1. Personal and Home Care Aide State Training (PHCAST) Grant Project Advisory Group Meeting June 20, 2011 EOHHS-EOEA

2. Agenda Welcome and introductions PHCAST Grant Overview Introduction of Core Competencies PHCAST Vision Next Steps

3. PHCAST PHCAST co-Principle Investigators Ann L. Hartstein, Secretary, Executive Office of Elder Affairs Rosalie Edes, Acting Assistant Secretary of Disability Policies, and Program, Executive Office of Health and Human Services Project Director: Leanne Winchester, RN University of Massachusetts Medical School PHCAST Management Team: Secretary Ann L. Hartstein Assistant Secretary Rosalie Edes Leanne Winchester, Project Director Mary Kay Browne, Senior Program and Policy Development Specialist Linda Cragin, Director, MassAHEC Network, UMass Medical School PHCAST Partners: Bristol Community College Commonwealth Corporation MA Council for Home Care Aides PCA Workforce Council PHI PHCAST Advisory Group

4. PHCAST Grant Overview Grant program established under Section 5507 of the Patient Protection and Affordable Care Act –To develop care training competencies for personal and home care aides –To train personal and home care aides to provide care in complex health care environments such as private households, home healthcare services, and residential care facilities –Ensure personal and home care aides are competent with acquired knowledge and skills that would be transportable to any job market

5. PHCAST Grant Requirements As part of the PHCAST Grant program, states must: –Develop written materials and protocols for core training competencies, including the development of a certification test for personal or home care aides who have completed training –Implement core training competencies

6. Primary project drivers for MA include Growing long-term support needs of elders and people with disabilities Governor’s mandate in the MA Community First Olmstead Plan to address direct care workforce A need to bring coherence to growing direct service / care workforce with similar roles in different settings Increasing payer expectations regarding quality & outcomes in direct care service arena

7. Massachusetts Long-term / Direct Care Workforce Landscape Massachusetts currently employs and/or pays for long-term support direct care workers through a number of state agencies including but not limited to: –EOEA, MassHealth Office of Long-term Care, DDS, DPH, Soldiers’ Homes, MRC, DMH, DCF, DYS, MCB The Commonwealth spends >4B on long term supports for people with disabilities, ~47% in community settings These workers provide the following types of direct care supportive services: –Assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) –Skills training –Cueing / monitoring & other communication & behavioral support –Other

8. Workforce Landscape Challenges faced by consumers, workers, agencies: –Same worker may be employed through various programs (i.e., paid by various agencies) to provide same type of care –Agencies may have different requirements for workers in each setting (often dependent on funding stream) –Needed core competencies may be the same across consumers but not required across agencies / settings –Worker titles are multiple and overlapping i.e., Direct Care Workers? Direct Support Professionals? LTC Direct Care? –Worker pay varies, not always based on competencies

9. MA PHCAST Grant Overview Project Goals: –to improve and enhance existing curricula for home care aides and personal care assistants –develop a set of core competencies and related curricula across direct care workers –establish cross-agency framework for shared worker competency development and training

10. MA PHCAST Overarching Work Plan Objectives Objective 1 DEVELOPMENT: Develop new PHCA standardized curriculum through an assessment and evaluation of core competencies related to skills, knowledge and attitude Objective 2 IMPLEMENTATION: Implement, evaluate and revise the new PHCA standardized curriculum and additional training components Objective 3 INTEGRATION AND SUSTAINABILTY: Integrate new PHCA standardized curriculum into existing state training systems resulting in trained direct care workers Objective 4 DISSEMINATION: Disseminate PHCA standardized curriculum and project results

13. HRSA PHCAST Core Competencies 1. Roles and responsibilities of a Personal and Home Care Aide 2. Consumer rights, ethics, and confidentiality 3. Interpersonal skills 4. Personal care skills and nutritional support 5. Health care support 6. Infection control 7. Safety and emergency training 8. Consumer/ needs-specific training 9. Basic restorative skills

16. Implementation Instructor Orientation –June 7, 8, 9 –June 21, 22 Pilot Trainings –First pilot began June 13 continuing through September Knowledge and skills assessment testing

17. PHCAST Vision Develop an avenue for engaging key stakeholder support of PHCAST Core Competencies Alignment of core competencies with key stakeholders training of DCW Begin discussion of additional training modules

18. www.mass.gov/hhs/communityfirst

19. Next Steps Schedule personal discussions with State Agencies training DCW and DCW vendor agencies Next Advisory Group meeting August X, 2011