1. Nurse Aide Training and Competency Evaluation Program (NATCEP) Updates Strategies: Excellence for Health Care Providers November 5, 2015

2. 2 Objectives  Explain the PA NATCEP program changes and new guidelines  Identify proper documentation for delivery and record keeping by the Nurse Aide Training Program  List resources that facilitate the instructors’ understanding of the teaching-learning process NATCEP Updates

3. 3 Federal and State Regulations that Govern NATCEP  Omnibus Budget Reconciliation Act (OBRA) of 1987  Act 14 of 1997 Pennsylvania Nurse Aide Resident Abuse Prevention Training Act  Title 22, Chapter 701 Criminal History Record Information (CHRI) NATCEP Updates

4. 4 Frequent Non-Compliant Issues 1.Failure to secure a Pennsylvania Criminal History Record Information (CHRI) report or FBI letter in compliance with state regulations 2. Lesson plans and calendars lack evidence of adequate instruction of Act 14 curriculum objectives 3. Lack of evidence to support a minimum of 16 hours of instruction in the 5 required content areas NATCEP Updates

5. 5 Failure to secure a Pennsylvania CHRI or FBI report in compliance with state regulations 1.CHRI obtained during the year prior to enrolling 2.If not a resident of Pennsylvania for the last two (2) consecutive years, a PA-CHRI and FBI letter of eligibility are required 3. Attestation of Compliance with Act 14 4. Sign and date CHRI NATCEP Updates

6. 6 Technical Assistance for CHRI Compliance Issues (cont.)  Review your CHRI policy, process and procedure  Review fictitious Record of Arrest and Prosecution Sheet (RAP)  Questions about a CHRI - prohibitive offense list - make a determination (contact your solicitor) - revise your process or procedures, as needed NATCEP Updates

7. 7 Technical Assistance for CHRI Compliance Issues  Pennsylvania Nurse Aide Training Report  Instructions for completing the PA Nurse Aide Training Report  Process for Procuring an FBI Report and Letter of Eligibility for Nurse Aide Training  Release of Eligibility Letter based on FBI report NATCEP Updates

8. 8 Technical Assistance for CHRI Compliance Issues ( cont.)  NEW RECORD CHECK (volunteers only) Not permitted for enrollment in nurse aide training https://epatch.state.pa.us  Revise your CHRI process or procedures, as needed NATCEP Updates

9. 9 Availability of Updated Documents for implementation by January 1, 2016  Sample documents will be posted on the PDE website www.education.pa.govwww.education.pa.gov  Updated sample documents will be located in Section 5 of the Teaching the Educator material at www.ed.psu.edu/ttewww.ed.psu.edu/tte NATCEP Updates

10. 10 Lesson plans and calendars lack evidence of adequate instruction of Act 14 curriculum objectives  Program calendar identifies all required objectives  Model curriculum includes Act 14 supplemental material  Abuse education training series - Hand in Hand Submit a request to download materials at http://www.cms-handinhandtoolkit.info  www.health.state.pa.us/facility www.health.state.pa.us/facility NATCEP Updates

11. 11 Technical Assistance  Update Model Curriculum to advance the instruction of the identification, prevention, and reporting of abuse, neglect, and exploitation as legislated by Act 14 of 1997  Solicit strategies for enhancing abuse training from nurse aide training programs, nursing facilities, state departments and agencies NATCEP Updates

12. 12 Lesson Plans  Is the Model Curriculum enough?  “A lesson plan is the instructor’s road map of what students need to learn and how it will be done effectively during the class time.” (Milkova, S., Center for Research on Learning and Teaching.)  How will you start, complete, and assess the day’s instruction? NATCEP Updates

13. Developing Effective Lesson Plans  How do you start a lesson: Story; Question; or Review?  What objectives will be completed and how? - Evidence of abuse training (Act 14)  How will you assess student understanding of the Lesson: Quiz; or Discussion? 13 NATCEP Updates

14. 14 Maintaining NATCEP Approval  NATCEP approval is valid for only 2 years; there is no re-approval An onsite compliance review is required to be eligible to gain a new 2-year approval Timely submission of the Self-Study Booklet and requested supplemental documentation is required for the PDE advisors to prepare for and expedite the onsite review NATCEP Updates

15. 15 Maintaining NATCEP Approval  Timely response with remedies to the Statement of Findings is required to maintain approval  Beginning January 1, 2016, any repeat non- compliance findings, or delays in submitting the Self-Study Booklet or remedies to the Statement of Findings may result in PDE beginning the process to withdraw NATCEP approval Maintaining NATCEP Approval

16. 16 Federal Regulations and State Requirements  Report of Change  Instructions for completing a Report of Change  Incomplete Report of Change forms will be reviewed at a subsequent report of change meeting  2016–2017 calendar with report of change meeting dates NATCEP Updates

17. 17 Trends  Evidence-Based Practice(EBP) - patient-reported - nurse-observed - research-derived  Problem-solving approach to clinical decision- making within a healthcare organization NATCEP Updates

18. 18 Evidence-Based Practice(EBP) 1. Develop the EBP question 2. Search for evidence 3. Critically analyze the evidence 4. Apply the evidence 5. List references NATCEP Updates

19. 19 Evidence-Based Practice(EBP)  Improve communication among staff, instructors and students to provide individualized resident care according to their plan of care  Improve clinical experience in the nurse aide training program NATCEP Updates

20. 22 NATCEP Updates Summary  Explain the PA NATCEP program changes and new guidelines  Identify proper documentation for the delivery and record keeping by the Nurse Aide Training Program  List resources that facilitate the instructors’ understanding of the teaching and learning process

21. 23 NATCEP Updates Questions?

22. 24 For more information on the NATCEP, please visit PDE’s website at www.education.pa.gov. www.education.pa.gov The mission of the department is to academically prepare children and adults to succeed as productive citizens. The department seeks to ensure that the technical support, resources and opportunities are in place for all students, whether children or adults, to receive a high quality education. NATCEP Updates

23. 23 Knowledge of the setting is critical Ability to relate to the student Clinically Competent Understands how to teach Enthusiasm for the subject Serves as a role model Sense of Humor Willing to admit short comings Flexibility when working with students Integrity, Perseverance & Courage Inherent Qualities of Laboratory & Clinical Instructors

24. 24 NATCEP Updates Useful Websites http://www.ltltrainingpa.org/  https://www.thinkculturalhealth.hhs.gov/GUIs/GUI_JoinCLCCHC.asp https://www.thinkculturalhealth.hhs.gov/GUIs/GUI_JoinCLCCHC.asp  http://www.healthfinder.gov/NHO/http://www.healthfinder.gov/NHO/  www.nursingcenter.comwww.nursingcenter.com  www.psna.orgwww.psna.org  www.health.state.pa.uswww.health.state.pa.us  www.terranova.org www.terranova.org

25. 25 Technical Assistance to Improve Pass Rates on the Skills Examination  Identify learning outcome  Assess learning needs  How to guide students through skills  How to assess the student in the laboratory  Quality is far more important than quantity  Encourage students to keep practicing NATCEP Updates

26. 26 Technical Assistance to Improve Pass Rates on the Skills Examination  Computer assisted learning – Simulation manikins  Web-enhanced course materials (YouTube)  Combination of instructor and web-enhanced NATCEP Updates