Please see the links below to access the updated documents.
Approved on April 24, 2018, Came into Effect June 20, 2018
CCO Council approved minor amendments to incorporate material from Guideline G-004: Documentation of a Chiropractic Visit relating to the expectations of a chiropractic visit. Although this content is not new, it is important that the public have an understanding of what to expect from a chiropractic visit.
CCO Council approved minor amendments to incorporate material from Guideline G-004: Documentation of a Chiropractic Visit relating to the expectations that patient health records should “tell the story” and be unique to a particular patient experience, and avoid “template-like” records, particularly in electronic record keeping.
Amendments also include minor clerical changes, expanded expectations relating to chiropractic assessments, and a requirement that the record include information about who provided care and location of where care was delivered.
CCO Council revoked Guideline G-004: Documentation of a Chiropractic Visit and incorporated its content into Standard of Practice S-001: Chiropractic Scope of Practice and S-001: Record Keeping to reduce redundancies in CCO policy.
The objective of this guideline is to further clarify the role, importance and reasons for different types of assessments as part of the chiropractic plan of care. Assessments and re-assessments are a critical component in evaluating a patient’s condition, assessing the effectiveness of chiropractic care, influencing clinical decision-making, discussing the patient’s goals and expectations, and affirming or revising care or a plan of care.
Current CCO standards of practice require a re-assessment to be conducted when clinically necessary, and in any event, no later than each 24th visit. However, this guideline expands the expectations involved in different types of assessments, including:
- initial assessment
- subsequent visits
- comparative assessments
- new condition/goal assessments
- updated condition/goal assessment
- discharge assessment (where applicable)
The objective of this guideline is to:
- clarify that a chiropractor is not permitted to delegate a controlled act;
- outline policies and procedures for the assigning of certain clinical procedures that are in the public domain to a properly trained clinical staff person; and
- outline policies and procedures in the referral of care to another health care provider.
This guideline proposes to further clarify which professional activities may or may not be assigned to a staff person and the policies and procedures around assignment and referral of care. This includes requirements relating to: communication with patients, provision of clinical services, business practices, and record keeping.