Admin + Ethics Flashcards
Certificates of registration in Ontario
- General
- Temp
- Inactive
- retired
What is the Inquires, complaints and reports committee?
- composed of
+ elected chiro
+ appointed public
+ non-council chiropractic members
Quality assurance program of the CCO?
- Random peer assessments
+ evaluate if a practitioners knowledge, skills and judgement are up to standard - Individual member remediation
+ if complaints or deficient peer assessment - xray peer reviews
+ every member participates in this this program
+ reports and ability to take images are assessed
What is required in the Professional portfolio for the quality assurance committee?
- profession profile/CV
- self assessment
- continuing education and professional development
+ must do 40 hrs/ 2yrs, min 20hrs
structured - accompanying folder
+ maitain materials gathered while
fulfilling CE
Chiro specialties recognized by the CCO?
- chiropractic sciences
- radiologists
- sports sciences
- orthopaedic specialists
- Physical and Occupational Rehab
Regulated Health Professionals ACT?
- public gets freedom of choice with health care practitioner
- scope of practice
Health care consent act?
- required elements of consent
+ related to treatment
+ informed
+ voluntary
Autorized acts as a chiropractor?
- communicating a diagnosis
- moving the joints of the spine beyond a person’s usual physiological ROM using a HLVA
- putting a finger beyond the anus for tailbone manipulation
When to do comparative assessments?
- no later than each 24th visit
Hoow long to produce CCO requested health records?
- 30 days
How long to keep records after a patients discharge?
- 7 years
What records to maintain?
- daily appointment record
+ surname and Intital of each patient
severed - Equipment service record
+ servicing of x-ray machine used to emit a form of energy for use on a patient - record of personal health information
Requirements for taking your own xray?
- comply with patient slection, follow up and billing
- ensure the equipment is registered
- HARP saftey protocols
- informed consent
- radiological report
- radiological log
+ patient id, date, projection, kVp, mAS - radio records:
+ recents, reason for imaging, results and conclusions of image, pkan of action based on image
How can you advertise?
- verifiable information
- can name the diagnostic, therapy or modalitiy
- can only say specialist if on the qualified list
- affilion w/ other profession organisation than CCO only on:
+CV
+ business stationary
+ recgongized displays - endosement only by an approved CCO organisation
- initial complementary treatment
- testimonials on chiropractic benefit, with consent
- advertise their fee
What not to advertise?
- do not compare
- do not promote exclusivity
- no participation or obligation based promotions
- if doing a public presentation, no diagnosis or adjustment performed
Public displays?
- clear sign for purpose of event
- give CCO notification in writing, informing them of the event date and place at least 10 days prior
- at least one licensed member at the display at all times
- can assess patient at the display
Social Media?
- legal and professional confidentiality act PHIPA CCO standards fo practice
- no clinical advise, diagnosis or gurantee of cure
- general health info can be given
- say for education not clinical advise
- copyright laws
- appropriate professional boundaries
- seperate professional and personal pages
Chiro Assessment?
can advertise fee of:
- initials
- subsequent visit
- comparative assessment
- new conditions/goal assessment
- updated condition/goal assessment
- discharge assessment
Can assign staff following examinations?
- completion of intake form
- basic data like height and weight
- assisting during exam and patient care
+ competent staff, staff training
+ must communicate that staff is needed for assistance to the patient w/ consent
+ record assignemnt of care by the memeber
+ must be physically on site for supervision+ must get a PHIPA
What you can’t assign staff?
- produce xray
- infomred consent
- constructing or communicating a treatment plan
- patient discharge or referral
Health records electronic?
- secure
- no tampering
- no unautorized use
- available as hard copies
- each entry accurate and individual not template like
Personal health records?
- patient can obtain copies of personal health information
- health information custodian: designated person respnsible for records and to establish policies consistent w/ PHIPA
If patient asks question outside of our scope of practice?
- advise patient that this is not in their scope and to consult another health care professional
- encourage them to be active in their health care choices
Who can give or refuse consent?
- guardian
- power of attorney
- representative appointed by a board
- spouse or partner
- child or parent
- brother or sister
- relative that is > 16
- health care proxy
Doctor/patient relationship?
- cannot have a concurrent sexual and doctor patient relationship including spouse or partner
- a patient remains a patient, if treatment occurred within a year
Professional misconduct?
- providing care w/out consent
- unprofessional act
Conflict of interest?
- gift or benefit in exchange for services
- giving gifts
- sell a product for more than fair market value
Reporting?
- sexual abuse
- incompetence of another practitioner
- if plan to terminate employment or dissolve partnership must report 30 days prior to the registrar
- if child abuse suspected report to Children’s aid society
- long term care homes, report to registrar of retirment homes reg
- occupational health and saftey, when conducting an exam on an individual related to employment conditions
When to disclose personal health information?
- if disclosing inform eliminates
+ risk of harm to a person
+ risk of death
+imminent danger
What is a clinical impression?
- DDx
- working diagnosis
idea or analysis of patients condition
Independent Chiropractic Examiner?
- evalutating for a third party
- must explain the role to patient, obtain consent
- maintain a file, do not disclose info to 3rd party without consent
- report: everything to treating chiro
- should also be practicing not just doing ICR work
Canada’s age of consent?
- child’s ability to provide or refuse consent is based on the physical mental and emptional development not if they are of age
What tools can we use?
- diagnostic ultrasound
- treatment ultrasound
- tens
- NMES
How long do we keep files?
- minimum 7 yrs
- 7 yrs after an underage patient has turned 18
Fines for treating outside of Chiro practice?
- 1st time: $2500
- 2nd time: $50000
