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 1 st Floor Meera Mani Room Facilitator: Government Performance Solutions, Inc. 1

Welcome Roll call, obj ectives, and agenda 2

TAC Membership Let’ s begin with an alphabetical roll call. 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 3

Meeting Overview 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

Today we will focus on two of the TAC’s charges 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

Home Health Worker Training Overview of other states Summary of the SAPGA Workforce presentation 6

Roles of the home care workers Role Employer Training Required By Home Care Agency Home Health Aides Federal* and (typically Medicare/ S tate Medicaid certified) Home Care Workers or Personal Care Home Care Agency S tate Aides Consumer Consumer-Directed Personal Care S tate Aides *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 . 7

Example: Home Health Aide (HHA) Training Summary of HHA training hours HOURS OF TRAINING REQUIRED in other states BY SELECT STATES • 30 states require more than S tate HHA HHA 75 hours of training Training Clinical • 32 states and DC require more Colorado 75 16 than 16 hours of supervised Arizona 75 16 practice clinical training • Illinois 120 40 13 states and DC require a minimum of 120+ hours of Oregon 75 16 training New Jersey 76 16 Washington 85 50 Wyoming 91 16 8

Models: Direct Care Worker Competencies 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

Commonalities: 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

Public Listening Sessions and Home Care Worker Focus Group S ummary of input 11

Listening Session Summary • 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

Discussion: Minimum Initial Training Requirements 13

Reminder: Current Requirements HCPF: HCBS Waiver Provider Agencies CDPHE: Health Facilities and Emergency Medical S ervices Division • General Certification S tandards (6 CCR 1011-1 Chapter 7) (8.487.10) • Personal Care Worker Training • Certification S tandards for • Personal Care S ervices (8.489.40) Assisted Living S taff Training (6 CCR 1011-1 Chapter 7) • Homemaker Provider Agency • Responsibilities (8.490.4) Intellectual and Developmental Disabilities Personnel and • IHS S Agency Responsibilities S taffing (6 CCR 1011-1 Chapter 8) (8.552.6) Pediatric Personal Care S ervices Benefit Coverage S tandard (10 CCR 2505-10, S ECTION 8.500-8.599, APPENDIX A) 14

Previous Discussion Initial Training Delivery Content Process Testing Topics for -Method -Topics -Timeline (pre- -Type Discussion: (online, in- contact with (written vs. -Curriculum person, client, w/ in observed) -Hours etc.) first 6 months, -Frequency etc.) -Pass/ fail -Trainer requirements qualifications -Record keeping 15

What should the minimums be? 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

Concept: Training Matrix Homemaker Personal Care Proposal • Plot the Competency Competency • competencies Before Topic 1 • Topic 1 • Competency and topics into Topic 2 • Contact • Competency Topic 2 Topic 1 • R1 Topic 1 the roles and • R1 with Client Topic 2 • Topic 2 time periods R1 R1 Competency • • Enrich with: Topic 1 • Topic 2 Competency Within • • Delivery method Topic 1 R1 Competency • • 45 Days Topic 2 Topic 1 • Recurrence • R1 Topic 2 • R1 Testing/ demonstration S pecialized requirements / Advanced • Others 17

Next Steps 18

Next Steps GPS will summarize today’ s exercise and prepare for next meeting. Here are the planned activit ies for upcoming meetings: November Meetings December Meeting • Review findings from listening • Review options, pro/ con analysis sessions and discuss training and recommend edits to arrive requirements and enforcement at consensus actions • Finalize recommendations • Discuss issues and develop • Create and submit final report recommendations including by ~Dec 15 to HCPF notification and evaluation • Develop pro/ con for each option 19

Questions? 20

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 21

Thank You! 22

Government Performance Solutions, Inc. (GPS) Contact Info 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