COMPO President Joins St Michael's Hospital Missionary Work

Osteopathic manual practitioner, Susan Doctolero Francisco, DOMP, president of the College of Osteopathic Manual Practitioners of Ontario (COMPO) is joining the medical team of St Michael Hospital’s missionary work in the Philippines in February 2014 to help in re-building the devastation typhoon Haiyan caused.

 

 

 

 

COMPO Flyer to Insurers (Osteopathy Fee Guideline)

The College of Osteopathic Manual Practitioners of Ontario (COMPO) is actively lobbying the extended health plan insurers in Ontario and other third party payers to adopt the COMPO Manual Osteopathy fee guidelines.

VIDEO: Manual Osteopathy Fee Guideline 2013

The College of Osteopathic Manual Practitioners of Ontario has released this video that covers the fee guidelines associated with the manual osteopathy profession in Ontario.

This is a great step towards standardization of the profession of osteopathic manual practice. This is the first fee guideline ever published in Canada for manual osteopaths.

Insurance Billing

COMPO members please note; you may not bill extended health plan insurers for osteopathic examinations and treatments provided in the same day. While you are permitted to examine and treat your patient on the same date, you may bill only one service per day.

Dual Degree Registrants Can Bill Insurers Only Once Per Day

Dual degree members please note;

you may not bill extended health plan insurers twice per day. For example; if you are a registered massage therapist; as well as an osteopathic manual practitioner; you may bill EHP insurer only for massage or osteopathic manual practice for services provided on a specific day, not both of them together in the same day.  You are entitled to provide both services on the same date if you feel they are necessary; however you may not bill for both, just one of them.

Strategic Objectives of COMPO

Strategic Objectives

1. Improve communication of the role, mandate and mechanism of College of Osteopathic Manual Practitioners of Ontario (COMPO) to key internal and external stakeholders.
2. Strive for unity in the public interest, while respecting the diversity within the osteopathic manual practice profession.
3. Optimize osteopathic manual practice services in the public interest.
4. Continue to operate in a fiscally responsible manner: policy mandate met and priorities set and appropriately resourced (human and financial).
5. Obtain government regulation and help in making the osteopathic manual practice become a regulated health profession as defined by the Regulated Health Professions Act (RHPA) of Ontario.

Who We Are

Who We Are

The College of Osteopathic Manual Practitioners of Ontario (COMPO) is a self-governing body, established by the osteopathic manual practice profession (not the Ontario government) to supervise osteopathic manual practitioners in Ontario in the public interest. COMPO is not a regulated health college as defined by the Regulated Health Professions Act of Ontario and it is not a member of the Federation of Regulatory Health Colleges of Ontario. Membership is COMPO is voluntary.

• COMPO is committed to improving the health and well-being of people of Ontario by informing the public and assuring them of competent and ethical osteopathic manual practice care.
• COMPO examines, registers and supervises the osteopathic manual practice profession on a voluntary basis.
• COMPO sets requirements for entry to the osteopathic manual practice profession, registers osteopathic manual practitioners, sets standards of practice and guidelines for professional practice, monitors competence through a quality assurance program, investigates complaints against osteopathic manual practitioners who are its members and disciplines those members who have committed acts of professional misconduct or who are incompetent or incapacitated.

College of Osteopathic Manual Practitioners of Ontario

The College of Osteopathic Manual Practitioners of Ontario (COMPO) supervises osteopathic manual practitioners in the public interest. Please contact COMPO if you require any information about the following:

• registration status of a COMPO member
• standards of practice, policies and guidelines
• filing a complaint against a COMPO member
• filing a report
• disciplinary decisions
• any other inquiry or concern related to the practice of the osteopathic manual practice profession

How COMPO Protects the Public Interest

How COMPO Protects the Public Interest

The College of Osteopathic Manual Practitioners of Ontario (COMPO) sets requirements for entry to the profession, registers osteopathic manual practitioners, sets standards of practice and guidelines for professional practice, monitors competence of its members through a quality assurance program, investigates complaints and reports against osteopathic manual practitioners who are its members and disciplines those members who have committed acts of professional misconduct or who are incompetent or incapacitated.

Before being allowed to become a member of the College of Osteopathic Manual Practitioners of Ontario, an osteopathic manual practitioner must:

• graduate from an accredited osteopathic manual practice college which offers manual osteopathic education that is compliant with the Benchmarks in Training in Osteopathy published by the World Health Organization (WHO) in 2010; which requires that the osteopathic education be a minimum of 4200 hours (approximately 4 years) for students with no prior health education or 2000 hours for students with prior health education, 1000 hours of which must be on clinical training.
• pass licensing examinations as set by the College of Osteopathic Manual Practitioners of Ontario
• obtain malpractice insurance

Applicants must also meet the requirements of Employment and Immigration Canada and demonstrate a reasonable fluency in either English or French.

Osteopathy Scope of Practice

Scope of Practice

Osteopathic manual practitioners are primary healthcare practitioners who facilitate healing through osteopathic assessment and treatment of dysfunctions of the whole person, with a focus on neuromusculoskeletal and joint disorders.

Osteopathic manual practitioners use various, recognised osteopathic manual techniques to work with the body's ability to heal itself, thereby promoting health and wellbeing.

Authorized Acts

Authorized Acts

There are a number of acts that are considered authorized acts and outside the scope of practice of COMPO members.

Osteopathic manual practitioners are prohibited by law to provide any of these acts, unless they are a dual registrant with a license in another health profession that permits them to provide the acts listed below:

• Communicating a medical diagnosis identifying, as... the cause of a person's symptoms (COMPO members may provide a manual osteopathic diagnosis, but not a medical diagnosis),
• Moving the joints beyond a person's usual physiological range of motion using a high velocity, low amplitude thrust (called manipulation or grade V mobilization),
• Putting a finger beyond the anal verge for the purpose of manipulating or mobilizing the tailbone (coccyx),
• Injection of any kind and breaking the skin, & surgery of any type,
• Prescribing any type of medication,
• Taking x-rays and offering radiological services,
• Casting and or bracing bone fractures,
• Setting dislocated joints.

 

 

COMPO Registration Requirements

Registration Requirements

The registration requirements for osteopathic manual practitioners who are interested in becoming a member of COMPO are the same for all applicants - whether trained domestically or internationally.
Successful completion of the requirements for registration demonstrates that an applicant has fulfilled the essential competencies to become registered with COMPO.

Prospective members must complete the following before becoming registered with COMPO:

• graduate from an accredited osteopathic manual practice college (this requirement is non-exemptible);
• successfully complete the COMPO’s knowledge-based and clinical competency examinations;
• successfully complete COMPO's Legislation and Ethics examination;
• provide evidence of good character;
• be able to speak and write English or French with reasonable fluency;
• maintain professional liability protection.

Osteopathy Board Examinations

COMPO Osteopathy Board Examinations

To be considered for registration, candidates must apply for registration with the College of Osteopathic Manual Practitioners of Ontario (COMPO) and successfully complete the following:

• COMPO knowledge-based examinations;
• COMPO Clinical Competency Examinations; and
• COMPO Legislation and Ethics Examination.

Candidates may take all required examinations within the same week. COMPO examination results take approximately five weeks to pro...cess. Upon successful completion of the examinations COMPO will send candidates an application form to be completed for membership.

COMPO offers the examinations three times per year.
If a candidate is unsuccessful at passing the examinations, he/she will be given an opportunity to write a supplemental examination at the next available sitting of the examination or at an earlier date. A candidate is given as many opportunities as required to successfully pass the examination.

If a candidate wishes to appeal his/her result of the examinations, he/she may do so in writing to the attention of the Registration Committee. The Registration Committee will review this appeal at the next meeting of the Registration Committee, or in its discretion at an earlier date, and will respond to the candidate in writing. A response to an appeal may include, upholding the examination result, modifying the result on the basis of the appeal, modifying the examination for future sittings or any other response in the discretion of the Registration Committee, consistent with COMPO policy.

 

 

COMPO's Main Responsibilities

COMPO's Main Responsibilities Include:

• developing standards of admission to the osteopathic manual practice profession;
• establishing standards and guidelines for members' conduct and practice;
• developing programs to help osteopathic manual practitioners maintain and improve their skills and knowledge;
• investigating complaints and reports against members;
• disciplining members who have committed acts of professional misconduct or who are incompetent or incapacitated.

COMPO Mission

Mission


The College of Osteopathic manual practitioners of Ontario (COMPO) is committed to improving the health and well-being of people of Ontario by informing the public and assuring them of competent and ethical osteopathic manual practice care.

COMPO Founders

Some of the founders of College of Osteopathic Manual Practitioners of Ontario (COMPO)

COMPO Committee Members

COMPO Committee Members

College of Osteopathic Manual Practitioners of Ontario (COMPO) has seven committees that are managed by nine osteopathic manual practitioners, a registrar and six members of the public.

EXECUTIVE
Susan Francisco, DOMP president
Jay David, DOMP vice president
Luary Perez, treasurer
Yvette Andrea Bazarin, DOMP
Tracy Clark, DOMP...
Tanya Shirazi
Bobby Kharat

INQUIRIES, COMPLAINTS & REPORT
Jay David, DOMP chair
Julia Zubkova, DOMP
Tony Lee, DOMP
Natalia LaMontagne

DISCIPLINE
Tracy Clark, DOMP chair
Jay David, DOMP
Sara Abbasi, DOMP
Susan Francisco, DOMP
Antonetta Verosa, DOMP
Natalia LaMontagne
Tanya Shirazi

FITNESS TO PRACTICE
Tony Lee, DOMP chair
Shahla Eshman, DOMP
Mahrokh Mehjouri

PATIENT RELATIONS
Antoneta , DOMP chair
Tracy Clark, DOMP
Julia Zubkova, DOMP
Jennifer Smithson
Luary Perez

QUALITY ASSURANCE
Sara Abbasi, DOMP chair
Joe Shizhong Xu, DOMP
Yvette Andrea Bazarin, DOMP
Bobby Kharat
Tanya Shirazi

REGISTRATION
Shahla Eshman, DOMP chair
Joe Shizhong Xu, DOMP
Luary Perez

COMPO Registrar

Osteopathic Manual Practitioner, Shahla Eshman, DOMP has been chosen as the registrar of College of Osteopathic Manual Practitioners of Ontario.

Nominated Public Members of COMPO Committees

The following six members of the public (who are not osteopathic manual practitioners) have been nominated by College of Osteopathic Manual Practitioners of Ontario to be part of the teams that manage the seven committees of COMPO:

Tanya Shirazi
Natalie LaMontagne
Bobby Kharat
Luary Perez
Jennifer Smithson
Mahrokh Mehjouri

COMPO Manual Osteopathy Fee Guideline

COMPO Fee Guideline (2013)

The College of Osteopathic Manual Practitioners of Ontario (COMPO) Recommended Service Codes and Fee Guideline (“The Fee Guideline”) has been prepared for osteopathic manual practitioners, patients, insurers and third party payers to provide for fair and reasonable billing for osteopathic manual practice services according to a clear and consistent model.

Recommended ...

fees for osteopathic manual practice services are adjusted periodically to reflect changes in the cost of rendering care and in the socio-economic circumstances of the day. The adjustments to the COMPO fee guideline will generally be in line with general inflation in the province of Ontario.

FEES ARE RECOMMENDATIONS
The COMPO Fee Guideline is issued for information purposes only. Adoption of the fees recommended herein remains at the discretion of the osteopathic manual practitioner. Recommended fees represent the full fee for each service, inclusive of any partial or full insurance provisions.

The COMPO recognizes that osteopathic manual practice fees may vary across the province. As with other professional and health care professions a number of factors affect the establishment of a given fee for a given service. These include the cost to provide the osteopathic service, regional and economic factors, and considerations of reasonable and customary practice for patient and osteopathic manual practitioner.

The fee established by an osteopathic manual practitioner for a given service should be charged to all patients who receive that particular service, and should be charged without reference to, for example, the existence of any third-party insurance under which the patient may be covered.

According to Standards established by The College of Osteopathic Manual Practitioners of Ontario, patients must be informed of the cost of service before the service is performed regardless of the payer. Where the osteopathic manual practitioner’s fee is significantly at variance with the recommended fee, it is suggested that the patient and/or payer be informed of the reasons for the variance.

Hourly Fee For All Osteopathic Manual Practice Services: $80

ASSESSMENT
For a new or established patient, shall comprise a full history of the presenting complaint(s), the review of any relevant documentation, a detailed inquiry concerning the complaint(s) and detailed examination of the affected part(s), region(s) or system(s) as required to: (a) arrive at an osteopathic diagnosis (osteopathic manual practitioners are not permitted to render medical diagnosis); (b) complete an appropriate record of findings; (c) advise the patient on course of treatment; (d) where appropriate, refer the patient for other health care. Time requirement is generally 30-60 minutes.
Assessment Fee: $80 for one hour, $40 for 30 minutes

TREATMENT
Osteopathic manual practitioners in Ontario provide treatments on a time basis, most commonly 30 minutes to one hour.
The osteopathic therapeutic interventions may be provided at the same day the assessment is performed, or at a subsequent patient visit. Osteopathic manual practitioners may employ many different manual techniques such as joint mobilization, trigger point therapy, myofascial release technique, massage, muscle energy techniques, visceral techniques, cranial osteopathy, joint specific therapeutic exercises, positional release technique, and counterstrain to help patients. Osteopathic manual practitioners in Ontario are not permitted to perform joint manipulation, also known as high velocity low amplitude technique.
Treatment Fee: $80 for one hour, $40 per 30 minutes

HOME VISIT SUPPLEMENT
Osteopathic manual practitioners who provide treatments at the patient’s home are permitted to add a surcharge to their treatment fees to recover the transportation costs.
Home Visit Surcharge: $40

DETAILED CASE REPORT
There are instances where the osteopathic manual practitioner is requested to provide a detail narrative report, mainly in motor vehicle accident (MVA) cases. The reports are charge on an hourly rate. Most reports take about 3 to 5 hours of work to be prepared, however it depends on each individual case.
Detailed Report Fee: $80 per hour spent on preparing the report

Photocopy
Photocopy of patient files, clinical notes or other materials for patient or a third party.
Photocopy Fee: $30 for up to 5 pages, $1 per page thereafter

Form or Sick Note: Simple Sick Note / Return to Work
Certificate completion requiring minimal input and signature by the osteopathic manual practitioner. Examples of certificates included are disability forms, institutional benefit program applications and handicap parking applications.
Form & Sick Note Fee: $20

Clinical Products and Materials
Clinical Products (i.e. orthopaedic braces, splints, exercise products) and materials (i.e. educational material) are provided at osteopathic manual practitioners cost plus a reasonable handling charge as well as the time spent by the practitioner to measure patient and to educate patient on proper use.
Measuring & Dispensing Fee: $40 for 30 minutes or $80 for one hour

Custom Made Foot Orthotics
The fee charged for a pair of custom made foot orthotics includes all professional services relating directly to the provision of custom made in-shoe foot orthotics including the assessment & gait analysis, casting, fitting, and follow up assessment as well as the cost of the custom in-shoe orthotics. As the cost of foot orthotics differ from each manufacturer and also on the type and style of prescribed orthotics a range is provided for practitioners.
Orthotics Fee: $250 to $350 per pair (fee includes the cost of assessment as well as the product)

 

 

COMPO Website

Please visit the website of the College of Osteopathic Manual Practitioners of Ontario (COMPO) at:

www.compontario.com