Admin + Ethics

Question 1

Certificates of registration in Ontario

Answer 1

• General
• Temp
• Inactive
• retired

Question 2

What is the Inquires, complaints and reports committee?

Answer 2

• composed of
  + elected chiro
  + appointed public
  + non-council chiropractic members

Question 3

Quality assurance program of the CCO?

Answer 3

• 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

Question 4

What is required in the Professional portfolio for the quality assurance committee?

Answer 4

• 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

Question 5

Chiro specialties recognized by the CCO?

Answer 5

• chiropractic sciences
• radiologists
• sports sciences
• orthopaedic specialists
• Physical and Occupational Rehab

Question 6

Regulated Health Professionals ACT?

Answer 6

• public gets freedom of choice with health care practitioner
• scope of practice

Question 7

Health care consent act?

Answer 7

• required elements of consent
  + related to treatment
  + informed
  + voluntary

Question 8

Autorized acts as a chiropractor?

Answer 8

• 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

Question 9

When to do comparative assessments?

Answer 9

• no later than each 24th visit

Question 10

Hoow long to produce CCO requested health records?

Answer 10

• 30 days

Question 11

How long to keep records after a patients discharge?

Answer 11

• 7 years

Question 12

What records to maintain?

Answer 12

• 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

Question 13

Requirements for taking your own xray?

Answer 13

• 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

Question 14

How can you advertise?

Answer 14

• 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

Question 15

What not to advertise?

Answer 15

• do not compare
• do not promote exclusivity
• no participation or obligation based promotions
• if doing a public presentation, no diagnosis or adjustment performed

Question 16

Public displays?

Answer 16

• 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

Question 17

Social Media?

Answer 17

• 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

Question 18

Chiro Assessment?

Answer 18

can advertise fee of:

• initials
• subsequent visit
• comparative assessment
• new conditions/goal assessment
• updated condition/goal assessment
• discharge assessment

Question 19

Can assign staff following examinations?

Answer 19

• 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

Question 20

What you can’t assign staff?

Answer 20

• produce xray
• infomred consent
• constructing or communicating a treatment plan
• patient discharge or referral

Question 21

Health records electronic?

Answer 21

• secure
• no tampering
• no unautorized use
• available as hard copies
• each entry accurate and individual not template like

Question 22

Personal health records?

Answer 22

• patient can obtain copies of personal health information

- health information custodian: designated person respnsible for records and to establish policies consistent w/ PHIPA

Question 23

If patient asks question outside of our scope of practice?

Answer 23

• 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

Question 24

Who can give or refuse consent?

Answer 24

• 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

Question 25

Doctor/patient relationship?

Answer 25

• cannot have a concurrent sexual and doctor patient relationship including spouse or partner
• a patient remains a patient, if treatment occurred within a year

Question 26

Professional misconduct?

Answer 26

• providing care w/out consent

- unprofessional act

Question 27

Conflict of interest?

Answer 27

• gift or benefit in exchange for services
• giving gifts
• sell a product for more than fair market value

Question 28

Reporting?

Answer 28

• 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

Question 29

When to disclose personal health information?

Answer 29

• if disclosing inform eliminates
  + risk of harm to a person
  + risk of death
  +imminent danger

Question 30

What is a clinical impression?

Answer 30

• DDx
• working diagnosis
  idea or analysis of patients condition

Question 31

Independent Chiropractic Examiner?

Answer 31

• 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

Question 32

Canada’s age of consent?

Answer 32

• child’s ability to provide or refuse consent is based on the physical mental and emptional development not if they are of age

Question 33

What tools can we use?

Answer 33

• diagnostic ultrasound
• treatment ultrasound
• tens
• NMES

Question 34

How long do we keep files?

Answer 34

• minimum 7 yrs

- 7 yrs after an underage patient has turned 18

Question 35

Fines for treating outside of Chiro practice?

Answer 35

• 1st time: $2500

- 2nd time: $50000