Training Advisory Committee (TAC) for SB 19-238 Meeting November 7, - - PowerPoint PPT Presentation

Training Advisory Committee (TAC) for SB 19-238 Meeting

November 7, 2019

2:00 – 4:00 PM Clayton Learning 1st Floor Meera Mani Room

Facilitator: Government Performance Solutions, Inc.

1

Welcome

2

Roll call, obj ectives, and agenda

Let’ s begin with an alphabetical roll call.

3

TAC Membership

Committee Members Department Support Melissa Benj amin 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 S tephanie Felix S arah S errar Liz Gerdeman Karen S pivey Jennifer Gilchriest S tacy Warden Facilitation and Coordination Greg Bellomo Kate Newberg Laura S igrist Hayley Gleason Erin Thatcher

Objectives:

• Learn about home care worker training in other states
• S

hare information from listening session and focus groups

• Discuss minimum requirements for initial training

Agenda: see handout

4

Meeting Overview

Per the S B 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 Training

Overview 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 S tate Home Care Workers or Personal Care Aides

Home Care Agency

S tate Consumer-Directed Personal Care Aides

Consumer

S tate

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 S tate 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 S

upport S kill S tandards (CS S S ) (tools for managing change and achieving outcomes)

• PHI Competencies for Direct Care Workers
• National Alliance for Direct S

upport Professionals (NADS P)

• Department of Labor Employment and training Administration’ s Long-

term care, S upports and S ervices Competency Model

• Administration for Community Living’ s (ACL) Long-term S

ervices and S upports Workforce Competency Model

• Centers for Medicare and Medicaid (CMS

) Direct S ervice 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
• S

afety and emergency

• Nutritional support
• Infection control
• Health care support

10

Commonalities: Direct Care Worker Competencies

Public Listening Sessions and Home Care Worker Focus Group

S ummary 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
• S

ee 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 S

tandards (8.487.10)

• Certification S

tandards for Personal Care S ervices (8.489.40)

• Homemaker Provider Agency

Responsibilities (8.490.4)

• IHS

S Agency Responsibilities (8.552.6) Pediatric Personal Care S ervices Benefit Coverage S tandard (10 CCR 2505-10, S ECTION 8.500-8.599, APPENDIX A)

Reminder: Current Requirements

14

CDPHE: Health Facilities and Emergency Medical S ervices Division (6 CCR 1011-1 Chapter 7)

• Personal Care Worker Training
• Assisted Living S

taff Training (6 CCR 1011-1 Chapter 7)

• Intellectual and Developmental

Disabilities Personnel and S taffing (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.

• bserved)
• 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 S pecialized / 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 activit ies for upcoming meetings:

20

Questions?

21

Public Comment

We will allow 2 minutes per person. The public is also welcome to submit comments and questions to HCPF_DCWorkforce@ state.co.us

Thank You!

22

Greg Bellomo greg@ governmentperformance.us 303.601.7319 Kate Newberg kate@ governmentperformance.us 720.515.9477 Laura S igrist laura@ governmentperformance.us 720.474.7291

Government Performance Solutions, Inc. (GPS) Contact Info