Transcript Improving Direct Care Workforce and Maintaining Consumer

MA PERSONAL & HOME CARE AIDE
STATE TRAINING PROJECT
PHCAST
Lisa Gurgone, Executive Director, MA Council for Home Care Aides
Leanne Winchester, MS RN Project Director, PHCAST
This project is supported by funds from the Division of Nursing (DN), Bureau of Health Professions (BHPr), Health Resources and
Services Administration (HRSA), Department of Health and Human Services (DHHS) under HRSA PHCAST Program Announcement
HRSA-10-288 CFDA No. 93.512. Massachusetts PHCAST Grant Project T82HP20323 was awarded $738,993 for year 1, $744,769 for
year two, with expected continued funding for year 3. The information or content and conclusions are those of the author and should
not be construed as the official position or policy of, nor should any official endorsement be inferred by, the DN, BHPr, HRSA, DHHS,
or the US Government.
Overview: Massachusetts PHCAST project
To enhance the existing direct care training
programs by integrating a common
curriculum focused on a set of “core”
competencies that are relevant to direct
care workers across health and human
service sectors.
PHCAST Training at a Glance
Existing
PHCAST
New PHCAST Format
Personal Care
Home Maker
New PHCAST
Personal Care
Attendant
Curriculum
with Shared
Core
Competencies
PCHM
Training
PHCAST
PCA Training
Modules
Module 1. Roles and Responsibilities of the PCA and PCHM
Module 2. Communication Skills
Time
4 hours and 5
minutes
5 hours and 50
minutes
Module 3. Health Care Support: Body Systems and Common Diseases
3 hours
Module 4. Infection Control
3 hours and 45
minutes
Module 5. Basic Restorative Skills: Body Mechanics and Assisting with Ambulation, 5 hours and 40
Transfers, and Toileting
minutes
Module 6. Personal Care Skills: Assisting with Bathing, Hair, Skin, and Mouth Care,
and Dressing
6 hours and 25
minutes
Module 7. Nutritional Support and Housekeeping
4 hours and 40
minutes
Module 8. Addressing Consumers’ Needs
4 hours and 20
minutes
Module 9. Safety and Emergency Training
3 hours and 35
minutes
Module 10. Consumer Rights, Ethics, and Confidentiality
3 hours and 45
minutes
Module 11. Life Skills: Conflict Resolution; Time and Stress Management
3 hours and 30
minutes
TOTAL PHCAST TRAININ G TIME excluding, welcome, introduction and testing
~ 49 hours
MA Council – Personal Care Home Maker - additional
24 hours
Bristol Community College – Personal Care Assistant - additional
34 hours
PHCAST Curriculum
Knowledge, Skills, and Attitude
• Competency based
• Adult Learner model
–
–
–
–
–
Focus on Participation
Case scenarios
Role Plays
Small Groups
Interactive Presentation
• Improved Outcomes: knowledge and skills
Roles & Responsibilities
1. What Do Personal Care Attendants and
Personal Care Homemakers Do?
2. Who Are the People Who Receive Support or
Assistance?
3. Introduction to Consumer Rights,
Confidentiality, and Ethics
4. Professionalism
5. Employment and Career Opportunities
Communication
1. Basics of Communication
2. Body Language and Effective Listening
3. Paraphrasing
4. Asking Open-Ended Questions
5. Pulling Back
6. Communication Skills Practice
7. Culture and Communication
Health Care Support
1. Body Systems
2. Common Diseases
3. Assisting with Medications: Different Roles of
the PCA and the PCHM
Infection Control
1. Overview of Infectious Disease
2. Applying Infection Control Strategies
3. Skills Demonstration and Practice
4. Specific Precautions
Basic Restorative
1. Review of Key Principles for Basic Restorative
Skills
2. Principles of Body Mechanics
3. Assisting with Positioning the Consumer
4. Assisting with Transfers and Ambulation
5. Assisting with Toileting
Personal Care Skills
1. Key Principles for Assisting with Personal Care
2. Assisting with Bathing
3. Assisting with Grooming and Mouth Care
4. Assisting with Routine Skin Care, including
Hand and Foot Care
5. Assisting with Dressing
Nutrition Support & Housekeeping
1. Basic Information on Eating for Health
2. Simple Modified Diets and Special Food
Issues
3. Safe Food Preparation and Storage
4. The Dining Experience
5. Assisting the Consumer with Shopping
6. Housekeeping
Addressing Consumer Needs
1. Identifying Beliefs and Attitudes
2. Exploring the Needs of Different Types of
Consumers
3. Experiencing Sensory and Physical Disabilities
4. The Role of the PCA/PCHM in Supporting
Consumers
5. Revisiting Beliefs and Attitudes
Safety & Emergency
1. Safety in the Home
2. Falls Prevention
3. Fire Safety and Emergency
Consumer Rights, Ethics &
Confidentiality
1. Decision-Making Rights of Consumers
2. Privacy and Confidentiality
3. Recognizing and Reporting Abuse, Neglect,
and Financial Exploitation
4.Boundaries and Ethics
Life Skills
1. Reducing and Resolving Conflict at Work
2. Managing Time
3. Managing Stress
MA Council for Home Care Aide Services and the
Massachusetts PHCAST Initiative: Year 1 Objectives
• Objective #1: Enhance the Council’s Home
Care Aide Training Curriculum Outline
• Objective #2 : Pilot new Council/PHCAST
Enhanced Personal Care Homemaker Training
Curriculum through 15 Regional Trainings
• Objective #3: Cooperate with PHCAST
Demonstration Project Core Competency
Development and Evaluation
Objective #1: Enhance Council’s Home
Care Aide Training Curriculum Outline
Timeframe: February – May 2011
Tasks:
• Council’s Standards Committee charged with revising
curriculum
– EOEA/EOHHS RN staff provided input and reviewed all
enhancements
– Worked with PHI to add Adult-Centered Learner Techniques
throughout Training curriculum
– Enhanced the PCH training to better prepare the PCH to care
for the complex-care needs of consumers
– Incorporated consumer-directed/person-focused care
– Provided additional training in common diagnoses that cause
re-hospitalizations and strengthens the aide’s ability to
communicate concerns to support the prevention of rehospitalization
– Added 10 hours of Soft Skills Training to Pilot curriculum
Objective #2 : Pilot new
Council/PHCAST Enhanced Personal
Care Homemaker Training Curriculum
Timeframe: June - September 2011
Tasks:
• Train 19 RNs at Council member agencies on how to use this new curriculum
• Hire 3 Case Manager Consultants to recruit students for pilot training, provide 10
hours of Soft skills training, and support students throughout pilot training
• Conduct 15 regional trainings based on the new pilot curriculum
– Total training time – 80 hours – 70 hours of training will be conducted using the
enhanced Home Care Aide Training Curriculum outline revised under Objective
1. 10 Hours will be added which will focus on Soft skills. Soft skills training will
be provided by Case Manager.
– Training group – enroll at least 10 students per training
– Total to be trained through pilot – 150 individuals
– Regional Training locations
– Expected outcomes – 7 of the 10 enrollees at each regional training will
complete training
• Provide Case Management services to all enrollees on a regional basis
Year 1 Outcomes: Council/PHCAST Enhanced Personal Care
Homemaker Training Pilots
Total Council/PHCAST Year 1 Pilot Training Enrollees: 188
Total Council/PHCAST Year 1 Pilot Training Graduates: 174
June 2011 - Session 1
•
Worcester: 12 students enrolled and successfully completed this training
•
Danvers: 11 students enrolled and 8 students successfully completed this training.
July 2011: - Session 2
•
Holyoke: 9 students enrolled and successfully completed this training.
•
Lynn: 12 students enrolled and 10 students successfully completed this training.
•
Malden: 17 students enrolled and successfully completed this training.
August 2011: - Session 3
•
North Andover: 13 students enrolled and successfully completed this training.
•
Burlington: 17 students enrolled and 15 students successfully completed this training.
•
Hadley: 12 students enrolled and 9 students successfully completed this training.
•
Taunton: 12 students enrolled and successfully completed this training
September 2011 - Session 4
•
Greenfield (evening format: 4pm to 9pm) : 17 enrolled
•
Taunton: 13 students enrolled and successfully completed this training.
•
Malden: 10 students enrolled and 9 students successfully completed this training.
•
Worcester: 10 students enrolled and 10 students successfully completed this training
•
Danvers: 11 students enrolled and 10 students successfully completed this training
•
South Dennis: 11 students enrolled and 10 students successfully completed this training
MA Council for Home Care Aide Services and the
Massachusetts PHCAST Initiative: Year 2 Objectives
• Objective #1: Incorporate PHCAST Core
Modules and Further Enhance the Council’s
Home Care Aide Training
• Objective #2 : Pilot Year 2 Council/PHCAST
Enhanced Personal Care Homemaker Training
Curriculum through 20 Regional Trainings
• Objective #3: Cooperate with PHCAST
Demonstration Project Core Competency
Development and Evaluation
Council PHCAST Enhanced Personal Care Homemaker Training Curriculum Outline
Module
Title
PHCAST Pre-test
Hours
Suggested Day
1 hr
Day 1
0
PHCAST Core: Welcome, Introductions and Overview of the Training
45 mins
Day 1
0A
Council Supplement: Introduction to Training
30 mins
Day 1
1
PHCAST Core: Roles and Responsibilities
4 hrs and 5 mins
Day 1
1A
Council Supplement: Roles and Responsibilities
1 hr
Day 1
2A
Council Supplement: Introduction to Case Management
1 hr
Day 2
2
PHCAST Core: Communication Skills
5 hrs and 50 mins
Day 2
2B
Council Supplement: Consumers, Families, Lifestyles and Differences
2 hrs
Day 3
3
PHCAST Core: Health Care Support
3 hrs
Day 3
4
PHCAST Core: Infection Control
3 hrs and 45 mins
Day 3 and Day 4
5
PHCAST Core: Basic Restorative Care
5 hrs and 40 min
Day 4
6
PHCAST Core: Personal Care
6 hrs and 25 min
Day 5
5 hrs
Day 6
2.5
Day 7
4 hrs and 40 min
Day 7
30 mins
3 hrs
Day 8
Day 8
4 hrs and 20 min
2 hrs
Day 8
Day 9
Day 9
PHCAST Skills Assessment
6A
Council Supplement: Personal Care
7
PHCAST Core: Nutrition and Housekeeping
7A
7B
Council Supplement: Nutrition
Council Supplement: Housekeeping
8
8A
PHCAST Core: Consumer/Needs Specific
Council Supplement: Consumer/Needs Specific
8B
Council Supplement: Care and Comfort of the Dying
2 hrs
8C
Council Supplement: Alzheimer's Disease
4 hrs
Day 9
8D
Council Supplement: Transitional Care
3 hrs
Day 10
3 hrs and 35 min
Day 10
30 mins
Day 11
3 hrs and 30 min
Day 11
30 mins
Day 11
3 hrs and 30 min
Day 12
30 mins
Day 12
9
PHCAST Core: Safety and Emergency Training
9A
Council Supplement: Safety
10
PHCAST Core: Consumer Rights, Ethics, and Confidentiality
10A
Council Supplement: Ethics
11
PHCAST Core: Life Skills
11A
Council Supplement: Life Skills
11B
Council Supplement: Agency Specific Communication
1 hr
Day 12
PHCAST Post-test
1 hr
Day 12
Total Hours
80 hours
Council/PHCAST Year 2 Pilot Training Schedule
Session 1: March 12th to March 30th
• Holyoke
• Taunton
• Worcester
Session 2: April 2nd to April 20th
• Danvers
• Malden
• Worcester
• Quincy
Session 3: April 23rd to May 11th
• Brockton
• Greenfield – (Evening Format –April 16th to
May 11th)
• North Andover
• Brookline
Session 4: May 14th to June 1st
• Burlington (Evening Format – May 7th to June
1st)
• Malden
• Lowell
Session 5: June 4th to June 22nd
• Holyoke
• Fall River
• Lynn
• Pittsfield
Additional training locations to be added:
• Burlington
• Cape Cod
Moving forward - PHCAST Goals
Increase the LTC workforce capacity through
A. Improving retention rates
B. Supporting informal caregivers and
C. Broadening role of formal caregivers
24
Contact Information
Lisa Gurgone
Leanne Winchester
MA Council for Home Care Aides
1430 Main Street
Waltham, MA 02451
781-693-5719
[email protected]
www.mahomecareaides.com
EOHHS PHCAST
1 Ashburton Place Rm 1109
Boston, MA 02108
617-573-1823
[email protected]
www.mass.gov/hhs/communityfirst