certified chiropractic
DESCRIPTION
Certified Chiropractic. Therapy. Clinical. Assistants. Public Protection Perspective. Boards do NOT hear complaints reluctant to change Why isn’t this covered by delegation clauses? Doctor’s license is responsible 5.1% of malpractice claims involve patient injuries. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/1.jpg)
Certified Chiropractic Therapy AssistantsClinical
![Page 2: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/2.jpg)
Public Protection Perspective
• Boards do NOT hear complaints – reluctant to change
• Why isn’t this covered by delegation clauses?– Doctor’s license is responsible
• 5.1% of malpractice claims involve patient injuries
![Page 3: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/3.jpg)
• NINE US boards currently have some type of regulatory authority over CAs who help with therapies
• Ranges from little or no defined training hours to fairly robust programs
Public Protection Perspective
![Page 4: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/4.jpg)
At a Glance
• Vacuum cleaners are coming: $93,000 removed from AZ DC last month
• Without a national certificationprogram, boards and insurance companies will create their ownrequirements
Insurance regulators are demanding that insurance companies only allow credentialed people to touch patients
![Page 5: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/5.jpg)
Building a National Program• Post grad deans developed core curriculum
components• Task force built on core: – clinical competencies– model statute and regs
• Discussions with stakeholders– Summits– FCLB regional meetings– COCSA, ACA, CCE– FCLB Baltimore meetings
![Page 6: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/6.jpg)
Core Program Values
• Credible• Affordable• Gets CA to work quickly• Portable credentials
![Page 7: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/7.jpg)
At a Glance
Fully TrainedChiropractic Assistant
Certified to assist
with Therapies (CCCA)
BillingFront Desk
SuppliesCustomer RelationsBusiness
Management
Certified to assist
with X-rays
(ACCRT)
![Page 8: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/8.jpg)
NBCE 2009 Practice Analysis
• 55% of respondents employ 1 or more CAs who have direct patient contact
• Previous surveys (2003 and 1998) showed 41% delegate therapies to assistants
• 44% think their state requires licensure or certification– These CAs are full-time in 28.8% of offices
![Page 9: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/9.jpg)
NBCE 2009 Practice Analysis
![Page 10: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/10.jpg)
NBCE 2009 Practice Analysis
![Page 11: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/11.jpg)
At a Glance
1
•Eligibility
2
•Didactic (Concept) Training
3
•Examination - NBCE
4
•Clinical Internship
5
•Regulation
6
•National Registry
7
•Grandfathering Provisions
![Page 12: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/12.jpg)
Program Components
• Eligibility Criteria – 18 yrs, High school or equiv– Criminal background check
• Didactic Training – 20 to 40 hrs– On-line, in person, combination OK– Offered by PACE Approved Providers– Providers may offer short refresher course– CE hours
![Page 13: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/13.jpg)
Program Components
• Examination– Offered by NBCE– Available frequently– Modest cost– Available to new trainees, those out of practice for
a while, or grandfathering experienced people
![Page 14: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/14.jpg)
Program Components
• Clinical Internship– Register with the board– Log progress regularly on website– Minimum # hours– Doctor certifies specific competencies– Billable services while training
![Page 15: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/15.jpg)
Regulation
• Experience with violations – what do CCTAs do wrong?– Exceed scope of authority– On own initiative or at direction of DC
• Additional revenue source for boards• Possible resistance to regulating additional
group of people
![Page 16: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/16.jpg)
National / International Registry
• Web-based• Facilitates mobility
Grandfathering Provision
• Based on NBCE exam• How much previous background to qualify• How to reinstate status after absence
![Page 17: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/17.jpg)
• Boards’ regulatory authority over clinical CAs
– Which boards have authority now?– Which boards can get authority in the future?– Which boards will never be able to have
authority?• Insurance companies will regulate by contract
Today’s Issue
![Page 18: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/18.jpg)
Comments Welcome
• Materials posted on FCLB website– Brochure• Expanded handout
– Clinical competencies– Model statute and regulation
![Page 19: Certified Chiropractic](https://reader035.vdocuments.mx/reader035/viewer/2022070401/5681372f550346895d9ebc44/html5/thumbnails/19.jpg)
We must changeWe can change
We are not alone