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Certified ChiropracticClinical Assistant

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Which CAs?

• Those who help with therapies

• X-rays already certified: ACCRT

• Other programs to train office manager skills

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Why credential CAs

• Why not?!!!• Protect the public• Ensure uniform training

– 5% of malpractice claims relate to injuries with therapies

• Regulatory authority over improper conduct• Accreditors for insurance companies

– Health care providers with human contact must be credentialed / “licensed?”

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Options

• Regulatory Authority– 10 US boards have statutory authority– 41 US boards do not– Need more info about other countries

• National Certification

• Best model: combination

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No regulatory authority?

• Resource: FCLB draft model language for statute, regulations

• Through FCLB: Support and information from boards who have regulatory authority– Breakout session later this morning

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Got regs?

• FCLB can work with your board to help add a second option:

– Full or partial credit for national certification

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CCCA Program Details

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Meet Mary…• At least 18 years old• High school grad

– Or equivalent• 24 hrs coursework• On-line exam*• 300 hrs clinical training*

* In the DC’s office• 6 hrs CE / 2 years

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Training

• PACE Recognized Provider or equivalent– Examples:

• Qualified state or national associations• Chiropractic colleges [Palmer]• Qualified independent educators

• On-line, in-person, or combination

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CCCA Fees

• Designed to be affordable: $150– $50 for certification program, including

credentialing, badge – 2 year renewal cycle– $100 for exam

• Initial administration will be discounted for a set period of time

• Subsequent CCCA renewal: $35 / 2 years

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Quality Examination

• Centerpiece of the credentialing program:– NBCE’s reputation for quality– Verification of knowledge– Ensures level of safety

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Exam Progress

• Test plan created– Input from postgrad depts, experts

• 4 Primary categories: – Foundational Knowledge – 30%– Patient Safety & Procedures – 40%– Documentation – 15%– Ethics & Boundaries – 15%

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Exam Progress

• Item pool established• Test committee convened• Exam developed (4 versions ready to go)• Designing the on-line exam delivery

system• Finalizing passing standards

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Moving forward…

• Sample statute and regulations available for comment– Model Practice Act breakout session– Regulating CAs breakout session

• Central FCLB database system being modified to host CA certification & regulatory info

• On-line application nearing completion

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What’s next for your board?

• Boards modify or adopt language – Regulate CAs: License? Register?– Use CCCA

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Discussion