Q: I agree with the comment on continuing education certificate classes instead of examinations. The ATP exam experience taught me nothing new whereas the certificate program in assistive technology from University at Buffalo taught me a great deal. This credential had been a goal of mine for the 3 years it took me to have enough experience time to take the test. However, taking the test made no difference on how I work with patients and determine needs. Whereas continuing education always curbs my knowledge base which allows more informed choices for patients(anonymous).
A: The RESNA certification is intended to identify individuals who have a combination of education, AT work experience and demonstrated competency in basic AT knowledge. We agree that a certification program is very different from a certificate program. The latter is designed to be educational. At the completion of a certificate program students usually take a test – usually one of the following - a knowledge test, skills based practicum, or portfolio review. Upon successful completion of the curriculum and course requirements students are awarded a certificate of completion. RESNA will consider different venues for demonstrating competence in a specialty area in AT, including establishing certificate programs as there is interest and demand.
Q: In response to the PT's comment on the exam ... The ATP exam I took was equally divided between seating and wheeled mobility, augmentative communication, and computer access. This is not fair to physical therapists, speech therapists, and non-therapists. It seemed clearly geared to occupational therapists more so than any other field. Did you look at by profession who has a higher pass rate? This might give you more data than trying to compare apples to oranges between DME providers and practitioners. It hasn't ever made logical sense why 3/4 of the exam between the two exams is the same. The answer is not to make it all one exam but instead to clearly differentiate the two exams with questions that meet the needs of each type of role. People who switch back and forth in their careers should be able to clearly see a difference in their roles through the certifications and see the value in their chosen separate career paths (anonymous).
A: The current ATP and ATS exams were created based upon a job survey that was distributed widely to individuals working in all areas of AT. The job analysis or results of the job survey was the basis for the ATP and ATS test blueprint that dictates the test content domains and number of items needed for each domain. Therefore the ATP and ATS exams were designed to reflect general AT practice and were not created to favor one profession or area of AT practice.
It is not the intent of a certification program to qualify an individual to perform a specific role. Tying our certifications to specific roles (practitioner and supplier) has caused confusion as people change employment and roles, though the original intent was to help the public identify who could provide what services. A voluntary certification should not be tied to specific roles, and our research and discussion with our consultants verifies that other programs use certification to identify competence in a core knowledge base, while regulations define who can perform what role. This is why in other fields, once a certification is earned, it can still be retained if the eligibility requirements are still met for renewal (i.e. continuing education), even when the person is not practicing or changes employment. It is the duty of the PSB to ensure that the RESNA certification program only claims what it is and does not overstate what a certificant is able to do. This is the motivation for the move to one basic level AT certification.
Q: I have concerns about blurring the line between a vendor and a practitioner. Consumers and funding sources need to know that a professional therapist is making a recommendation without conflict of interest. Using the same credential will make the distinction less clear. I do support specialty certification, as we cannot possibly be competent in all the areas of AT (anonymous).
A: This is another reason to move towards establishing a single certification. Funding sources will know when a qualified therapist is making a recommendation from their license to practice PLUS the certification. One example of the current lines being blurred is when a therapist changes employment to work for a supplier. To keep the ATP is confusing to the general public because it IMPLIES a role of an independent assessor with no financial ties to a recommendation. A certification is to demonstrate competency in a specific scope of knowledge and is independent of a role. That is why in other certification programs once an individual earns the certification it stays with them no matter what their job – there is no need to change certifications. It is our intention to separate role from competency with the change to a single certification program to represent the scope of what the RESNA certification claims – competency in basic AT knowledge. It is imperative that we do not overstate the meaning of the certification which happens when we tie certification to roles.
Q: Why Now? Medicare has made ATS & ATP the gold standard for our industry just recently! ATP staff employed by hospitals that have deep pockets will be fine. I think all ATS staff should ask their home health companies how committed they are to staying in wheeled mobility with competitive bidding or, 9.5% Medicare allowable cut across the board facing them. We all know the hidden cost of providing complex rehab. I know of 2 companies in my area that have stopped providing complex rehab already.
Don’t put one more straw on the camel’s back at this time. Give competitive bidding or the upcoming slash to allowable to be fully digested. This will hurt smaller HME companies that currently provide excellent complex rehab equipment and their customers who depend on their service. The waters are turbulent and we don’t need our own industry adding to the stress. Please read these posts of concern and keep an open mind…
This is a great idea but, NOW IS NOT THE TIME (anonymous)
A: We do not propose to make this change without transferring current successful certificants to the new designation without charge, so there is not an additional financial burden or stress. The goal is not to put undue burden, but rather to simplify and reduce confusion. We agree that this is an especially difficult period in the industry, with competitive bidding as well as policy changes. Smaller companies would not be affected by a change in certification, though competitive bidding will affect many businesses significantly. RESNA is involved in the industry effort to minimize the effects of competitive bidding and to carve out complex rehab.
Tuesday, June 24, 2008
Monday, June 23, 2008
POST #5: Responses to Comments posted 6/20 - 6/22
Q: One cannot stand in the way of evolution but the timing of its presentation in this time of recession and financial crises with an aging work force adds to stress and pressure. I noticed the presentation of electronic test taking and even that increased anxiety levels. (anonymous)
A: We realize that there are major changes in the industry with competitive bidding as well as other policy changes. The PSB is looking at our entire process to move forward in a logical, defensible direction. Those already certified will not be required to retake the test and will be transferred to the new certification at no cost.
The plans for computer-based testing are for the benefit of candidates also. Greater access to testing centers locally, availability of an exam on an as-needed basis, and results given at the end of the testing rather than a wait time of a few weeks are the advantages.
Q: Do not group the ATS and ATP into one category because our roles and educational background are not the same and that delineation was made for a reason. I do agree on the aspect of having specialty certifications as a way of showing that we are more knowledgeable in one or more areas. (anonymous)
A: We agree that the roles are different, and the educational background may be different, but there is a common defined scope of knowledge for both. Furthermore individuals change roles in the service delivery process throughout their careers. When certification makes the delineation between who does what, it is crossing the line into regulatory issues. The goal is to test competency in a knowledge base. The educational background, practice setting, employer requirements, funding source policy, and regulatory bodies will decide who will be paid for what service.
Q: My concern is that vendors will take on chairs that they cannot handle and confuse patients with their ATP certification. Patients may think they are specialists, when in fact they are not required to have the background that ATPs have to have to sit for the exam (anonymous).
A: The eligibility requirements between the current ATP and ATS differ in that a supplier may have a high school equivalency or higher, and any college degree is acceptable for either ATS or ATP given the right number of years of relevant work experience. The ATP that is a licensed therapist certainly has other qualifications and skills. We are not trying to equate an ATS to become what is currently thought of as an ATP. Perhaps this is also a good argument to call the certification something entirely different. What will decide roles and responsibilities is not the certification but rather the employer, funding sources, and regulatory bodies.
We have equal concern with anyone supplying AT equipment or services beyond their scope of competence. The RESNA Standards of Practice and Code of Ethics specifically outline the guidelines for ethical practice. Individual certified by RESNA agree to abide by these standards. The RESNA PSB has an established Complaints Review Committee to handle violations of these standards. It is the responsibility of all to report a known violation through the established Complaints Procedure. The PSB can not act on a breach of standards or ethical practice if no complaint is filed.
Q: I was pleased to see this effort and will support further credentialing into specialties (James Noland)
A: Thank you. As we move forward, we will continue to solicit input to guide the development of any advanced certifications or educational certificate programs. The development of future programs will be dictated by feasibility based on the level of interest, demand and financial resources.
Q: Does this mean RTSs not yet certified will have to take more than one exam? What type of "specialty certifications" do you envision?
And if the new baseline certification is called something other than ATS or ATP will RESNA work that out with Medicare since they require RTSs to be an ATS or ATP currently to provide equipment for Medicare? And will persons already certified ATS or ATP be grandfathered in with the new credential (anonymous)?
A: The RTS who is not yet certified would still take the one basic AT certification exam, whatever the new name. Right now, a seating and mobility specialty certification is planned to honor the commitment made many years ago to those wishing to further distinguish their AT specialty knowledge. Any future specialty certifications or educational certificate programs will be pursued to meet the need and demand. Alternate formats from a formal exam can be considered for these, as mentioned in the earlier post.
RESNA has already spoken with the DME MAC Medical directors regarding this proposed change, and they indicated that changing to a single certification would be in line with their intent also. RESNA will continue to maintain dialogue with CMS as well as many other stakeholders (Medicaid, state policy makers, etc.) to make sure any name changes are recognized and reflected in existing policy. Furthermore the PSB has engaged consultants to assist with the branding and promotion of the RESNA certifications. The goal is to increase the visibility and knowledge of the RESNA certification program and value of certification in the eyes of employers, funding sources, and the general public.
Q: I am wondering if this change will undermine the ATP that we already have. Specialty certifications often do. I am also not sure what weight this will really hold among the respective professions. I do have concerns with this (Gina Mirigliani, OTD, OTR/L, ATP).
A: Your ATP will still indicate that you have demonstrated competency in the specialty area of AT, but it will not imply what the certification enables you to do, as that is outside of the scope or intent of certification programs. Your other credentials (i.e. OT, PT, SLP, engineering, etc.) will indicate what you are able to do and who will pay you for your services. We have also contacted a number of stakeholders, such as CMS, NRRTS, AOTA, APTA, and ASHA to notify them of our proposed changes, to seek their input, and to involve them as we move forward with specialty certifications. We have had early indications of interest. We will continue the dialogues and work together where it is logical and where there is mutual interest.
A: We realize that there are major changes in the industry with competitive bidding as well as other policy changes. The PSB is looking at our entire process to move forward in a logical, defensible direction. Those already certified will not be required to retake the test and will be transferred to the new certification at no cost.
The plans for computer-based testing are for the benefit of candidates also. Greater access to testing centers locally, availability of an exam on an as-needed basis, and results given at the end of the testing rather than a wait time of a few weeks are the advantages.
Q: Do not group the ATS and ATP into one category because our roles and educational background are not the same and that delineation was made for a reason. I do agree on the aspect of having specialty certifications as a way of showing that we are more knowledgeable in one or more areas. (anonymous)
A: We agree that the roles are different, and the educational background may be different, but there is a common defined scope of knowledge for both. Furthermore individuals change roles in the service delivery process throughout their careers. When certification makes the delineation between who does what, it is crossing the line into regulatory issues. The goal is to test competency in a knowledge base. The educational background, practice setting, employer requirements, funding source policy, and regulatory bodies will decide who will be paid for what service.
Q: My concern is that vendors will take on chairs that they cannot handle and confuse patients with their ATP certification. Patients may think they are specialists, when in fact they are not required to have the background that ATPs have to have to sit for the exam (anonymous).
A: The eligibility requirements between the current ATP and ATS differ in that a supplier may have a high school equivalency or higher, and any college degree is acceptable for either ATS or ATP given the right number of years of relevant work experience. The ATP that is a licensed therapist certainly has other qualifications and skills. We are not trying to equate an ATS to become what is currently thought of as an ATP. Perhaps this is also a good argument to call the certification something entirely different. What will decide roles and responsibilities is not the certification but rather the employer, funding sources, and regulatory bodies.
We have equal concern with anyone supplying AT equipment or services beyond their scope of competence. The RESNA Standards of Practice and Code of Ethics specifically outline the guidelines for ethical practice. Individual certified by RESNA agree to abide by these standards. The RESNA PSB has an established Complaints Review Committee to handle violations of these standards. It is the responsibility of all to report a known violation through the established Complaints Procedure. The PSB can not act on a breach of standards or ethical practice if no complaint is filed.
Q: I was pleased to see this effort and will support further credentialing into specialties (James Noland)
A: Thank you. As we move forward, we will continue to solicit input to guide the development of any advanced certifications or educational certificate programs. The development of future programs will be dictated by feasibility based on the level of interest, demand and financial resources.
Q: Does this mean RTSs not yet certified will have to take more than one exam? What type of "specialty certifications" do you envision?
And if the new baseline certification is called something other than ATS or ATP will RESNA work that out with Medicare since they require RTSs to be an ATS or ATP currently to provide equipment for Medicare? And will persons already certified ATS or ATP be grandfathered in with the new credential (anonymous)?
A: The RTS who is not yet certified would still take the one basic AT certification exam, whatever the new name. Right now, a seating and mobility specialty certification is planned to honor the commitment made many years ago to those wishing to further distinguish their AT specialty knowledge. Any future specialty certifications or educational certificate programs will be pursued to meet the need and demand. Alternate formats from a formal exam can be considered for these, as mentioned in the earlier post.
RESNA has already spoken with the DME MAC Medical directors regarding this proposed change, and they indicated that changing to a single certification would be in line with their intent also. RESNA will continue to maintain dialogue with CMS as well as many other stakeholders (Medicaid, state policy makers, etc.) to make sure any name changes are recognized and reflected in existing policy. Furthermore the PSB has engaged consultants to assist with the branding and promotion of the RESNA certifications. The goal is to increase the visibility and knowledge of the RESNA certification program and value of certification in the eyes of employers, funding sources, and the general public.
Q: I am wondering if this change will undermine the ATP that we already have. Specialty certifications often do. I am also not sure what weight this will really hold among the respective professions. I do have concerns with this (Gina Mirigliani, OTD, OTR/L, ATP).
A: Your ATP will still indicate that you have demonstrated competency in the specialty area of AT, but it will not imply what the certification enables you to do, as that is outside of the scope or intent of certification programs. Your other credentials (i.e. OT, PT, SLP, engineering, etc.) will indicate what you are able to do and who will pay you for your services. We have also contacted a number of stakeholders, such as CMS, NRRTS, AOTA, APTA, and ASHA to notify them of our proposed changes, to seek their input, and to involve them as we move forward with specialty certifications. We have had early indications of interest. We will continue the dialogues and work together where it is logical and where there is mutual interest.
Friday, June 20, 2008
Post #4: Responses to comments posted 6/19/08
Q: RESNA needs to monitor its website much better. I would refer people to the website and the directory was down. Information about what to expect from individuals certified by RESNA was not clear. (anonymous)
A: RESNA launched its new website on June 15, 2008. The bugs are still to be shaken out. The new website will allow better access and resources for members and certificants, and the capability for individuals to edit and update information will be added to ensure that the website is current. Also, there will be automatic notifications for recertification, announcements, links for continuing education opportunities, and more. The directory of ATPs and ATSs also now show an “effective until” date for each certificant.
Q: Seating and mobility is not always wheeled mobility or wheelchair seating. There are numerous seating systems in schools. The certification is very confining. It has taken so long to gain recognition of the ATP that to change it is unbelievable. There is scant respect for the ATP in my job by my employer and now to change it seems to dilute its worth as a level of excellence. Too bad RESNA didn't campaign for more ATP presence in government issues. I have been urging APTA to recognize AT as a skill in physical therapy and now RESNA does this... (anonymous)
A: The ATP and ATS always have been general assistive technology certifications which test content in many areas of AT practice, including seating and wheeled mobility, seating and positioning. RESNA is making a focused effort to increase the visibility and value of your current (and a new single certification) and has employed a marketing firm to develop materials to assist with branding and promotion of the RESNA trademark designations. Any changes to the certification program would still recognize and test basic core knowledge in AT. The
Q: I believe that you have made an error in assumption. Until just a few years ago, the licensure of occupational therapists was made by their own professional organization and not by any governmental body. They had to lobby hard and campaign for curriculum changes to gain licensure in
A: You are correct. The field of AT is young, and one of the obstacles we are encountering is that AT is not significantly embedded in most curriculums. There is a level of rigor required and distinct body of knowledge to define before entertaining licensure for a profession. This has been successfully accomplished by the orthotics and prosthetics profession. When licensure is not a requirement, certification offers credibility and value, and that is the intent of the RESNA certifications in AT. There are many ATPs who practice within the field that are not licensed therapists but who do specialize in the area of AT. They work in many different practice settings, including the education system, vocational rehabilitation, independent living centers and workplace accommodation. A certification in AT has helped them to differentiate their specialty knowledge.
Q: The original vision of RESNA, way back when we began discussing the certification process 13 or 14 years ago was to eventually develop specialty exams for individuals who specialize in a particular area of practice when the time was right. The time became “right” when the LCD required that an ATS (or an ATP working for a supplier) be involved in the equipment selection process for certain power mobility devices. We expect this language to be included in a revision to the Manual Wheelchair policy as well as the Wheelchair Options and Accessories policy and the Wheelchair Seating policy in the future. The ATP language was removed from the policy due to strong lobbying efforts of the APTA and the AOTA and the realization by the CMS medical directors that an ATP certification was a generalist certification, not a specialty certification in seating and wheeled mobility. In fact, they questioned why there were two generalist certifications, which they saw as confusing and possibly misleading. Hence the consolidation – I think this is a move in the right direction and will clear up a lot of confusion related to roles and who can do what (anonymous).
A: The motivation for the PSB was to remove confusion caused when certification was tied to an individual’s role in the AT service delivery process. We are committed to increase the value of the basic level certification and have therefore engaged the services of a marketing firm to help increase the visibility and name recognition of the RESNA certifications. In addition, the reason for consolidation to a single certification is to make it stronger and more defensible, and to conform to accreditation standards for certification programs. For those specialty areas where it makes sense and there is demand and value to advanced certification, the PSB and Board of Directors of RESNA are committed to developing these certifications. The first specialty to be developed is in Seating and Mobility, with projected date of July 1 2009 for implementation.
Q: I believe that adding on more advanced certifications is ludacrist (sic). As a practicing occupational therapist for 10 years, I was happy to get my ATP. I do not think that I need an advanced certificate in seating and mobility to prove that I know my job. I went to school for 5 years and learned about seating and mobility. It is a core concept taught to occupational therapists. I think that the designations should remain the same and that RESNA should not create advanced certifications. I agree with the other bloggers who think that enough is enough. It seems that it has become more about money than the profession of AT. (anonymous)
A: An advanced certification is not necessary for everyone. The reason the basic certification exists is that it will meet the diverse needs of many practicing in different areas and settings in AT. Specialty certification comes at a significant expense to RESNA, without the volume of individuals that the basic certification provides. Therefore, it demonstrates a commitment of the
Q: I concur with Michelle Lange. I would like to see the potential specialty certification as an advanced practitioner in an area of practice, such as seating/mobility, AAC, computer access, etc. I am not a proponent of lumping the group of vendors with providers unless the vendor has passed the same exam as the provider demonstrating enhanced knowledge at the practitioner level. In addition, if the knowledge base of the two exams is so close, then maybe the practitioner exam needs to be brought up to a higher level (Matthew Press)
A: Essentially, the current test blueprint for both ATP and ATS exams are identical. The job analysis shows no distinction in basic AT knowledge between the two designations. Currently, 150 of the 200 items on both exams are common. Therefore, having one exam will allow us to test in greater depth AT application with more “real estate” for testing (50 items). The ATP and ATS exams were not designed to be hierarchical. It is the combination of educational training, on-the-job experience and passing the exam that demonstrates the higher level of knowledge.
Q: You make the assumption that all ATPs are therapists and subject to licensure. This is incorrect. Most of the Rehabilitation Technologists I know are not therapists. To have a single certification that covers both vendors and practitioners blurs the line between people the consumer can trust to have only their best interests in mind and people who have interest in influencing the consumer to purchase a certain brand of product. This negates the value of the certification as far as I am concerned and will make me think twice about renewing if the change is made. It costs too much to maintain the ATP certification for me not to feel that it gives my consumers reason to trust that I am not ONLY competent but ethically committed to finding the best product to suit their needs regardless of brand (Susan Levi).
A: We have many ATPs that are not therapists and are not licensed. When you pass either exam, you also commit to abiding by the RESNA Code of Ethics and Standards of Practice. The PSB has a process to handle complaints and take action against those who violate these standards, ranging from warning to revocation. It is the collective responsibility of the industry to raise the bar and to identify individuals who are not practicing according to the RESNA Code of Ethics and Standards of Practice. Unless a complaint is formally filed the PSB can take no action. Once a complaint is filed the
It is the mission of RESNA certification program to identify individuals who have demonstrated competency in an identified knowledge base. Certification is not to imply permission to perform a certain role. People change roles, and the certification then is misleading. The PSB explored the feasibility of converting certifications when an individuals’ role changes. We found that that was not a defensible method since there was not a bright line distinction between basic core AT knowledge for the ATP and ATS. The job analysis resulted in one common test blueprint. Although we find that different members of the AT team contribute different background and skills, the core AT foundation knowledge is the same. Without an identifiable difference, there is no defensible method for testing or converting a certification, and it becomes just a title.
Q: The problem with one exam is how to make a meaningful exam that someone with a GED or doctorate has the same core, entry level knowledge. This also does not address the problem I had in that the current ATP exam had very little in my area of physical therapy, seating & positioning. There was so much on speech & computer that passing it does little to ensure that a person can correctly determine wheelchair needs. I can see where advanced certification could come in here, but it does seem like a revenue generator. I'm having a hard enough time now wondering why I need the certification since Medicare withdrew the requirement for PTs. How does this fit in for the future since Medicare has continued to require certification for vendors? As for being designated CAT-please tell me you're kidding (Lynn Kelly PT, DPT, ATP).
A: The ATP and ATS certifications were designed to demonstrate basic core AT knowledge including but not limited to functional implications of disabling conditions, application of AT, legislation and funding, standards and ethics. Neither exam was designed specific to seating and wheeled mobility. Competency in basic AT knowledge enables AT professionals with different educational and practice backgrounds to communicate with persons with a disability and with each other, using a common language and understanding of disability and technology. Regardless of the area of practice, each individual involved in the recommendation of any assistive technology needs to be aware of other AT needs that impact upon the choices offered, and recognize when to refer elsewhere.
An advanced certification in the area of seating and mobility will enable those interested in distinguishing their knowledge in this content area. As mentioned earlier, specialty certification comes at a significant expense to RESNA, without the volume of individuals that the basic certification provides.
In the current Local Coverage Policy (LCD) for Power Mobility Devices, CMS has specified that the beneficiary must be evaluated by a licensed certified medical professional (LCMP) independent of the sale of the device. CMS already made a change to allow the supplier directly involved with the consumer in recommending the wheelchair to be either ATP or ATS-certified. In our discussions with the DME MAC Medical Directors for CMS, they have indicated that this change and the development of an advanced certification specific to seating and wheeled mobility would be in line with their own future direction.
The name of the new certification has not been finalized. There are several options on the table and the PSB is compiling all input for consideration.
Thursday, June 19, 2008
POST#3: Responses to comments posted June 18
Q: Thanks for the information. There is much to digest here (anonymous).
A: You are correct. We are taking time to respond specifically to the comments and will publish comments and responses daily or twice a day so that we can be responsive to all input and views to guide our process.
Q: I think this will further confuse people - make everyone with an AT certification look like a vendor - therefore lumping in the sales staff with the licensed therapist who are evaluating and providing therapy services NOT selling equipment (anonymous).
A: RESNA’s certification should not define the person’s role but rather his/her knowledge of assistive technology. The intent of the single certification is to remove the implication of the role. Roles are defined by other credentials, i.e. licensure. The therapist will always have their OT or PT designation and their licensure that gives them the right to practice.
Q: So, let me get this straight, to keep doing what I am doing now as an ATS, I will have to "become certified" in the areas of seating, aug comm, mobility, etc individually (anonymous)?
A: Someone who has earned their ATP or ATS certification would still be RESNA-certified, no matter what the new designation is called. This designation would still be valid and recognized as it is now, with plans to increase its visibility and therefore its value to you. It is still the basic certification that identified core competency in the AT field, and we expect that this certification will still hold value in many areas of practice without further advanced certification. While the present and future basic certifications identify core competency, it does not address a person’s expertise in areas such as seating and mobility. The specialty certification is designed to recognize advanced knowledge and expertise in a particular area, and would only be developed for an area of practice where there may be a desire for individual to further distinguish themselves with demonstration of a deeper knowledge. Arguments against requiring the ATP by CMS for professionals performing seating and mobility evaluations involved the fact that the ATP did not acknowledge a specific expertise in these types of evaluations, only a basic knowledge of AT. The specialty certification will address this issue and may ultimately be recognized by CMS.
Q: I like the idea of a single credential. It has been very confusing for me, in switching roles, to call myself an ATP, work as a supplier, sign an attestation stating I don't receive financial benefit from a sale when renewing. Would I now have to resit for the exam as an ATS? Also, if I choose to return to a clinical setting, then I would sit again? Make the certification "portable" - you don't lose your designation just because you don't practice in other fields (anonymous).
A: This was precisely the confusion RESNA is trying to alleviate. Certification is intended to recognize individuals who demonstrate competency, while licensure determines what they are/are not alowed to do. One certification tests the common knowledge that each individual needs to speak a common language, understand the various needs ot te client served, and to "do no harm".
Q: I support the idea of advanced certifications, but would like to see the current ATS and ATP certifications remain the same. These could each be a prerequisite for the advanced certifications. Even though the two groups share quite a bit on content on the exam, different skills are required as a practitioner and as a supplier (Michelle Lange, OTR, ABDA, ATP).
A: We agree that the though the skills of a supplier are different from a practitioner, the core AT knowledge base is the same. Skills are developed from formal and informal training, and often on the job. The RESNA certification tests ONLY knowledge. There is no test or objective measure of “skill” such as a practicum, or portfolio. RESNA certificants are not tested in their patient handling skills, treatment, use of tools, knowledge about latest products, and other areas.
The basic certification will, indeed, be a prerequisite for any advanced certification.
Q: I feel that what RESNA needs to do is enforce their current code of ethics, so when a violation of those are reported to RESNA say in February 2008 it doesn’t go on 4 months and counting to be reviewed by the PSB (professional standards board). To date this individual has been found guilty by a jury in February 2008 of violation of The Uniform Trade Secrets Act; 59.1-336 and is still an ATS and working. If RESNA wants a professional ethical team of certified individuals, then they need to support those that uphold patient privacy, maintain confidentially of privileged information, Engage in no conduct that constitutes a conflict of interest or that adversely reflects on the association and, more broadly, on professional practice, Hold paramount the welfare of persons served professionally, Comply with the laws and policies that guide professional practice, Issue public statements in an objective and truthful manner and Practice only in their area(s) of competence and maintain high standard (anonymous).
A: RESNA has established a Complaints Review Committee through the Professional Standards Board, to handle all adjudications. In the case mentioned above, the person in question has been informed of the decision to revoke certification and has a time in which to appeal. We too believe that the effectiveness of “policing” the certification and acting on violations is critical, especially as the visibility of the certification and its value increases and more violations are reported. RESNA is and has been taking steps to enforce a disciplinary action policy that is legally defensible. The proposed changes to the certification will make it much more legally defensible, thus insuring adjudications will be effective and much less prone to legal challenges.
Q: RESNA is on the right track do not be derailed by growth, government or bureaucrats. To add more requirements, certifications, etc. only places an unduly stress on the small businesses out there. Yes, I agree that RESNA should have certificates that are specialized in seating, progressive and non-progressive diseases and proper placement for AT, ROM deficits and compensation for and through AT placement….. however, these should be classes offered like the ones in Washington DC in June. If continuing education is the key, then offer it and we will come. Present the attendees after the 1 or 2 day class has ended with a certificate of completion. Stop mandating us to death. Me and the other 99.9% of ATS, ATP, RET are dedicated and committed to our patients and their well-being and that is what it’s about, the patient (anonymous).
A: Specialty certification, if it needs to exist in a particular area of practice, can be handled in many ways, like you just described. There is no need to always develop another exam to show advanced knowledge, and RESNA is planning more opportunities for relevant continuing education using online resources. Another possibility is the development of certification programs that offer advanced training rather than an exam. We would welcome your feedback as to development of courses like this to further train individuals as well as bring new members into the field.
Q: Would the new broad certification test be any more or less difficult than the current ATP or ATS exam (anonymous)?
A: The new test will essentially be equivalent to the current tests. Currently there are 150 of the 200 questions are common to both the ATS and ATP exams. The remaining 50 questions will be derived from the same knowledge base. The same content area would be covered and the exam is still intended as an basic level (with experience) certification in the broad field of AT.
Q: Sounds like the bar is being lowered to accommodate those suppliers/sales reps who can't pass the original ATS exam (anonymous).
A: The bar will not be lowered. The exam outline and content will be the same. There will no longer be separate “supplier” questions, vs. “practitioner” questions. This allows RESNA to test the core knowledge base more thoroughly within the same testing “real estate”.
Q: If it aint' broke, don't fix it. What is wrong with the system we have now? I was proud to acheive the ATP certification. If it's so "entry level" then why have so many failed it? I think this is a "white wash" to dilute the pool (anonymous).
The primary problem with current system is that it is based on “roles.” Over the years, people working as an ATP have switched roles to work for suppliers; some ATSs have moved to the ATP side. They have been able to maintain their initial certification in the past regardless of this change in role, and many have renewed their certification multiple times already. When those changes occur, we do not have a defensible mechanism to convert people from one to the other, as the core knowledge on which they are tested is the same. A number of scenarios were considered by the PSB to address this problem. It was concluded the best approach was a common certification that tested basic AT knowledge.
The proposed exam will test the same knowledge base as the current ATP. Those who have had trouble passing the ATP or the ATS exam will not find the new exam any easier. It is important to note, the new certification exam does NOT lower the bar. No matter what a person’s background is, they will still be required to pass the exam in order to be certified.
The test is intended to draw a line between those who have demonstrated basic AT knowledge and those who have not. Having a single certification does not undermine the value of the current certification of ATP or ATS, which still demonstrate who has shown competency in the knowledge tested.
Q: Was the ATS/ATP system broken? Then why "fix" it? Oh yeah, more exams, more money...I get it now (anonymous).
A: The proposed certification does, indeed, fix a number of problems with the current program. (See response above)
There will be NO additional exams for those already certified. There will be NO additional costs to those already certified.
The new certification exam will replace the current ATP and ATS exams and will become available through computer-based testing, facilitating access for everyone around the country, and around the world. RESNA is planning to help increase the visibility and value of your current (and the new certification) – in most cases, this baseline will be all that is needed. Specialty certification will be developed only as the need and demand for it is present, and it is only to demonstrate advanced knowledge. This can be done in many ways besides an exam. For instance, it could be offered as specialty training or certificate programs, or other methods like a portfolio.
Q: I think this is a ploy to dilute the ATP Certification. I find it hard to believe enough ATS's have control over the PCB to force them to reduce ATP to equal ATS. In the mind of consumers, payors, and the medical profession they are not the same thing at all. Looking at only a few other professions it is clear that a more advanced level of practice is recognized. AS example, MT and MLT for medical technologist. I strongly believe this idea needs much for thought prior to it moving forward. I also think a change as large as this should go before the entire membership for vote (anonymous).
A: There is no “ploy” or sinister motive in proposing the new certification. The PSB (Professional Standards Board) and the RESNA Board of Directors (who have decided to pursue the new certification) have the best interests of RESNA certificants, members and consumers in mind.
The current ATP and ATS tests were not hierarchical. Because they were initially conceived with the idea that roles needed to be defined, and time has shown us that there is blurring of these lines, and people change jobs, it no longer makes sense to tie certification to the role, but rather to it's original intent; to test core competency in the knowledge base.
A: You are correct. We are taking time to respond specifically to the comments and will publish comments and responses daily or twice a day so that we can be responsive to all input and views to guide our process.
Q: I think this will further confuse people - make everyone with an AT certification look like a vendor - therefore lumping in the sales staff with the licensed therapist who are evaluating and providing therapy services NOT selling equipment (anonymous).
A: RESNA’s certification should not define the person’s role but rather his/her knowledge of assistive technology. The intent of the single certification is to remove the implication of the role. Roles are defined by other credentials, i.e. licensure. The therapist will always have their OT or PT designation and their licensure that gives them the right to practice.
Q: So, let me get this straight, to keep doing what I am doing now as an ATS, I will have to "become certified" in the areas of seating, aug comm, mobility, etc individually (anonymous)?
A: Someone who has earned their ATP or ATS certification would still be RESNA-certified, no matter what the new designation is called. This designation would still be valid and recognized as it is now, with plans to increase its visibility and therefore its value to you. It is still the basic certification that identified core competency in the AT field, and we expect that this certification will still hold value in many areas of practice without further advanced certification. While the present and future basic certifications identify core competency, it does not address a person’s expertise in areas such as seating and mobility. The specialty certification is designed to recognize advanced knowledge and expertise in a particular area, and would only be developed for an area of practice where there may be a desire for individual to further distinguish themselves with demonstration of a deeper knowledge. Arguments against requiring the ATP by CMS for professionals performing seating and mobility evaluations involved the fact that the ATP did not acknowledge a specific expertise in these types of evaluations, only a basic knowledge of AT. The specialty certification will address this issue and may ultimately be recognized by CMS.
Q: I like the idea of a single credential. It has been very confusing for me, in switching roles, to call myself an ATP, work as a supplier, sign an attestation stating I don't receive financial benefit from a sale when renewing. Would I now have to resit for the exam as an ATS? Also, if I choose to return to a clinical setting, then I would sit again? Make the certification "portable" - you don't lose your designation just because you don't practice in other fields (anonymous).
A: This was precisely the confusion RESNA is trying to alleviate. Certification is intended to recognize individuals who demonstrate competency, while licensure determines what they are/are not alowed to do. One certification tests the common knowledge that each individual needs to speak a common language, understand the various needs ot te client served, and to "do no harm".
Q: I support the idea of advanced certifications, but would like to see the current ATS and ATP certifications remain the same. These could each be a prerequisite for the advanced certifications. Even though the two groups share quite a bit on content on the exam, different skills are required as a practitioner and as a supplier (Michelle Lange, OTR, ABDA, ATP).
A: We agree that the though the skills of a supplier are different from a practitioner, the core AT knowledge base is the same. Skills are developed from formal and informal training, and often on the job. The RESNA certification tests ONLY knowledge. There is no test or objective measure of “skill” such as a practicum, or portfolio. RESNA certificants are not tested in their patient handling skills, treatment, use of tools, knowledge about latest products, and other areas.
The basic certification will, indeed, be a prerequisite for any advanced certification.
Q: I feel that what RESNA needs to do is enforce their current code of ethics, so when a violation of those are reported to RESNA say in February 2008 it doesn’t go on 4 months and counting to be reviewed by the PSB (professional standards board). To date this individual has been found guilty by a jury in February 2008 of violation of The Uniform Trade Secrets Act; 59.1-336 and is still an ATS and working. If RESNA wants a professional ethical team of certified individuals, then they need to support those that uphold patient privacy, maintain confidentially of privileged information, Engage in no conduct that constitutes a conflict of interest or that adversely reflects on the association and, more broadly, on professional practice, Hold paramount the welfare of persons served professionally, Comply with the laws and policies that guide professional practice, Issue public statements in an objective and truthful manner and Practice only in their area(s) of competence and maintain high standard (anonymous).
A: RESNA has established a Complaints Review Committee through the Professional Standards Board, to handle all adjudications. In the case mentioned above, the person in question has been informed of the decision to revoke certification and has a time in which to appeal. We too believe that the effectiveness of “policing” the certification and acting on violations is critical, especially as the visibility of the certification and its value increases and more violations are reported. RESNA is and has been taking steps to enforce a disciplinary action policy that is legally defensible. The proposed changes to the certification will make it much more legally defensible, thus insuring adjudications will be effective and much less prone to legal challenges.
Q: RESNA is on the right track do not be derailed by growth, government or bureaucrats. To add more requirements, certifications, etc. only places an unduly stress on the small businesses out there. Yes, I agree that RESNA should have certificates that are specialized in seating, progressive and non-progressive diseases and proper placement for AT, ROM deficits and compensation for and through AT placement….. however, these should be classes offered like the ones in Washington DC in June. If continuing education is the key, then offer it and we will come. Present the attendees after the 1 or 2 day class has ended with a certificate of completion. Stop mandating us to death. Me and the other 99.9% of ATS, ATP, RET are dedicated and committed to our patients and their well-being and that is what it’s about, the patient (anonymous).
A: Specialty certification, if it needs to exist in a particular area of practice, can be handled in many ways, like you just described. There is no need to always develop another exam to show advanced knowledge, and RESNA is planning more opportunities for relevant continuing education using online resources. Another possibility is the development of certification programs that offer advanced training rather than an exam. We would welcome your feedback as to development of courses like this to further train individuals as well as bring new members into the field.
Q: Would the new broad certification test be any more or less difficult than the current ATP or ATS exam (anonymous)?
A: The new test will essentially be equivalent to the current tests. Currently there are 150 of the 200 questions are common to both the ATS and ATP exams. The remaining 50 questions will be derived from the same knowledge base. The same content area would be covered and the exam is still intended as an basic level (with experience) certification in the broad field of AT.
Q: Sounds like the bar is being lowered to accommodate those suppliers/sales reps who can't pass the original ATS exam (anonymous).
A: The bar will not be lowered. The exam outline and content will be the same. There will no longer be separate “supplier” questions, vs. “practitioner” questions. This allows RESNA to test the core knowledge base more thoroughly within the same testing “real estate”.
Q: If it aint' broke, don't fix it. What is wrong with the system we have now? I was proud to acheive the ATP certification. If it's so "entry level" then why have so many failed it? I think this is a "white wash" to dilute the pool (anonymous).
The primary problem with current system is that it is based on “roles.” Over the years, people working as an ATP have switched roles to work for suppliers; some ATSs have moved to the ATP side. They have been able to maintain their initial certification in the past regardless of this change in role, and many have renewed their certification multiple times already. When those changes occur, we do not have a defensible mechanism to convert people from one to the other, as the core knowledge on which they are tested is the same. A number of scenarios were considered by the PSB to address this problem. It was concluded the best approach was a common certification that tested basic AT knowledge.
The proposed exam will test the same knowledge base as the current ATP. Those who have had trouble passing the ATP or the ATS exam will not find the new exam any easier. It is important to note, the new certification exam does NOT lower the bar. No matter what a person’s background is, they will still be required to pass the exam in order to be certified.
The test is intended to draw a line between those who have demonstrated basic AT knowledge and those who have not. Having a single certification does not undermine the value of the current certification of ATP or ATS, which still demonstrate who has shown competency in the knowledge tested.
Q: Was the ATS/ATP system broken? Then why "fix" it? Oh yeah, more exams, more money...I get it now (anonymous).
A: The proposed certification does, indeed, fix a number of problems with the current program. (See response above)
There will be NO additional exams for those already certified. There will be NO additional costs to those already certified.
The new certification exam will replace the current ATP and ATS exams and will become available through computer-based testing, facilitating access for everyone around the country, and around the world. RESNA is planning to help increase the visibility and value of your current (and the new certification) – in most cases, this baseline will be all that is needed. Specialty certification will be developed only as the need and demand for it is present, and it is only to demonstrate advanced knowledge. This can be done in many ways besides an exam. For instance, it could be offered as specialty training or certificate programs, or other methods like a portfolio.
Q: I think this is a ploy to dilute the ATP Certification. I find it hard to believe enough ATS's have control over the PCB to force them to reduce ATP to equal ATS. In the mind of consumers, payors, and the medical profession they are not the same thing at all. Looking at only a few other professions it is clear that a more advanced level of practice is recognized. AS example, MT and MLT for medical technologist. I strongly believe this idea needs much for thought prior to it moving forward. I also think a change as large as this should go before the entire membership for vote (anonymous).
A: There is no “ploy” or sinister motive in proposing the new certification. The PSB (Professional Standards Board) and the RESNA Board of Directors (who have decided to pursue the new certification) have the best interests of RESNA certificants, members and consumers in mind.
The current ATP and ATS tests were not hierarchical. Because they were initially conceived with the idea that roles needed to be defined, and time has shown us that there is blurring of these lines, and people change jobs, it no longer makes sense to tie certification to the role, but rather to it's original intent; to test core competency in the knowledge base.
Wednesday, June 18, 2008
POST #1: EVOLUTION OF RESNA'S CERTIFICATION PROGRAM
With the Certification Program now in its 12th year, RESNA took the opportunity to examine how well the current system works, if it addresses the current range of Assistive Technology (AT) service delivery avenues, and how it may need to evolve to stay true to its original purpose – to help ensure the delivery of quality Assistive Technology services.
After extensive discussion and research by the Professional Standards Board (PSB), a Certification Program comprised of a single certification covering core, entry-level knowledge and skills common to all involved in Assistive Technology service delivery is more reflective of the profession that focuses on disability and the use of technology.
Competency in basic AT knowledge enables AT professionals with different educational and practice backgrounds to communicate with persons with a disability and each other, using a common language and understanding. Regardless of the area of practice, each individual involved in the recommendation of any assistive technology needs to be aware of other AT needs that impact the choices offered, and when to refer elsewhere.
Why is this change being considered?
A defensible certification program should regularly monitor that its certifications are meeting the intended purpose. Sometimes that can mean restructuring or elimination as appropriate. Tying our certifications to specific roles (practitioner and supplier) has caused confusion as people change employment and roles, though the original intent was to help the public identify who could provide what services. A voluntary certification should not be tied to specific roles, and our research and discussion with our consultants verifies that other programs use certification to identify competence in a core knowledge base, while regulations define who can perform what role. This is why in other fields, once a certification is earned, it can still be retained if the eligibility requirements are still met for renewal (i.e. continuing education), even when the person is not practicing or changes employment.
When the Certification Program was implemented in 1996, AT was an emerging profession, and it was recognized as a specialty area that was being practiced by professionals from various backgrounds and practice settings. There was a need to help the public to identify individuals to provide AT services, ensuring consumer safeguards and providing quality service. At that time, it was felt that two separate certifications were needed because of different roles and skills of the practitioner vs. the supplier, though the core knowledge base of AT was the same.
As the field evolves, and as practice settings, service delivery, funding sources, and roles change, it has become evident that tying an individual’s role to their certification implies that they do/do not have permission to perform and bill for certain services or products. This is not the role of certification, but rather licensure.
What are the benefits of a single entry-level certification?
The entry-level exam tests a candidate on command of the foundation knowledge in AT. This single certification has the following advantages:
Clear definition of what is being tested (assistive technology knowledge base – Functional implications of disabling conditions, application of AT, legislation and funding, standards and ethics);
Stronger, professional identification that all successful candidates have demonstrated the foundation knowledge core to the practice of AT, without trying to distinguish roles in service delivery;
The problem of having the same eligibility requirements and 75% content in common but two distinct certifications is eliminated;
Licensure or state regulations, and funding sources, will continue to make the determination as to professional requirements for which activities are within or outside of Practice Acts, defined by state law;
There are no blurred lines. All certificants are professionals who have demonstrated command of the core knowledge base and a commitment to uphold RESNA’s Standards of Practice and Code of Ethics;
It opens the door for specialty exams in various areas as prioritized;
The RET certification will remain unchanged. The RET is the existing certification for engineers and technologists. The eligibility requirement to earn the RET includes successful completion of the entry-level exam, this requirement will not change.
Easier name/certification recognition with one designation.
What are the plans for Advanced Certification?
As RESNA consolidates the entry-level certification, specialty areas are the next logical step in identifying specific areas of practice.
The Board of Directors have voted to support the development of the specialty Certifications. The PSB has chosen to focus on Seating and Wheeled Mobility as the first specialty certification. Development of the specialty exam will take place in late 2008 with a new advanced certification in seating and mobility available July 1, 2009.
Future areas of specialty exams can be considered to include specialties such as Job Accommodation and Computer Access.
What is the difference between Credentials, Certifications, and Licensure?
Credential refers to the act of occupational licensure or certification – it is inclusive of these as well as academic achievement.
Licensure is defined as the granting of licensed practice to a profession by a governmental body. A license is a property right of an individual and is backed by the laws of the state in which it is granted. Licensure is understood as the permission to do something as given by an authority, with the implication that one would not be permitted to do this thing without such permission.
Certification is the recognition by the private sector of voluntarily achieved standards and is usually bestowed by a private sector nonprofit professional association. It is generally nongovernmental and voluntary, and it is a statement of qualification. Certification is intended to recognize core competence in an identified knowledge base. The primary purpose of certification activities is to promote the common business interests of those so certified, although public protection is a stated mission of many certification programs. Many certification organizations emphasize that the goal of their certification programs is to measure competence, and that this identification of competent professionals will promote the public welfare.
After extensive discussion and research by the Professional Standards Board (PSB), a Certification Program comprised of a single certification covering core, entry-level knowledge and skills common to all involved in Assistive Technology service delivery is more reflective of the profession that focuses on disability and the use of technology.
Competency in basic AT knowledge enables AT professionals with different educational and practice backgrounds to communicate with persons with a disability and each other, using a common language and understanding. Regardless of the area of practice, each individual involved in the recommendation of any assistive technology needs to be aware of other AT needs that impact the choices offered, and when to refer elsewhere.
Why is this change being considered?
A defensible certification program should regularly monitor that its certifications are meeting the intended purpose. Sometimes that can mean restructuring or elimination as appropriate. Tying our certifications to specific roles (practitioner and supplier) has caused confusion as people change employment and roles, though the original intent was to help the public identify who could provide what services. A voluntary certification should not be tied to specific roles, and our research and discussion with our consultants verifies that other programs use certification to identify competence in a core knowledge base, while regulations define who can perform what role. This is why in other fields, once a certification is earned, it can still be retained if the eligibility requirements are still met for renewal (i.e. continuing education), even when the person is not practicing or changes employment.
When the Certification Program was implemented in 1996, AT was an emerging profession, and it was recognized as a specialty area that was being practiced by professionals from various backgrounds and practice settings. There was a need to help the public to identify individuals to provide AT services, ensuring consumer safeguards and providing quality service. At that time, it was felt that two separate certifications were needed because of different roles and skills of the practitioner vs. the supplier, though the core knowledge base of AT was the same.
As the field evolves, and as practice settings, service delivery, funding sources, and roles change, it has become evident that tying an individual’s role to their certification implies that they do/do not have permission to perform and bill for certain services or products. This is not the role of certification, but rather licensure.
What are the benefits of a single entry-level certification?
The entry-level exam tests a candidate on command of the foundation knowledge in AT. This single certification has the following advantages:
Clear definition of what is being tested (assistive technology knowledge base – Functional implications of disabling conditions, application of AT, legislation and funding, standards and ethics);
Stronger, professional identification that all successful candidates have demonstrated the foundation knowledge core to the practice of AT, without trying to distinguish roles in service delivery;
The problem of having the same eligibility requirements and 75% content in common but two distinct certifications is eliminated;
Licensure or state regulations, and funding sources, will continue to make the determination as to professional requirements for which activities are within or outside of Practice Acts, defined by state law;
There are no blurred lines. All certificants are professionals who have demonstrated command of the core knowledge base and a commitment to uphold RESNA’s Standards of Practice and Code of Ethics;
It opens the door for specialty exams in various areas as prioritized;
The RET certification will remain unchanged. The RET is the existing certification for engineers and technologists. The eligibility requirement to earn the RET includes successful completion of the entry-level exam, this requirement will not change.
Easier name/certification recognition with one designation.
What are the plans for Advanced Certification?
As RESNA consolidates the entry-level certification, specialty areas are the next logical step in identifying specific areas of practice.
The Board of Directors have voted to support the development of the specialty Certifications. The PSB has chosen to focus on Seating and Wheeled Mobility as the first specialty certification. Development of the specialty exam will take place in late 2008 with a new advanced certification in seating and mobility available July 1, 2009.
Future areas of specialty exams can be considered to include specialties such as Job Accommodation and Computer Access.
What is the difference between Credentials, Certifications, and Licensure?
Credential refers to the act of occupational licensure or certification – it is inclusive of these as well as academic achievement.
Licensure is defined as the granting of licensed practice to a profession by a governmental body. A license is a property right of an individual and is backed by the laws of the state in which it is granted. Licensure is understood as the permission to do something as given by an authority, with the implication that one would not be permitted to do this thing without such permission.
Certification is the recognition by the private sector of voluntarily achieved standards and is usually bestowed by a private sector nonprofit professional association. It is generally nongovernmental and voluntary, and it is a statement of qualification. Certification is intended to recognize core competence in an identified knowledge base. The primary purpose of certification activities is to promote the common business interests of those so certified, although public protection is a stated mission of many certification programs. Many certification organizations emphasize that the goal of their certification programs is to measure competence, and that this identification of competent professionals will promote the public welfare.
POST: 2: Frequently Asked Questions about Proposed Certification Changes
Practitioners
1. Why is RESNA, after so many years, considering a change to the Certification Program?
With the Certification Program now in its 12th year, RESNA has had the opportunity to examine how well the current system works, if it addresses the current range of Assistive Technology service delivery avenues, and how it may need to evolve to stay true to its original purpose – to help ensure the delivery of quality Assistive Technology services.
After extensive discussion and research by the Professional Standards Board (PSB), a Certification Program comprised of a single baseline certification covering core, entry level knowledge and skills common to all involved in Assistive Technology service delivery.
2. What is this new certification called?
The Professional Standard Board is considering keeping the designation of ATP (to mean Assistive Technology Professional) in order to keep brand recognition of the RESNA certification. However, other words and acronyms have been considered. For example, in Canada the word “provider” is synonymous with supplier only. Other possible options include Assistive Technology Specialist, and Certified in AT (CAT). A final determination will be made once all feedback is considered.
3. What does the new certification mean?
The new single certification shows that the person certified in AT has demonstrated competency in the core assistive technology knowledge base. Competency in basic AT knowledge enables AT professionals with different educational and practice backgrounds to communicate with persons with a disability and with each other, using a common language and understanding of disability and technology. Regardless of the area of practice, each individual involved in the recommendation of any assistive technology needs to be aware of other AT needs that impact upon the choices offered, and when to refer elsewhere
4. How is the public going to identify someone to perform what service without keeping the current ATP and ATS designations?
A defensible certification program should regularly monitor that its certifications are meeting the intended purpose. Sometimes that can mean restructuring as appropriate. The review of our current ATP and ATS designations indicated insufficient differentiation in core, entry level knowledge to support the continuation of both certifications. A voluntary certification should not be tied to specific roles. Our research and discussion with our consultants verifies that other programs use certification to identify competence in a core knowledge base, while other regulations, such as state licensure laws define who can perform what role. This is why, in other fields, once a certification is earned, it can still be retained if the eligibility requirements are still met for renewal (i.e. continuing education), even when the person is not practicing or changes employment.
5. If I am certified with the new AT certification, does it make me eligible to perform evaluations?
Certification is generally voluntary and nongovernmental, and it is different from licensure. Having the new AT certification does not give permission to do anything that was not permitted prior to certification. Certificants must still observe all applicable licensure laws. It is the employer and the funding sources that determine what qualifications are needed in order to perform or be paid for a service.
6. How does the new certification affect the CRTS™ from NRRTS™?
NRRTS™ can still keep the CRTS™ designation as being certified through RESNA and meeting NRRTS™ registry requirements qualifies them to be a CRTS™.
7. If I am certified with the new certification does this allow me to advertise as a RESNA-certified professional?
If you have just earned or are renewing your AT certification, you may identify yourself as being RESNA-certified. You should be careful not to create a title for yourself that causes confusion with existing, recognized titles. For example, if you are a Certified Occupational Therapy Assistant and you earn your AT certification, calling yourself a Certified Occupational Therapy Practitioner may imply to someone that you are an Occupational Therapist. Individuals must accurately represent their credentials, competency, education, training and experience in both the field of assistive technology and the primary profession in which they are members.
8. Will it cost me anything to switch to the new certification?
There will be no increase in cost over the current re-certification fee. The RESNA Professional Standards Board will set up a mechanism for you to renew and convert your current certification and will issue a new certificate with no cost to you. These details will be sent to all current certificants by October 1, 2008.
9. I am an ATS now. Will I still be able to use this certification after the new certification has been released?
Once the new certification is in place, you will have a deadline by which to convert your ATS to the new designation. RESNA will be putting out various communications, such as e-mail, website announcements, listserves, etc. to inform current certificants. The ATS certification will not be valid after the deadline.
10. How will I know when to switch my initials?
RESNA will notify you of this in advance.
11. Will CMS accept the new certification in place of the current ATS?
Yes. In the current Local Coverage Determination (LCD) for Power Mobility Devices, CMS already made a change to allow the supplier directly involved with the consumer in recommending the wheelchair to be either ATP or ATS-certified. In our discussions with the DME MAC Medical Directors for CMS, they have indicated that this change would be in line with their own future direction.
12. Will I have to retake the test to get the new certification?
No. Those who have already earned either the ATP or ATS designation and have kept it current will not have to retake the test in order to use the new designation. There will be a mechanism to transfer current ATPs and ATSs to the new certification which will involve some administrative paperwork, and perhaps a reaffirmation to follow the RESNA Standards of Practice and Code of Ethics.
13. What are the plans for specialty certifications?
There is a plan to begin first with the Seating and Mobility specialty certification to be available July 1, 2009. Other advanced certifications will be considered as membership, current and potential certificants, funding sources, and the public identify the need.
14. Should I wait to renew my certification until the new one is in place?
No, as the current certifications (and any earned until the new certification is in place) will be transferred to the new designation, there is no need to wait until the new process is implemented.
15. Should I postpone taking the test until the new certification is in place?
No. Any certifications for ATP or ATS earned until this new process is implemented will be transferred to the new designation, so there is no need to wait.
16. Will the eligibility requirements change for the new certification?
Eligibility requirements for the new certification will be inclusive of the current eligibility requirements for either ATP or ATS exam. Significant work experience will remain a core component of eligibility. Required academic background will be the current minimum for an ATS, which is the GED. However, as many certification programs look to “raise the bar” once they are well established, the Professional Standards Board reserves the right to periodically review and make changes to the qualifications for sitting for the examination.
17. Will the continuing education requirements change for the new certification?
No. The continuing education requirements will still be equivalent to 1 IACET-approved CEU related to assistive technology, one academic credit, or retake of the exam per year.
18. How does the new certification affect the value of the RET certification?
Since the RET is earned after first passing the current ATP exam and then the specialty RET exam, the RET will still be able to state they have demonstrated competency in the core AT knowledge base and in the specialized Rehabilitation Engineering Technology knowledge, just as they may do so now.
Consumer
1. Why should I choose a provider with this new certification?
The AT certification tells the consumer that certification helps to assure quality services. The certification lets the consumer know that this individual has demonstrated competency in a core knowledge base of assistive technology, and he or she agrees to abide by the standards of practice and code of ethics which promote the highest ethical standards. This gives added assurance that the consumer’s welfare is held paramount.
2. What if I need a provider with specialist knowledge in computer access or seating and mobility?
These individuals will be identified in the near future in the RESNA public directory by not only their certification but also by their key areas of practice. This step will let people know their area(s) of specialty. In the future as advanced certifications are developed, there will be an additional designation to identify professionals with added specialty expertise.
3. How will I know if a provider is a specialist in AT?
The certification identifies those with a general knowledge of AT. Certified individuals have a core knowledge base and practice within their specific scope of competence and adhere to all applicable licensure and regulatory laws and policies. The RESNA Standards of Practice asserts the need for certificants to refer elsewhere when the identified needs are outside their scope of practice and/or competence.
4. Will the new RESNA certification require the holders to adhere to a high standard of practice?
Yes. The current RESNA Standards of Practice and Code of Ethics will apply to the new certification. These requirements set forth the fundamental concepts and rules considered essential to promote the highest ethical standards.
5. How will I know if a certified provider represents or receives reimbursement from a manufacturer for selling their products?
The RESNA Standards of Practice require that the individual shall, at a minimum, inform consumers or their advocates of any employment affiliations, financial or professional interests that may be perceived to bias their recommendations or cause a conflict of interest. Violation of these ethical standards carry disciplinary action up to and including revocation.
1. Why is RESNA, after so many years, considering a change to the Certification Program?
With the Certification Program now in its 12th year, RESNA has had the opportunity to examine how well the current system works, if it addresses the current range of Assistive Technology service delivery avenues, and how it may need to evolve to stay true to its original purpose – to help ensure the delivery of quality Assistive Technology services.
After extensive discussion and research by the Professional Standards Board (PSB), a Certification Program comprised of a single baseline certification covering core, entry level knowledge and skills common to all involved in Assistive Technology service delivery.
2. What is this new certification called?
The Professional Standard Board is considering keeping the designation of ATP (to mean Assistive Technology Professional) in order to keep brand recognition of the RESNA certification. However, other words and acronyms have been considered. For example, in Canada the word “provider” is synonymous with supplier only. Other possible options include Assistive Technology Specialist, and Certified in AT (CAT). A final determination will be made once all feedback is considered.
3. What does the new certification mean?
The new single certification shows that the person certified in AT has demonstrated competency in the core assistive technology knowledge base. Competency in basic AT knowledge enables AT professionals with different educational and practice backgrounds to communicate with persons with a disability and with each other, using a common language and understanding of disability and technology. Regardless of the area of practice, each individual involved in the recommendation of any assistive technology needs to be aware of other AT needs that impact upon the choices offered, and when to refer elsewhere
4. How is the public going to identify someone to perform what service without keeping the current ATP and ATS designations?
A defensible certification program should regularly monitor that its certifications are meeting the intended purpose. Sometimes that can mean restructuring as appropriate. The review of our current ATP and ATS designations indicated insufficient differentiation in core, entry level knowledge to support the continuation of both certifications. A voluntary certification should not be tied to specific roles. Our research and discussion with our consultants verifies that other programs use certification to identify competence in a core knowledge base, while other regulations, such as state licensure laws define who can perform what role. This is why, in other fields, once a certification is earned, it can still be retained if the eligibility requirements are still met for renewal (i.e. continuing education), even when the person is not practicing or changes employment.
5. If I am certified with the new AT certification, does it make me eligible to perform evaluations?
Certification is generally voluntary and nongovernmental, and it is different from licensure. Having the new AT certification does not give permission to do anything that was not permitted prior to certification. Certificants must still observe all applicable licensure laws. It is the employer and the funding sources that determine what qualifications are needed in order to perform or be paid for a service.
6. How does the new certification affect the CRTS™ from NRRTS™?
NRRTS™ can still keep the CRTS™ designation as being certified through RESNA and meeting NRRTS™ registry requirements qualifies them to be a CRTS™.
7. If I am certified with the new certification does this allow me to advertise as a RESNA-certified professional?
If you have just earned or are renewing your AT certification, you may identify yourself as being RESNA-certified. You should be careful not to create a title for yourself that causes confusion with existing, recognized titles. For example, if you are a Certified Occupational Therapy Assistant and you earn your AT certification, calling yourself a Certified Occupational Therapy Practitioner may imply to someone that you are an Occupational Therapist. Individuals must accurately represent their credentials, competency, education, training and experience in both the field of assistive technology and the primary profession in which they are members.
8. Will it cost me anything to switch to the new certification?
There will be no increase in cost over the current re-certification fee. The RESNA Professional Standards Board will set up a mechanism for you to renew and convert your current certification and will issue a new certificate with no cost to you. These details will be sent to all current certificants by October 1, 2008.
9. I am an ATS now. Will I still be able to use this certification after the new certification has been released?
Once the new certification is in place, you will have a deadline by which to convert your ATS to the new designation. RESNA will be putting out various communications, such as e-mail, website announcements, listserves, etc. to inform current certificants. The ATS certification will not be valid after the deadline.
10. How will I know when to switch my initials?
RESNA will notify you of this in advance.
11. Will CMS accept the new certification in place of the current ATS?
Yes. In the current Local Coverage Determination (LCD) for Power Mobility Devices, CMS already made a change to allow the supplier directly involved with the consumer in recommending the wheelchair to be either ATP or ATS-certified. In our discussions with the DME MAC Medical Directors for CMS, they have indicated that this change would be in line with their own future direction.
12. Will I have to retake the test to get the new certification?
No. Those who have already earned either the ATP or ATS designation and have kept it current will not have to retake the test in order to use the new designation. There will be a mechanism to transfer current ATPs and ATSs to the new certification which will involve some administrative paperwork, and perhaps a reaffirmation to follow the RESNA Standards of Practice and Code of Ethics.
13. What are the plans for specialty certifications?
There is a plan to begin first with the Seating and Mobility specialty certification to be available July 1, 2009. Other advanced certifications will be considered as membership, current and potential certificants, funding sources, and the public identify the need.
14. Should I wait to renew my certification until the new one is in place?
No, as the current certifications (and any earned until the new certification is in place) will be transferred to the new designation, there is no need to wait until the new process is implemented.
15. Should I postpone taking the test until the new certification is in place?
No. Any certifications for ATP or ATS earned until this new process is implemented will be transferred to the new designation, so there is no need to wait.
16. Will the eligibility requirements change for the new certification?
Eligibility requirements for the new certification will be inclusive of the current eligibility requirements for either ATP or ATS exam. Significant work experience will remain a core component of eligibility. Required academic background will be the current minimum for an ATS, which is the GED. However, as many certification programs look to “raise the bar” once they are well established, the Professional Standards Board reserves the right to periodically review and make changes to the qualifications for sitting for the examination.
17. Will the continuing education requirements change for the new certification?
No. The continuing education requirements will still be equivalent to 1 IACET-approved CEU related to assistive technology, one academic credit, or retake of the exam per year.
18. How does the new certification affect the value of the RET certification?
Since the RET is earned after first passing the current ATP exam and then the specialty RET exam, the RET will still be able to state they have demonstrated competency in the core AT knowledge base and in the specialized Rehabilitation Engineering Technology knowledge, just as they may do so now.
Consumer
1. Why should I choose a provider with this new certification?
The AT certification tells the consumer that certification helps to assure quality services. The certification lets the consumer know that this individual has demonstrated competency in a core knowledge base of assistive technology, and he or she agrees to abide by the standards of practice and code of ethics which promote the highest ethical standards. This gives added assurance that the consumer’s welfare is held paramount.
2. What if I need a provider with specialist knowledge in computer access or seating and mobility?
These individuals will be identified in the near future in the RESNA public directory by not only their certification but also by their key areas of practice. This step will let people know their area(s) of specialty. In the future as advanced certifications are developed, there will be an additional designation to identify professionals with added specialty expertise.
3. How will I know if a provider is a specialist in AT?
The certification identifies those with a general knowledge of AT. Certified individuals have a core knowledge base and practice within their specific scope of competence and adhere to all applicable licensure and regulatory laws and policies. The RESNA Standards of Practice asserts the need for certificants to refer elsewhere when the identified needs are outside their scope of practice and/or competence.
4. Will the new RESNA certification require the holders to adhere to a high standard of practice?
Yes. The current RESNA Standards of Practice and Code of Ethics will apply to the new certification. These requirements set forth the fundamental concepts and rules considered essential to promote the highest ethical standards.
5. How will I know if a certified provider represents or receives reimbursement from a manufacturer for selling their products?
The RESNA Standards of Practice require that the individual shall, at a minimum, inform consumers or their advocates of any employment affiliations, financial or professional interests that may be perceived to bias their recommendations or cause a conflict of interest. Violation of these ethical standards carry disciplinary action up to and including revocation.
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