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Enhancing Patient Protection: Certification for Chiropractic Therapy Assistants

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Discussing the importance of certification for clinical assistants in chiropractic therapy to ensure public protection and standardize training programs. Exploring regulatory challenges, malpractice claims, and the need for a national program.

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Enhancing Patient Protection: Certification for Chiropractic Therapy Assistants

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Presentation Transcript

  1. Certified Chiropractic Therapy Clinical Assistants

  2. 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

  3. Public Protection Perspective • 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

  4. 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

  5. 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

  6. Core Program Values • Credible • Affordable • Gets CA to work quickly • Portable credentials

  7. At a Glance Fully TrainedChiropractic Assistant Billing Front Desk Supplies Customer Relations Business Management Certified to assist with Therapies (CCCA) Certified to assist with X-rays (ACCRT)

  8. 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

  9. NBCE 2009 Practice Analysis

  10. NBCE 2009 Practice Analysis

  11. At a Glance

  12. 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

  13. 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

  14. Program Components • Clinical Internship • Register with the board • Log progress regularly on website • Minimum # hours • Doctor certifies specific competencies • Billable services while training

  15. 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

  16. 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

  17. Today’s Issue • 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

  18. Comments Welcome • Materials posted on FCLB website • Brochure • Expanded handout • Clinical competencies • Model statute and regulation

  19. We must change We can change We are not alone

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