The proposed rule amendments are intended to update the revised language and applications.

 

DEPARTMENT OF HEALTH

Board of Orthotists and Prosthetists

RULE NOS.:RULE TITLES:

64B14-4.100Requirements for Prosthetic or Orthotic Residency or Internship

64B14-4.115Requirements for Renewal of Prosthetic or Orthotic Residency or Internship

PURPOSE AND EFFECT: The proposed rule amendments are intended to update the revised language and applications.

SUMMARY: The proposed rule amendments intend to update the revised language and applications.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:

The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: During discussion of the economic impact of this rule at its Board meeting, the Board concluded that this rule change will not have any impact on licensees and their businesses or the businesses that employ them. The rule will not increase any fees, business costs, personnel costs, will not decrease profit opportunities, and will not require any specialized knowledge to comply. This change will not increase any direct or indirect regulatory costs. Hence, the Board determined that a Statement of Estimated Regulatory Costs (SERC) was not necessary and that the rule will not require ratification by the Legislature. No person or interested party submitted additional information regarding the economic impact at that time.

Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

RULEMAKING AUTHORITY: 456.025, 468.802, 468.803 FS.

LAW IMPLEMENTED: 468.803 FS.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN THE FAR.

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Janet Hartman, Executive Director, Board of Orthotists & Prosthetists, 4052 Bald Cypress Way, Bin # C08, Tallahassee, Florida 32399-3258.

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

64B14-4.100 Requirements for Prosthetic or Orthotic Residency or Internship.

(1) To meet the requirements for licensure as an orthotist or prosthetist, the applicant must document an internship that meets the requirements of this rule, or must complete a residency program accredited by NCOPE. An applicant for combined licensure as a prosthetist/orthotist-prosthetist must document an a discrete internship or residency, or completion of a combined residency. in each field.

(2) An internship must have consisted of orthotic or prosthetic clinical experience practicing under the general supervision of a licensed or ABC-certified orthotist or prosthetist, respectively. The documented internship must consist of a minimum of 1,900 hours.

(3) Internships must have been completed at facilities engaged in providing orthotic and prosthetic patient care. Interns must   have provided direct patient care, but only under the supervision of a qualified orthotist or prosthetist; the educational mission must not be compromised by an excessive reliance on residents to fulfill facility service obligations. Interns should progress from observing to actually providing direct patient care. Sufficient amounts of lab and technical experience must accompany the clinical training.

(4) The internship must have required the intern to meet the following objectives:

(a) Clinical Assessment. Determining Determine the orthotic or prosthetic needs of the patient by integrating the information obtained from history, examination, measurement and observation; development of a treatment protocol for the patient through review of patient data in order to formulate an orthotic or prosthetic recommendation and treatment plan.

(b) Patient Management. Applying a properly fitting prosthetic or /orthotic device by using accepted prosthetic/orthotic techniques to achieve optimum outcomes; inform the patient of the various procedures to be performed by using appropriate communication skills; provide continuing patient care and periodic evaluation to ensure proper fit and function of the prosthetic/orthotic device.

(c) Professional Responsibility. Selecting the most appropriate course of action when faced with patient-related problems while adhering to the laws and rules applicable to practice in Florida and the standards of care of the profession.

(d) Practice Management. Demonstrating Demonstrate proper documentation of a patient’s history and financial records by using established record-keeping techniques and demonstrate an understanding of the facility’s financial and safety policies and procedures.

(e) Technical Implementation. Interpreting patient data and modifying a patient model to ensure optimal fit and function; demonstrate the ability to fabricate or repair a prescribed device, selecting appropriate materials and components based on patient criteria to ensure optimum strength, durability and function.

(5) No change.

(6) Each intern shall keep a daily patient log, subject to review by the Board. Each intern shall be evaluated by his/her the supervising practitioner on a quarterly basis and at the conclusion of the internship.

(7) No change.

(8) If a change in supervisor is required, the applicant must submit a completed Registration Supervisor Update Form, form number DH-MQA 1133, 7/202001/12, which is available from the Board office or the Board’s website http://www.doh.state.fl.us/mqa/OrthPros/index.html, or http://www.flrules.org/Gateway/reference.asp?No=Ref-01132.

Rulemaking Authority 468.802, 468.803 FS. Law Implemented 468.803 FS. History–New 11-1-99, Amended 7-2-07, 5-28-09, 4-11-10, 11-9-10, 1-10-12, 4-29-12,                           .

64B14-4.115 Requirements for Renewal of Prosthetic or Orthotic Residency or Internship.

To be eligible for a one (1) year renewal of residency, the applicant must submit a renewal application to the department no earlier than 150 days prior to the expiration of the active residency or internship. Each independent registration or dual registration is valid for 2 years after from the date of initial issuance.  The renewal application must be received by the Department while the initial intern or resident registration is still active and valid. The application titled “Renewal of Internship/Residency Registration Renewal” is form DH-MQA-1268, 07/20202/2014, herein incorporated by reference and available at http://www.flrules.org/gateway/reference.asp?No=Ref- 04134, and the Department’s website http://floridaorthotistsprosthetists.gov/. The registration renewal fee is set in Rule 64B14-2.006, F.A.C., and must be included with the completed application.

 

Rulemaking Authority 456.025, 468.803 FS. Law Implemented 468.803(3) FS. History‒New 5-15-14,                          .

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Board of Orthotists & Prosthetists

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Board of Orthotists & Prosthetists

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: June 18, 2020

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: September 16, 2020