sb 19-238 training advisory committee presentation ... 19-238 training advisory...training advisory...
TRANSCRIPT
Training Advisory Committee (TAC) for SB 19-238 Meeting
November 7, 20192:00 – 4:00 PM Clayton Learning
1st Floor Meera Mani Room
Facilitator: Government Performance Solutions, Inc.
1
Welcome
2
Roll call, objectives, and agenda
Let’s begin with an alphabetical roll call.
3
TAC Membership
Committee Members Department SupportMelissa Benjamin Cynthia Hardiman Ginny Brown
David Bolin Jeanette Hensley Colin LaughlinChristina Brown Kelley Horton Elaine McManisLorin Chevalier Alexa Lanpher Pat Teegarden
Pat Cook James MooreStephanie Felix Sarah SerrarLiz Gerdeman Karen Spivey
Jennifer Gilchriest Stacy WardenFacilitation and Coordination
Greg Bellomo Kate Newberg Laura SigristHayley Gleason Erin Thatcher
Objectives:
• Learn about home care worker training in other states
• Share information from listening session and focus groups
• Discuss minimum requirements for initial training
Agenda: see handout
4
Meeting Overview
Per the SB 19-238, the TAC shall:
1. Review the current state of initial and ongoing training for home care agency employees, and
2. Develop recommendations for state required initial and ongoing training
In future meetings we will cover:
• Review the current enforcement practices for initial and ongoing training for home care agency employees
• “Advise the Departments concerning the manner in which non-administrative employees will be notified of the compensation increases and minimum wage.”
• Develop recommendations for state required ongoing training, enforcement of training, and notification of compensation increases to be integrated into final report by January 2020
5
Today we will focus on two of the TAC’s charges
Home Health Worker TrainingOverview of other states
6
Summary of the SAPGA Workforce presentation
Role Employer Training Required By
Home Health Aides Home Care Agency (typically Medicare/ Medicaid certified)
Federal* and State
Home Care Workers or Personal Care Aides
Home Care Agency State
Consumer-Directed Personal Care Aides
Consumer State
Roles of the home care workers
7
*Fed regulations require the training programs consist of at least 75 hours of training, including at least 16 hours of supervised practice or clinical training.
Example: Home Health Aide (HHA) Training
HOURS OF TRAINING REQUIRED BY SELECT STATES
State HHA Training
HHA Clinical
Colorado 75 16
Arizona 75 16
Illinois 120 40
Oregon 75 16
New Jersey 76 16
Washington 85 50
Wyoming 91 16
8
Summary of HHA training hours in other states
• 30 states require more than 75 hours of training
• 32 states and DC require more than 16 hours of supervised practice clinical training
• 13 states and DC require a minimum of 120+ hours of training
HCPF looked at the following direct care work competencies models:
• Community Support Skill Standards (CSSS) (tools for managing change and achieving outcomes)
• PHI Competencies for Direct Care Workers
• National Alliance for Direct Support Professionals (NADSP)
• Department of Labor Employment and training Administration’s Long-term care, Supports and Services Competency Model
• Administration for Community Living’s (ACL) Long-term Services and Supports Workforce Competency Model
• Centers for Medicare and Medicaid (CMS) Direct Service Workforce Core Competencies
9
Models: Direct Care Worker Competencies
All of the models listed on the previous page have the following in common:
• Participant empowerment / person-centered supports
• Consumer rights, ethics, confidentiality and documentation
• Communication
• Assessment / evaluation and observation
• Crisis prevention and intervention
• Education, training and self-development
• Workplace competencies such as:
Community living skills and support
Safety and emergency
Nutritional support
Infection control
Health care support
10
Commonalities: Direct Care Worker Competencies
Public Listening Sessions and Home Care Worker Focus GroupSummary of input
11
• Participants in the listening sessions provided input on the following topics:
• Basic/core and specialized training
• Topics for ongoing training
• Methods of delivery
• See handout for the summarized findings from the listening sessions
12
Listening Session Summary
Discussion: Minimum Initial Training
Requirements
13
HCPF: HCBS Waiver Provider Agencies
• General Certification Standards (8.487.10)
• Certification Standards for Personal Care Services (8.489.40)
• Homemaker Provider Agency Responsibilities (8.490.4)
• IHSS Agency Responsibilities (8.552.6)
Pediatric Personal Care Services Benefit Coverage Standard (10 CCR 2505-10, SECTION 8.500-8.599, APPENDIX A)
Reminder: Current Requirements
14
CDPHE: Health Facilities and Emergency Medical Services Division (6 CCR 1011-1 Chapter 7)
• Personal Care Worker Training
• Assisted Living Staff Training (6 CCR 1011-1 Chapter 7)
• Intellectual and Developmental Disabilities Personnel and Staffing (6 CCR 1011-1 Chapter 8)
Initial Training
15
Previous Discussion
Delivery Content Process Testing
Topics for Discussion:
-Method (online, in-person, etc.)
-Topics
-Curriculum
-Hours
-Timeline (pre-contact with client, w/in first 6 months, etc.)
-Trainer qualifications
-Record keeping
-Type (written vs. observed)
-Frequency
-Pass/fail requirements
Based upon last week’s discussion on the initial training requirements (see handout), the listening sessions and focus group input, and information about other states’ minimums:
1. What should the minimum courses/content be?
2. What should Colorado have as minimum as supervised practice or clinical training?
3. What should Colorado have as minimum training hours?
16
What should the minimums be?
17
Concept: Training Matrix
Homemaker Personal Care
Before Contact with Client
Within 45 Days
Specialized/ Advanced
Competency
• Topic 1
• Topic 2
R1
Competency
• Topic 1
• Topic 2
R1
Competency
• Topic 1
• Topic 2
R1
Competency
• Topic 1
• Topic 2
R1
Competency
• Topic 1
• Topic 2
R1
Competency
• Topic 1
• Topic 2
R1
Proposal• Plot the
competencies and topics into the roles and time periods
• Enrich with:• Delivery method
• Recurrence • Testing/
demonstration requirements
• Others
Competency
• Topic 1
• Topic 2
R1
Next Steps
18
Next Steps
19
November Meetings• Review findings from listening
sessions and discuss training requirements and enforcement actions
• Discuss issues and develop recommendations including notification and evaluation
• Develop pro/con for each option
December Meeting• Review options, pro/con analysis
and recommend edits to arrive at consensus
• Finalize recommendations
• Create and submit final report by ~Dec 15 to HCPF
GPS will summarize today’s exercise and prepare for next meeting. Here are the planned activities for upcoming meetings:
20
Questions?
21
Public CommentWe will allow 2 minutes per person. The public is also welcome to submit comments and questions to [email protected]
Thank You!
22
Greg Bellomo [email protected] 303.601.7319
Kate Newberg [email protected] 720.515.9477
Laura Sigrist [email protected] 720.474.7291
Government Performance Solutions, Inc. (GPS)Contact Info