End: Monday, August 19, 2024 - 02:30 pm Categories:
Community Health Worker Task Force Regular Meeting
Monday, Aug. 19, 2024
1-2:30 p.m., CT
Join by computer:
https://zoom.us/j/93930333066?pwd=PuEl3gIWsFxmqYQe7EPbcq0LqEChDE.1
Join by phone: 1-305-224-1968, Meeting ID: 939-3033-3066, Passcode: 593794
Agenda
Call to Order
I. Training and Education
- Training: Components to Competencies.
- Discuss and vote on the following components to competencies:
- Competency: Roles, Advocacy, and Outreach
- Component: Understanding the Scope of practice
- Competency: Organization and Resources
- Component: How to find local health systems and resources
- Competency: Teaching and Capacity Building
- Component: Coaching, reinforcing health education
- Competency: Legal and Ethical Responsibilities
- Component: Confidentiality, mandatory reporting, conflict of interest, ethical component staying within the scope
- Competency: Coordination and Documentation
- Component: Working with a care team and under a care plan, medical documentation
- Competency: Communication and Cultural Competency
- Component: Motivational interviewing, active listening, trauma informed care, knowledge of cultural practices in the community
- Competency: Health Promotion
- Component: Health promotion and disease prevention
- Competency: Roles, Advocacy, and Outreach
- Discussion and vote on the following:
200- hour internship being traditional Internship or Supervised Work
- Discuss and vote on the following components to competencies:
- Experience Pathway Decision Points: Discussion and vote
- What are the minimum number of experience hours?
- Recommendation: 1000 hours which is equivalent to 6 months of full-time work or 1-year part-time work.
- Are we considering only paid experience, volunteer experience, or some combination?
- Recommendation: Supervised experience is most important and this is what needs to be considered.
- During what timeframe must the experience have been incurred? (i.e. last 3 or 5 years)
- Recommendation: 3 years.
- Do we recommend keeping this pathway or phasing it out?
- Recommendation: Not phase out until we have an understanding what training will be available. If there is an infrastructure that advises to phase out, they can do it in the future.
- Looking at the CHW scope of practice for the measuring bar of what experience is considered sufficient for this pathway
- Recommendation: Explore developing an administrative grievance process
Recommendation: Keep the application consistent with the Peer Support application and/or the Nursing Assistant applications if possible.\
- What are the minimum number of experience hours?
II. Certification and Regulation Decision Points
- Discuss and vote on the certification and renewal requirements below:
- Renewal every 2 years with 12 continuing education clock hours
- Will develop a process to have approved CHW continuing education trainings and/or providers so CHWs can meet these requirements.
- All renewals are subject to a random audit
Pre-approval of CE’s by HHS
- Certification and Regulation work group review
- Expiration dates
- June 30th on odd years
- Renewal
- Date
- Notices
- Melissa-review of CNA information on late renewals
- Revocation of the CHW Certification
- Jo Lynn-renew of CNA and Peer Support info & relating to CHWs.
- Audits
- Topics that need to be addressed
- Complaints
- Practicing without a certification
CHR pathway to re-certification
- Expiration dates
III. Medicaid Work Group review
- Work Group review
- ND Medicaid CHW coverage vs. Medicare’s Community Health Integration coverage
- CHW and CHR Projections
- Identifying chronic conditions may help us identify potentially eligible Medicaid members.
- How many billable hours per week do we expect a CHW to spend serving Medicaid members? (on average)
- What percentage of CHW time is spent with Medicaid members on average currently or projected?
- What percentage of CHR time is spent with Medicaid members on average currently? (or projected)
- For these estimates, ensure we are looking at CHW billable services not to include homemaker, peer support, or other services outside health navigation and resources and health promotion and education/coaching?
- For these estimates, ensure we are looking at CHW billable services not to include homemaker, peer support, or other services outside health navigation and resources and health promotion and education/coaching?
Adjourn.
Individuals with disabilities who need accommodations to participate in the meeting or who would like more information about the Community Health Worker Task Force can contact Ashley Gerving at 701-328-4807, toll-free 800-755-2604, 711 (TTY) or email at gervingashley@nd.gov
Date Posted: 12/15/2023
Date Updated: 08/12/2024