long-term care, supports, and services competency model and resources

Long-term Care, Supports, and Services Competency Model and

ResourcesPresented to PHCAST Grantees

January 31, 2011

Prepared by JBS International, Inc.

Using Chat

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3Long-term Care, Supports, and Services Competency Model and Resources

Today’s Objectives

• Introduce the PHCAST TA team and resources• Demonstrate the LTCSS Competency Model

– What it is– How it was developed– Why it can be useful to your project– Where you can find it along with some

other helpful competency-related tools…


JBS International, Inc. Aguirre Division, Workforce Development and Evaluation

On the phone today:

Nicole Vicinanza, PhD - Project Director and Evaluation Expert

Marilyn B. Silver, PhD - Competency Model Expert

Barbara Derwart, MA - Competency Model Expert

Brian Jones, MA - Competency Model Expert


Program Areas:

• P&HCA roles and responsibilities • Personal care skills and nutritional support• Consumer/needs-specific training• Basic restorative skills• Consumers’ rights, ethics and confidentiality• Interpersonal skills• Infection control• Safety and emergency training• Health care support


Technical Assistance Resources

TA Sessions– Competency models and resources– Curriculum development/documentation– State program evaluation plans – Certification test development– Progress reporting

Facilitate Peer to Peer Sharing– Phone calls– Grantee meeting

On Request Technical Assistance– By phone or e-mail– On competency models, curriculum development, state program

evaluation plans, certification test development, and other topics


Employment and Training Administration Industry Competency Initiative

• ETA makes investments in job training for targeted industry sectors

• Goal to prepare workers to take advantage of job opportunities in economically vital industries and sectors of the American economy

• Industry competency models are one of several workforce solutions business and industry proposed to communicate their skill needs


• “…a specific, identifiable, definable, and measurable skill or characteristic that is essential for the performance of an activity within a specific business or industry context.”

• Examples:– Critical & Analytical Thinking

– Problem Solving & Decision Making

– Mathematics

– Teamwork

– Customer Focus

What is a Competency?


What is a Competency Model?

A competency model is a collection of multiple competencies that together define successful performance in a defined work setting.

A competency model is a clear description of what a worker needs to know and be able to do – the knowledge, skills, and abilities – to perform well in a specific job, occupation, or industry.


Building Blocks Competency Model

http://www.careeronestop.org/competencymodel/pyramid.aspx?LTC=Y

Long-term Care, Supports, and Services Model

Collaboration

• American Health Care Association (AHCA)• PHI (Paraprofessionals Healthcare Institute)• National Center for Assisted Living (NCAL)• American Network of Community Options and

Resources (ANCOR)• Institute for the Future of Aging Services• College of Direct Support• National Alliance for Direct Support

Professionals


Tier 1

1. Interpersonal Skills: Demonstrating the ability to work effectively with others.

2. Integrity: Displaying accepted social and work behaviors.

3. Professionalism: Maintaining a professional demeanor at work.

4. Initiative: Demonstrating a willingness to work.5. Dependability and Reliability: Displaying responsible

behaviors at work.6. Adaptability & Flexibility: Displaying the

capability to adapt to new, different, or changing requirements.

7. Lifelong Learning: Displaying a willingness to learn and apply new knowledge and skills.


Interpersonal Skills: Demonstrating the ability to work effectively with others.

Demonstrating concern for others• Show sincere interest in others and their concerns• Demonstrate sensitivity to the needs and feelings of others• Seek out ways to help and take action to help othersDemonstrating insight into behavior• Demonstrate flexibility for change based on the ideas and actions of others• Recognize when relationships with others are strainedMaintaining open communication• Maintain open lines of communication with others• Establish a high degree of trust and credibility with othersRespecting diversity• Be flexible, sensitive and open-minded when dealing with a wide range of

people• Value diversity of people and ideas• Work well and develop effective relationships with diverse personalities


Tier 2

1. Reading: Understanding written sentences and paragraphs in work-related documents.

2. Writing: Using standard English to communicate thoughts, ideas, and information in written form.

3. Mathematics: Using principles of mathematics to solve problems.4. Science and Technology: Using scientific methods to solve

problems.5. Communication – Listening & Speaking: Giving full attention to

what others are saying and speaking in English well enough to be understood by others.

6. Critical & Analytic Thinking: Using logic, reasoning, and analysis to address problems. 7. Basic Computer Skills: Using a computer and related

applications to input and retrieve information.


Communication – Listening & Speaking: Giving full attention to what others are saying and speaking in English well enough to be understood by others.

Speaking • Express information to individuals or groups taking into account the audience and the

nature of the information (e.g., technical or controversial)• Speak clearly and confidently• Speak using common English conventions including proper grammar, tone, and pace• Provide or receive translation when necessary, to be understood by others• Pay attention to listener responses and react appropriately to those responsesListening• Understand instructions• Receive, understand, and respond to verbal and nonverbal messages• Pick out important information in verbal messagesTwo-way communication • Use meaningful two-way communication (i.e., speak clearly, pay close attention and

seek to understand others, listen attentively and clarify information)• Attend to nonverbal cues and respond appropriately• Use augmentative and alternative communication methods (forms of communication

other than oral speech)


Tier 3

1. Teamwork: Working cooperatively with others to complete work assignments.

2. Customer Focus: Actively looking for ways to ensure that a person-centered focus is used to providing care and support.

3. Planning & Organizing: Planning and prioritizing work to manage time effectively and accomplish assigned tasks.

4. Problem Solving & Decision Making: Applying critical-thinking skills to solve problems by generating, evaluating, and implementing solutions.


Customer Focus: Actively looking for ways to ensure that a person-centered focus is used to providing care and support.

Promoting Empowerment• Develop strategies to assist and support the person to

make informed choices• Promote participation in the design of services• Provide opportunities for self-advocacy• Provide information and facilitate access to human,

legal, civil rights and other resources

Keeping customers informed • Follow up with response to inquiries • Respond timely to requests


Tier 3 continued

5. Working with Tools & Technology: Selecting, using, and maintaining tools and technology to facilitate work activity.

6. Scheduling & Coordinating: Making arrangements and scheduling appointments.

7. Instructing: Teaching or showing someone how to do something.

8. Business Fundamentals: Knowledge of basic business principles, trends, and economics.


Tier 4

1. Long-term Care, Supports, and Services: Knowledge of the broad range of services and supports designed to ensure the health and safety, and promote independence of individuals receiving services.

2. Supporting Daily Living: Effective application of the knowledge, skills and ethics necessary to assist and support individuals who require health and human services to live a self-determined life in a safe and healthy manner.

3. Crisis Prevention and Conflict Resolution: Knowledge of potential crisis situations or behavior, and the appropriate procedures to de-escalate the situation or minimize the likelihood of danger.

4. Ethics: Practice responsibly within the ethical framework of the profession.


Tier 4 continued

5. Documentation: Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic format to efficiently manage record-keeping.

6. Laws and Regulations: Knowledge of relevant local, state, and federal laws and regulations that impact the delivery of long-term support, care, and services.

7. Health and Safety: Implement procedures and protocols to promote the health and wellness of person receiving supports, care, or services.


Developing the Upper Tiers

Sample Competencies

• Health Monitoring• Community Living • Medication Administration• Restorative Therapies• Ventilation


Using a Competency Model

• A Competency Model can help you:

– Design and develop course and program curriculum or review previously developed curriculum to ensure that the essential competencies are included

– Select or develop appropriate education and training programs to remedy knowledge or skill gaps

– Form the foundation for industry skill standards and certifications

– Suggest relevant postsecondary education and training opportunities to move up a career pathway

– Ensure that future workers have the right skills


Constructing a Competency Model

• Competency model development begins with a thorough needs assessment

• Industry (employer) involvement key to job matching and job success for trainees

• Tools To Develop a Competency Model

• Classroom vs. Practicum


Competency Model: Long-term Care, Supports, and Services

Questionnaire

Skill Requirements

Determine knowledge and skill requirements

• Occupational tasks, knowledge and skills• Licensure• Certification• Skill Standards


Occupational Information Network (O*NET) http://online.onetcenter.org/

Occupational Search Result http://online.onetcenter.org/link/summary/39-9021.00

Career InfoNet www.acinet.org

Competency Model Clearinghouse

Competency Model Clearinghouse Find Resources

Search Results for Direct Support

Tools: Build a Competency Model

• Build a Model Tool

• Career Ladder/Lattice Tool


Help line

Resources

Create an account and log in

Add, edit, delete your owncompetency models

Select a model framework

Added key behaviorAdded competency

Include Competencies and Key Behaviors from the industry model in your model

Review your model

Download your model

http://www.careeronestop.org/competencymodel/pyramid.aspx?LTC=Y

Competency Model: Long-term Care, Supports, and Services

Classroom vs. Practicum

Technical Content Areas

• General understanding of principles of Positive Behavior Supports (e.g., positive reinforcement for proper follow-through)

Critical Work Functions • Proactively identify potential crises, and implement procedures

to de-escalate situation or minimize likelihood of danger


Moving from Competency Model to Curriculum

• Subject of the March Session• Includes: Acceptable level of performance

– Skill needed to perform the work

– Actual conditions under which the work will be performed

• Focus on process– Identify learners and develop learning objectives

– Assess availability of learners

– Determine how learning will be measured

– Clarify expected outcomes and determine content

– Match teaching methods to content and learners

– Evaluate the learning


Question and Answer Period


Resources

• Competency Model Clearinghouse (CMC)http://www.careeronestop.org/competencymodel/

• CMC Tutorial http://www.careeronestop.org/competencymodel/Tutorials/SiteTutorial.htm

• Career InfoNethttp://www.acinet.org/

• O*NET Onlinehttp://online.onetcenter.org/


Speakers’ Contact Information

PHCAST Technical Assistance:Email: [email protected]: 1800-207-0750

Nicole VicinanzaMarilyn B. SilverBarbara DerwartBrian Jones


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