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 CFDA No 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 Personal Care Home Maker Personal Care Attendant PCA Training PHCASTNew PHCAST Format New PHCAST Curriculum with Shared Core Competencies Existing PCHM Training PHCAST

ModulesTime Module 1. Roles and Responsibilities of the PCA and PCHM 4 hours and 5 minutes Module 2. Communication Skills 5 hours and 50 minutes Module 3. Health Care Support: Body Systems and Common Diseases3 hours Module 4. Infection Control 3 hours and 45 minutes Module 5. Basic Restorative Skills: Body Mechanics and Assisting with Ambulation, Transfers, and Toileting 5 hours and 40 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 - additional24 hours Bristol Community College – Personal Care Assistant - additional34 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 re- hospitalization – 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 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 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 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

ModuleTitleHoursSuggested Day PHCAST Pre-test1 hrDay 1 0PHCAST Core: Welcome, Introductions and Overview of the Training45 minsDay 1 0ACouncil Supplement: Introduction to Training30 minsDay 1 1PHCAST Core: Roles and Responsibilities4 hrs and 5 minsDay 1 1ACouncil Supplement: Roles and Responsibilities1 hrDay 1 2ACouncil Supplement: Introduction to Case Management1 hrDay 2 2PHCAST Core: Communication Skills5 hrs and 50 minsDay 2 2BCouncil Supplement: Consumers, Families, Lifestyles and Differences2 hrsDay 3 3PHCAST Core: Health Care Support3 hrsDay 3 4PHCAST Core: Infection Control3 hrs and 45 minsDay 3 and Day 4 5PHCAST Core: Basic Restorative Care5 hrs and 40 minDay 4 6PHCAST Core: Personal Care6 hrs and 25 minDay 5 PHCAST Skills Assessment5 hrsDay 6 6ACouncil Supplement: Personal Care2.5Day 7 7PHCAST Core: Nutrition and Housekeeping4 hrs and 40 minDay 7 7ACouncil Supplement: Nutrition30 minsDay 8 7BCouncil Supplement: Housekeeping3 hrsDay 8 8PHCAST Core: Consumer/Needs Specific4 hrs and 20 minDay 8 8ACouncil Supplement: Consumer/Needs Specific2 hrsDay 9 8BCouncil Supplement: Care and Comfort of the Dying2 hrsDay 9 8CCouncil Supplement: Alzheimer's Disease4 hrsDay 9 8DCouncil Supplement: Transitional Care3 hrsDay 10 9PHCAST Core: Safety and Emergency Training3 hrs and 35 minDay 10 9ACouncil Supplement: Safety30 minsDay 11 10PHCAST Core: Consumer Rights, Ethics, and Confidentiality3 hrs and 30 minDay 11 10ACouncil Supplement: Ethics30 minsDay 11 11PHCAST Core: Life Skills3 hrs and 30 minDay 12 11ACouncil Supplement: Life Skills30 minsDay 12 11BCouncil Supplement: Agency Specific Communication1 hrDay 12 PHCAST Post-test1 hrDay 12 Total Hours80 hours Council PHCAST Enhanced Personal Care Homemaker Training Curriculum Outline

Council/PHCAST Year 2 Pilot Training Schedule Session 1: March 12 th to March 30 th Holyoke Taunton Worcester Session 2: April 2 nd to April 20 th Danvers Malden Worcester Quincy Session 3: April 23 rd to May 11 th Brockton Greenfield – (Evening Format –April 16 th to May 11 th ) North Andover Brookline Session 4: May 14 th to June 1 st Burlington (Evening Format – May 7 th to June 1 st ) Malden Lowell Session 5: June 4 th to June 22 nd 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 MA Council for Home Care Aides 1430 Main Street Waltham, MA Leanne Winchester EOHHS PHCAST 1 Ashburton Place Rm 1109 Boston, MA