Healthcare Provider Standards	Coast to Coast Coverage

Standards for Physiotherapy Clinics
Standards for Physicians
Standards for Independent FAE Providers
Standards for Occupational Therapists
Standards for Psychologists
Standards for Massage Therapists

Standards for Physiotherapy Clinics
In order to be accepted and remain within the ACTIVE Network, Physiotherapy Clinics must uphold the following standards established by ACTIVE, at all times:

Clinics must not be involved in any conflict of interest situation;
Clinics and their staff must be current in their knowledge of their respective discipline and must support an
active, functional rehabilitation approach;
Clinics must have adequate space and equipment to enforce an active physiotherapy treatment program.
Clinics must employ professional staff who are licensed or certified to perform services within their scope of
practice;
Clinics may (but are not obligated to) employ kinesiologists, occupational therapists, or athletic therapists,
to work with the physiotherapists to design and supervise exercise and work-hardening/conditioning
programs;
Clinics may (but are not obligated to) utilize assistants in their treatment programs provided the quality of
treatment is not compromised;
Clinics must hold a reputation of providing quality service with the community, insurance companies, and
other health care professionals. This reputation must be maintained at all times;
Clinics are required to accommodate working individuals by offering evenings or early morning appointments
when necessary, and be open five days per week;

Clinics are required to submit data and participate in the ACTIVE ongoing quality assurance review;

Clinics must maintain adequate malpractice and liability insurance coverage at all times;

Standards for Physicians
In order to be selected and remain as a provider of Independent Medical Examinations for ACTIVE Health Management, physicians must meet the following criteria

Hold a current and unrestricted medical license.
Have at least 3 years experience completing Independent Medical Examinations in Canada.
Demonstrate knowledge of the current legislation as it pertains to third-party examinations.
Maintain liability and professional malpractice insurance, in such amounts as is customary or required by the Royal College of Physician and Surgeons.

In addition, ACTIVE Health Management requires all Physicians to:
Conform to the code of ethics, scope of practice and regulations of your professional college.
Provide high quality services, taking into account your knowledge, skills, qualifications, training and
experience, and recognizing your limitations.
Abstain from performing evaluations or providing opinions outside your area of expertise and respect the
mandate provided by the referring source.
Remain impartial and have no stake in the outcome of the medical evaluation.
Refrain from issuing any report or document containing information that you know to be false or inaccurate.

Medical Evaluation Standards:
Before performing a medical evaluation, ensure a full understanding of the scope and purpose of the
evaluation along with the relevant documentation.
The physician shall refrain from providing opinions on the degree of permanent impairment resulting from
bodily injury or illness that has yet to have reached maximal medical improvement.
When rendering an opinion before the residual effects of an injury or illness become stabilized and
permanent, the physician shall indicate that such opinions are preliminary.
If no impairment is found in the course of the medical evaluation, the physician shall indicate this in his/her
report.
The physician shall refrain from making a final opinion on impairment until the impairment has consolidated
and stabilized.
The physician shall establish his/her conclusions and opinions based on the objective findings of the
evaluation.
The physician shall accept the responsibility to act as an expert witnesses in court or in administrative
tribunals upon the request of one of the parties or the court in order to explain or defend his/her evaluation. Remuneration for such service should be commensurate with the duration and complexity of services
provided.
The physician shall demonstrate the greatest possible objectivity by taking into account all elements
obtained at the time of the evaluation and contained in the documentation provided from any source. If the physician realizes that he/she is not provided with all documents, request this information or at the very
least mention of this fact will be contained in his/her report.
The physician shall ensure that any conflict of interest is declared prior to agreeing to perform a medical
evaluation.
If the physician disagrees with the treatment or diagnosis provided by treating physicians, the physician will not not assume a role in the treatment. However, if facts or errors are identified which could jeopardize the
life or health of the evaluee, the physician has the duty to inform the treating physician(s) of the situation
after having obtained the appropriate authorization. In such circumstances, the physician shall remain
subject to the code of ethics and regulations of his/her professional college.
The physician shall only provide reports to the referring source that made the request unless legislation
requires otherwise.
The physician shall accept that his/her opinion may be disputed, even in court. To defend his/her opinions,
the physician shall use only the objective facts and scientific arguments in keeping with the generally
accepted medical knowledge.

Duties Toward Evaluees

The physician shall:

Inform evaluees of the nature, process and purpose of the medical evaluation. The referring source
requesting the medical evaluation should also be identified to the evaluee.
Explain the difference between the role of medical evaluators and treating physician to evaluees.
Abstain from discussing information or opinions irrelevant to the evaluation.
Abstain from making any comments or actions during the evaluation that could jeopardize evaluees' trust in
their treating physicians and other health professionals.
Respect the modesty and dignity of evaluees. In this regard, guidelines of the Colleges of Physicians and
Surgeons should be followed.
Avoid any use of unprofessional comments or gestures, sexual or otherwise.
Demonstrate and maintain a professional attitude and behaviour throughout the evaluation.
Identify him/herself and your evaluation staff to the evaluee.

Duties Toward Other Physicians
The physician shall address the issues relevant to the purpose of the evaluation. Disagreements with
medical colleagues or other health professionals should be clearly based on, and confined to, objective
evidence and inferences drawn from it and only in keeping with generally accepted medical knowledge.

Standards for Independent FAE Providers
In order to be selected and remain as one of ACTIVE's FAE providers, healthcare professional must meet the following criteria

Qualifications
Evaluator must:
Be a Kinesiologist, Physiotherapist or Occupational Therapist.
Have Participated in one of the following FAE Training Courses : ACTIVE, Matheson, Iserhagan, Hanoun, Key or Arcon.
Be a member in good standing with your professional college or governing body.
Have at least 3 years experience in completing FAEs.

General Duties
Conform to the code of ethics, scope of practice and regulations of your professional college.
Provide high quality services, taking into account your knowledge, skills, qualifications, training and
experience, and recognizing your limitations.
Abstain from performing evaluations or providing opinions outside your area of expertise and respect the
mandate provided by the referring source.
Remain impartial and have no stake in the outcome of the functional assessment.
Not issue any report or document containing information that you know to be false or inaccurate.

Duties Toward Evaluees
Identify yourself to the evaluee.
Inform evaluees of the nature, process and purpose of the functional assessment.
Respect the modesty and dignity of evaluees. In this regard, guidelines of your professional college should
be followed.
Demonstrate and maintain professional behavior throughout the evaluation.

Licensees must be owned and operated by an occupational therapist who is registered as such with the
College of Occupational Therapists of Ontario and who is, and remains, in compliance with the rules,
regulations and legislation governing occupational therapists;
Licensees shall specialize in providing OT services to the insurance industry;
Licensees shall maintain their ability to provide OT services to the insurance industry by keeping duly
educated and up-to-date with rules governing such sector and with any legislative and regulatory changes that may take place;
Licensees shall at all times maintain a high level of service to its customers, both in the quality and
timeliness of such services;
Licensees must maintain in confidence all confidential information shared with it by Ontario OT Alliance and other Licensees;
Licensees must adhere to all the guidelines set out by Privacy Legislation.

Standards for Psychologists

Standards for Massage Therapists
In order to be affiliated in any way to the ACTIVE Network a Massage Therapists must demonstrate ongoing commitment to the following Standards:

The Massage Therapist must hold a diploma, certificate, or transcript from an accredited 2200 hour
Canadian massage therapy program or equivalent, if trained outside of Canada. If practicing in the provinces of Ontario or British Columbia, the Massage Therapist must be registered with the College of Massage
Therapists in that province.
The Massage Therapist must practice Swedish Massage (ie. hands on tissue massage) as his/her principle
practice method and be able to perform the following basic massage techniques: cross-fiber friction,
tapotement/percussion, effleurage and petrissage.
The facility that the Massage Therapist works in must appear professional. It should have a distinctly
separate, well-lit reception area and at least one private treatment room. The private treatment room(s)
must be equipped with appropriate lighting and contain an adequate supply of clean linen. As well, a
receptionist or answering service must be in place for a minimum of 8 hours per day, 5 days a week.
The Massage Therapist must be neatly dressed and wear a name tag identifying his/her credentials at all
times.
The Massage Therapist (regardless of the province he/she works in) must adhere to the codes of
professional conduct that currently exists in British Columbia and Ontario.
As a minimum, the Massage Therapist must have access to the following educational tools: a skeletal chart or skeleton, a brochure or information sheet that defines massage therapy, and the scope of practice of a
massage therapist.
The Massage Therapist must have a documentation system in place, whereby assessment findings and
treatments, provided to all patients, are documented and stored in a secure area.
The Massage Therapist may, but is not obligated to, employ or work with other qualified healthcare
practitioners.
The Massage Therapist may delegate appropriate tasks to qualified individuals, but any delegated task must be directly supervised by the Massage Therapist.
The Massage Therapist may not be involved in any conflict of interest situation. For example, the Therapist
must not receive or give monetary rewards or gifts in exchange for referrals.
The Massage Therapist must uphold a reputation of being a quality healthcare provider within his/her
community.
The Massage Therapist must comply with the requirement of submitting outcome data to ACTIVE, and must
participate in the ACTIVE credentialling process.
The Massage Therapist must maintain malpractice and liability insurance of a minimum coverage of $1 M per occurrence.