WSR 23-18-045
PERMANENT RULES
DEPARTMENT OF HEALTH
(Occupational Therapy Practice Board)
[Filed August 30, 2023, 1:14 p.m., effective January 1, 2024]
Effective Date of Rule: January 1, 2024.
Purpose: Health equity continuing competency training for occupational therapy in WAC 246-847-065.
RCW 43.70.613 (3)(b) directed the rule-making authority for each health profession licensed under Title 18 RCW that is subject to continuing competency to adopt rules requiring a licensee to complete health equity continuing competency training at least once every four years. The statute also directed the department of health (department) to create model rules establishing the minimum standards for health equity continuing education (CE) programs. The department filed model rules for health equity CE minimum standards on November 23, 2022, under WSR 22-23-167. Any rules developed by the occupational therapy practice board (board) must meet or exceed the minimum standards in the model rules in WAC 246-12-800 through 246-12-830.
The board adopted rule amendments to the continued competency section, WAC 246-847-065, to implement ESSB 5229 (chapter 276, Laws of 2021). The board is adopting the health equity model rules, WAC 246-12-800 through 246-12-830, for occupational therapy practitioners to comply with RCW 43.70.613. The adopted rule adds two hours of health equity education, as required in the model rules, to be completed as part of the current continuing competency requirements every four years.
The adopted rule does not change the total CE hours but requires two hours in health equity CE every four years which is absorbed into the existing number of CE hours required. The health equity CE requirement is counted under existing, unspecified CE requirements for the profession.
Citation of Rules Affected by this Order: Amending WAC 246-847-065.
Statutory Authority for Adoption: RCW 18.59.130, 18.130.040, 43.70.040, and 43.70.613.
Adopted under notice filed as WSR 23-12-094 on June 6, 2023.
Changes other than editing from proposed to adopted version: The board amended the rule at the hearing to clarify where the model rules are located. The revision included the addition of the following language regarding the training, stating it must "comply with WAC 246-12-800 through 246-12-830." 
A final cost-benefit analysis is available by contacting Kathy Weed, P.O. Box 47852, Olympia, WA 98504-7852, phone 360-236-4883, fax 360-236-2901, TTY 711, email kathy.weed@doh.wa.gov, website www.doh.wa.gov.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: July 14, 2023.
Mary Spores, Chair
Occupational Therapy Practice Board
OTS-4547.2
AMENDATORY SECTION(Amending WSR 18-09-032, filed 4/11/18, effective 8/1/18)
WAC 246-847-065Continued competency.
Licensed occupational therapists and licensed occupational therapy assistants must complete ((thirty))30 hours of continued competency every two years in the form of continuing education and professional development. The licensee must submit documentation upon request as required by chapter 246-12 WAC.
(1) Beginning January 1, 2014, as part of their continued competency, occupational therapists and occupational therapy assistants are required to obtain at least three hours of training every six years in suicide assessment as specified in WAC 246-847-066. The licensee must keep documentation for six years.
(a) Except as provided in (b) of this subsection, an occupational therapist or occupational therapy assistant must complete the first training required by this section during the first full continued competency reporting period after January 1, 2014, or the first full continued competency reporting period after initial licensure, whichever occurs later.
(b) An occupational therapist or occupational therapy assistant applying for initial licensure on or after January 1, 2014, may delay completion of the first training required by this section for six years after initial licensure if:
(i) He or she can demonstrate successful completion of a three-hour training program in suicide assessment that was completed no more than six years prior to the application for initial licensure; and
(ii) The training meets the qualifications listed in WAC 246-847-066.
(2) As of January 1, 2024, occupational therapists and occupational therapy assistants are required to obtain at least two hours in health equity continuing education training every four years. The continuing education course must meet the minimum standards under RCW 43.70.613 and comply with WAC 246-12-800 through 246-12-830. These hours can be counted towards the total required 30 hours of continuing education.
(3) The ((thirty))30 hours of continuing education and professional development must be obtained through two or more of the activities listed in this subsection. A minimum of ((twenty))20 hours must directly relate to the practice of occupational therapy as defined in RCW 18.59.020 and WAC 246-847-010. Any remaining hours may be in professional development activities that enhance the practice of the licensed occupational therapist or licensed occupational therapy assistant. Documentation for all activities must include licensee's name, date of activity, and number of hours. Additional specific documentation is defined below:
(a) Continuing education course work. The required documentation for this activity is a certificate or documentation of attendance.
(b) Employer sponsored in-service training or professional study groups. The required documentation for this activity is a certificate or documentation of attendance. A maximum of ((fifteen))15 hours is allowed per reporting period for this category.
(c) Attendance at a professional conference or workshop presented by a professional organization. The required documentation for this activity is a certificate or documentation of attendance.
(d) Course work offered by an accredited college or university, provided that the course work is taken after the licensee has obtained a degree in occupational therapy, and the course work provides skills and knowledge beyond entry-level skills or knowledge. The required documentation for this activity is a transcript. One course credit is equal to five hours. A maximum of ((fifteen))15 hours is allowed per reporting period for this category.
(e) Interactive online courses and webinars. The required documentation for this activity is a certificate or documentation of completion.
(f) Presentation to professionals, including poster presentations. One hour of preparation time may be counted per hour of presentation time. The required documentation for this activity is a copy of the presentation or program listing. Any particular presentation may be reported only once per reporting period. A maximum of ((ten))10 hours is allowed per reporting period for this category.
(g) Guest lecturing on an occupational therapy-related topic in an academic setting. The occupational therapist or occupational therapy assistant must not be primarily employed in academia to submit credit for this activity. The required documentation for this activity is a letter or other documentation from the course instructor. A maximum of ((ten))10 hours is allowed per reporting period for this category. One hour of preparation time may be counted per hour of lecture time.
(h) Authoring a publication. The required documentation for this activity is a copy of the publication. For a peer reviewed journal article or chapter in a textbook a maximum of ((ten))10 hours is allowed per reporting period for this category. For nonpeer reviewed professional publication a maximum of five hours is allowed per reporting period for this category.
(i) Development of instructional materials incorporating alternative media such as: Video, audio and/or software programs to advance professional skills of others. The required documentation for this activity is a program description. The media/software materials must be available if requested during audit process. A maximum of ((ten))10 hours is allowed per reporting period for this category.
(j) Professional manuscript review. The required documentation for this activity is a letter from the publishing organization verifying review of manuscript. One hour of continuing education may be counted per hour of review time. A maximum of ((ten))10 hours is allowed per reporting period for this category.
(k) Service on a professional board, committee, disciplinary panel, or association. The required documentation for this activity is a letter or other documentation from the organization. A maximum of ((ten))10 hours is allowed per reporting period for this category.
(l) Self-study of peer reviewed, role-related professional journal articles, textbooks or chapters, or professionally developed multimedia and digital media educational materials. The required documentation for this activity is a typed, one-page synopsis of each item written by the licensee or a certificate from OT practice continuing education article. A maximum of ((ten))10 hours is allowed per reporting period for this category. Time spent writing synopsis is not reportable.
(m) Direct supervision of an occupational therapy student or occupational therapy assistant student. The required documentation for this activity is a name of student(s), letter of verification from school, and dates of fieldwork. Forty hours of supervision per student is equal to one hour of continued competency. A maximum of ((twelve))12 hours per supervisor is allowed per reporting period for this category.
(n) Mentoring. Mentoring in this section means a relationship in which a more experienced or more knowledgeable person helps to guide a less experienced or knowledgeable person for the informal transmission of knowledge and support relevant to professional development. The required documentation for this activity is a written report of goals, objectives and analysis of mentee performance signed by both mentor and mentee. Mentoring credits do not count towards the requirement of ((twenty))20 hours directly related to the practice of occupational therapy. A maximum of five hours is allowed per reporting period for this category.
(o) Attending a Washington occupational therapy practice board meeting. A maximum of two credits per reporting period is allowed.