Dementia Work Group

1. Dementia Work Group Jonathan Hill and Cathy Griffin | Home Care & Assisted Living Program October 25, 2018

2. Dementia Care Training – Citation • New in Chapter 144D • Housing with Services Establishment • 144D.065 Training in Dementia Care Required • 144D.066 Enforcement of Dementia Care Training Requirements • 144D.10 Manager Requirements

3. Dementia Care Training – Citation Reminder • Existing in Chapter 144A • 144A.4796 Orientation and Annual Training Requirements • Subd. 5. Training required relating to Alzheimer’s disease and related disorders • Direct care and supervisors working with • Must get training • Current explanation about • Effective approaches • How to communicate

4. Dementia Care Training – Implementation • January – December 2016 • During survey • Technical assistance

5. Dementia Care Training – New Phase • January 2017 • During survey • Fines for noncompliance • $200 • Every staff (hired on or after 1/1/2016) • With no training record • Before fining, must allow two weeks • Fine does not negate need for training

6. Dementia Care Training – With or Without • Registered HWS with • Special program or unit • Advertise, market or promote • 4-8 hours within 120-160 working hours • 2 hours every 12 months thereafter • Registered HWS without • Special program or unit / don’t advertise, etc. • 4 hours within 120 – 160 working hours • 2 hours every 12 months thereafter

7. Dementia Care Training – Direct or Not Direct With Direct Yes • Supervisors of direct staff and managers • Initial – at least 8 hours • Within 120 working hours • Each 12 months – at least 2 hours • Direct care staff • Initial – at least 8 hours • Within 160 working hours • Each 12 months – at least 2 hours With Direct No • Not direct care staff • Initial – at least 4 hours • Within 160 working hours • Each 12 months – at least 2 hours

8. Dementia Care Training – Without Direct or Not Direct Without and Direct Yes • Supervisors of direct staff and managers • Initial – at least 4 hours • Within 120 working hours • Each 12 months – at least 2 hours • Direct care staff • Initial – at least 4 hours • Within 160 working hours • Each 12 months – at least 2 hours Without and Direct No • Not direct care staff • Initial – at least 4 hours • Within 160 working hours • Each 12 months – at least 2 hours

9. Dementia Care Training – Until Complete • Direct care staff • Initial – at least 4(without) or 8 (with) hours • Within 160 working hours • Until initial is complete • Must not provide direct care unless: • Another employee onsite who: • Completed initial 4/8 hours of training • Can act as a resource and assist or • A trainer of the requirements or supervisor who meets the requirements: • Must be available to consult until training complete

10. Dementia Care Training – Required Content • Explanation of Alzheimer’s disease and related disorders • Assistance with ADLs • Problem solving with challenging behaviors and • Communication skills • Hint: ACT on Alzheimer’s

11. Dementia Care Training – Enforcement Staff working in HWS setting under 144A • Direct care and supervisors • Not direct care • Part of home care provider survey • Request anytime Staff working in HWS setting under 144G • Direct care and supervisors • Not direct care • Managers • Part of HWS registration application and renewal • Request anytime

12. What We Know – Violations The majority of care related violations identified during the survey of a licensed comprehensive home care provider are in memory care units of housing with services setting

13. What We Know – Our/My View on the Issue… Home care works if you can direct your own care or live with someone who directs your care.

14. What We Know – Specific Violations/Conditions Medications Treatments Staffing Assessment Availability of licensed staff

15. We have a shared responsibility to do better so let’s do it!