dsp and supervisor orientation training and competencies 2021
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Eric Williams, Provider Development Director
DSP and Supervisor Orientation Training and Competencies
2021
What we will cover
2Virginia Department of Behavioral Health & Developmental Services
▪ Introduction
▪ Background
▪ Considerations
▪ Resources
3/16/21
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Many changes in the DD Waiver regulations relate directly back to the
Settlement Agreement…
Background
3Virginia Department of Behavioral Health & Developmental Services3/16/21
1997 1999
training assurances
2007
alternatives
2009
training prerequisite
added to waiver
2012
DSP Manual
2016
DSP Manual
Online and Competencies
2021
Expanded use
Timeline
2020
Supervisor training
The orientation process has been in place since 1997
Settlement Agreement
3Virginia Department of Behavioral Health & Developmental Services3/16/21
The Commonwealth shall have a statewide core competency-based training curriculum for all staff who provide services under this Agreement. The training shall include person-centered practices, community integration and self- determinationawareness, and required elements of service training. V.H.1.
https://web.partnership.vcu.edu/DSP_orientation/index.html
Background
3Virginia Department of Behavioral Health & Developmental Services3/16/21
95% of provider agency staff meet provider orientation training requirements
Background
3Virginia Department of Behavioral Health & Developmental Services3/16/21
March 6, 2020 Protocol
DBHDS makes available an Orientation Training and Competencies Protocol that communicates DD Waiver requirements for competency training, testing, and observation of Direct Support Professionals (DSPs) and DSP supervisors.V.H.1.
https://townhall.virginia.gov/L/ViewGDoc.cfm?gdid=6823
Background
3Virginia Department of Behavioral Health & Developmental Services3/16/21
95% of provider agency direct support professionals (DSPs) meet competency training requirements
Background
3Virginia Department of Behavioral Health & Developmental Services3/16/21
DSP Supervisors are responsible for adequate coaching and supervision of their staff trainees. As part of its training program, DBHDS will develop and make available a supervisory training for all DSP supervisors who are required to complete DSP training and testing per DMAS Waiver. V.H.2.
https://dbhds.virginia.gov/assets/doc/DS/pd/5.-dbhds-external-entities-domain-guide.pdf
Background
3Virginia Department of Behavioral Health & Developmental Services3/16/21
• skills needed to be a successful supervisor; • organizing work activities; • the supervisor’s role in delegation; • common motivators and preventive
management; • qualities of effective coaches; • employee management and engagement; • stress management; • conflict management; • the supervisor’s role in minimizing risk (e.g.,
health-related, interpersonal, and environmental);
• mandated reporting; and • CMS-defined requirements for the planning
process and the resulting plan.V.H.2.
https://dbhds.virginia.gov/assets/doc/DS/pd/5.-dbhds-external-entities-domain-guide.pdf
At a minimum, this training shall include the following topics:
Background
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Background
Assurance documents
reduced from 4 versions to
2 versions
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Any health-and-safety related direct support skills will only be performed under direct supervision, including observation and guidance, of qualified staff until competence is observed and documented. V.H.1.
https://townhall.virginia.gov/L/ViewGDoc.cfm?gdid=6821
Background
3Virginia Department of Behavioral Health & Developmental Services3/16/21
https://townhall.virginia.gov/L/ViewGDoc.cfm?gdid=6821
Background
3Virginia Department of Behavioral Health & Developmental Services3/16/21
https://townhall.virginia.gov/L/ViewGDoc.cfm?gdid=6821
Considerations
Before providing without supervision
Within 180 days from hire
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Proficiency with basic skills is the foundation
Considerations
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Considerations
4. Providers shall ensure that supervisors of DSPs complete the
competencies checklist (DMAS Form P241a) for each DSP they supervise
within 180 days of the DSP hire date and complete annual updates thereafter.
[ For sponsored residential services, the date of hire can be the date that the
sponsor begins providing service in the sponsored home setting.
12VAC30-122-180
Only for DSP Competency purposes; not for OL purposes
3Virginia Department of Behavioral Health & Developmental Services3/16/21
180 days to demonstrate the basics…
Considerations
Describe the service
Document the supportUnderstand needs and preferences
Involve people in choice
Work cooperatively with othersRespond to emergencies
Follow meal plans
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Included Services2021• adds ESOs to training, testing, and competencies• adds HCOs to competencies
Considerations
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Considerations
The checklist accommodates N/A for skills that do not apply
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Considerations
The checklist provides options for checked indicators and comments; checks are optional if comments describe abilities
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Remediation
Date of hire or begins
support
Proficiency determined within 180
days
Deficiency noted
Deficiency remediated
and documented within 7 days
Same deficiency
noted within 3 months
First episode
Second episode
3 months
Deficient skills
provided under direct supervision
until proficiency
is confirmed
Billing interrupted
for deficient
skills
180 days 7 days 7 days
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Remediation Example
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Resources
March 6, 2020 Requirements
andChecklist
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Resources
https://dbhds.virginia.gov/developmental-services/provider-development
Pending update
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Resources
https://web.partnership.vcu.edu/DSP_orientation/Competencies-Assurances-Tests.html
Pending update
3Virginia Department of Behavioral Health & Developmental Services3/16/21
Resources
https://townhall.virginia.gov/L/GDocs.cfm
3Virginia Department of Behavioral Health & Developmental Services3/16/21
20. Providers shall ensure that all employees or
contractors without pertinent or medical clinical licenses
who will be responsible for medication administration
demonstrate competency of this set of skills under direct
observation prior to performing this task without direct
supervision.
21. DBHDS-licensed providers shall ensure all employees
or contractors who will be responsible for performing de-
escalation or behavioral interventions demonstrate
competency of this set of skills under direct observation
prior to performing these tasks with any individual service
recipient. ]
12VAC30-122-120 Provider requirements
Considerations
OL Training Requirements and DSP Competencies
Questions
73
For more information, visit Provider Development online at
http://www.dbhds.virginia.gov/developmental-services/provider-development
Virginia Department of Behavioral Health & Developmental Services3/16/21
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