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

1. Long-term Care, Supports, and Services Competency Model and Resources Prepared by JBS International, Inc. Presented to PHCAST Grantees January 31, 2011

3. Using Chat • To submit a question, type the question in the text field and click the send button. • Please use the pull down bar to select who will receive your message. • Questions will be answered at appropriate times during the presentation. • Please type your name, the name of your organization, and how many people are attending with you today. Long-term Care, Supports, and Services Competency Model and Resources

4. 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… Long-term Care, Supports, and Services Competency Model and Resources

5. 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 Long-term Care, Supports, and Services Competency Model and Resources

6. 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 Long-term Care, Supports, and Services Competency Model and Resources

7. 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 Long-term Care, Supports, and Services Competency Model and Resources

8. 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 Long-term Care, Supports, and Services Competency Model and Resources

9. What is a Competency? • “…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 Long-term Care, Supports, and Services Competency Model and Resources

10. 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. Long-term Care, Supports, and Services Competency Model and Resources

11. Building Blocks Competency Model

12. Long-term Care, Supports, and Services Model http://www.careeronestop.org/competencymodel/pyramid.aspx?LTC=Y

13. 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 Long-term Care, Supports, and Services Competency Model and Resources

14. 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. Long-term Care, Supports, and Services Competency Model and Resources

15. 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 others Demonstrating insight into behavior • Demonstrate flexibility for change based on the ideas and actions of others • Recognize when relationships with others are strained Maintaining open communication • Maintain open lines of communication with others • Establish a high degree of trust and credibility with others Respecting 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 Long-term Care, Supports, and Services Competency Model and Resources

16. 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. Long-term Care, Supports, and Services Competency Model and Resources

17. 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 responses Listening • Understand instructions • Receive, understand, and respond to verbal and nonverbal messages • Pick out important information in verbal messages Two-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) Long-term Care, Supports, and Services Competency Model and Resources

18. 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. Long-term Care, Supports, and Services Competency Model and Resources

19. 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 Long-term Care, Supports, and Services Competency Model and Resources

20. 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. Long-term Care, Supports, and Services Competency Model and Resources

21. 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. Long-term Care, Supports, and Services Competency Model and Resources

22. 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. Long-term Care, Supports, and Services Competency Model and Resources

23. Developing the Upper Tiers

24. Sample Competencies • Health Monitoring • Community Living • Medication Administration • Restorative Therapies • Ventilation Long-term Care, Supports, and Services Competency Model and Resources

25. 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 Long-term Care, Supports, and Services Competency Model and Resources

26. 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 Long-term Care, Supports, and Services Competency Model and Resources

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

28. Questionnaire

29. Skill Requirements Determine knowledge and skill requirements • Occupational tasks, knowledge and skills • Licensure • Certification • Skill Standards Long-term Care, Supports, and Services Competency Model and Resources

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

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

32. Career InfoNetwww.acinet.org

34. Competency Model Clearinghouse

35. Competency Model Clearinghouse Find Resources

36. Search Results for Direct Support

37. Tools: Build a Competency Model • Build a Model Tool • Career Ladder/Lattice Tool Long-term Care, Supports, and Services Competency Model and Resources

39. Resources Help line

40. Create an account and log in

41. Add, edit, delete your own competency models

42. Select a model framework

43. Added key behavior Added competency Include Competencies and Key Behaviors from the industry model in your model

44. Review your model

45. Download your model

46. Competency Model: Long-term Care, Supports, and Services http://www.careeronestop.org/competencymodel/pyramid.aspx?LTC=Y

47. 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 Long-term Care, Supports, and Services Competency Model and Resources

48. 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 Long-term Care, Supports, and Services Competency Model and Resources

49. Question and Answer Period Long-term Care, Supports, and Services Competency Model and Resources

50. Resources • Competency Model Clearinghouse (CMC) http://www.careeronestop.org/competencymodel/ • CMC Tutorial http://www.careeronestop.org/competencymodel/Tutorials/SiteTutorial.htm • Career InfoNet http://www.acinet.org/ • O*NET Online http://online.onetcenter.org/ Long-term Care, Supports, and Services Competency Model and Resources