Educational Excellence in Health Care: Strategies for Providers and Educators

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Today's discussion focused on the shifting landscape in health care education, including common compliance issues, program approvals, and changes to assessment procedures. The training landscape highlighted facility and school program changes, while program approvals outlined different training methods. Updates on MDS 3.0 and resources for continued education were also covered, along with procedure evaluation checklists for nurse aide programs.


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  1. Strategies: Educational Excellence for Health Care Providers and Educators Presenters: Rebecca Conway and Tracey Readinger Pennsylvania Department of Education Bureau of Career and Technical Education November 2, 2023 11/2/2023 1

  2. Todays discussion will focus on: The Shifting Landscape FBI Reports Common Issues Identified in Compliance Reviews Program Approval Types Change to MDS 3.0 Procedure Evaluations 11/2/2023 2

  3. The Training Landscape 7 of 13 facility programs terminated for CMS deficiencies Changes since December 2021 23 22 20 of 22 school programs inactivated were CTC 13 4 of 7 new programs in private sector are non- traditional 7 3 3 FACILITY PUBLIC (CTC) PRIVATE New programs Inactive programs 11/2/2023 3

  4. Program Approvals Train employees only at no cost to trainee LTC Facility Train the general public; tuition is charged Public/Private School Consultant trains employees under contract with facility Contract Trainer 11/2/2023 4

  5. MDS 3.0 - RAI Version 1.18.11 effective October 1, 2023 Section G (Functional Status) replaced by Section GG (Functional Abilities and Goals) Documentation of ADLs by NAs will feed data collection for this section Care Area Assessments (CAAs) may be triggered by data in GG 11/2/2023 5

  6. MDS 3.0 RAI Continued Additional Resources Your facility s RNAC Centers for Medicare and Medicaid Services Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual | CMS Video Library from CMS Compliance Group Resources for MDS 3.0 Changes Effective October 1, 2023 | CMS Compliance Group American Association of Post-Acute Care Nurses Website 5 Major MDS Changes - October 1, 2023 (aapacn.org) 11/2/2023 6

  7. Procedure Evaluation Checklists 483.152 Requirements for approval of a nurse aide training and competency evaluation program. (a) For a nurse aide training and competency evaluation program to be approved by the State, it must, (4) Ensure that (i) Students do not perform any services for which they have not trained and been found proficient by the instructor. PDE must see documentary evidence skills were evaluated in the lab prior to being performed in clinical Procedure evaluation checklists are not the same thing as the Performance Checklist 11/2/2023 7

  8. Procedure Evaluation Checklists 11/2/2023 8

  9. Procedure Evaluation Checklists 11/2/2023 9

  10. Common Issues in Compliance Reviews FBI REPORTS PERFORMANCE CHECKLISTS NURSE AIDE TRAINING REPORT SELF STUDY BOOKLET 11/2/2023 10

  11. FBI Process Can be found on Instructor's Corner (pa.gov) Criminal History Record Information Process for Procuring an FBI Report Programs extract pertinent information for prospective students Education-Based Program Long-Term Care Facility-Based Program Long-Term Care Facility-Based Program Must request from PDE Request from PDE if student is not employed at facility If student is employed by facility, include letter of employment with compliance review documents 11/2/2023 11

  12. Nurse Aide Training Report - Dates 11/2/2023 12

  13. Nurse Aide Training Report - Signatures 11/2/2023 13

  14. Performance Checklist Required by federal regulations Initial and date each item Legal document Signed and dated by instructor Signed and dated by student Student receives original 11/2/2023 14

  15. Performance Checklist Sample 11/2/2023 15

  16. Self-Study Booklet Add columns and rows to OBRA table on page 13 Reimbursement letters/sponsor invoices on page 18 Answer all questions Supplemental items printed and included Pages 21, 22, 23, and 24 signed Verify completed thoroughly Class and student records on a flash drive Send password separately 11/2/2023 16

  17. In conclusion, we focused on: The Shifting Landscape FBI Reports Common Issues Identified in Compliance Reviews Program Approval Types Change to MDS 3.0 Procedure Evaluations 11/2/2023 17

  18. NATCEP Contact and Website Bureau of Career and Technical Education Division of Adult & Postsecondary CTE Rebecca Conway rebconway@pa.gov Tracey Readinger trareading@pa.gov Instructor's Corner (pa.gov) 11/2/2023 18

  19. Contact/Mission For more information on Nurse Aide Training, visit the PDE website at www.education.pa.gov The mission of the Department of Education is to ensure that every learner has access to a world-class education system that academically prepares children and adults to succeed as productive citizens. Further, the Department seeks to establish a culture that is committed to improving opportunities throughout the commonwealth by ensuring that technical support, resources, and optimal learning environments are available for all students, whether children or adults. 11/2/2023 19

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