1. CCCA FCLB Certified Clinical Chiropractic Assistant A Certification Program for Chiropractic Assistants Who Assist with Therapies DRAFT PROGRAM CONCEPTS

2. Why CCCA Certification? Wide variations of CA duties within chiropractic settings  Program targeted for those who help with supportive therapies Public protection issues Insurance regulators require verifiable credentials Need for consistent, uniform standards

3. Eligibility 18 years + High school grad or equivalent Good moral character  No felonies Education from qualified program  Waived for qualified applicants Pass FCLB approved exam Pay fees

4. Clinical Internship During first year:  300 hours practical experience  Equals 7.5 weeks full-time work  Direct supervision  On-line attestation  All services are billable

5. Clinical Internship: Supervisor duties  Doctor of chiropractic  Registered with FCLB  Active, unrestricted license  Doctor attests: understands responsibilities  Doctor attests: accuracy of hours and exposure to clinical services *Regulated jurisdictions may also have registration requirements

6. Renewal 2 year period (biennial) 3 hours of qualifying CE every 2 years? 6 hours?  Asking for member board feedback

7. Fits with Jurisdictional Regulation Refining FCLB Model Practice Act language Boards can use this as requirement for CA licensure or registration If boards choose not to regulate CAs, CCCA program still handles:  Public protection  Regulatory consistency & accountability  Insurance concerns

8. Educational Programs Minimum 24 hours PACE or partners with PACE approved provider From colleges, national / state / provincial associations, private vendors Platforms:  In-person  On-line  Or combination Can be waived if qualified

9. Required Educational Components 8 core areas* General Roles, Duties and Responsibilities of the CCCA Anatomy, Physiology, and Medical Terminology Patient Historical and Clinical information Examination of Vitals Emergency Care Record-keeping and Documentation Ethics and Boundaries Physiological Therapeutics and Rehabilitation *Based on modified Delphi study by postgraduate deans

10. Waiver of Education Evidence of other qualifying training EITHER  Chiro assistant program at least equivalent to CCCA requirements Many existing programs will automatically qualify OR  600 hours of practice (15 weeks) within past 24 months, attest certification to all CCCA minimal competencies

11. Approved by FCLB (NBCE exam)  Required of everyone  No exceptions  Take after qualified education or if granted experience waiver Pass:  Includes award of initial 12 month certification

12. Apply for Exemptions Waiver of education Waiver of felony criminal history  Specific criteria

13. Can Sanction CCCA if … Felony conviction Failure to complete CE Inactive beyond one 2-year renewal period  Retake exam Jurisdiction disciplines CA

14. FCLB responsibilities FCLB Board of Directors CCCA Committee PACE Committee Legally responsible for entire program, due process safeguards, and all final decisions Reviews exemptions, complaints, program improvements Oversees quality of educational programs

15. Possible Timeline: Fall 2011 Feedback from district meetings Dec 2011 Complete policies & procedures Jan 2012 BOD adopts program Appoints CCCA Committee

16. Possible Timeline Mar 2012 Announce approved educational programs at ACC-RAC Pilot exam May 2012 Detailed roll-out to FCLB member boards July 2012 Accept applications for trial states

17. Possible Timeline Aug 2012 National testing Sept 2012 1 st certificates and photo IDs mailed Oct 2012 Open to remaining jurisdictions

18. Discussion