dsp and supervisor orientation training and competencies 2021

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


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


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

https://web.partnership.vcu.edu/DSP_orientation/index.html


95% of provider agency staff meet provider orientation training requirements

Background


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



95% of provider agency direct support professionals (DSPs) meet competency training requirements

Background


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



• 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.


At a minimum, this training shall include the following topics:

Background



Background

Assurance documents

reduced from 4 versions to

2 versions


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.


Background




Background




Considerations

Before providing without supervision

Within 180 days from hire



Proficiency with basic skills is the foundation

Considerations


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


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


Included Services2021• adds ESOs to training, testing, and competencies• adds HCOs to competencies

Considerations


Considerations

The checklist accommodates N/A for skills that do not apply


Considerations

The checklist provides options for checked indicators and comments; checks are optional if comments describe abilities


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


Remediation Example


Resources

March 6, 2020 Requirements

andChecklist


Resources

https://dbhds.virginia.gov/developmental-services/provider-development

Pending update

https://dbhds.virginia.gov/developmental-services/provider-development


Resources

https://web.partnership.vcu.edu/DSP_orientation/Competencies-Assurances-Tests.html

Pending update

https://web.partnership.vcu.edu/DSP_orientation/Competencies-Assurances-Tests.html


Resources

https://townhall.virginia.gov/L/GDocs.cfm

https://townhall.virginia.gov/L/GDocs.cfm


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

http://www.dbhds.virginia.gov/developmental-services/provider-development

dsp and supervisor orientation training and competencies 2021

Documents