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Kin online Services?

ONLINE SERVICES VS. INSURANCE & SCOPE

If Affiliated Kinesiologists choose to offer services remotely, make sure that your Kinesiology intervention respects the guiding principles of the CKA for online services and the PKA of the province in which the client is.

The Affiliated Kin should be insured by PROLINK who provided advice to Affiliated Kinesiologists on the question of them providing online services. Prolink can confirm to the CKA/ACK affiliates and the leaders of the PKAs that an Affiliated Kinesiologist is covered under the CKA National Insurance Program if a member in one province provides advice and services over the Internet or telephone to patients in another province.  The CKA E&O and CGL policy covers members practicing anywhere in Canada.  

Should a kinesiologist not be insured by PROLINK, it is recommanded to verify the location / province that he/she is covered. Some policies are not cross Canada.

The complicating issue is related to the scope of practice and registration with the regulatory body in a province. Although the scope of practice is the same across Canada, its application is different as health and/or kinesiology Laws differ. The province where the patient resides typically determines the scope of practice that must be followed. For example, an Affiliated Kinesiologist from BC was to provide service to a client living in Quebec, then this Affiliated Kinesiologist would need to be aware of all Laws, rules, regulations and restricted acts reserved by other professional orders in Québec. Should there be an incident occuring as a result of the treatment, it would be the Quebec courts and laws that would prevail. This is a reason why it is encouraged to become a member of the FKQ (PKA) as it acts as the governing body in Quebec (of said province) until kinesiology is legislated. In provinces where there are no legislation specifically for kinesiology, there are Laws, rules, regulations and restricted acts that are part of different governmental agencies e.g. S.A.A.Q , Ministry of Health, CNESST, etc. Another example:if an Affiliated Kinesiologist from Manitoba was to provide service to a client living in Ontario, then this Affiliated Kinesiologist would need to be also registered with the College of Kinesiology of Ontario since it is mandatory in Ontario

An Affiliated Kinesiologists need to be careful when providing professional services that are reimbursed / paid for by a health insurer if the member is not registered to practice in the province where the patient receiving their services resides.  There is a possibility that the health benefit insurer will not pay for their services rendered to a patient if the Kin is not registered with the regulatory body in the province where the patient received the service.  The health insurer could then also consider issuing a complaint against the Kin in the province where they are registered to practice, resulting in a disciplinary investigation against the Kin.  It is always more complicated when services are rendered across provincial borders using the Internet or telephone.

 

GUIDELINES FOR ONLINE SERVICES

IN BC:

From BCAK
Guideline for Telehealth Services
Telehealth Consent Form:  https://bcak.bc.ca/documents/208/Sample-Screen-Covid-19.pdf

and tool. https://bcak.bc.ca/documents/210/COVID-Screen-Tool-April_6_2020.pdf

Video

http://newsletters.yapla.com/ckfinder/core/connector/php/connectoimage/company/CPYqCPtn1Wxyx4LOeS2QlIc/images/BCAK%20video.JPG

Note: In BC, online services are called Telehealth services; not to be confused with the same term used differently in Ontario.

The Insurance Corporation of BC has also provided the following information:

“As the COVID-19 pandemic evolves, we’re continuing to take steps to ensure the health and safety of our customers, partners and employees. We’re following the advice of provincial health officials and are working to support best practices in clinical care. Effective immediately until March 31, 2020, at which time a subsequent notice will be distributed, we will temporarily fund necessary telehealth sessions in place of standard in person treatments. Telehealth involves telephone and video technology to provide healthcare remotely. Chiropractors, kinesiologists, occupational therapists and physiotherapists may offer telehealth sessions on an as-needed basis and according to their college or association guidelines, where available.

Telehealth services are appropriate when they provide therapeutic benefit and where the goals of the session are primarily addressed by: · active exercise, · functional progression, · education, · self management, · self mobilization, or · monitoring (such as for external signs of swelling, redness, etc.)”

Read more 

IN QC:

From FKQ
Guideline for Télésanté or Téléreadaptation
Video
Webinar

  http://newsletters.yapla.com/ckfinder/core/connector/php/connectoimage/company/CPYqCPtn1Wxyx4LOeS2QlIc/images/FKAQ%20webinar.JPG

 Note: In QC, online services are called Télésanté relating to remote health services or Téléreadaptation relating to rehabilitation.