Week 5: Practice standards Flashcards
Practice standards
Outline the expectations for kinesiologists that contribute to public protection
Inform kinesiologists of their accountabilities
Inform public of what to expect of kinesiologists
Practice guidelines
Help kinesiologists understand their responsibilities and how to make safe and ethical decisions in their practice
Code of ethics
Defines the way kinesiologists should uphold the integrity of the profession, serve the interests of patients/clients and act in a manner that justifies public trust
Essential competencies of practice for kinesiologists in ontario
Defines the knowledge, skill, judgement and attitudes required to practice in the public interest
What are the 12 practice standards?
- Advertising
- Conflict of interest
- Consent
- Discharging a client
- Dual health care
- Fees and billing
- Infection control
- Professional boundaries
- Professional collaboration
- Record keeping
- Supervision and education of students and support personnel
- Code of ethics
Practice standard 1: Advertising
Any message communicating info about a member’s practice or professional services they offer
Public medium
Any form of communication that is equally available to anyone who chooses to use it and that is directed to the public
What must the information in advertisements be?
- Accurate
- True
- Verifiable by kinesiologist
- Professional and not misleading
Who is advertising directed to?
A specific audience and must be comprehensible by audience
What must the professional services advertised be within?
The scope of practice of a Rkin
What shouldn’t advertisements contain?
- anything that could be interpreted as intending to promote a demand for an unnecessary service
- info that could be interpreted as a testimonial
What must advertised fees and prices meet?
The expectations for truth and accuracy
What other statements shouldn’t be on advertisements ?
- guarantee of success of the service provided
- comparative or superlative statement about service quality, products or people
- testimonials
- express or implied endorsement or recommendation of a product sold in the practice
- Communication that is undignified and of poor taste
What can the Rkin not do according to the advertising standard of practice?
Indirectly solicit clients/patients in a way that is not considered a public medium
What must the Rkin’s participation in advertising be consistent with?
The college’s practice standard on conflict of interest
Practice standard 2: Conflict of interest
May occur when a kinesiologist engages in a relationship or arrangement as a result of which the kinesiologist’s
personal interests could improperly influence their professional judgment or conflict with their duty
to act in the best interest of patients
How does a kinesiologist comply to the standard of conflict of interest?
- being aware of conflicts of interest that may arise
- be aware of conflicts of interest that may never be acceptable or may be permissible under certain circumstances
- Refraining from practice in situations where unacceptable conflicts of interest have arisen or may arise
- Correct application of strategies to mitigate or address conflicts of interest
Strategies to address conflicts of interest
- Proactive disclosure
- Timely discharge planning
- Clear separation of personal and professional roles
- Establishing and following an appropriate conflict of interest policy and code of
conduct - Ensuring that informed consent is obtained
- Contacting the College or consulting legal counsel regarding the conflict of interest
Practice standard 3: Consent
Kinesiologists must respect the autonomy of patients/clients and will only assess or treat them with their informed consent w rare exceptions
Elements of consent
- Fully informed
- Voluntarily given
- Related to the patient’s condition and circumstances
- Not obtained through fraud or misinterpretations
- Evidenced in a written form signed by the patient or documented in record
What does informed consent involve discussing?
- The nature of the recommended assessment or treatment
- Why the client should have the assessment or treatment
- The alternatives
- The effects, risks and side effects of proposed assessment or treatment
- What might happen if client chooses to not have the assessment or treatment
Things to keep in mind when obtaining consent
- remind patient that they can withdraw consent at any time
- encourage them to ask questions
- use plain language
- pause to allow patient to understand
- complete a medical history
What can consent be?
- verbal
- written
- implied through behaviour
Minimum age for consent
NONE
Hierarchy of substitute decision makers
- Court-appointed guardian
- The individual named as power of attorney for personal care
- Representative appointed by consent and capacity board
- Family
- The public guardian and trustee
Hierarchy for family members
- Spouse or partner
- Parents or child 16 years or older
- Parent with right of access only
- Sibling
- Other relative
How old do you have to be to choose a substitute decision maker?
16
Practice standard 4: Discharging a client
Occurs when services being provided to patient are terminated
Discharging a client standard statement
- plan for discharge of patient as early as possible and involve patient in planning
- info regarding discharge is contained in health record
- if patient is discharged for a reason other than achievement of goals of treatment plan, members will promote the principles of continuity of care and be sensitive in their communication
How does a member demonstrate the standard of discharging a client?
- Examining reasons for discharge
- Considering the condition
- Reviewing availability of alternative services
- Giving opportunity
Practice standard 5: Dual health care
Occur when a member of the College of Kinesiologists of Ontario practises as a kinesiologist and practises in another health care discipline (e.g. massage
therapist, chiropractor or acupuncturist). The other health discipline may be regulated or
unregulated.
How does a member demonstrate the standard of dual health care?
- Keeping roles of dual health care practice separate
- Ensuring that recommended treatments are based soley on patient needs
- Ensuring that patients are provided with the information needed to understand the
member’s role and accountability - Ensuring that patients are provided with the services that they initially sought unless it is
determined to be inappropriate - Ensuring that patients’ records clearly demonstrate which services have been provided
- Claiming only the time worked practising within the scope of practice of kinesiology as practice
hours for continued registration with the College - Ensuring that any care provided by the member in another discipline is not done in an effort to
avoid practising according to the standards of this College
How can roles of the dual health care practices be kept separate?
- appt bookings
- entries in records
- billing and financial records
- obtaining written and signed informed consent when performing a diff role than originally sought
What would be appropriate to explain when providing a non-kinesiology service under the dual health standard?
- that the service is not within the scope of practice of kinesiology
- that the service is unregulated and is not covered by kinesiology liability
insurance - that the service cannot be billed to an insurer as kinesiology services
Practice standard 6: Fees and Billing
Billing: to invoice/request payment for services provided to a patient/client
Fees: the amount charged for services provided
What must members ensure under the standard of fees and billing?
- They have a clear fee schedule
- Clients/patients receive the relevant fee information to enable them to make an informed choice
- The client/patient and any third party payor receive accurate information about the services provided and the fees charged
Can an Rkin provide a discount for services?
Yes but must be clear why and to who
Can’t be selective with who it applies to
Who can act as evaluators of capacity and make a determination of incapacity?
Only specified health care professionals, not members
