Ohio , , and Athletic Trainers Board Orthotics, Prosthetics, and Pedorthics Advisory Council March 20, 2019 2:00 p.m. Roll Call 77 South High Street, 31st Floor, East B Columbus, Ohio 43215

1. Administrative Matters 1.1 Agenda Review 1.2 Approval of Minutes Action Required 1.3 Executive Director’s Report 1.4 Discussion of Law and Rule Changes 2. Licensure Applications (30Minutes) 2.1 Application Review Liaison Report (5 Minutes) 2.2 Continuing Education Liaison Report 2.3 Licensure Renewal Report 3. Enforcement Division (30 Minutes) 3.1 Assistant Attorney General Report (5 Minutes) 3.2 Case Review Liaison Report (10 Minutes) 4. Correspondence (10 Minutes) 5. OOPA Report (5Minutes) 6. Open Forum (5 Minutes) 7. Old Business (10 Minutes) 7.1 3D printing and prosthetic services 8. New Business (10 Minutes) 8.1 Pedorthics 8.2 Masters degree requirement for orthotics and prosthetics entry level education 8.3 Licensing orthotics fitters, orthotics assistants, and prosthetics assistants 9. Next Meeting Preparation 9.1 Agenda Items 9.2 Executive Director Assignments 10. Adjournment

Orthotics, Prosthetics, and Pedorthics Advisory Council March 20, 2019 Page 1 of 1

Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board

Orthotics, Prosthetics, and Pedorthics Advisory Council January 17, 2019 9:00 a.m.

Members Present Staff Tamara Daulton, LPED Jennifer Adams, Investigator Derek Kinsella, LO Melissa Anthony, Executive Director Brian Weaver, LPO Josette Watkins, Investigator Assistant Don Weldon, LO Kimberly Peer, PT, Joint Board Secretary Guests Members Absent Dianne Farabi, Ohio O&P Association Jeffrey Hagman, LP

Call to Order Brian Weaver, Chair, called the meeting to order at 8:56 a.m.

Approval of Minutes Action: Brian Weaver moved that the minutes from the September 27, 2018, meeting be approved as submitted. Tamara Daulton seconded the motion. The motion carried.

Executive Director Report • The Executive Director reported that the LO, LP, LPO, and LPED licensees are in a renewal period. Seventy-five percent of licensees have renewed. • The Executive Director reported that the Board is working with eLicense regarding data integrity notifications to licensees. • The Executive Director informed the Advisory Council that the Board will terminate the old OPP website. • The Executive Director reported that there are OPP rules changes in progress. • The Executive Director provided a brief legislative overview.

Discussion of Laws and Rules The Executive Director reviewed the Board’s summary suspension process and made recommendations for proposed changes to the existing language under section 4779.29 of the Ohio Revised Code.

Action: Brian Weaver moved that the summary suspension language be modified to better align with the timeframes and language for the OT, PT, and AT Sections. Tammy Daulton seconded the motion. The motion carried.

The Executive Directior gave an overview of a new rule to reflect the current function of the Advisory Council which mirrors the language in the statute.

AdministrativeDRAFT Reports Licensure Liaison Report Don Weldon reported that he contacted ABC Certification Board to verify that ABC courses are offered to all licensees and non-licensed state holders. Don Weldon will seek confirmation on when the NCOPE residency requirement was implemented.

Orthotics, Prosthetics, and Pedorthics Advisory Council January 17, 2019 Page 1 Continuing Education Liaison Report The Council discussed potential changes regarding continuing education minimum requirements, ethics education and code of professional standards.

Enforcement Report Lynn Busdeker reported that the Enforcement Division opened zero new cases and closed zero cases since September 27, 2018 meeting. There are two cases currently open. There are two active consent agreements and zero adjudication orders being monitored.

OOPA Report Dianne Farabi had no formal report for the Council.

Open Forum None

Old Business None

New Business 3-D printing Discussion The Advisory Council discussed 3-D printing and educating the public on the licensure requirements for providing this service.

Standard Responses and Frequently Asked Questions The Advisory Council discussed adding a frequently asked question regarding orthotics fitters.

OPP Continuing Education Hours Requirement The Advisory Council discussed whether continuing education hours is required for first time license renewal. Historically, orthotics, prosthetists, and pedorthist are not required to obtain continuing education hours for the first license renewal.

Foreign Educated Applicants The Executive Director discussed the process for evaluating credentials for a foreign educated applicant for LO, LP, LPO, LPED. The Executive Director recommended that the Advisory Council establish guidelines in the rules to address the requirements for evaluating foreign trained applicants. The Executive Director recommended that the Advisory Council use World Education Services (WES) to prepare the credential evaluations. The Advisory Council recommended that ABC determine if the residency requirements have been met for a foreign educated applicant. Test of English as a Spoken Language (TOEFL iBT) requirement must also be established in the rules for foreign educated applicants with the ability to waive the TOEFL on a case by case basis.

Next Meeting Preparation Scope of practice for pedorthist Discussion regarding licensing orthotics Fitters, orthotics assistants, and prosthetics assistants

DRAFT

Orthotics, Prosthetics, and Pedorthics Advisory Council January 17, 2018 Page 2 Adjournment There being no further business and no objections, Brian Weaver adjourned the meeting at 10:03 a.m.

Respectfully submitted, Diane Moore

Brian Weaver, LPO, Chair Tamara Daulton, LPED, Secretary Ohio Occupational Therapy, Physical Therapy, Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board, OT Section and Athletic Trainers Board, OT Section

Melissa A. Craddock, Executive Director Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board TD:dm

DRAFT

Orthotics, Prosthetics, and Pedorthics Advisory Council January 17, 2018 Page 3 EXECUTIVE DIRECTOR REPORT – MARCH 2019

LICENSURE STATISTICS

 The renewal period ended January 31 for PTA, LO, LP, LPO, and LPED license types. This was the first two year renewal for the OPP licenses. The renewal rate for all license types was 95%. The next renewal cycle begins April 1 for Occupational Therapists.

change change Number of Active since Number of Active since License Type % licenses as of last licenses as of last 1/15/19 Board 2/27/19 Board mtg mtg

Athletic Trainer 8.38% 2,771 1% 2,766 0%

Occupational 19.43% 6,339 0% 6,415 1% Therapist Occupational 14.88% 4,892 0% 4,911 0% Therapy Assistant Physical 30.97% 10,143 1% 10,223 1% Therapist Physical Therapist 25.30% 8,754 0% 8,352 -5% Assistant Orthotist 0.22% 80 -1% 72 -10% Pedorthist 0.23% 81 1% 76 -6% Prosthetist 0.20% 67 0% 65 -3%

Prosthetist- 0.39% 132 2% 130 -2% Orthotist Total 33,259 0% 33,010 -1%

ELICENSE

 We are having issues with data integrity. Finding licenses that are not scheduled to receive proper renewal notices. Also finding licenses that are still marked active although they have expired (explains the drop in AT licenses).  Outstanding tickets in testing for March release: o OT escrow removal will cost $525.10. o Patch to automatic generation of expiration dates for new licenses. o Removes an enforcement tag that was a data error on all PTA licenses. o Updates OT renewal questions. o Removes notarized certification of application for PT and PTA.

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OPP CONSOLIDATION

 Rule changes in progress

PERSONNEL, BUDGET, AND OFFICE REPORT

 Paralegal position filled  Investigator supervisor interviews – 2nd round being scheduled

MISCELLANEOUS  Serving on the FSBPT Membership Survey committee and new Council of Board Administrators succession task force – meeting in January  Conversion to Alternate Approval Process underway for PT/PTA for March 27  Online CE tracking RFP posted  Converting to OOTA approval of CE  Auditor of State has begun our biennial audit

LEGISLATIVE

 Budget will be introduced March 15. Testimony will soon follow.  House Bill 255 – implementation requirements o Will require the Board to go before a legislative committee to justify licensure o (B) An individual who has been convicted of any criminal offense may request, at any time, that a licensing authority determine whether the individual's criminal conviction disqualifies the individual from obtaining a license issued or conferred by the licensing authority. An individual making such a request shall include details of the individual's criminal conviction and any payment required by the licensing authority. A licensing authority may charge a fee of not more than twentyfive dollars for each request made under this section, to reimburse the costs it incurs in making the determination.

Not later than thirty days after receiving a request under this section, the licensing authority shall inform the individual whether, based on the criminal record information submitted, the individual is disqualified from receiving or holding the license about which the individual inquired. A licensing authority is not bound by a determination made under this section, if, on further investigation, the licensing authority determines that the individual's criminal convictions differ from the information presented in the determination request.

A licensing authority shall make available to the public on the licensing authority's internet web site a list of all criminal offenses of which conviction of that offense shall disqualify an individual from obtaining a license issued or conferred by the licensing authority.  Senate Bill 7 – Temporary state occupational licenses for members of the military and their spouses o Improved from last General Assembly

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o Requires us to know that the individual is not the subject of investigation by any other agency o Temp license good for three years o Waives all fees o An individual with a temporary license or certificate issued under this section may practice the trade or profession in this state only within the scope and practice that is permitted under Ohio law and that does not exceed the individual’s training

RULES

Rule package # Status Volunteer CE 3 OT filed with JCARR, PT ready to file with JCARR post-Jan meeting, AT posted for early stakeholder release Third batch – five year review 25 OT and PT filed with JCARR; AT awaiting CSI PT – 18 year olds licensure 3 ready to file with JCARR post-Jan meeting PT Educational requirements 1 Awaiting CSI recommendation PT wall certificates 1 ready to file with JCARR post-Jan meeting PT continuing education – JAM 1 ready to file with JCARR post-Jan meeting and volunteer CE PT referrals rule 1 Filed with JCARR OT wall certificates 1 Filed with JCARR OT escrow elimination 3 Filed with JCARR Fourth batch – five year rule 19 Early stakeholder review complete; file with CSI. review Some can be filed straight to JCARR for no change. OPP consolidation We have one rule from OPP in the bucket of invalidation for JCARR in November. I am working with LSC to renumber these rules and then will begin filing. PTA foreign education 4 Post for stakeholder review after meeting AT SOP rules 2 Posted for stakeholder review, will file with CSI Personal Information Systems 12 Filed for five year review rules

WEBSITE AND STANDARD RESPONSES

 All standard responses were updated in 2018  Website review – in process. Targeting other materials for update (geographic data, metrics, etc.)

BOARD MEMBER REMINDERS

 Financial disclosure needs filed

OUTREACH

 February 8 – Annual Fieldwork Educators workshop in Cincinnati for OT/OTA  February 8-9 – FSBPT Membership Survey task force

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 February 13 – Ohio Department of Education Related Services Workgroup  March 4 – Owens State OTA Ethics  March 6 – meeting with Danny Hurley and Becky Finni  March 7 - GCATS ethics in Westerville  March 13 – Ohio School Health Services Association meeting  March 29 – Ohio Orthotics and Prosthetics Association conference  April 5 – OPTA conference (will have a table)  April 27 – OOTA Northeast Ohio district meeting - ethics  May 17-18 – OATA conference  May 21-22 – NBCOT regulatory training  July 12-13 – BOC Athletic Trainer Regulatory Conference  July 13-14 – FSBPT Leadership Issues Forum  August 5-6 – School Based conference for OT and PT  October 18-19 – OOTA conference  October 24-26 – FSBPT Annual meeting

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OPP ADVISORY COUNCIL ENFORCEMENT REVIEW PANEL MEETING

Date: March 20, 2019 Meeting Time: 1:30 PM Board Office Conference Room-16th Floor

“New” cases opened since the last meeting: 0

Cases “closed” since the last meeting: 2

Cases “currently open”: 0

Active consent agreements: 2

Adjudication orders being monitored: 0

*Statistics as of 03/14/2019 3/13/2019 AOPA Statement on 3-D Printing in Prosthetics and Frequent Errant Estimates of the Average Cost of Upper and Lower Limb Custom-Fa…

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AOPA Home / 2015 / February / AOPA Statement on 3-D Printing in Prosthetics and Frequent Errant Estimates of the Average Cost of Upper and Lower Limb Custom-Fabricated Prosthetic Devices Recent News Abstract Submission Deadline Approaching: March 25, AOPA Statement on 3-D Printing in Prosthetics 2019 and Frequent Errant Estimates of the Average March 13, 2019 Read the March O&P Cost of Upper and Lower Limb Custom- Almanac now. March 11, 2019

Fabricated Prosthetic Devices CMS Announces Product February 6, 2015 Categories and Timeline for Competitive Bidding 2021 March 8, 2019

Revision to the LSO/TLSO

Policy Article America’s prosthetic and orthotic health professionals deliver patient – centered care each day to persons of all February 26, 2019 ages whose mobility has been compromised by limb loss and chronic limb impairment. This includes the HCPCS Code Changes for commitment for trained, licensed and accredited health professionals delivering cost efficient care that also 2019 meets all patient protections established via federal and state statutes and rules, utilizing devices that satisfy all January 15, 2019 FDA requirements. We are intrigued by the emerging 3-D technologies outlined in several recent TV, print and Web-based media reports, while noting that in many cases the care featured involves instances that do not fully News Categories comply with FDA rules and/or federal or state licensure and accreditation requirements. We must also ALJ Hearings underscore that these reports frequently include serious inaccuracies in characterizing current costs of federally AOPA News compliant advanced upper extremity prosthetics as between $40,000 and $80,000, when actual costs are often Assembly only about one-twentieth of those amounts ($1,500 to $5,000). All who share a true commitment to quality care CMS would strongly encourage media involved in preparing and fact-checking such reports to be cognizant of these Jurisdiction B rampant inaccuracies, even as we all watch with great interest how new and promising patient treatment options Jurisdiction D may be evolving. Medicare Membership Mobility Saves OTS Policy Forum RAC Audits REminders

← Previous Post Next Post → Uncategorized O&P Industry Leaders Attend the Inaugural AOPA AOPA Announces 2015 RFP’s World Congress Leadership Conference News Archives March 2019 February 2019 January 2019 December 2018 November 2018 October 2018 September 2018 August 2018 July 2018 June 2018 http://www.aopanet.org/2015/02/aopa-statement-on-3-d-printing-in-prosthetics-and-frequent-errant-estimates-of-the-average-cost-of-upper-and-lower-lMay 2018 … 1/3 ABC Certified Pedorthist

An ABC certified pedorthist is a health care professional who is specifically educated and trained to manage comprehensive pedorthic patient care. This includes patient assessment, formulation of a treatment plan, implementation of the treatment plan, follow-up and practice management. An ABC certified pedorthist fits, fabricates, adjusts, or modifies devices which reflect his/her education and training.

The profession of pedorthics is the provision of patient care and services by or under the direction and supervision of an ABC certified pedorthist to provide the application of a pedorthic device for the prevention or amelioration of painful and/or disabling conditions of the foot and ankle. A prescription is required for any pedorthic device, modification, and/ or prefabricated below the knee orthosis addressing a medical condition that originates at the ankle or below.

“Pedorthic devices” means therapeutic shoes, shoe modifications made for therapeutic purposes, partial foot prostheses for transmetatarsal and more distal amputations, and foot orthoses. It also includes subtalar-control foot orthoses (SCFO) designed to manage the function of the anatomy by primarily controlling the range of motion of the subtalar joint. Excluding footwear, the proximal height of a custom pedorthic device does not extend beyond the junction of the gastrocnemius and the Achilles tendon. Pedorthic devices do not include non-therapeutic inserts or footwear regardless of method of manufacture; unmodified, non-therapeutic overthe- counter shoes; or prefabricated foot care products. “Therapeutic” devices address a medical condition, diagnosed by a prescribing medical professional, while “non-therapeutic” devices do not address a medical condition.

The pedorthist certified by ABC is bound by the ABC Code of Professional Responsibility which is enforced by a Professional Discipline program. The certified pedorthist is obligated to support and conform to professional responsibilities that promote and assure the overall welfare of the patient and the integrity of the profession. The time limited certification expires without compliance with the Mandatory Continuing Education program. The practice of an ABC certified pedorthist includes but is not limited to:

1) Assessment of patients with impairment of human movement or musculoskeletal abnormalities that would otherwise impede their ability to participate in their social environment or other activities in order to determine a functional intervention. Pedorthic patient assessment may include, but is not limited to, the evaluation and documentation of: • anthropometric data • cognition • circulation • skin integrity • protective sensation • pain

ORTHOTIC, PROSTHETIC & PEDORTHIC SCOPE OF PRACTICE 6 • peripheral nerve integrity • respiratory capacity • biomechanics • gait analysis including temporal and spatial assessment • range of motion • muscle strength • posture and balance • proprioception • pedorthic requirements • environmental barriers including social, home, and work reintegration

2) Formulation of a treatment plan based upon a comprehensive assessment to design an intervention to alleviate limitations and enhance function. Pedorthic treatment includes, but is not limited to: • verification of prescription/documentation • evaluation of the prescription rationale • a needs assessment based on patient and/or caregiver input • development of functional goals • analysis of structural and design requirements • consultation with and/or referral to other health care professionals

3) Implementation of the pedorthic treatment plan includes but is not limited to: • acquisition of anthropometric data • modification and/or rectification of anthropometric data • material selection • fabrication of pedorthic devices • device structural evaluation • diagnostic fitting • gait training • assessment of intervention for appropriate outcomes • patient education and instruction • supervision of the provision of care

4) Utilization of a follow-up treatment plan that ensures successful pedorthics outcomes, patient health and quality of life which includes, but is not limited to: • documentation of functional changes • formulation of modifications to ensure successful outcomes • reassessment of patient expectations • reassessment of treatment objectives • development of long term treatment plan • confirmation of patient education and instruction • evidenced based practice

ORTHOTIC, PROSTHETIC & PEDORTHIC SCOPE OF PRACTICE 7 5) Compliance with practice management plans to develop and document policies and procedures to ensure patient protection includes, but is not limited to: • adherence to applicable local, state and federal laws and regulations • following patient care guidelines and procedures maintaining a safe and professional environment for patient care • comprehension of claims development and submission

6) Promotion of competency and enhancement of pedorthic professional practice to contribute to the profession’s body of knowledge includes, but is not limited to participation in: • training of residents/students • continuing education • clinical research • evidence based studies • promotion of public awareness of the pedorthic profession • consumer organizations, governmental and non-governmental organizations

ORTHOTIC, PROSTHETIC & PEDORTHIC SCOPE OF PRACTICE 8 3/13/2019 Orthotist & Prosthetist

Effective January 1, 2020, we will revise the eligibility criteria for the orthotist and prosthetist credentials to a master's degree in orthotics and prosthetics from a CAAHEP accredited educational program. Individuals who graduated from a CAAHEP-accredited bachelor's or certificate program and who have not completed their residency, you have until December 31, 2019, to complete your residency and submit a certification application to ABC. Please contact [email protected] or call 703-836-7114 if you have any questions.

You must meet the following specific education and clinical residency requirements to be eligible to take the ABC practitioner certification exams. Please refer to the ABC Practitioner Book of Rules and Candidate Guide for specific eligibility requirements.

Education

A bachelor's degree or higher in orthotics and prosthetics from a Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredited program or

A bachelor's degree or higher in any major along with a post-graduate orthotics or prosthetics certificate from a CAAHEP accredited program or

A foreign degree equivalent to a bachelor's degree or higher in orthotics and prosthetics or

A foreign degree equivalent to a bachelor's degree or higher in any major along with a post-graduate orthotics and prosthetics certificate from a CAAHEPaccredited program

Clinical Residency

Completion of a National Commission on Orthotic and Prosthetic Education (NCOPE) accredited residency program. For more information, please refer to the ABC Practitioner Book of Rules and Candidate Guide.

https://www.abcop.org/individual-certification/Pages/orthotistandprosthetist.aspx 1/1 ABC Certified Orthotic and/or Prosthetic Assistant

An ABC certified assistant is an individual educated and trained to participate in comprehensive orthotic and/or prosthetic care while under the supervision of an ABC certified orthotist and/or ABC certified prosthetist.

Certified assistants, under the supervision of an ABC certified orthotist and/or ABC certified prosthetist may perform orthotic and/or prosthetic procedures and related tasks in the management of patient care. The initial evaluation and formulation of the treatment plan is the responsibility of the supervising orthotist and/or prosthetist. The certified assistant may also fabricate, repair and maintain orthoses and/or prostheses. ABC certified assistants may not use their credentials as independent providers of patient care.

The certified assistant is bound by the ABC Code of Professional Responsibility, which is enforced by a Professional Discipline program. The certified assistant is obligated to support and conform to professional responsibilities that promote and assure the overall welfare of the patient and the integrity of the profession. The time limited certification expires without compliance with the Mandatory Continuing Education program. The practice of an ABC certified orthotic/prosthetic assistant includes, but is not limited to:

1) Participation in the assessment of patients with impairment of human movement or musculoskeletal abnormalities that would impede their ability to participate in their social environment or other activities in order to determine a functional intervention. Patient assessment may include but is not limited to the evaluation of: • anthropometric data • cognition • circulation • skin integrity • protective sensation • pain • respiratory capacity • range of motion • muscle strength • posture and balance • proprioception • orthotic and prosthetic requirements • environmental barriers including social, home and work reintegration

2) Implementation of the established orthotic or prosthetic treatment plan which includes, but is not limited to: • acquisition of anthropometric data • modification and/or rectification of physical data

ORTHOTIC, PROSTHETIC & PEDORTHIC SCOPE OF PRACTICE 13 • preparatory care • material selection • fabrication • prototype development including evaluative wear • structural evaluation • diagnostic fitting • assessment of intervention for appropriate outcomes • gait training • functional training (both self care and work related) • patient education and instruction

3) Utilization of a follow-up treatment plan that ensures successful orthotic and/or prosthetic outcomes, patient health and quality of life which includes, but is not limited to: • documentation of functional changes • formulation of modifications within the established plan of care to ensure successful outcomes • reassessment of patient expectations • reassessment of treatment objectives • assist in development of long term treatment plan • confirmation of patient education and instruction • evidenced based practice

4) Compliance with practice management plans to develop and document policies and procedures to ensure patient well being which includes, but is not limited to: • adherence to applicable local, state and federal laws and regulations • following patient care guidelines and procedures • maintaining a safe and professional environment for patient care • understanding claims development and submission

5) Promotion of competency and enhancement of orthotic and/or prosthetic professional practice to contribute to the profession’s body of knowledge includes, but is not limited to, participation in: • continuing education • training of residents/students • clinical research • evidence based studies • promotion of public awareness of the orthotic and/or prosthetic profession • consumer organizations, governmental and non-governmental organizations

ORTHOTIC, PROSTHETIC & PEDORTHIC SCOPE OF PRACTICE 14 ABC Certified Fitter-Orthotics:

An ABC certified fitter-orthotics is a health care professional who is specifically educated and trained in the provision of certain orthoses. This includes patient assessment, formulation of a treatment plan, implementation of the treatment plan, follow-up and practice management. An ABC certified fitter-orthotics is competent to practice orthotics within a scope of practice that is specific to fitting certain custom fitted, prefabricated and off-the-shelf orthoses as described below: • Cervical orthoses, except those used to treat an unstable cervical condition • Prefabricated orthoses for the upper and lower extremities, except for the following: those used in the initial and/or acute treatment of long bone fractures and dislocations, therapeutic (diabetic) shoes/inserts and functional electrical stimulation orthoses (e.g. myo-orthosis, neuroprosthesis) • Prefabricated spinal orthoses, except those used in the treatment of scoliosis or unstable spinal conditions, or halo cervical orthoses • Pressure gradient garments • Trusses

The ABC certified fitter-orthotics is bound by the ABC Code of Professional Responsibility which is enforced by a Professional Discipline program. The certified fitter-orthotics is obligated to support and conform to professional responsibilities that promote and assure the overall welfare of the patient and the integrity of the profession. The time limited certification expires without compliance with the Mandatory Continuing Education program. The practice of an ABC certified fitter-orthotics includes, but is not limited to:

1) Assessment of prescription or patient’s needs for prefabricated orthoses includes, but is not limited to, the evaluation of the following: • physical assessment • circulation • skin integrity • posture • orthotic requirements

2) Formulation of a treatment plan based upon an assessment to alleviate limitations and enhance function. The orthotic fitter’s treatment includes, but is not limited to: • verification of prescription/documentation • consultation with and/or referral to other health care professionals

3) Implementation of the orthotic fitter’s treatment plan includes, but is not limited to: • acquisition of physical assessment data • adjustments to accommodate individual anatomic contours • structural evaluation • patient education and instruction

ORTHOTIC, PROSTHETIC & PEDORTHIC SCOPE OF PRACTICE 9 4) Utilization of a follow-up treatment plan that ensures successful orthotic outcomes, patient health and quality of life which includes, but is not limited to: • documentation of functional changes • formulation of modifications to ensure successful outcomes • confirmation of patient education and instruction

5) Compliance with practice management plans to develop and document policies and procedures to ensure patient well being which includes, but is not limited to: • adherence to applicable local, state and federal laws and regulations • following patient care guidelines and procedures • maintaining a safe and professional environment for patient care • comprehension of claims development and submission

6) Promotion of competency and enhancement of orthotic professional practice to contribute to the profession’s body of knowledge includes, but is not limited to, participation in: • continuing education • promotion of public awareness of the orthotic profession • consumer organizations, governmental and non-governmental organizations

ORTHOTIC, PROSTHETIC & PEDORTHIC SCOPE OF PRACTICE 10 3/13/2019 O&P Assistant O&P ASSISTANT

WHAT IS AN ABC CERTIFIED ASSISTANT?

The ABC certified assistant supports the ABC certified practitioner in providing comprehensive orthotic and/or prosthetic patient care. Under the guidance and supervision of the ABC certified practitioner, certified assistants may perform orthotic and/or prosthetic procedures and related tasks in the management of patients. This includes fabrication, repairs and maintenance of devices to provide maximum fit, function and cosmesis that reflect the level of education and training received. ABC certified assistants may not use their credential as independent practitioners engaged in unsupervised patient care.

SCOPE OF PRACTICE

CREDENTIALS

Eligibility Application Exams Fees & Dates FAQs ELIGIBILITY

You must meet the following specific education and experience requirements to be eligible to take the ABC Assistant Certification Exam. For more information regarding the eligibility criteria, please reference the ABC Assistant Book of Rules & Candidate Guide.

Education

Possess a high school diploma, GED or college degree and

Successfully complete three semester hours each of the following courses. Each course must be from a regionally accredited institution of higher learning.

Human Anatomy General/Fundamental Physics Medical Terminology

If you received your education in a foreign country, please refer to the ABC Assistant Book of Rules and Candidate Guide for specific eligibility requirements.

Experience

For certification in one discipline, you must complete one year of clinical experience (a minimum of 1,900 hours) under the supervision of an ABC Certified Orthotist or Prosthetist to coincide with the discipline in which you are seeking certification.

If you are seeking dual discipline certification, you must complete 18 months of clinical experience in both orthotics and prosthetics with a minimum of six months in each discipline.

https://www.abcop.org/individual-certification/Pages/oandp-assistant.aspx 1/1 3/13/2019 Orthotic Fitter ORTHOTIC FITTER

WHAT IS AN ABC CERTIFIED FITTER-ORTHOTICS?

An ABC Certified Fitter-orthotics is an allied specifically educated and trained in the provision of certain orthoses. This includes fitting, adjusting or modifying devices that reflect the level of education and training received.

SCOPE OF PRACTICE

CREDENTIAL

APPROVED ORTHOTIC FITTER PRE-CERT COURSES

Eligibility Application Exams Fees & Dates FAQs ELIGIBILITY You must meet the following education and experience requirements to be eligible to take the ABC orthotic fitter certification exam. For more information, please refer to the ABC Fitter Book of Rules and Candidate Guide.

Education

A high school diploma, GED or college degree and

Completion of an American Board for Certification in Orthotics, Prosthetics & Pedorthics, Inc. (ABC) approved orthotic fitter pre-certification education course

If you received your education in a foreign country, please refer to the ABC Fitter Book of Rules and Candidate Guide for specific eligibility requirements

Experience

Pathway 1 Pathway 2 Completion of 1,000 hours of Completion of 500 hours of supervised supervised orthotic fitting patient care orthotic fitting patient care experience experience obtained either before or obtained either before or after after completion of the education completion of the education course. course. Any experience with initial patient evaluations and final Must currently hold a nationally fitting/deliveries of a prefabricated recognized certification in a related orthosis must be done under Direct allied health profession (e.g., Medical Supervision. Please reference the ABC Assistant, Athletic Trainer, Physical Scope of Practice for more information Therapist/PTA, Occupational on Direct Supervision. Therapist/OTA, etc.) to apply under this pathway.

https://www.abcop.org/individual-certification/Pages/orthotic-fitter.aspx 1/2 3/13/2019 Orthotic Fitter

https://www.abcop.org/individual-certification/Pages/orthotic-fitter.aspx 2/2