Certified Chiropractic Therapy Assistants Clinical.
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Transcript of Certified Chiropractic Therapy Assistants Clinical.
![Page 1: Certified Chiropractic Therapy Assistants Clinical.](https://reader036.fdocuments.us/reader036/viewer/2022062516/56649e3f5503460f94b2f2fa/html5/thumbnails/1.jpg)
Certified Chiropractic Therapy AssistantsClinical
![Page 2: Certified Chiropractic Therapy Assistants Clinical.](https://reader036.fdocuments.us/reader036/viewer/2022062516/56649e3f5503460f94b2f2fa/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
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• 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
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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
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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
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Core Program Values
• Credible• Affordable• Gets CA to work quickly• Portable credentials
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At a Glance
Certified to assist
with Therapies (CCCA)
BillingFront Desk
SuppliesCustomer RelationsBusiness
Management
Certified to assist
with X-rays
(ACCRT)
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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
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NBCE 2009 Practice Analysis
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NBCE 2009 Practice Analysis
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At a Glance
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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
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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
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Program Components
• Clinical Internship– Register with the board– Log progress regularly on website– Minimum # hours– Doctor certifies specific competencies– Billable services while training
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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
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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
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• 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
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Comments Welcome
• Materials posted on FCLB website– Brochure• Expanded handout
– Clinical competencies– Model statute and regulation
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We must changeWe can change
We are not alone