Training Advisory Committee (TAC) for SB 19-238 October 10, 2019 - PowerPoint PPT Presentation

Kickoff Meeting: Training Advisory Committee (TAC) for SB 19-238 October 10, 2019 Facilitator: Government Performance Solutions, Inc. 1

Welcome Objectives, agenda, and introductions 2

Meeting Overview Objectives: • Align on the training advisory committee’s goals, roles, ground rules, and charter • Discuss the timeline to achieve the legislative mandate of SB 19-238 • Define key questions for the listening sessions Agenda: see handout 3

TAC Membership This group was selected to represent the diverse requirements of the bill and the real-world environment that home care serves (different types of care, diverse geographies, etc). Committee Members Department Members Melissa Benjamin Cynthia Hardiman Ginny Brown David Bolin Jeanette Hensley Colin Laughlin Christina Brown Kelley Horton Elaine McManis Lorin Chevalier Alexa Lanpher Pat Teegarden Pat Cook James Moore Stephanie Felix Sarah Serrar Liz Gerdeman Karen Spivey Jennifer Gilchriest Stacy Warden Facilitation and Coordination Greg Bellomo Kate Newberg Laura Sigrist Hayley Gleason Erin Thatcher 4

TAC Member Introductions 1. Consumer advocacy organizations Please tell us: 2. Personal care workers 3. Worker organizations 4. Home care agencies • Name 5. Disability advocacy organizations 6. Senior advocacy organizations • Organization and Role 7. Children’s advocacy organizations 8. Members / representatives of • Which stakeholder group(s) you members who receive personal care, homemaker, or in-home support represent services 9. Representatives of state departments • Why you agreed to contribute 5

Introduction to Senate Bill (SB) 19-238 6

Senate Bill 19-238 SB 19-238 • Requires the Department of Health Care Policy and Financing (HCPF) to request an 8.1% increase to the reimbursement rate for personal care and homemaker services • Establishes parameters through which home care agencies must pass through rate increases to personal care workers and report compliance to HCPF • Sets an hourly minimum wage for personal care workers of $12.41 per hour effective July 1, 2020 • Requires HCPF to work collaboratively with the Colorado Department of Public Health and Environment (CDPHE) and stakeholders to establish a process for reviewing and enforcing initial and ongoing training requirements for persons who provide covered services 7

Section 25.5-6-1604. C.R.S. By January 1, 2020, HCPF, CDPHE and stakeholders are required to establish a process to review and enforce initial and ongoing training requirements for employees providing personal care, homemaker, and/or respite care services Applies to over 400 service agencies, and • Over 6,000 employees • 8

Required Discussion Topics Include: SB 19-238 requires the following: 1. Manner in which non-administrative employees will be notified of compensation increases and minimum wage 2. Process to review and enforce initial and ongoing training requirements for employees providing personal care, homemaker, and/or respite care services 9

Overview of Roles, Responsibilities, and Charter See handout for full charter 10

Charge of the TAC Per the SB 19-238, the TAC shall: Review the current state of initial and ongoing training for home care • agency employees 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 future initiatives to be reviewed by the • Departments Produce a report of its findings and recommendations by January 1, 2020 • 11

Advisory Committee Requirements (1 of 2) Attend all Committee meetings, including any extended meetings, for • example, half- or full-day work sessions. In the event that a member misses more than one meeting, the facilitator and the Department project manager will contact the member to discuss possible replacement by another appointee. Attend at least one of the five Community Listening Sessions in person or • by phone. Be prepared for all meetings. In the event of problems with access of • any work materials, contact the facilitator and Department project manager immediately. 12

Advisory Committee Requirements (2 of 2) Communicate promptly with other Committee members, the facilitator • and Department project manager, to move the work along between meetings. Seek input from the member’s constituency of peers (for example, other • parents, other providers, etc.) as needed to provide meaningful input into the work. Engage during Committee meetings with respect for differing opinions • and perspectives. Notify the facilitator and Department project manager immediately • should any situation prohibit further participation in the Committee 13

Agency Roles Roles of each agency as envisioned by SB 19-238: HCPF Hire contractor to assist with five conferences for stakeholder engagement and • gather input from the Training Advisory Committee CDPHE Verify the training requirements for home care service agency staff • CDLE Contribute expertise around workforce development and training • DORA Provide expertise around professional licensure, education, and training • 14

HCPF Responsibilities Provide executive oversight and logistic support • Coordinate implementation activities between advisory • committee and other groups Conduct policy analysis of suggested options • Communicate status to the public and legislature • Launch and manage a survey to gather input from a wider • array of individuals 15

Facilitator Responsibilities Provide a structured approach for gathering input • Keep stakeholders focused and progressing towards the goals • and objectives Provide progress updates to advisory committee members • Help the advisory committee balance the inputs from • stakeholders to achieve consensus 16

Stakeholder Responsibilities Stakeholders should share their issues, concerns and/or ideas related to: training for home care agency employees, • enforcement practices for initial and ongoing training • for home care agency employees, and suggestions for notifying non-administrative employees • compensation increases and minimum wage 17

TAC Meeting Structure 18

TAC Meeting Structure 1. Call to order 2. Announcements 3. Old business 4. Department updates 5. Meeting topics including but not limited to: a) Presentation of information b) Discussion c) Breakout exercises d) Next steps e) Public comment period 19

Working Together • Be focused — engage actively on discussion related to SB19-238 • Be respectful — understand differences of opinion on complex issues • Be present — silence all devices and if an emergency occurs, return ASAP • Be creative — evaluate alternatives and seek common ground • Be action-minded —ideas should be practical & “doable” • Be good to yoursel f — if you need a break or a drink or a snack or a stretch, do it! 20

Making Decisions Goal: The Training Advisory Committee is charged with preparing recommendations that will guide processes that are operable and transparent Proposal for decision process: • Discussion on topics will be directed by the facilitator with polling used to understand the Committee members’ position • For recommendations, a proposal will be offered by one of the members (“I think we should recommend…”) • The group will discuss the proposal and seek common ground • The facilitator will re-poll the group to confirm consensus • If no consensus is available, the facilitator will direct a vote; simple majority carries • We will document minority opinions where strong feelings remain 21

Stakeholder Engagement Methods, and Timeline with Deliverables 22

Engagement Methods The general public can submit comments and input via • email (HCPF_DCWorkforce@state.co.us), mail, or phone Five (5) public listening sessions in regional locations • throughout the state Two (2) in- person and two (2) ‘digital’ focus groups for • home care workers Home care aide survey • 23

Timeline and Deliverables (2) in-person and (5) regional (2) ‘digital’ focus public Final Report Due Kickoff Meeting on groups with listening 12/27/19 10/10/19 home care sessions workers October November December Advisory Initial Draft of Committee Recommendations by 11/22/19 meetings on 10/24, 11/7, 11/21, and 12/5 24

Discussion: Stakeholder Engagement Questions 1. How do we ensure public participation from the stakeholder groups impacted by SB 19-238? 2. What insights did you hope to gain from the listening sessions? 3. What questions do you need the stakeholders to answer? 25

Current Training Requirements 26

Current Requirements: 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) 27