELOIT KS CRT EBENAU WILLIAM LITTLE FERRY NJ CRT GROSSMAN MELISSA HOWELL NJ CRT GULDIN KATHLEEN OREFIELD PA CRT GUREVICH ANATOLY RESEDA CA CRT HIGGINS CHRISTINE KOUTS IN CRT JOHNSON KEVIN PORTLAND OR CRT KELLY MICHAEL LAS VEGAS NV CRT LENZ DEBORAH HUTCHINSON MN CRT LINCOLN MARY VALPARAISO IN CRT MADISON TIFFANY SHAWNEE KS CRT PRICE CHARLES UNION KY CRT SVOBODA SHERYL SALINA KS CRT VIDAURRI DIANNE MEDFORD OR CRT WARD LISA SHEPHERDSVILLE KY CRT WYNN ALEXANDER CLOVIS NM CRT RRT EXAMINATION LAST NAME FIRST NAME CITY STATE CREDENTIAL IN RRT SUNSET TX RRT HARRISBURG NC RRT FOY JACLYN FISHERS MEDFORD ANN WITSCHEY AMY NPS EXAMINATION LAST NAME LOVETT 7 FIRST NAME KEVIN CITY ALLEN STATE CREDENTIAL TX NPS HORIZONS Second Quarter 2015 8 CREDENTIALED PRACTITIONERS BY STATE A t the time of this publication, the NBRC has awarded 407,195 credentials to individuals in the United States and abroad. The following table lists the demographics of where these practitioners reside. The listing reflects the number of CRTs, RRTs, CPFTs, RPFTs, Neonatal/Pediatric Care Specialists, Sleep Disorders Specialists and Adult Critical Care Specialists in each of the 50 states, Puerto Rico, and the Virgin Islands. When reviewing the “Total Practitioners” column, it is important to realize that many practitioners hold multiple credentials. For example, all RRTs are also recognized as CRTs and all RPFTs are also recognized as CPFTs. Similarly, all Neonatal/ Pediatric Respiratory Care Specialists and Sleep Disorders Specialists are also recognized as CRTs and/or RRTs, and all Adult Critical Care Specialists are also recognized as RRTs. The “Total Practitioners” column approximates the number of individual practitioners who reside in a state and is not a summation of the credentialed national groups. In addition to the information provided for each state, Puerto Rico, and the Virgin Islands, the NBRC also has record of approximately 1,278 credentialed practitioners who reside in other countries or have U.S. military overseas addresses. The information presented in this table is based on the most current address information in the NBRC database. Please keep us informed if you move so we can update your address. You may also change your address online at www.nbrc.org. m STATE CRT RRT CPFT RPFT NPS SDS ACCS STATE TOTAL STATE CRT RRT CPFT RPFT NPS SDS ACCS STATE TOTAL AK 278 151 25 9 41 2 1 281 NC 6,307 4,669 299 104 377 10 55 6,355 AL 3,412 2,003 147 51 140 1 5 3,462 ND 660 481 47 21 16 4 2 660 AR 2,781 1,312 98 34 141 4 6 2,793 NE 1,782 1,327 78 27 65 2 4 1,797 725 445 64 23 41 0 4 741 AZ 6,075 3,276 230 78 157 10 17 6,156 NH CA 27,195 15,037 1,354 561 1,769 21 155 27,692 NJ 4,761 2,938 390 143 414 2 22 4,815 CO 3,635 2,309 278 98 216 9 21 3,727 NM 1,468 932 86 30 117 7 14 1,477 CT 2,367 1,523 191 80 133 8 12 2,402 NV 1,985 1,106 91 28 142 2 8 2,009 9,301 6,512 801 265 790 19 48 9,467 DC 216 119 13 5 10 0 0 222 NY DE 691 511 49 20 77 0 5 696 OH 10,813 7,614 589 159 444 19 29 10,873 FL 15,734 9,500 886 284 696 23 65 15,961 OK 2,881 1,590 89 25 138 5 67 2,905 GA 7,361 5,110 451 155 435 4 30 7,516 OR 2,499 1,558 129 41 120 7 11 2,531 HI 737 525 58 18 87 1 2 756 PA 9,922 6,354 972 299 598 25 45 10,080 IA 2,157 1,347 83 27 85 2 12 2,177 PR 253 87 32 10 27 0 0 256 ID 1,163 715 59 16 45 2 2 1,166 RI 675 365 38 5 22 0 6 682 3,516 2,464 133 38 130 6 20 3,538 IL 9,402 4,988 429 122 580 3 74 9,491 SC IN 5,942 3,843 276 93 297 10 48 5,972 SD 686 478 52 23 19 0 1 692 KS 3,003 2,023 133 32 115 6 8 3,025 TN 5,735 3,498 284 80 229 11 20 5,763 KY 4,562 2,231 181 70 120 10 22 4,574 TX 18,864 11,418 992 328 1,462 19 103 19,075 LA 4,725 2,458 191 72 214 21 5 4,767 UT 1,714 1,199 136 41 161 1 7 1,781 MA 3,843 2,360 206 69 233 3 16 3,891 VA 5,168 3,273 343 129 323 7 50 5,230 MD 3,861 2,431 271 98 193 1 24 3,968 VI 21 16 1 0 2 0 0 21 402 302 40 14 20 0 5 406 ME 990 659 76 31 54 2 2 1,006 VT MI 8,094 6,052 376 122 159 4 13 8,152 WA 3,904 2,452 242 89 191 9 19 3,970 MN 2,794 1,764 253 57 234 4 9 2,862 WI 3,811 2,298 233 90 133 0 9 3,845 MO 5,443 3,259 253 67 182 6 21 5,495 WV 2,036 1,181 122 42 64 3 8 2,051 WY 422 234 26 10 10 0 6 427 MS 3,304 1,658 95 18 91 6 3 3,315 MT 833 491 64 20 54 2 1 854 8
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