interrai Long Term Care Facilities (LTCF) Assessor competency requirements Information for training assessors interrai Competency Process There are a range of steps to reach interrai competency by the end of initial training. Once these steps have been successfully completed, assessors are able to carry out interrai assessments without supervision: Completion of self-directed e-learning through the AIS Central Learning Management System website Full attendance at three face-to-face training days Undertake and complete a minimum of five clinical assessments. Each assessment must be reviewed by your Educator. You will be provided with written feedback and have the opportunity to discuss this with your Educator Complete and pass 10 AIS online evaluations to consolidate your learning Undertake the Final Competency. This is a telephone discussion with your Educator where an assessment of your general competency and understanding of the interrai methodology will be undertaken.
LTCF Assessment Competencies In order to become an approved interrai LTCF assessor, trainees must achieve each competency in both part A and B. Part A: Methodology Competency Standards Activities Measures (Specific examples will be provided during training) 1 Familiarity and completion of mastering the LTCF etraining 2 Understand the purpose and general principles of interrai Prepare for training (etraining). Complete interrai LTCF evaluations (ten) using AIS software. Attend three full days classroom based training. Read Assessor Workbook Welcome to interrai. Read Part 1 of the interrai LTCFCoding Manual Read the introduction: The interrai CAPs in interrai Clinical Assessment Protocols (CAPs) Manual. Complete AIS (etraining) minimum 2 hours. Completed and passed ten on-line evaluations using AIS Central Learning Management System. Fully participated in the training programme as evidenced by attendance and contribution at all sessions including evidence of etraining. Clearly identified and able to discuss the value of the interrai in the assessment, and care planning for older persons in long term care.
Competency Standards Activities Measures (Specific examples will be provided during training) 3 Accurately record assessment information 4 Correctly analyse, and interpret the assessment findings (i.e. CAPs and Outcome Measures ) before developing care plan Use the interrai Long-Term Care Facilities (LTCF) Coding Manual as a guide. Use multiple sources of information e.g. transfer note, resident and/or family/whānau interview, observation, discussion with family or carers or health professionals. Use relevant timeframe for each section. Complete five supervised assessments. Check how items trigger CAPs. Describe the use of CAPs in care planning. Clearly identified and able to discuss the use of the Coding Manual as a reference source for accurate coding. Described sources of assessment information used and why these sources are needed. Demonstrates understanding of a process for reconciling conflicting information. Demonstrates understanding of a process for managing information gathered that is wider than the assessment form. Identified the default assessment look back period and three other time frames used in the assessment. Satisfactorily completed five supervised assessments. Explained the difference between standard care and CAP care resulting from a CAP that is triggered. Demonstrates why a CAP may not be included in a care plan and how to use the CAPs Manual as a reference source for interpreting an assessment. Demonstrates how to incorporate the information from the CAPs Manual into the care plan.
Competency Standards Activities Measures (Specific examples will be provided during training) 4. Correctly analyse and interpret assessment findings (contd.) Understand Outcome Measures and how these are utilised in prioritising care, care planning, and monitoring of residents needs. Demonstrated knowledge of outcome measures as evidenced by describing your most recent assessed residents scores. Discussed process for using outcome measures to successfully prioritise planning with the resident as appropriate. Accurately described rationale for the alignment of CAPs, outcome measures and resident goals with a plan incorporating standards and ARC contracts. Identified the frequency of assessment and care plan (review) according to the ARC contract. 5 Inform a comprehensive care plan Follow care planning process relevant to NZS 8134 2008 & DHB ARRC Contracts. Incorporate appropriate CAPs that have been triggered for care plan. Note on Assessment Summary the reasons for not responding to any CAP triggered. Add other CAP areas that have not been triggered if these are significant in the care (standard care). Described how the decision making process around the inclusion of CAPs in the care plan is recorded in Assessment Summary to reflect the assessor s clinical decision making. Described what other areas of care should be in the care plan. NZS 8134 = NZ Health & Disability Service Standards; DHB ARRC Contract=Age Related Residential Care Services Agreement.
Part B: Software Use Assessment Competency Activities Measures 1 Access the software system Access the network. Accessed the software successfully. Logon to the interrai application. Open Resident Management. 2 Manage resident profiles Find an existing resident. Enter new resident details in Resident Overview window. Found specified resident. Completed all required fields for new resident in Resident Overview. Added self as a Provider correctly. Diagnoses entered accurately. Admitted resident successfully to a room. 3 Accurately record assessment information 4 Complete the assessment using software Use multiple sources of information e.g. transfer note, resident interview, discussion with family or carer s and health professionals to gain accurate information. Navigate around the software to complete the assessment. Sign off each section and the assessment when completed. Use notes appropriately. Information sources are recorded in the assessment. Demonstrated form navigation by completion of all items in all sections of MDS. Demonstrates sign off of each section and the MDS is marked complete. Used notes in relevant sections to record the assessment in line with the N.Z. H&D Standards and DHB ARC contracts, provided information that validates or aids understanding to the coding. 5 Analyse and interpret the assessment findings (CAPs, and Outcome Measures ) Using Outcome Measures and CAPs to inform development of the care plan. Demonstrated how to bring up: CAPs screen, Outcome Measures screen, Reason CAPs are triggered screens.
Assessment Competency Activities Measures 6 Generate and file relevant reports Print reports- Face Sheet MDS Comments Assessment Summary Care Plan Client Summary Report File copies of reports as per Facility policy Identify Incomplete Assessments Print Residents Listing Assessment Due Report Described how to print the following reports- Face Sheet MDS Comments Assessment Summary Care Plan Client Summary Report Described how to check for incomplete assessments Describe how to monitor 6 monthly assessments when they are due
Week Process for Mentoring, Assessment Competency and Quality Monitoring in a workplace setting Hours Pre Self-directed e-training (AIS) - Mastering the interrai LTCF 2 1 Classroom learning day one and two including starting first assessment and online evaluation interrai concepts Independent completion of first Assessment including Assessment Summary. 2 Classroom learning day three. Supervision review by educator of first assessment completed. 80% of second Assessment completed. 3 Second Assessment submitted/reviewed and completed after educator review. Care plan submitted to facility clinical lead & online evaluation Assessment Process. Start third Assessment. 4 Third Assessment submitted as above and online evaluation Form Basics. (Care plan as above) Start fourth Assessment. 5 Fourth assessment submitted as above /supervision review completed and online evaluation Coding Part one. (Care plan as above) Start fifth Assessment. 6 Fifth Assessment submitted as above/supervision review completed and online evaluation Coding Part two (Care plan as above). 3 7,8 Remaining five online evaluations completed Coding Section E, Coding Section G, Coding Section O, Outcome Measures and CAPs. Plus Final 6 Competency Evaluation with educator (by phone). Certificate Issued - Total hours training 53 hr 16 8 6 6 6 Trainee name: LTCF Educator name: Trainee signature: Date: LTCF Educator signature: Date of competency:
interrai LTCF Assessor Maintaining Competency Year Process for Maintaining Competency Hours The interrai competency certificate issued for an interrai LTCF Assessor verifies that they have satisfactory completed the interrai LTCF training. It is then the interrai LTCF Assessor s responsibility to maintain competency annually by: 1. Having a minimum of two recent assessments available for quality review. One of these assessments must have been completed in the previous 6 months. 2. Complete an AIS evaluation set 3 evaluations. Note: The date that you must complete your AIS evaluation set is one year after you successfully complete your final competency with your interrai LTCF Educator. 8 hours average