Association of Alaska Community Health Aide Program Directors Meeting Minutes February 22-23, 2016 Anchorage, AK

Transcription

1 Association of Alaska Community Health Aide rogram Directors Meeting Minutes February 22-23, 2016 Anchorage, AK CHAIRERSON CHAIR-ELECT SECRETARY-TREASURER AST CHAIR/ADVISOR RECORDER Johnathan Lomack June Morgan Blinn JR Dull Lisa Wade Crystal Stordahl (TCC) Douglas Finney (EAT) Carole Knuth (SEARHC) Sue Steward (Chugachmiut) Leah Woolard (ANTHC) Member/Organization Akiachak Native Community A Mariah Craig Aleutian/ribilof Islands Assn. Bristol Bay Area Health Corporation Chickaloon Village Trad. Council Member/Organization Mt. Sanford Tribal Consortium Vacant Native Village of Diomede A Grace Friendly Native Village of Kwinhagak A A Casandra Kroto Native Village of Tyonek A Vacant Chitina Trad. Village Council A Janet Mullen Ninilchik Traditional Council A Sue Steward Chugachmiut Glenn Sheehan North Slope Borough Eirik Mcferrin aula Ciniero Copper River Native Association Council of Athabascan Tribal Gov. Ashley Westbrook Dr. Martha Cotten Douglas Finney Eastern Aleutian Tribes Carole Knuth Alicia Lynn Reft Karluk Tribal Council A Bill Schreiner Charlotte Nelson Kodiak Area Native Association Crystal Stordahl Crystal Stordahl for Theresa Marks Norton Sound Health Corporation Southcentral Foundation SouthEast Alaska Regional Health Consortium Tanana Chiefs Conference Tanana Tribal Council Maniilaq Association Eva Sensmeier Yakutat Tlingit Tribe A Douglas Russell Metlakatla FMC/AISU A Herman Geffe Guest/Organization =resent A=Absent E=Excused T=Teleconference Yukon Kuskokwim Health Corporation Guest/Organization Victorie Heart ANTHC CHA Dr. Bob Onders ANTHC DCHS Tasha Hotch ANTHC CHA Karen Swearingen CRNA Rebecca azdernik Leah Woolard Rebekah Clark & Tania Smallenberg Tonya James & Edward Smith ANTHC CHA ANTHC CHA ANTHC Immunization ANTHC Emergency rep. Sarah Smith & Nicole Webster Matt Bobo, Alicia Spillman, Geri Yett Sarah Freeman, Garret Spargo, Oran Dennison, Keith Shumway, Shelby Blades, Cindy Roleff ANTHC Cerner A 2/23 State of Alaska Immunization ANTHC Telehealth 1

2 Monday, February 22, 2016 Call to Order/Review agenda Crystal Stordahl Meeting was called to order. Introductions were made around the table. Crystal asked that everyone review the agenda. Review/Approve December 2015 minutes Group December 7-8, 2015 minutes were reviewed by the group. Motion: Carole K. motioned to approve minutes. Herman G. 2 nd. assed. Statewide Services Report Victorie Heart Activities 1/13/16-Job shadow with Chugach School District STEM students 1/21-22/16-CHACB 1/25-26/16-CHA Supervisor Training 2/2-4/16- Attended Alaska Health Summit EMS Update Jean Rounds-Riley See attached report. Below are EMS Training Committee proposed meeting dates and locations: May 3-5, 2016 Anchorage Sept , 2016 Anchorage Feb. 6-8, 2017 Juneau echam Rebecca azdernik High Importance Topics in echam right now: Revisions to the Reference/rocedure and Medicine books. Continuing to work with Jenny Brown and EMS Committee to prepare new Emergency echam and Curriculum content. Awaiting approval from Clinical Directors for the medicine changes for 2016 (meeting on 2/25) Continued testing to produce final icham product Immunizations chapter revision upon receipt from the immunization staff at ANTHC. reparing for echam training at Forum. 2

3 echam roduct Updates User Management System: Speed has diminished again and we ve asked Dakota to evaluate to increase the speed again. However this does not affect the end user in any way. DF: Finishing fixing hyperlinking to ensure hyperlinks (page numbers in DF) go to the exact right location and then the DF will be released for mass use. o CV finished o Ref/roc and Medicine in progress Website: Have been experiencing issues with speed and backbutton on both access and QA website. Back button issues and speed reported at the last meeting are mostly resolved, back button fails infrequently. iad app: Tested v. 35 and returned issues requiring resolution. App is functioning well except bookmarking issue that Dakota is working to resolve. Anticipate releasing for external testing as soon as this issue is resolved. DMS: Working well at this time. ARC/RAC Report Group See attached ARC and RAC Report. ARC: Unit 9a/9b-no action needed. The CHA Education rogram Evaluation Checklist had a typo in review time. It has been corrected and will be reposted on the akchap.org website. Motion: Karen S. motioned to approve changes to ost-session ractice Checklist. assed. receptorship Critical Skills List Add language to other regional skills we have been taught not required for preceptorship, follow regional guidelines. Reference all the lab skills that come with basic training into preceptorship skills. atient types at least 15 patients and has to be accompanied by 15 encounters. AACHAD has two proposed additions under Sec. 8 and Sec. 12 to receptorship Critical Skills List. Motion: Charlotte N. motioned to approve changes to receptorship Critical Skills List. assed. RAC: Eirik M. has asked to step down from RAC. Motion: Bill S. motioned to nominate Sue S. to RAC, Bill S. 2 nd. assed. Community Health Aide rogram Certification Board Doug Finney CHACB approved the request to change 3 words in the CHACB Standards on the first reading; it has to go back to the Board for a second reading. o Section b(1) rimary rovider from: the primary provider must initiate the history and examination to: the primary provider must perform the history and examination. o Section (3) Session II: change in ratio of patient type from: primary provider in at least 6 patient encounters at least 4 encounters as active participants to: primary provider in at least 4 patients at least 6 encounters as active participants. 3

4 There is a vacancy on CHACB. Bill S. was elected to that seat; it still has to be approved. CHACB has chosen to uphold a priority ranking for admission to training centers. Letters will be sent out to training centers. Health Aide Emergency Response Tonya James Tonya proposes to revise the CHAM chapter, What to do in an Emergency with an oversight committee. She will develop an emergency preparedness course to begin in April. Eventually, she ll be developing response tools for the regions that want them. Strategic lanning See attached Strategic lanning. Crystal Stordahl CHA Cerner Sarah Smith ANTHC Cerner has a strict change management policy. They only make changes on Wednesday s. They have an approval process. Sarah will resize text boxes and check for consistency with capitalizations, etc. Eye Exam - Sarah will ask eye doctor which position to place right or left eye on form. Change #1: CHAM Respiratory/CHAM Resp. HI Cont. - The question is Active and playful, or acting tired or fussy? The current response it only Other. NSHC has requested the change to have responses of Active and playful, Tired, Fussy and Other. Change #2: CHAM Well Child 2 wk-5 yr/wcc hysical Exam and WCC hysical Exam cont. Currently these 2 sections are out of order and the responses are very generic. The change is that most of the questions response boxes be updated with more relevant choices. The change would also arrange the body sections to be in a more appropriate order. Change #3: CHAM Eye Exam/Eye Exam-Add 2 options to the sections highlighted below. The 2 options to add are Good Reaction to Light and Equal Reaction to Light. Tuesday, February 24, 2016 Call to Order/Announcements Crystal Stordahl Meeting was called to order. The group will continue to work on Strategic lanning this afternoon. AFCHAN Sarah Freeman AFCHAN presented on the different carts available. There was a request for the list of the 5 carts with advantages/disadvantages. AFCHAN will come back with the list at the May meeting. 4

5 Forum & CHA/ Awards Rebecca azdernik Registration is open; the link is on the akchap.org website. The registration fee is $300 before 4/8, $400 after. We are using the event app again this year. We need the attendees address so they can log in to event app. Room block is Springhill Suites for $109/night plus tax. Shining Star nominations are due 3/21; right now we ve received only one. Immunization Update Tania Smallenburg & Rebekah Clark Temperatures in all permanent storage units storing state-supplied vaccine must be monitored using the calibrated LogTag TRED 30-7 and interface cradle provided by the Alaska Immunization rogram Required to have a back-up calibrated continuous monitoring device on hand in case of emergency or vaccine transport All vaccine order transports from the tribal hub to a village will need to contain a LogTag temperature monitoring device with a probe in a plastic vial of glass beads The Alaska Immunization rogram will supply LogTags for all permanent storage units, as well as additional LogTags for transport from tribal hub to villages ($150/LogTag) The new requirements will be in place no later than August 1, 2016 The Alaska Immunization rogram will provide tribal hub facilities with: o One-on-one trainings on how to follow the new guidelines when transporting o Customizable LogTag instructions for training village staff o Instructions on how to pack vaccine transport according to State and Federal guidelines o Develop individualized tribal hub Implementation lans in collaboration with ANTHC s Immunization Coordinators Billable Codes Motion: Sue S. motioned to forgo the round robin reports, have the billable codes discussion then adjourn. Bill S. 2 nd. assed. Small group will meet with SOA/Aina Lenda to add codes. If not many volunteers, Crystal will assign Executive Team to it. Crystal will send a letter to Aina asking for her availability. Crystal will have Leah AACHAD on a meeting date. ADJOURN Attached to these minutes: 1. EMS documents (from 1/27-29/16 EMS Training Committee) 2. ARC Report to AACHAD (from 12/9-11/15 Meeting) 3. RAC Report to AACHAD (from 12/9/15 Meeting) 4. Strategic lanning 5

6 Report to CHA Directors & ARC EMS Training Committee 1/27/16-1/29/16 Submitted by Jean Rounds-Riley, A-C 2/22/16 State EMS Office: NOTE: lease see the white paper prepared by the State Section of Emergency rograms. Available on The State EMS Office (via Mark Miller Unit Manager) made a proposal to the Alaska Council on EMS (ACEMS) in Juneau in Feb. to use National Registry EMT (NREMT) exams as the sole source of testing. This was recommended in the 2014 National Highway Traffic Safety Administration (NHTSA) Re-assessment of the Alaska EMS system (Available at ). This is being recommended to improve inter-state consistency, and based on the possibility that future federal funding and recognition will depend on adapting uniform national guidelines and certifications. The recently revised State of Alaska EMT-1 cognitive exam may have been compromised and has not been validated. Given the current Alaska State budget situation, funding may not be available for the Training Committee to develop and revise Alaska-specific testing. Currently the NREMT is administered and offered only via earson Vue computer sites. Concerns expressed by the Training Committee are costs to volunteers, availability of test opportunities (location, hours, and limits on simultaneous testing), as well a test language/terminology and format. The memo below is a survey from the State EMS Unit, requesting input on this topic. lease respond, and distribute to anyone who might be interested. To all EMS ersonnel in Alaska; Feb 12, 2016 EMS roviders, EMS Instructors; EMS Medical Directors; The EMS Unit at the request of the Alaska Council of EMS has prepared a survey regarding Alaska EMS Testing and Certification. The survey questions should take no more than 5 minutes to complete with opportunties to add comments. Emergency Medical Services is a rapidly evolving field and the many people who support it want to provide the best services possible. Contact Mark Miller at mark.miller@alaska.gov with any survey issues. EMS providers of all levels, Medical Directors, Instructors and EMS Administrators are encouraged to fill this survey out just once using your primary role in the EMS system. Civilians can also fill out the survey if they choose. lease share this link with interested parties. Your participation is critical. * The system will send this to all EMS participants who are eligible for certification within one year of expiration. Responses are anonymous and names are not required. Mark J. Miller, MS, NR EMS Unit Manager State of Alaska State of Alaska Department of Health and Social Services Division of ublic Health Section of Emergency rograms: reparedness, EMS and Trauma EMS Unit O Box Juneau AK Office (907) Cell (907) Rpt to CD & ARC re EMS Training Committee of 1/27/16-1/29/16 1 jroundsr@anthc.org

7 NREMT does not have an exam which corresponds to Alaska EMT-2 or EMT-3. The Advanced EMT (AEMT) national training course is much longer than the EMT-2 or EMT-3 courses, which may make it difficult to implement in Alaska. There was discussion about the needs for advanced EMS providers in Alaska. NOTE: lease contact me, your regional EMS Training Committee representative or Mark Miller at with comments about needs in your regions villages for advanced EMS skills and how these might be met. Regulations changes: Another set of Regulation changes is in review within the department DHSS, but not yet ready for public comment. EMS Training and CME: The State EMS Unit and Training Committee made recommendations for clarifications of the sychomotor Examination, so that all test sites would be more uniform. State Training Committee is working on writing objectives for the EMT-1 course, which will follow the National EMS Guidelines, and provide more guidance for teaching. Anticipating a change in regulations, Training Committee is working on revising the process to become an EMS teacher. This would include multiple levels of teacher/instructors, such as an instructor level who would be able to check off skills for primary and recertification and assist with classes, but not be the primary instructor. SREMSC started free on-line webinar synchronous CME beginning in Jan. 13, The 2nd Wednesday of the month 6pm-9pm. It will be a go-to-meeting format. If interested, contact Thomas Meyer at SREMS tmeyer@sremsc.org EMS Training Committee meetings proposed dates and locations: May Anchorage Sept Anchorage Feb Juneau Rpt to CD & ARC re EMS Training Committee of 1/27/16-1/29/16 2 jroundsr@anthc.org

8 Attendance COMMUNITY HEALTH AIDE ROGRAM Academic Review Committee Report to the CHA Directors (CDs) resented to CD Chair by Dan Thomas, ARC Chair, 12/12/15 for ARC meeting December 9-11, 2015 Topic Action by ARC Requested Action by CDs See ARC minutes. Election of Officers New Chair: Al Shear New Vice Chair: Stephannie Christian Secretary: Marlene Katcheak 2016 meeting dates and times The next CHA meetings will be the week of 2/22-2/26. Tentative RAC and ARC meetings for February 2016: CDs: 2/22-2/23 CHA leadership: 2/24 8:30-10am RAC: 2/24 10am-12pm Training Center Coordinators: 2/ pm ARC: 2/ pm, 2/25-2/26 CHAM/Curriculum alignment for body system units 1. Work accomplished this meeting: a. The final drafts of Units 9a/9b (Mouth and Teeth) were reviewed and approved. After the meeting, it was noted that CHACB has not yet approved the removal of flossing from skills practice in Session II, so this was added back in as a Level 2 skill. b. The final drafts of Unit 5c11 (test for GC/chlamydia),14a (Male), 14b Female were reviewed and approved. c. Work on Units 25d (STI) and 20h (Sexual Abuse) was completed and approved. d. Work on Unit 21a Family lanning was continued. 1. Linda will do some final formatting to the approved units and forward them to Torie. 2. Torie will draft a cover letter to accompany the new units for distribution to the training centers, to be signed by CD and ARC Chairs. The training centers would like them ASA. 3. ARC Chair will ask CD Chair what review of the units CDs would like to do before they go out to the TCs. 4. Linda will make the changes to Unit 25d and send to Dan for final proofing. 5. Linda will reformat Unit 21a and bring it and Unit 19 to the next ARC Curriculum teleconference for more work. 6. Stephannie will work with Jenny to add student-friendly language, then to Linda for lease advise ARC if you would like to review of these units before they are implemented. 1.

9 e. Work on Unit 19 (Skin) was started. f. Jenny Brown of TCC presented by teleconference her work on the emergency CHAM chapter and Curriculum units. ARC liked the degree of detail Jenny added to the Curriculum. formatting, then back to ARC for unit revision. Jean Rounds Riley will bring some of the changes to the ANTHC trauma surgeons for their input. With one exception, the opinion of ARC members is that emergency training should be left in Basic Training, or if done by field programs instead, it should be a requirement. resession Handbook Updating of other old CHA documents Math tool Stephannie described her ongoing work on revising the resession Handbook. 1. Work on the ost Sesison ractice Checklist and receptorship Critical Skills List was completed. A new math evaluation tool was presented by Dan. She will give us an update at the February meeting. Torie will make the changes to these documents and bring them to CDs for their approval. lease review and approve these two documents. Status of other ARC projects 1. Nothing else at this time. Training Center Coordinators meeting 1. We reviewed and recommended approval of a request for CE hours for re-entry clinical evaluations. 2. We plan to develop a sample schedule for Re-entry as CE. 3. We helped the new TCC training center coordinator/director with preparation for their RAC review in February. roposed topics for next ARC agenda 1. Ongoing Curriculum revision of body system units. 2. Revision of Units 6a/6c.. 3. Update the EF Documentation Guidelines document of of 9/4/ resession Handbook. 2.

10 RAC Report to CHA Directors December 9, 2015 No Action is requested from CD, from this RAC meeting. Membership: Approval for RAC reappointment of Doug Finney and Cyndy Langmade was received from CD. Faith Walsh is the new TC representative from TCC and attended. 1. New Business 6. Documents a. NSHC Site Review is scheduled for 4/12- to 4/14/16, with travel days 4/11-4/15/16. Site review Team Members: Carolyn Craig: Leader, Al Shear: Co-Leader, Elaine hillips: member, Faith Walsh: 4 th member paying her own way, with backups Elsie Dexter and Cyndy Langmade. The Nome RAC Notebook will be finished and distributed by February 1, The extra team member will receive orientation. b. New TCC Training Center Site Review is scheduled for 2/9/16 to 2/11/16, with travel days 2/8 to 2/12/2016. The RAC notebook will be finished and distributed January 1, Tasks for reviewing notebook contents were divided and assigned for be review by Al Shear: Leader, Carolyn Craig: Co-Leader, and Dan Thomas, member, after 1/1/16. Elsie Dexter hopes to attend as the 4 th member, for orientation. Review Committee members will have access to the resumes and licenses of faculty on a secure website, rather than credentials copied into the RAC notebook, to be reviewed online then deleted when complete. Torie will get a password for members who need access for review. The new TCC Training Center is getting ready for SI and SII 2/16. c. RAC chair will send letters to CHA CB, team members, TCC and NSHC, and CHA Directors re: site review plans for the next year, team members, where, and when, and also scan Site Review rep lan documents to members. d. RAC chair is ing the Annual Self Evaluation Checklist to ANTHC and YKHC for 2015, and will send out thank-you letters to supervisors of RAC members, cc to each RAC member. a. Reviewed documents since last meeting: CD accepted and approved the action of changes to the CB Standards, to be passed along to CHACB. b. New RAC documents ready to be posted on the AKCHA website: Dan added dates of 9/23/15 to RAC Orientation for New TC Coordinators and RAC members. 7. rojects: a. Carolyn shared a brief update on expanding capacity projects: ANTHC Session II Clinical portion at Dillingham and at Maniilaq for students presently attending December didactic in Anchorage. Everyone is very busy, and creative ways to meet statewide needs are being explored and experimented.

11 Strategic lanning LA&C 15 Finance 22 IT 10 R&R 35 Quality 5 Operations 43 R&R 35 OS 43 Wellness & 40 revention Training Capacity 33 CHA/ 56 Training Centers 41 Operations re-req CHA Scope of ractice 32 Med Box Refill 5 Radiology 5 After hrs call 17 Training Capacity 33 Wellness & revention 40 rogram Document 3 Alignment EMS Update 5 Curriculum Metric Conversion Recruitment & Retention CHA/ 56 Field 13 Trainers/Supervisors CHA Dir. Training Centers 41 Wellness & revention Make case to support wellness visit (welfare) 7 Collaboration: HN, School districts/schools, WIC, 30 DM, Tribal Councils, EMS squads, Tobacco, Elders, Food Bank, Fee agent, Injury revention, BH, Dental CHA/ Self Care 49 Chronic Conditions Reporting/Data (case 39 management) Scheduled Well Visit Clinic (Well Child, Well 5 erson ) Health Fairs Mammogram Van

12 Wellness & revention CHA/ Self Care Work out Centers in Clinic (or school) & provide time Health Coach romote activity (self or with pt) Health walk 3 RT tickets/yr (2 CME, 1 TO) Incident/Event work with BH debriefing (snacks for meetings) Ask what CHA/ wants/needs (instead of telling them what they will get) Grant time off after incident Lighter scheduled pt. load after call-outs Healthy healers Send itinerant CHA/s Beauty for ashes Recognize CHA/ of the month-travel to village with treats. CHA/ of the Year 2 RT tickets Bonus-pay for performance Massage & yoga 3-day course: financial management, storytelling, meditation, coping skills Village Occurance Report YK curriculum review: Sue S., aula C., Al S., Bill S., Torie H. repare for delivery as a statewide attendance at individual THO By Dec. 31, 2016, 36 CHA/s have attended/completed coping skills Space Instructors Access to BH Chronic Conditions 1 day/week = chronic conditions f/u coordinate with DM icare panels field coord. review with CHA/s GRA measures Show progress of achieving clinical measures Case management Review wellness needs at start of day for sched. pts t. empaneled pt. centered medical home Best ractices for Care Coordination in achieving improved health outcomes Training Capacity (limited) 1:1 limitation for clinicals Staffing Space Turnover CHA/

13 SI-II by DLN Field trainers for clinical instruction resources define protocol Expand DLN components of other sessions (didactic) Students ready for training Recruitment & Retention CHA/s Statewide itinerant pool Identify previous CHA/s-reach out for itinerant opp. On-call Onboarding/orientation Wage survey/incentives Career ladder HAT instructors Recognition Workgroups Wellness & revention CHA/ self-care Coping skills class Chronic conditions Training Capacity Field trainers as clinical instructors for session Recruitment/Retention CHA/s Best ractices Recruitment/NED Wage/narrative survey Career ladders On-call HAT instructors Recognition Village clinic orientation Sue S., Bill S., aula C., Herman G., Torie H., JR D., Crystal S. Bill S., Crystal S., Doug F., Sue S., Torie H., Charlotte N. All AACHAD

14 Association of Alaska Community Health Aide rogram Directors Meeting Minutes May 9-10, 2016 Anchorage, AK CHAIRERSON CHAIR-ELECT SECRETARY-TREASURER AST CHAIR/ADVISOR RECORDER Johnathan Lomack June Morgan Blinn JR Dull Lisa Wade Crystal Stordahl (TCC) Vacant Carole Knuth (SEARHC) Sue Steward (Chugachmiut) Leah Woolard (ANTHC) Member/Organization Akiachak Native Community A Mariah Craig Aleutian/ribilof Islands Assn. Bristol Bay Area Health Corporation Chickaloon Village Trad. Council Member/Organization Mt. Sanford Tribal Consortium Vacant Native Village of Diomede A Grace Friendly Native Village of Kwinhagak A A Casandra Kroto Native Village of Tyonek A Vacant Chitina Trad. Village Council A Janet Mullen Ninilchik Traditional Council A Sue Steward Chugachmiut E Glenn Sheehan North Slope Borough Karen Swearingen aula Ciniero Dr. Danita Koehler Copper River Native Association Council of Athabascan Tribal Gov. E A Ashley Westbrook Dr. Martha Cotten Eastern Aleutian Tribes A Carole Knuth Alicia Lynn Reft Karluk Tribal Council A Bill Schreiner Charlotte Nelson Kodiak Area Native Association Crystal Stordahl Crystal Stordahl for Theresa Marks Norton Sound Health Corporation Southcentral Foundation SouthEast Alaska Regional Health Consortium Tanana Chiefs Conference Tanana Tribal Council Maniilaq Association Eva Sensmeier Yakutat Tlingit Tribe A Douglas Russell Metlakatla FMC/AISU A Herman Geffe Guest/Organization =resent A=Absent E=Excused T=Teleconference Yukon Kuskokwim Health Corporation Guest/Organization Victorie Heart ANTHC CHA Dr. Bob Onders ANTHC DCHS Tasha Hotch ANTHC CHA Sarah Smith ANTHC Cerner Rebecca azdernik ANTHC CHA Sarah Freeman ANTHC Telehealth Leah Woolard ANTHC CHA Renee Gayhart (T) State of Alaska Linda Curda UAF A A 1

15 Monday, May 9, 2016 Call to Order/Review agenda Crystal Stordahl Meeting was called to order. Introductions were made around the table. Crystal asked that everyone review the agenda. Agenda additions: Medicaid Reimbursements and Workgroups. Motion: Bill S. motioned to approve the agenda as amended. Glenn S. 2 nd. assed. Review/Approve minutes Group The group reviewed the AACHAD February 22-23, 2016 minutes. Motion: Bill S. motioned to approve the minutes. Herman G. 2 nd. assed. AFHCAN Sarah Freeman Design of cart: they normally hide all the cables so users can t unplug or change something. They have an issue when they change the cameras. They will put a USB hub in one of the drawers of the cart. They are talking to Clinical Directors about what version the organizations are using. Statewide Services Report Victorie Heart Activities 3/22/16-CHA Overview for St. Scholastica nursing students 4/5/16-CHA Overview for UAA business student 4/25-29/16-CHA Forum-refer to CHA Forum report 5/4/16-Meeting with UAF Academic Liaison to discuss student registration and processes EMS Update Jean Rounds-Riley See attached report. Below are EMS Training Committee proposed meeting dates and locations: Sept , 2016 Anchorage Feb. 6-8, 2017 Juneau May 2-4, 2017 Anchorage echam Rebecca azdernik High Importance Topics in echam right now: Update on echam roducts 2

16 o Website continues to function well o icham available on the Apple App Store with good feedback. o DF and printable atient Education available for download. o ebook continues to be available. Continuing to work with Jenny Brown and EMS Committee to prepare new Emergency echam and Curriculum content. Medicine changes for 2016 approved by Clinical Directors, working with pharmacy to get changes ready for revision process. Immunizations chapter received on 5/4/16. Undergoing proofreading and CHAMification before edits are made. reparing for SuperUser Training in July. completely transitioned to (CHAM pages). echam roduct Updates User Management System: Functioning well. DF: Downloadable DF and rintable t Ed DF s available for download at: Sample printable DF available at meeting for viewing. Website: We have identified the cause of the website being unavailable several times in recent months. It appears that the server housing the website has gone offline from the network each time and we are now working with our internal IT department to determine the cause and how to prevent it from happening in the future. iad app: Released to the Apple App Store on 3/16/16. Available for download. Next version will have improved search capabilities. Accepting suggestions for improvements. DMS: Working well at this time. CHA Forum Rebecca azdernik The CHA Forum was on April th. Leah W. is working on CE certificates and compiling survey results. ARC/RAC Report Group See attached RAC Report. There is no ARC Report; Stephannie C. filled in as Chair at that meeting. RAC There is a vacancy on RAC to replace Douglas Finney. The vote will be taken care of by . Community Health Aide rogram Certification Board Victorie Heart There is a vacancy on CHA Certification Board to replace Douglas Finney. CHA Directors can make a recommendation to fill the vacancy. The recommendation will be taken care of by . Medicaid Reimbursements Dr. Onders 3

17 There was a State Medicaid meeting last week. Currently when a tribal member receives care at a tribally operated facility, it is 100% FMA. If they go to a non-tribal facility, it is a 50% match and the State pays for 50%. The State would like more to be 100% FMA, such as referrals. One of the tribes priorities is to get the encounter rate for CHAs and BHAs. The next meeting is June th. A State lan Amendment needs to be submitted to CMS to request an encounter rate. Currently we get 85% of fee for service. Coping Skills Victorie Heart The Coping Skills course is scheduled for September 27-29, ANTHC will take lead in planning. The next planning meeting will be on May 24 th. Committee members are Victorie Heart, Herman Geffe, Al Shear, Jo Miller, Crystal Stordahl, Bill Schreiner, aula Ciniero, Sue Steward, Laura Baez, Tina Woods, Dr. Michelle Hensel, Andrea Thomas, and Lucy Tennyson. AACHAD Vice-Chair Crystal Stordahl Motion: Bill S. nominated as AACHAD Vice-Chair. assed. CHA Cerner Sarah Smith A change was made so a CHA can just go into main charting application, eliminating the need to go into a separate log in. Well Child form Sarah will send the updated form to the approval group. Tuesday, May 10, 2016 Call to Order/Announcements Meeting was called to order. UAF Crystal Stordahl Linda Curda Registration procedure list process for billing/grading. They are looking at how they can improve this. The cost is $75, and right now the THO pays $30 and balance is $45. When a payment is not received, the student often gets included in the billing cycle. If an organization chooses not to pay, let the CHA know and UAF. Linda will be invited to the CHA EXO meeting, either in June or July. State of Alaska Renee Gayhart Last week, there was a week-long meeting between the State and the Tribes. The Tribes are requesting that the State submit a State lan Amendment to fully compensate CHAs I through ractitioner, and BHAs I through ractitioner. And to come up with a single set encounter rate for those services. There is further discussion with organizations to come up with number of 4

18 encounters and utilization to set the encounter rate. The tribes also brought up CHAs to potentially take on additional roles to take over palliative care and elder services. Some tribes want to take over transportation for their beneficiaries. RAC Recommendation Letter Group CHACB is writing a letter to training centers regarding statewide priority for training. RAC review team came to TCC and NSHC. RAC constructed an issue paper regarding the standard. CHA Directors need to take action. RAC RECOMMENDATION #1: The standard either be revised or deleted. Suggested language for a revision would be: CHA Training Centers supported through regional tribal organizations and that organization s funding will announce through a statewide venue, any training slots available to out-of-region students and acceptance for those slots will based on statewide training priorities. RAC RECOMMENDATION #2: Revision to the CHA Education rogram Evaluation Checklist to reflect edits (or deletion) of standard Until such time the standard is clarified/revised/deleted the RAC site review teams should not score this item as it is currently written on the evaluation checklist. AACHAD worked on recommendations on how to change the riority List. The intention is to bring it to THOs before bringing it to CHACB. Workgroups Best ractices-chronic Conditions-Care Coordination: Meeting will be May 24 th, 2-4 pm. Operations Training Capacity: only Torie H. and Charlotte N. are present. Torie available May 23 rd between 9am- 1pm. Staffing all AACHAD. Come back with vacancies and make it a Round Robin. ADJOURN Attached to these minutes: 1. EMS documents (from 5/3-5/16 EMS Training Committee) 2. RAC Report to AACHAD (from 2/24/16 Meeting) 5

19 Report to CHA Directors & ARC EMS Training Committee 5/3/16-5/5/16 Submitted by Jean Rounds-Riley, A-C 5/6/16 State EMS Office: EMS Week May EMS for Children 5/18/16 Changes: o Mary Carlson is now Director of DHSS. o Andy Jones is now Section Chief of Emergency rograms. o Other changes have been made in State EMS office location and admin support. Trying to keep EMS in the public (and legislative) eye, with press releases etc. State office had several webinars in March and issued surveys to keep instructors informed of changes in EMS. EMS 2021: The State Office will be working with Regional Directors and ACEMS on a 5 year plan. State EMS Training Committee will be included in training/education and testing issues at the Sept meeting in Anchorage. Looking at improvements and sustainability. o lease contact me or your Regional EMS representatives with thoughts of what you would like to see for EMS in Alaska for the future. o lease include considerations of if/how/when transition to NREMT testing o Your regional needs for basic EMS services; how these are being met (ETT? EMT- 1? availability? o Your regional needs for advanced EMS skills and how these are/might be met. SB 23 Opioid Overdose Drugs was passed this legislative session. Village Health Aides are specifically listed among the health care providers (Sec. 5.AS ). The Section of Emergency rograms is working on clarifying training and authorizations to allow these health care providers to dispense and administer opioid overdose drugs, and to train and distribute these to family/associates of those using opioids. The State is applying for a federal grant, and plans to utilize the only FDA-approved nasal delivery device (Naloxone Nasal Spray 0.4mg) 2 bottle kits at +/- $70/kit. For comments/questions contact andy.jones@alaska.gov Director of ublic Health is working with palliative care physicians to update advance directives/comfort One programs. Considering moving recertification dates to spread out the work load throughout the year. Ron Quinsey is interested in having EMS included in the newly renovated State Museum. If you have ideas of what/who you would like included in this, contact him: ron.quinsey@alaska.gov Regulations changes: Another set of Regulation changes is in review within the department of law, but not yet ready for public comment; hope to have finalized by the end of the year. EMS Training and CME: Training Committee is working on updating skill practice sheets to support the NREMT practical exam test sheets now being used. Discussed ways to implement a Quality Improvement process for EMS training/education what, who, how. (Harvard School of ublic Health had a free on-line course on ractical Improvement Science in Healthcare I don t know if this will be offered again, but was highly recommended.) Rpt to CD & ARC re EMS Training Committee of 5/3/16-5/5/16 jroundsr@anthc.org 1

20 State Training Committee is working on writing objectives for the EMT-1 course, which will follow the National EMS Guidelines, and provide more guidance for teaching and testing. Anticipate having these ready before the end of August IREMS: Symposium went well, included section especially for CHAs including suturing, splinting, spinal protection. NSB Will start synchronous blended ETT course Barrow/villages using Bridge-it software and smart boards. They recently had an MOI course, and now have 6 new ETT instructors in the villages who will help with the skills portion of this course. Also increasing BLS instructors and classes in the villages. SREMSC started free on-line webinar synchronous CME beginning in Jan. 2016, the 2nd Wed. of the month 6pm-9pm. It is in a go-to-meeting format; going well. Staff presented at the CHA Forum, especially reviewing changes in EMS such as spinal protection. University of Alaska: aramedic program (Kenai?) will be doing more by distance this fall. Also looking at distance ETT and AEMT next year. They will include didactic materials with a weekly contact with instructor. Anticipate using Jones & Bartlett s Navigate-2 software (YKHC has looked at this a well); customizable materials, some with an audio component to enhance learning modalities. EMS Training Committee meetings proposed dates and locations: Sept Anchorage Feb Juneau May Anchorage Rpt to CD & ARC re EMS Training Committee of 5/3/16-5/5/16 jroundsr@anthc.org 2

21 RAC Report to CD February 24, 2016 ANTHC COB Conference Room #3 lease see 2/24/16 RAC Minutes for attendance and details about approval of 12/9/15 minutes. RAC Membership update: Eirik McFerrin was replaced by Sue Stewart. Election of Officers: Elaine hillips Chair, Cyndy Langmade Vice-Chair, Faith Walsh Secretary CHACB Business Doug Finney reported on the status of the request to change the CHACB Standards with regards to the rimary rovider definition and change to the ratio of rimary rovider to Active articipant pts in Session II. The first reading was accepted with the provision of being reformatted. A second reading is required, therefore the rewritten version will be submitted for the next CHACB meeting. New Business QA process and criteria for Session Training field staff, and policies for orientation of Session Training field staff: NSHC has policies for eer Review, Clinical teaching Evals, and Classroom teaching Reviews. Dan will forward current NSHC documents to Doug. These are implemented 4 times yearly. Doug will ask ANTHC for their current QA documents. Wording for Field Trainer Training and QA policies will be explored at the next RAC meeting. This QA is already happening in NSHC, Manillaq and BBAHC in the field. The Nome Site Review is planned for 4/12- to 4/14/16. Site review Team Members are Al Shear, Carolyn Craig, Elaine hillips, with backups Elsie Dexter and Cyndy Langmade. Faith Walsh is also attending. RAC Site Review The new TCC Training Center RAC Site Review February 8, 2016 was described as Fascinating with all new staff starting a TC for the first time. Dan, Cyndy, Carolyn and Elsie attended. The report was reviewed. TCC s first part of Session I review successfully passed the RAC review. The second part of TCC Session I RAC review will take place by distance after the completion of the session, by reviewing the paperwork. There is also a recommendation to observe Session SIV clinical separated into 2 sessions, July 11 to 22, then July 25 to August 5 th with 3 students in each group. Concerns arose about the following during the stie visit review: CHACB Standards and rocedures Sec Trainees Selection rocess. (b) Statewide riorities. The CHA/ Training Center must adhere to statewide placement priorities for training applicants for a limited number of training slots. Two points allotted as nonessential on the RAC checklist are being discussed, concerning the Statewide Selection rocess priorities for limited training slots. This Standard and the Statewide

22 riorities document were written long ago, do not reflect current statewide realities, and will be discussed at the next RAC meeting concerning wording and criteria for filling slots in TCs. Dan will write a statement about how slots are now being filled, using the statewide priorities criteria whenever slots are empty. Dan will write a summary of this first portion of the RAC review, including the ongoing offer for support to TCC, and a return is planned in July for observing Session IV. The final write up will be submitted to RAC, forwarded by Leah for review by members before the next RAC meeting. Unfinished Business to be covered at the next meeting: RAC Training Center Annual Self Evaluation Checklist for each Training Center not receiving a site review- paperwork was distributed. ANTHC and YKHC will exchange completed selfevaluation checklists with each other after completion. They will tally the most recent schedule for each Session, comparing subjects and hours to those listed in the Basic Training Curriculum. RAC will send out letters to Training Centers listing any items on the Self Evaluation Checklist requiring improvement. NSHC team will start looking at the Nome notebook which Dan sent out feb 1 st. Documents posted or sent since last meeting: Letters to CHA Directors re: site review plan for Annual Self Evaluation Checklist to ANTHC and YKHC. Thank-you letter to supervisors of RAC members, cc to RAC member sent. Dan added dates to RAC Orientation for New TC Coordinators and RAC members, posted. Next agenda: May 1. Complete TC Self Evaluation Checklist review. a. Reviewer of each TC writes a summary of problems found and their resolution/status. b. A copy of the summary goes to the RAC Chair for use at the December meeting. c. The summary and all the Self Evaluation documents go to the office of ANTHC CHA Statewide Services to be archived. d. Chair sends a letter of RAC approval of the Self Evaluation to the TC Coordinators, CD Chair, and the RAC archives. 2. Complete site review follow-up if site review has been done (may occur later in the year)

23 Association of Alaska Community Health Aide rogram Directors Meeting Minutes September 12-13, 2016 Anchorage, AK CHAIRERSON CHAIR-ELECT SECRETARY-TREASURER AST CHAIR/ADVISOR RECORDER Johnathan Lomack Melissa Robbins Blinn JR Dull Lisa Wade Crystal Stordahl (TCC) Bill Schreiner (KANA) Carole Knuth (SEARHC) Sue Steward (Chugachmiut) Leah Woolard (ANTHC) Member/Organization Akiachak Native Community A Mariah Craig Aleutian/ribilof Islands Assn. Bristol Bay Area Health Corporation Chickaloon Village Trad. Council Member/Organization Mt. Sanford Tribal Consortium A Vacant Native Village of Diomede A Grace Friendly Native Village of Kwinhagak A A Cassandra Kroto Native Village of Tyonek Vacant Chitina Trad. Village Council A Janet Mullen Ninilchik Traditional Council A Sue Steward Chugachmiut Glenn Sheehan North Slope Borough Kris Winter aula Ciniero Eileen Owen- Williams Copper River Native Association Council of Athabascan Tribal Gov. A Ashley Westbrook Dr. Martha Cotten Eastern Aleutian Tribes Carole Knuth Alicia Lynn Reft Karluk Tribal Council A Bill Schreiner Charlotte Nelson Kodiak Area Native Association A Crystal Stordahl Crystal Stordahl for Theresa Marks Norton Sound Health Corporation Southcentral Foundation SouthEast Alaska Regional Health Consortium Tanana Chiefs Conference Tanana Tribal Council Maniilaq Association Eva Sensmeier Yakutat Tlingit Tribe A Vacant Metlakatla FMC/AISU A Asela Calhoun Guest/Organization =resent A=Absent E=Excused T=Teleconference Yukon Kuskokwim Health Corporation Guest/Organization Victorie Heart ANTHC CHA Dr. Bob Onders ANTHC DCHS Tasha Hotch ANTHC CHA Raemona Howard ANTHC Cerner Leah Woolard ANTHC CHA Sarah Freeman, Garret Spargo Linda Curda UAF Herman Geffe YKHC Kelda Barstad SOA Adult rotective Services Dr. David James SCF ANTHC Telehealth A T T T 1

24 Monday, September 12, 2016 Call to Order/Review agenda Crystal Stordahl Meeting was called to order. Introductions were made around the table. Crystal asked that everyone review the agenda. Motion: Carole K. motioned to approve the agenda as amended. Sue S. 2 nd. assed. Review/Approve minutes Group The group reviewed the AACHAD May 9-10, 2016 minutes. Motion: Sue S. motioned to approve the minutes. Bill S. 2 nd. assed. Community Health Aide rogram Certification Board Victorie Heart There is a vacancy on CHA Certification Board to replace Douglas Finney. CHA Directors can make a recommendation to fill the vacancy. The recommendation was taken care of by and CHA Directors nominated Sue S. Motion: CHA Directors motioned to endorse nomination of Sue S. assed. Crystal S. will send letter to Chris M. regarding nomination. Statewide Services Report Victorie Heart Activities Budget update Forum has $9000 and website account has $1500. Statewide services is a recurring account and has $517,000. Ongoing activities echam (see report). Changes to DLN Shane Southwick is their new director. Coping Skills course is coming up on Sept th. Expansion of CHA rogram will be discussed at NIHB Conference. EMS Update Jean Rounds-Riley No report since May meeting. Below are EMS Training Committee proposed meeting dates and locations: Sept , 2016 Anchorage Feb. 6-8, 2017 Juneau May 2-4, 2017 Anchorage May report: SB 23 Opioid Overdose Drugs was passed this legislative session. Village Health Aides are specifically listed among the health care providers (Sec. 5.AS ). The Section of Emergency rograms is working on clarifying training and authorizations to allow 2

25 these health care providers to dispense and administer opioid overdose drugs, and to train and distribute these to family/associates of those using opioids. The State is applying for a federal grant, and plans to utilize the only FDA-approved nasal delivery device (Naloxone Nasal Spray 0.4mg) 2 bottle kits at +/- $70/kit Motion: Glenn S. motioned that CHA Directors adopt SB 23 Opioid Overdose Drugs as a process, Sue S. 2 nd. assed. Bob O. will discuss this at Clinical Directors meeting this week. echam echam roduct Updates Tasha Hotch for Rebecca azdernik User Management System: Functioning well. DF: Updated with July 2016 revision release. Downloadable DF and rintable t Ed DF s available for download at: Website: Functioning well. Improved Search Feature in process. iad app: Functioning well. Improved search feature in process. Improved notification when downloading updates in process. New version will be released when these are completed. DMS: There was a change to the DMS database where it was completely re-built and thus we have experienced a new learning curve for how to use it. Some of the changes are still being discussed and worked out with Dakota to accommodate workflow documentation. There is an echam meeting on Wednesday, Sept. 13 th. rioritization for echam changes will be discussed at that meeting. This issue can be brought back to CHA Directors electronically or in December. ARC/RAC Report Group See attached ARC and RAC Report. RAC There is a vacancy on RAC to replace Douglas Finney. Motion: Bill S. motioned to nominate Cassandra K. to RAC. Glenn S. 2 nd. assed Strategic Initiatives Group Operations-Wellness & revention o CHA/ Coping Skills Class ANTHC is hosting a course on September th. The class size is 12 CHAs and registration is full. o Best ractices-chronic Conditions-Care Coordination - TCC is working on a pilot project for chronic conditions. BBAHC is hiring mid-level providers and developing teams. NSHC is hiring more case managers. Operations-Training Capacity o Field Trainers as basic session clinical trainers 3

26 Staffing Recruitment & Retention o CHA/s YKHC offers time off and also has a call system (800#) to help with burnout. BBAHC offers time off. o Training Center Instructor Motion: Sue S. motioned that CHA Directors seek advocacy from THD to explore Medicare reimbursement for CHAs who have historically provided care to Medicare beneficiaries without reimbursement and federal law allows and encourages THOs any reimbursement that they are entitled to. Asela C. 2 nd. assed. This will be included in the CHA Directors report to THD. CHA Cerner Raemona Howard Verbal order of medication - some of the orders were mail-out prescriptions and CHAs were putting them in as verbal orders. Non-CHAM meds in a non-emergency setting and mail-outs are non-verbal orders. Well Child Care EF form update will be done by Thursday. Vitals- question to make the field required or required with N/A field: pulse, respiratory rate, height/weight (can be approx.), blood pressure, Sp02, temperature. Request to the pictures and actual fields to the group to see what it actually looks like before a decision is made. Tuesday, September 13, 2016 Call to Order/Announcements Meeting was called to order. AFHCAN Crystal Stordahl Sarah Freeman AFHCAN demonstrated using the hearing screening on the carts. SOA Adult rotective Services Kelda Barstad AS serves vulnerable adults 18 years or older (with physical or mental disabilities). Central intake-they have one place to take calls and get calls to the right people. Web intake process is available 24/7. Calls to central intake is available 8 am 4pm. If you don t get a call back, you can call back and ask to speak to supervisor. They have to respond within 24 hours. Form is available at AS website or central intake website. Central intake # , website: Kelda.barstad@alaska.gov 2017 Meeting Dates February 6-7 May 8-9 September

27 December 4-5 Round Robin Reports CHA Directors provided updates on: ractice in clinics with mid-levels and CHA/s (medical supervision) Screening tools and role of CHA/ Blended Session IV experiences ADJOURN The following organizations participated in the discussion: BBAHC, Chugachmiut, EAT, KANA, Maniilaq, NSB, NSHC, NVT, SCF, SEARHC, TCC and YKHC. Attached to these minutes: 1. ARC Report to AACHAD (from 5/12-13/16 Meeting) 2. RAC Report to AACHAD (from 5/11/16 Meeting) 5

28 Attendance COMMUNITY HEALTH AIDE ROGRAM Academic Review Committee Report to the CHA Directors (CDs) resented to CD Chair by Alan Shear ARC Chair for ARC meeting May 14 th, 2016 Topic Action by ARC Requested Action by CDs See ARC minutes meeting dates and times The next CHA meetings will be the week of September14th thru 16 th, 2016 Tentative RAC and ARC meetings for September, 2016 CDs: 9/14/16 CHA leadership: 9/14/16 8:30-10am RAC: 9/14 10am-12pm Training Center Coordinators: 9/16/16 3 pm-4 pm ARC: 1:30-4:45 pm, 9/14/16 8:30-4:45 pm 9/15/16 8:30-3:00pm 9/16/16 CHAM/Curriculum alignment for body system units 1. Work accomplished this meeting: a. Work on Unit 19 (Skin) continued With leveling. And review of content. (comments from TC taken into consideration) b. Work continues with leveling and review of content Unit 16 (Musculoskeletal) 1. Linda will do some final formatting to the approved units and forward them to Torie. 2. Torie will draft a cover letter to accompany the new units for distribution to the training centers, to be signed by CD and ARC Chairs. The training centers would like them ASA. 3. ARC Chair will ask CD Chair what review of the units CDs would like to do before they go out to the TCs. 4. Linda will reformat Unit 19 and 16 to the next ARC Curriculum teleconference for more work. lease advise ARC if you would like to review of these units before they are implemented. resession Handbook Stephannie described her ongoing work on revising the resession Handbook. She will give us an update at the September meeting. 1.