Training Requirements

Transcription

1 Training Requirements ( ) Presenter: Laura Fuller Not another regulation 1

2 Training Requirements ( ) Summary NEW Requirement Facilities to develop, implement and maintain an effective training program for all new and existing staff, individuals providing services under a contractual arrangement, and volunteers. Specific Education Topics Existing Regulation (e)(8)(iii) Relocated to Required Training Training Requirements ( ) Summary Implementation Deadline is Except for the following Phase 1/November 28, 2016 requirements: (c) Abuse, Neglect and Exploitation Training (g)(2) Dementia Management & Abuse Prevention Training (g)(4) Care of the Cognitively Impaired Training (h) Training for Feeding Assistants 2

3 Training Requirements ( ) Differences Behavioral Health training based on facility assessment (e). Training in Dementia Management and Abuse Prevention shall take place at least annually. o New and existing staff; including CNAs and Direct staff o Contract and Volunteers o Annually as part of the 12 hours of in service training Training Requirements ( ) Differences Education for exploitation must be added to current abuse training No specific training mechanism are required Facility Assessment ( ) 3

4 Training Requirements ( ) Phase 1/November 28, 2016 Abuse, Neglect and Exploitation Training Dementia Management & Abuse Prevention Training Care of the Cognitively Impaired Training (with Dementia) Training for Feeding Assistants Begin preparing for Phase 3 Training Requirements ( )(a) Effective Communication Facility must include effective communications as mandatory training for ALL staff; including direct care staff 4

5 Training Requirements ( )(b) Resident s Rights A facility must ensure that staff members are educated on the rights of the resident and the responsibilities of a facility to properly care for its residents. Training Requirements ( )(c) Phase 1/November 28, 2016 Abuse, Neglect and Exploitation 1. Activities that constitute abuse, neglect, exploitation and misappropriation of resident property 2. Procedures for reporting 3. Dementia management and resident abuse prevention training included in 12 hours of annual in services o Exploitation must be added to current abuse training 5

6 Training Requirements ( )(d) Quality Assurance and Performance Improvement (QAPI) Outlining the elements and goals of the facility s QAPI program as set forth in Seven elements of a QAPI program Training Requirements ( )(e) Infection Control Training To ensure staff are effectively educated on the facility s infection control policies and procedures to reduce healthcare associated infections as described in (a)(2) 6

7 Training Requirements ( )(f) Compliance and Ethics Must be included as part of the compliance and ethics program ( ) Annual training is mandatory if the organization operates five or more facilities Training Requirements ( )(g) Phase 1/November 28, 2016 Required In Service Training for CNAs 1. Sufficient education to ensure the continuing competence of CNAs; must be no less than 12 hours per year 2. Include dementia management and abuse prevention training 3. Address areas of weakness as determined in CNAs performance reviews and facility assessment (483.70)(e) Might include special needs of residents as determined by the facility 4. Include education for providing care and services of the cognitively impaired (if appropriate for your facility) 7

8 Training Requirements ( )(h) Phase 1/November 28, 2016 Required Training of Feeding Assistants o A facility is not able to use any individual working in the facility as a paid feeding assistant unless that individual has successfully completed a State approved training program for feeding assistants, as specified in ( ). Training Requirements ( )(i) Behavioral Health o A facility must provide behavioral health training consistent with the requirements in ( ) and as determined by the facility assessment ( )(e). 8

9 Training Requirements ( ) Phase 1/November 28, 2016 Dementia Management and Abuse Prevention NEW requirement to be included in 12 hours of ALL staff education/in services Training Requirements ( ) Next Steps Review Education/Training policies and procedures Review 2016 education plan and update to include Phase 1 requirements Review 2017 education plan to include Phase 1 requirements Review Phase 3 requirements and beginning planning to implement by November, 28,

10 Training Requirements ( ) What does this mean to providers? CMS Interpretive Guidelines We suspect the Facility Assessment ( ) will have an impact on training within the facility Expectation as to who is trained Record keeping and documentation Training Requirements Implementation Deadlines Training Requirements Phase 3: November 28, 2019 Except for the following Phase 1/November 28, 2016 requirements: (c) Abuse, Neglect and Exploitation Training (g)(1) CNA Competency In Services, no less than 12 hours annually (g)(2) Dementia Management & Abuse Prevention Training (g)(4) Care of the Cognitively Impaired Training (h) Training for Feeding Assistants 10

11 Training Requirements Resources Agency for Healthcare Research and Quality s (AHRQ) Team STEPPS patient safety/index.html CMS Hand in Hand handinhandtoolkit.info/index.aspx Dementia Action Alliance Living Fully with Dementia: Words Matter fully with dementia words matter/ QUESTIONS? 11