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MA PERSONAL & HOME CARE AIDE STATE TRAINING PROJECT
PHCAST
Lisa Gurgone, Executive Director, MA Council for Home Care AidesLeanne 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-10-288 CFDA No. 93.512. 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
PHCAST New PHCAST Format
New PHCAST
Curriculum with Shared
Core Competencies
Existing
PCHM Training
PHCAST
Modules Time
Module 1. Roles and Responsibilities of the PCA and PCHM4 hours and 5 minutes
Module 2. Communication Skills 5 hours and 50 minutes
Module 3. Health Care Support: Body Systems and Common Diseases 3 hours
Module 4. Infection Control3 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’ Needs4 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 Management3 hours and 30 minutes
TOTAL PHCAST TRAININ G TIME excluding, welcome, introduction and testing ~ 49 hours
MA Council – Personal Care Home Maker - additional 24 hours
Bristol Community College – Personal Care Assistant - additional 34 hours
PHCAST CurriculumKnowledge, 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. Professionalism5. Employment and Career Opportunities
Communication
1. Basics of Communication 2. Body Language and Effective Listening3. Paraphrasing4. Asking Open-Ended Questions5. Pulling Back6. Communication Skills Practice7. Culture and Communication
Health Care Support
1. Body Systems 2. Common Diseases3. Assisting with Medications: Different Roles of
the PCA and the PCHM
Infection Control
1. Overview of Infectious Disease 2. Applying Infection Control Strategies3. Skills Demonstration and Practice4. Specific Precautions
Basic Restorative
1. Review of Key Principles for Basic Restorative Skills
2. Principles of Body Mechanics3. Assisting with Positioning the Consumer4. Assisting with Transfers and Ambulation5. Assisting with Toileting
Personal Care Skills
1. Key Principles for Assisting with Personal Care2. Assisting with Bathing3. Assisting with Grooming and Mouth Care4. Assisting with Routine Skin Care, including
Hand and Foot Care5. Assisting with Dressing
Nutrition Support & Housekeeping
1. Basic Information on Eating for Health2. Simple Modified Diets and Special Food
Issues3. Safe Food Preparation and Storage4. The Dining Experience5. Assisting the Consumer with Shopping6. Housekeeping
Addressing Consumer Needs
1. Identifying Beliefs and Attitudes 2. Exploring the Needs of Different Types of
Consumers3. Experiencing Sensory and Physical Disabilities4. The Role of the PCA/PCHM in Supporting
Consumers5. Revisiting Beliefs and Attitudes
Safety & Emergency
1. Safety in the Home2. Falls Prevention3. Fire Safety and Emergency
Consumer Rights, Ethics & Confidentiality
1. Decision-Making Rights of Consumers2. Privacy and Confidentiality3. Recognizing and Reporting Abuse, Neglect,
and Financial Exploitation4.Boundaries and Ethics
Life Skills
1. Reducing and Resolving Conflict at Work2. Managing Time3. 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 2011Tasks:• 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 2011Tasks: • 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 1. 10 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: 188Total Council/PHCAST Year 1 Pilot Training Graduates: 174
June 2011 - 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 2011 - 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
Module Title Hours Suggested Day
PHCAST Pre-test 1 hr Day 1
0 PHCAST Core: Welcome, Introductions and Overview of the Training 45 mins Day 1
0A Council Supplement: Introduction to Training 30 mins Day 1
1 PHCAST Core: Roles and Responsibilities 4 hrs and 5 mins Day 1
1A Council Supplement: Roles and Responsibilities 1 hr Day 1
2A Council Supplement: Introduction to Case Management 1 hr Day 2
2 PHCAST Core: Communication Skills 5 hrs and 50 mins Day 2
2B Council Supplement: Consumers, Families, Lifestyles and Differences 2 hrs Day 3
3 PHCAST Core: Health Care Support 3 hrs Day 3
4 PHCAST Core: Infection Control 3 hrs and 45 mins Day 3 and Day 4
5 PHCAST Core: Basic Restorative Care 5 hrs and 40 min Day 4
6 PHCAST Core: Personal Care 6 hrs and 25 min Day 5 PHCAST Skills Assessment 5 hrs Day 6
6A Council Supplement: Personal Care 2.5 Day 7
7 PHCAST Core: Nutrition and Housekeeping 4 hrs and 40 min Day 7
7A Council Supplement: Nutrition 30 mins Day 87B Council Supplement: Housekeeping 3 hrs Day 8
8 PHCAST Core: Consumer/Needs Specific 4 hrs and 20 min Day 88A Council Supplement: Consumer/Needs Specific 2 hrs Day 9
8B Council Supplement: Care and Comfort of the Dying 2 hrs Day 98C Council Supplement: Alzheimer's Disease 4 hrs Day 9
8D Council Supplement: Transitional Care 3 hrs Day 10
9 PHCAST Core: Safety and Emergency Training 3 hrs and 35 min Day 10
9A Council Supplement: Safety 30 mins Day 11
10 PHCAST Core: Consumer Rights, Ethics, and Confidentiality 3 hrs and 30 min Day 11
10A Council Supplement: Ethics 30 mins Day 11
11 PHCAST Core: Life Skills 3 hrs and 30 min Day 12
11A Council Supplement: Life Skills 30 mins Day 12
11B Council Supplement: Agency Specific Communication 1 hr Day 12
PHCAST Post-test 1 hr Day 12
Total Hours 80 hours
Council PHCAST Enhanced Personal Care Homemaker Training Curriculum Outline
Council/PHCAST Year 2 Pilot Training Schedule
Session 1: March 12th to March 30th • Holyoke• Taunton• Worcester
Session 2: April 2nd to April 20th • Danvers• Malden• Worcester• Quincy
Session 3: April 23rd to May 11th • Brockton• Greenfield – (Evening Format –April 16th to
May 11th)• North Andover• Brookline
Session 4: May 14th to June 1st • Burlington (Evening Format – May 7th
to June 1st)• Malden • Lowell
Session 5: June 4th to June 22nd
• 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
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Contact Information
Lisa GurgoneMA Council for Home Care Aides1430 Main StreetWaltham, MA 02451781-693-5719lgurgone@mahomecareaides.comwww.mahomecareaides.com
Leanne WinchesterEOHHS PHCAST1 Ashburton Place Rm 1109Boston, MA [email protected]/hhs/communityfirst
