Professional liability insurance is a type of insurance coverage designed to protect professionals and businesses from financial losses resulting from claims of negligence, errors, mistakes, omissions, or other professional misconduct in the services they provide.
As per CPC By-Law 3C, section iv, all CPC Registrants must possess a minimum of $1,000,000 in liability insurance. This bylaw provides protection to both the public and the Registrant.
The CPC does not require its Registrants to have a medical referral in order to assess and treat a patient, however most insurance plans require a diagnosis in order to provide coverage. Effectively this means insurers will not process a claim based solely on a C. Ped (C)’s assessment, which makes a referral necessary to the patient. This is notwithstanding the fact that in most practices, the physician defines the need for assessment (the referral) while the C. Ped (C), being the provider of the service, decides and defines the treatment (the prescription) and dispenses the product based on the prescription. Communicating a diagnosis is a controlled act under provincial legislation. While C. Ped (C)’s are not authorized to diagnose, they are still expected to communicate assessment findings to their patients. This may include an explanation of functional and other pedorthic assessment findings, discussion of signs and symptoms, description of the dysfunction but must not provide information about a disease or disorder previously unidentified by a diagnosing practitioner. Although C. Ped (C)’s can treat without a referral, we would like our Registrants to be mindful that the primary care physician still remains the director of care and it is imperative that C. Ped (C)’s still provide reasonable correspondence to physicians related to report findings, concerns and recommendations. C. Ped (C)’s are an important part of the health care team and must continue to work closely with physicians and other health care professionals.
Currently, custom made orthotics are considered zero rated by the CRA, meaning you do not need to charge tax. Find more information HERE. Please note that this is an interpretation of CRA’s findings, as such you are encouraged to consult with your tax advisors.
The CPC scope of practice includes a treatment plan being: provided, implemented and evaluated over time for the lower limb, which includes both recommending treatments and implementing (dispensing) products as required.
It is a registrant’s professional responsibility to only work within their competence and decide based on their training and their comfort level what suits both the scope of practice & competence level. (If a registrant gets a complaint and is called in front of the CPC or a group of their peers, the registrant must be able to explain why they feel they are competent. If they can’t do that, then they’d be working outside their competence.)
The CPC created a Task Force with a mandate to review the then current, CPC Telehealth Resource Guide, identify its relevance today and propose short-term and long-term recommendations based on its research. The goal when developing these recommendations was to protect the public and the integrity of the pedorthic profession. The CPC reviewed the Task Force’s recommendations and developed the Hybrid Virtual Care Policy based on these recommendations and the Standards of Clinical Practice.
Pedorthic candidates are required to register with PAC 30 days prior to their C. Ped (C) written exam deadline. To register for a CPC exam whether written or clinical, one must obey by the CPC deadlines found HERE.
The new Standards of Clinical Practice were created from our current C. Ped (C) competencies and exam process which breaks down an assessment into components and defines minimum competency expected for each component.
For example: if a full gait analysis cannot be completed due to an open plantar ulcer, it could be properly documented in the chart as follows: “Full barefoot gait analysis could not be performed today due to an open wound under the 1st MT head. Gait was performed shod.”
Follow ups may take the form of a short-term evaluation in 3-4 weeks, intermediate evaluation at or near the 6 month mark, and any additional follow up as deemed necessary to ensure your treatment goals have been met. These could be done in person, via video, email or phone for example.
All Pedorthists who are C. Ped (C)’s (in good standing?) can be found on our CPC website using the find a Pedorthist Tool. If you cannot find the Pedorthist you are looking for, please contact the CPC at email@example.com.
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