The Home Care Aide Specialty
A Phase IV (Advanced)
PHCAST Curriculum
September 26, 2013
Kathie Smith, Associate VP of State Relations, Home and Community
Based Care Association for Home and Hospice of North Carolina
Kathy Turner, Assistant Chief, Health Care Personnel Registry, NC Division of
Health Service Regulation
Home Care Aide
Program Approval Process
• All Nurse Aide I training programs must obtain
DHSR approval to offer the Home Care Aide
training course. (available via web or by emailing
Brenda Sanders)
• The 2-page application must be completed and
faxed to Brenda Sanders, Center for Aide
Regulation and Education
• Instructor should be a registered nurse with an
unencumbered license with a minimum of one
year of home care/home health experience.
Major Program Requirements
• Use the state-approved Home Care Aide
Specialty curriculum and teach, at a minimum,
100 hours of content - to include all modules.
• Students must be listed on the Nurse Aide I
Registry prior to attending the course.
• Programs must require a minimum numerical
grade of 75 as the final theory grade and a
lab/activity grade as pass/fail.
Program Approval Process
Once the program application is received:
• Application will be processed
• Faculty will be reviewed for minimum
requirements
• Program number will be assigned
• Program coordinator will be notified via email
• Certificate of Completion template will be sent
with approval email
Program Review/Renewal
Home Care Aide programs will be reviewed
by the Education Consultant at the time of
the Nurse Aide I Training program renewals
Home Care Aide Listing Process
Upon completion of the HCA course, the program
coordinator/instructor will:
• Complete Certificate of Completion for successful
students
• Fax Certificate of Completion to Kathy Turner at 919733-9764
• Retain copy of certificate in records
• Give original certificate to student
• Regardless of certificate type presented to student,
this specific Certificate of Completion must be faxed
to DHSR. Incomplete certificates will be returned.
This is to certify that
______________________________
has successfully completed a North Carolina
State-approved Home Care Aide Specialty Training Program at
____________________________________
Name of Program
_________________
Program Number
on the _____________ day of ___________________, 20____.
Certified by:
_____________________ _____________________
Signature of Approved Coordinator or Faculty
Print Name of Approved Coordinator or Faculty
Information in this box MUST be complete in order for information to be added to the
Registry Listings. Incomplete forms will be returned to the Program Instructor of
record.
Nurse Aide Listing Information
____________________________________________________________________
Name as listed on the NC Nurse Aide Registry
____________________________________________________________________
Nurse Aide I Listing Number (available on Registry Listing Verification)
Note: Only those students who are already listed on the NC Nurse Aide I Registry
and successfully complete the State-approved Home Care Aide Specialty training
may be listed as having this specialty listing on the Registry.
Listing Process
• Upon receiving faxed certificate, staff at the Center
for Aide Regulation and Education will:
• Ensure student completer is currently listed on the
Nurse Aide I Registry
• Add the aide to “Home Care Aide Specialty
Training” listing document, found on
https://www.ncnar.org/verify_listings1.jsp
Sample Listing Page
NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION
OF HEALTH SERVICE REGULATION
CENTER FOR AIDE REGULATION AND EDUCATION
State-Approved Home Care Aide Specialty Training
5/17/13
The individuals below have completed state-approved Home Care Aide specialty training and
are listed in alphabetical order by last name. For questions regarding this listing, please
contact:
Center for Aide Regulation and Education Branch - Registry Staff
8 a.m. - 12 noon, and 1 p.m. - 3 p.m., Monday-Friday
Phone: 919-855-3969
Fax: 919-733-9764
Name (last, first)
Amelia D Saul
Date of
Birth
08/02/1994
Autumn E Brooks
10/06/1994
Morgan Dale Worley
Kristin Leigh Wilson
Sarah Pearl Watson
Kaylee Nichole
Stikeleather
Shawna Elaine
Matthews
Brittany Ann Ledford
Morgan Taylor Brown
Brittany Ann Owenby
Melissa Gail Johnson
07/07/1994
01/02/1994
03/25/1994
08/12/1994
Career Academy & Technical
School, Troutman, NC
Career Academy & Technical
School, Troutman, NC
Charles D Owen High School
Charles D Owen High School
Charles D Owen High School
Charles D Owen High School
02/16/1994
Charles D Owen High School
06/01/12
11/17/1993
08/24/1994
07/26/1993
07/01/1981
06/01/12
06/01/12
06/01/12
05/10/12
Tanya Edwards Lee
11/10/1975
Geania Fay Coggins
12/24/1962
Betty Love Myrick
07/05/1948
Robin Archer
Whitehead
Paula Williams
Wobbleton
Anne Carolina Nixon
03/19/1958
Charles D Owen High School
Charles D Owen High School
Charles D Owen High School
Roanoke Chowan Community
College
Roanoke Chowan Community
College
Roanoke Chowan Community
College
Roanoke Chowan Community
College
Roanoke Chowan Community
College
Roanoke Chowan Community
College
Roanoke Chowan Community
College
03/26/1979
04/29/82
Program
Date of
Completion
01/11/2012
01/11/12
06/01/12
06/01/12
06/01/12
06/01/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
Listing Verifications
Once the DHSR’s web technology project is
completed, the listing will be found on the
Nurse Aide Verification page as do the other
registry listings. It will be modeled after the
Geriatric Aide listing.
Resources
• To obtain copy of the HCA program application send
email to Brenda.Sanders@dhhs.nc.gov.
(applications will soon be available on agency web
site)
• To inquire about HCA curriculum and/or site reviews,
contact your NAI Education Consultant (see web site
for contact information) or Kathy Turner
(Kathy.Turner@dhhs.nc.gov).
• To inquire about listings, contact Kathy Turner
PHCAST Phase IV – NUR 3218
Home Care Nurse Aide
• Home Care Nurse Aide
• Recommended Hrs: 100
• Max. Hrs: 120
• Tier 2
• Description
• Provides advanced training for the Nurse Aide I
• Focuses on enhancing specific skills needed when
working in the home care setting
• Includes: person-centered care, nutrition/hydration,
patient and personal safety, mental health, dementia,
behavioral challenges, pain management, palliative care
and stress management
Student Recruitment
Where are the enrollees?
•
•
•
•
•
Community employers
Employment agencies
Division of Workforce Solutions
CE Healthcare classes (NA I & ll)
Back-to-Work intake sessions
Turn Key Curriculum
Integration of
Adult Learning Principles
Reality-Based Education
Application of learned knowledge
“Real world” experiences
A meaningful learning experience
Curriculum Content
Topics with Time Guidance
Scripts, PowerPoints
Activities, Handouts, PDFs, Resources
Instructor Tutorial/How to Use
Laboratory Element
• Setting up a home simulated laboratory
Phase IV- Sample Comments (student)
• This course has started me on the path to reaching my
career goals. (100% agree)
• I know about career options that I did not know about before
the completing this course. (93% agree)
• This course has put me further along in reaching my
education goals. (89% agree)
• I am considering career options that I was not considering
before the course. (72% agree)
• This course has made me more satisfied with my direct care
job than I was before. (92% agree)
• This course has made me a better direct care worker.(100%
agree)
• I would recommend this course to my coworkers.(96%
agree)
The Industry Connection
-RelevanceKathie Smith, RN
Emerging programs and payment
delivery methods
•
•
•
•
Care transitions
Bundled payments
ACOs
Focus on non clinical type
services to keep people at
home
A look at Older Americans
Persons 65 years or older
• 41.4 million in 2011
• Represented 13.3% of the U.S. population,
• 1+ of 8 Americans
• Number of older Americans increased by
18% since 2000, compared to an increase of
9.4% for the < 65 population
• Number of Americans 45-64 who will reach
65 over the next two decades – increased by
33% during this period. (DHHS AOA)
Chronic Condition Management
 Number of people with chronic conditions is
rapidly rising. Between 2000 and 2030, the
number of Americans with one or more
chronic conditions will increase 37%, an
increase of 46 million people.
 About 28% of Americans have two or more
chronic conditions and they are responsible
for two-thirds of health care spending.
 In the Medicare program over two-thirds of
the expenditures are for beneficiaries with
five or more chronic conditions. ( Chronic care -making the
case for ongoing care- Robert Wood Johnson)
Hospitals Are Being
Penalized for Certain Readmissions
Reducing Hospital Readmissions
• October 2012 CMS began ranking hospitals
based on 30 day readmission rate for heart
attacks, pneumonia, heart failure
• In 2015 the program will expand to include
COPD and other conditions
• Poor performing hospitals will have all Medicare
payments reduced by an amount equal to value
of payments for excess readmission. (MedPac 2012)
PHCAST and Home Care Aide Courses: An
Industry Perspective
• Growing need for continuum of care
• Rising cost of care & shortage of trained workers
• Greater efficiency in healthcare delivery (lowering
cost while improving delivery)
• Promote quality care for increasing numbers of
older adults and persons with disabilities
( Division of Aging and Adult Services)
Home Care Aide Training
How It Can Be Used
• Assisting agencies in the professional
development of current staff
• Give agencies a “raise the bar” level of staff
when partnering with care transition entities
by having aides that have more than
minimum training requirements
• Prepare a potential employee to enhance
their resume by having increased knowledge
specific to Home Care
Employer Feedback from Pilots: Home Care
Nurse Aide
• Increased overall skills, helped build confidence
• Dementia portion most interesting and helpful
• Format was pleasing and open discussions
encouraged
• Learned more from the instructor than the
PowerPoint presentation (by design)
• Sparked interest in education
• Disease processes most applicable
Employer Feedback from Pilots: Home Care
Nurse Aide
• Overall very pleased with the class
• Received more compliments from workers who were
PHCAST trained
• Reports to nurse/supervisor were more pertinent
• Emphasis on critical thinking and communication with
office staff, therapists, and family members to enable
them to give the best care possible with confidence
• Knowing how to prioritize the care plan
• Great tips on recognizing, avoiding and dealing with
caregiver burnout
Outreach – Make it Real!
• Work with your local home care, home
health and hospice agencies
• Agency listings by county (DHSR)
http://www.ncdhhs.gov/dhsr/reports.htm
• Agency listings at Association website at:
www.homeandhospicecare.org (go to locate
a provider and click on home care or
hospice and can search by county
• Ask to speak with agency owner, director
or supervisor
Suggestions for Utilizing Community
Agencies
• Aide supervisor may visit the class to discuss
supervisory visits to the home
• Request agencies to share different types of aide
logs and notes to use when teaching documentation
• Ask agencies to share orientation topics and hiring
requirements and include the information in various
lessons
• Owner or directors can serve as guest speakers to
talk about home care in general and how it fits into
the care continuum
• Ask the agencies for a list of the types of ongoing inservices they provide for their aide staff, such as
continuing education and training
Suggestions for Utilizing Community
Agencies
• Enlist their assistance in setting up
home care lab (ideas, type of
supplies/equipment)
• Ask them to write real-life scenarios to
use for role-playing and additional
activities
• Bring them in to assist with mock
interviews
Questions/Sharing
Questions and Sharing