Nurse Aide Training and Competency Evaluation

Program (NATCEP) Updates

Strategies: Excellence for Health Care Providers

November 5, 2015

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

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

Frequent Non-Compliant Issues

1.Failure to secure a Pennsylvania Criminal History Record Information (CHRI) report or FBI letter in compliance with state regulations

• 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

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

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

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

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

Availability of Updated Documents for implementation by January 1, 2016

Sample documents will be posted on the PDE website www.education.pa.gov

Updated sample documents will be located in Section 5 of the Teaching the Educator material at www.ed.psu.edu/tte

NATCEP Updates

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

NATCEP Updates

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

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

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

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

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

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

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

Evidence-Based Practice(EBP)

1. Develop the EBP question 2. Search for evidence3. Critically analyze the evidence4. Apply the evidence5. List references

NATCEP Updates

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

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

23

NATCEP Updates

Questions?

24

For more information on the NATCEP, please visit PDE’s website at 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

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

Technical Assistance to Improve Pass Rates onthe Skills Examination

Computer assisted learning – Simulation manikins

Web-enhanced course materials (YouTube)

Combination of instructor and web-enhanced

NATCEP Updates