Strategies: Educational Excellence for Health Care Providers and

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

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

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 7 3 Facility Public (CTC) New programs 11/2/2023 3 4 of 7 new programs in private sector are nontraditional Private Inactive programs 3

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

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

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 – 11/2/2023 5 Major MDS Changes - October 1, 2023 (aapacn.org) 6

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

Procedure Evaluation Checklists 11/2/2023 8

Procedure Evaluation Checklists 11/2/2023 9

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

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 11/2/2023 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

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

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

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

Performance Checklist Sample 11/2/2023 15

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

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

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

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