PRACTICAL RESPONSES

Many tools.
One accountability gap.

Boards have multiple options for strengthening online CE oversight. TRACE believes independent course-level functional verification offers the strongest systematic safeguard.

Stronger Board audits

Direct spot-checks, improved procedures and evidence requests. Capacity and consistency may limit breadth.

Provider and platform safeguards

Clearer technical requirements, audits, enforcement and reporting. Course-specific behavior still needs testing.

Independent course verification

Qualified outsiders test every individual course against Board rules from a real learner's perspective.

ALTERNATIVE APPROACH · PROVIDER ACCREDITATION

Accredit the provider. But who verifies the course?

One way to strengthen online CE accountability is to require independent accreditation of the education provider rather than separate verification of every course. The IACET Accredited Provider model illustrates this approach. IACET evaluates an organization's policies and processes for designing, delivering, assessing and evaluating continuing education, and reviews examples of actual courses. It accredits the organization, not each individual course.

Why Boards might consider it

Independent provider accreditation can establish stronger organizational standards, documented procedures, staff accountability, learning assessments and internal reviews. It can offer scalable oversight across a provider's course catalog without a separate accreditation application for every new course.

What it cannot establish by itself

A provider-level approval is not independent, hands-on functional verification of every online course. Review of policies, selected course examples and internal quality systems does not prove that each current course's timer, participation controls, exam settings, learner safeguards or certificate logic actually operate as the applicable Board requires.

The remaining risk is course-specific. Different courses on the same platform may have different configurations, and technical behavior can change after provider accreditation. A provider can follow a credible quality-assurance process yet still have an individual course that warrants correction. This is a limitation of the scope of assurance, not an allegation that IACET or its accredited providers are failing their standards.

Could the approaches be combined? Yes. Provider accreditation paired with randomized, risk-based or complaint-triggered functional course audits could improve oversight. That would be a meaningful policy option, but selective testing still would not independently verify every individual course. TRACE therefore favors independent third-party functional verification of each online CE course against the relevant Board's requirements, alongside existing provider accreditation or PACE and Board approval where applicable.

For Boards: Accreditation answers whether a provider has credible educational systems and processes. Course-level functional verification answers whether a particular course works in compliance with your rules. Both can contribute, but they answer different questions.

About the IACET model: Accredited Provider FAQ · How course examples are reviewed · What accreditation does and does not approve. IACET is discussed as an example, not endorsed as a required or exclusive provider.

TRACE's preferred rulemaking solution

In formal rulemaking petitions, TRACE proposes that each individual online CE course shall undergo independent third-party functional compliance verification, by a qualified independent reviewer, as a condition of accepting it for CE credit. Implementation must respect each Board's laws and transition needs.

This supplements existing Board approval and PACE recognition. Boards set the standards, authorize qualified organizations and retain all final decisions. Multiple qualified independent reviewers should be permitted under objective criteria. TRACE does not itself perform verification or endorse an exclusive vendor.

ORGANIZATIONS TO EXPLORE

Potential third-party verification organizations

Organizations active in distance education, continuing education quality assurance, independent assessment and learner-identity controls may be worth investigating for independent functional verification of each individual online chiropractic CE course against applicable Board requirements.

Informational directory, not Board-approved verifiers. Inclusion does not establish that an organization is qualified, available, willing to perform this exact service, independent for a particular engagement, or recognized by a State Chiropractic Board. Some primarily offer accreditation, course-quality reviews or technical solutions rather than complete individual-course functional verification. TRACE does not endorse, certify or approve any organization.
Course-by-course verification

Online CE Integrity

Online CE Integrity is an independent third party that verifies, course by course, that online continuing-education courses are actually delivered the way they were approved — confirming identity, participation, exam integrity, and credit hours — at no cost or burden to state licensing boards.

Visit onlineceintegrity.com
Prehospital CE accreditation

CAPCE

Accredits continuing education providers and courses in emergency medical services. Whether it could offer chiropractic-specific functional verification requires further evaluation.

Visit capce.org
Training and assessment assurance

Cognisense

Describes independent assessment of training, identity, proctoring and session integrity. Chiropractic regulatory course verification would need evaluation.

Visit cognisense360.com
Continuing education accreditation

IACET

Accredits continuing education and training organizations using reviews of provider processes and example courses, not separate certification of every individual course. This can strengthen provider oversight but does not replace learner-perspective functional testing of each course against Board rules. Compare the models above ↑

Visit iacet.org
Distance education certification

IDECC

Offers a course-level certification process evaluating distance education design and delivery. Suitability for Board-specific chiropractic verification would require review.

Visit idecc.org
Identity and assessment controls

Integrity Advocate

Provides online proctoring and learner identity technology. These technical tools alone are not independent verification of an entire course.

Visit integrityadvocate.com
CE sponsor recognition

NASBA National Registry

Recognizes accounting continuing education sponsors under published standards. Its experience may be relevant, but is not automatically chiropractic course verification.

Visit nasbaregistry.org
Online course quality assurance

Quality Matters

Provides course quality rubrics, reviews and certification. Instructional-design review differs from course-level Board rule functional verification.

Visit qualitymatters.org