Q: I joined RESNA and achieved the ATS certification about 5 years ago. At that time, I agreed and pledged to the RESNA Code of Ethics and Standards of Practice. That RESNA Code of Ethics and Standards of Practice statement in a nutshell states that as a certified ATS, ATP or RET that you will practice within your scope of expertise and hold the consumer's best interest paramount at all times. I am supportive to the advancement of the program by which RESNA administers all of our certification. For example, at some point many years ago, a person could achieve the title of "doctor". In these early times, a person would go to a "doctor" for a broken leg, being unconscious, an infection or blindness. Now that medicine has made a few advancements, if we have a medical problem, the routine is quite different. We might see a "doctor" at first. However, we are likely to be seen and ultimately treated by a cardiologist, orthopedist, ophthalmologist, etc - depending on what our ailment is. This is no different. Our field is growing, expanding and advancing. We absolutely need to expand and offer additional certifications to illustrate various areas of specialty or expertise. I am sure that at some point up-and-coming physicians didn't want to have to "take another class or exam" either - but they did and now they are recognized for their efforts and I think we all agree those specialties are necessary divisions in the field that we can all appreciate.
As an industry, we need to continue to police ourselves. Support of Medicare's company accreditation ruling and employee certification ruling is one way that we have stepped in the right direction. Now that RESNA is in the process of making this program more appropriate and making this program respectable, it is time that all of us that are currently certified, whether an ATS or ATP, support their efforts. Certification and/or RESNA membership is voluntary. If you don’t want to participate in the furthering of the industry, then please stop posting negative comments. Negative comments only make our industry look more divided. It certainly gives us the reputation of "they wanted certification while it was good for them" and "they are for consumer protection and quality standards until it might affect their wallets".
I think that those of us that are committed to this industry and this certification for the long haul can only be appreciative and supportive of this proposed change.
I happen to be a person that has taken some extra classes and made an extra effort to focus and specialize on some computer access and environmental controls. It is interesting to see how many ATS and ATP certified individuals try to practice in this area without experience or focused education. I have repeatedly had to go behind these individuals and "clean up". Almost every time, the culprit has been an ATS/ATP that provided that client with a wheelchair and then tried to practice in an area outside their normal scope (anonymous)
A: The intent of the RESNA certification program was to identify individuals with a core competency in AT. While it has been used in policy to determine who is needed to provide what service, it is currently not a specialty certification in any particular area of AT, and this baseline certification, while it demonstrates an overall general knowledge of AT practice areas, does not itself identify competency in a particular area of AT. A current ATP practicing in seating and mobility likely does not have the experience or background to do an evaluation for computer access, for example. Recognition of specialty knowledge will be important to determine a specific area of competence in some practice settings.
Q: As an ATP, I felt the exam was a challenge however equally weighted. I wouldn't recommend changing a thing! Sheila
A: Because the content of both ATP and ATS tests is weighted across the various areas of AT practice, and this content is the same for both exam, certification with two different pathways, testing the same core knowledge, and defined by roles, cannot continue as it is without either combining or creating further differentiation in knowledge base. The current validation study conducted by RESNA’s PSB, along with the feedback received, will help to determine our next steps.
Q: What is wrong with the current ATP/ATS certifications? This change seems like it could be money driven, as I would believe a majority of the experts have already taken and passed the exam, and we would all be required to attend further training workshops and sit for exams, right (anonymous)?
A: All current certificants would maintain their certification and be transferred to the new designation without cost – it is an administrative function. There is no need for further testing unless someone wants recognition of further specialty knowledge in AT. This also can be done in other ways besides exams, such as continuing education. We welcome your feedback on development of specialty certification by posting your comments on our website at http://www.resna.org/content/index.php?pid=108 (Certification/Announcements section)
Q: There is a lot of information to think about but my initial reaction is frustration....having said that I absolutely agree with the one who wrote that you might consider a vote of the membership. How many of those making the decision on this are actually practicing in the community and truly experience this on a daily basis...who is getting confused with ATP/ATS? You mention that your goals are in line with Medicare etc....Shouldn’t they really be in line with what’s best for our clients? However, from what I hear, you have already made your decision and no "blog" will change your mind...why bother with this blog? I feel it’s just a way to "break it to us slowly with less backlash (anonymous).
A: RESNA will not proceed without carefully examining all issues and comments posted. The reason for the change is not dictated by policy. The RESNA certification program was implemented 12 years ago to identify AT as a specialty area of knowledge. In review of the current program, we find that certification delineated by role is stepping beyond the purpose of certification – it is not meant to imply who has permission to do what, as licensure does.
The other goal of certification is to protect the consumer and to help them find qualified people. This is difficult when lines blur, roles change, and people are not able to tell who specializes in what area of practice. As the current certifications test a baseline knowledge in AT but not a sub-specialty in seating and mobility, or computer, access, or the many other areas of practice, it is not possible in the current program to really identify the person to go to for a particular service. This will be dictated primarily by their current employer, their licensures, and other formal training. This is also why specialty recognition is important to help the public identify further knowledge in a particular area. The current certification helps to identify individuals who have a baseline knowledge demonstrating awareness of other areas of AT and how it impacts their recommendations, and when to refer elsewhere, and it lets all of these individuals speak in a common language.
Q: What is wrong with having someone who is an ATP that wants to switch to ATS just take the 50 questions that designate them as an ATS. Then you could have an ATS/ATP designation. I have always thought that the test should have a general knowledge section, and then the individual could choose to take what ever specialty section that they choose. I personally don't work with Aug Com, but I still have to test on it. I know mechanics do that for their certification. They have separate tests for brakes, engines, and so forth. I just think instead of combining everyone in to one group, it would be better to divide it up into specialties. Also it would be easier to determine what areas people specialize in.
A: The current exam tests the core AT knowledge in many areas of AT. Currently, the 50 exam questions that differ between ATP and ATS exams are not differentiated enough to identify a separate core knowledge, and the certification implies a role and permission to do something, which steps beyond what it’s true purpose should be. We agree that there needs to be a method to identify further specialty knowledge in particular areas of AT, and this is why specialty certifications are being considered, with the first one developed for seating and mobility. In some practice settings, however, there may be a need for specialty knowledge in many areas of AT practice, such as in special education or job accommodation, where many technologies are used. For some, the baseline certification will be sufficient to identify the broad AT knowledge, and for others, it may be important to further define specialty knowledge. We are looking for this feedback and welcome your input at http://www.resna.org/content/index.php?pid=108 (Certification/Announcements section)
Q: This in not meant to be a question. This just seems to be the only place to voice my opinion. I agree with what RESNA is looking to do. There are many complaints coming from both ATP and ATS certified professionals about the content of their exams, which is exactly why I think there should be one entry level exam. From my understanding, the current questions for the ATP and ATS tests come from the same question pool with a higher percentage of questions from certain subjects at the end, depending on which test is being taken. If this is true, then we are both taking tests with the same questions anyway. I am hoping RESNA intensions are what I think they are which would be to make sure everyone certified can communicate in all areas of AT at a basic/entry level, before moving forward.
My vote is for combining ATP and ATS to create Assistive Technology Professionals
Allow all Assistive Technology Professionals to sit for the RET exam
Allow all Assistive Technology Professionals the opportunity to specialize in areas of interest
Evaluation and Accessibility
Seating and Mobility
Technician
Augmentative Communication
Q: I am an OT with over 20 years experience in Rehab and AT. I was in the second group to take the ATP exam in New Orleans, and passed it. 10 years later, I didn't renew it, because at the time, there was no advantage professionally for me in my role as a staff OT at the hospital where I worked. I subsequently started working for an equipment vendor part time, and re-tested and passed again to renew my ATP, which they felt I needed at the time. I since have gone back to full time at the hospital, and have allowed my ATP to lapse. I did this mainly because of the expense and hassle to renew yearly, and because working for a hospital as a therapist, I saw no advantage to maintaining the ATP certification. The hospital is not generous with continuing education funding. I already maintain State licensure, and National certification for OT. I guess if I were going to work for a vendor, or a manufacturer, or give presentations on AT, I would probably take and pass the test again, but for right now, it's not for me. Make it easier for me to maintain it, and I might renew it again.
A: RESNA’s PSB is taking active steps to change the certification renewal requirements and is currently reviewing the criteria. Changes under consideration include a move to a 2-year certification period, broadened criteria for acceptable continuing education, and an opportunity to put certification under an “inactive” status when changes in employment, family situations, and more may make this option desirable, and a policy for reinstatement when a certification has lapsed, depending on the circumstance. These changes will be broadly posted with sufficient time for implementation when they are finalized.
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.
A: Our intent is not to blur the lines, but to go back a step to remove the implication of role to the certification. An individual’s credentials include their degrees and their licensures, as well as certifications in different areas. A therapist already has that license to designate what they are able to do under their practice acts and under the law. It is also our responsibility to work with the industry in helping to affect policy and to recognize what is needed for quality practice in AT service delivery.
Friday, July 11, 2008
POST #6: SPECIALTY CERTIFICATION PROGRAMS
In preparation for cerating specialty certification programs, the PSB is interested in your assistance in identifying areas of specialty practice in AT and the distinct knowledge that defines that area of practice.
1. What specialty would you most like to see implemented?
2. What are the pros of implementing this particular specialty certification?
3. What are the cons of implementing this particular specialty certification?
4. How will a specialty certification positively or negatively impact your job function?
5. Describe how specialty knowledge should be demonstrated in this area.
6. Please provide your contact information if you are willing to assist the PSB in development of this specialty certification.
Name:
Phone:
E-mail:
1. What specialty would you most like to see implemented?
2. What are the pros of implementing this particular specialty certification?
3. What are the cons of implementing this particular specialty certification?
4. How will a specialty certification positively or negatively impact your job function?
5. Describe how specialty knowledge should be demonstrated in this area.
6. Please provide your contact information if you are willing to assist the PSB in development of this specialty certification.
Name:
Phone:
E-mail:
POST #5: JUNE 23, 2008
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.
POST#4: JUNE 20, 2008
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.
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.
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
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 as well as the certification. The current lines get blurred when a therapist changes employment to work for a supplier. To then keep the ATP is confusing because it implies a role and an independent assessment with no financial ties to a recommendation.
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.
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.
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.
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
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 as well as the certification. The current lines get blurred when a therapist changes employment to work for a supplier. To then keep the ATP is confusing because it implies a role and an independent assessment with no financial ties to a recommendation.
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.
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.
POST#3: JUNE 19, 2008
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.
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, augcomm, mobility, etc individually? Two words: CASH GRAB
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 addess 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 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.
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 standards.
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.
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?
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.
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.
A: 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.
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. One example is 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.
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 ATP certification is not diluted, as the same knowledge base will be tested. The ATP, whether working in a medical, educational, employment, or other setting will demonstrate that they have a core knowledge, and their licensure, formal training, and experience will determine what they area able to do.
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, augcomm, mobility, etc individually? Two words: CASH GRAB
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 addess 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 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.
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 standards.
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.
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?
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.
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.
A: 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.
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. One example is 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.
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 ATP certification is not diluted, as the same knowledge base will be tested. The ATP, whether working in a medical, educational, employment, or other setting will demonstrate that they have a core knowledge, and their licensure, formal training, and experience will determine what they area able to do.
FREQUENTLY ASKED QUESTIONS
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 final decision has not been made, as there are strong arguments to keep one of the current designations for branding/name recognition, administrative changes in policy, etc,or to have a new designation for the new unified certification. Suggestions are hereby requested, and a final determination will be made once all feedback is considered.
3. What is the new certification?
The new certification shows that the person certified 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 certification does it make me eligible to perform evaluations?
Certification is generally voluntary and nongovernmental, and it is different from licensure. Having the ATP 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 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?
No. 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. Does CMS accept the new certification in place of the 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 ATP 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. It will open the RET test now for someone who also curently has an ATS certification.
Consumer
1.Why should I choose a provider with RESNA certification?
RESNA 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 of certification.
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 final decision has not been made, as there are strong arguments to keep one of the current designations for branding/name recognition, administrative changes in policy, etc,or to have a new designation for the new unified certification. Suggestions are hereby requested, and a final determination will be made once all feedback is considered.
3. What is the new certification?
The new certification shows that the person certified 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 certification does it make me eligible to perform evaluations?
Certification is generally voluntary and nongovernmental, and it is different from licensure. Having the ATP 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 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?
No. 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. Does CMS accept the new certification in place of the 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 ATP 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. It will open the RET test now for someone who also curently has an ATS certification.
Consumer
1.Why should I choose a provider with RESNA certification?
RESNA 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 of certification.
EVOLUTION OF RESNA 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.
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