Over 200 people attended this webinar presented by the DSHS, DOH and Prometrics. All three entities have developed comprehensive websites to assist the public with understanding and implementation of the new rules related to Initiative 1029. The DOH website is located at www.doh.wa.gov/hsqa/HCAides/default.htm The Prometric site is located at www.prometric.com/WADOH/default.htm The DSHS site is located at www.aasa.dshs.wa.gov/professional Some key points that came out of the webinar in response to questions asked by participants are listed below: 1. Employers will need to provide "proof of work history" letters for current employees so they can file with the DOH for the exempt status related to the HCA certification. The letter must verify a) dates of employment b) job title and c) job description/duties In addition, proof of completion of required training must be submitted. 2. Home Care Agencies (not required to have RFOC certification) will need to provide a summary of the content of the training they provide for their staff. (If contracted with DSHS - must still have RFOC certification). 3. For caregivers filing for exempt status, they can file for for exempt status without completing the annual CE requirements. However, they will not be permitted to work after January 1, 2011 until they have finished their CE. 4. Caregivers will have 150 days from the date of employment to complete their training, pass the written and skills exam, AND obtain their certificate from the DOH. They have 120 days to complete the training component, but if they take all 120 days, they will not be able to get scheduled for testing and have the DOH process their certificate before the 150 days are up. This means they will not be able to work after 150 days without certificate in hand. Basically, new untrained employees will need to start on their training as soon as possible after hire if they hope to continue working without interruption. 5. The DOH is saying in order for a caregiver to obtain their certificate in a quick and timely manner, they are going to have to apply for their certification within 3 days of hire. This is because they have to apply to the DOH first so they can get a DOH application number. This number is required in order to schedule to take the written and skills exams from Prometrics. The completed exam application must be submitted to DOH first (to get the number) and then to Prometrics (to schedule for testing.) The DOH application numbers will be located in the DOH provider credential search web site under Home Care Aide. 6. A $60 application fee is due with the application. This fee is non-refundable. It is possible, you may hire an employee and within the 3 day period, get their application and fee submitted and then get a background check back with a disqualifier on it and not be able to retain the employee. 7. Beginning in 2012, the HCA application will require proof of the # of the returned background check. 8. The certification must be renewed each year on or before their birthday. At the time of renewal, the $60 fee will be required AND proof of 12 hours of CE. 9. This CE will only be acceptable if provided by a DSHS approved instructor. As the law is currently written, the CE must be presented as a single certificate validating all 12 hours. 10. Nurse Delegation - The nurse delegation law falls under the nursing practice law. It states that an RN may delegate to an NAR or an NAC. It does not allow for delegation to an HCA. Without a rewrite of the nurse practice law, only BH, AFH or Home Care Agency staff with an NAR AND HCA (or exemption) or an NAC will be able to be delegated to. An HCA without an NAR cannot be delegated to. There is a draft currently in process to add the HCA credential to the nurse delegation law. 11. Prometric is establishing 15 testing sites located around Washington. These sites are listed on their web site. If an AFH or BH would like to be an approved testing site, there is an application they can complete on the web site. The advantage to this is your staff will not need to travel to an unfamiliar testing site. 12. There is a HCA skills checklist available on the Prometric site. This identifies the skills the student will be tested on. 13. Anyone teaching any component of the required training, whether a facility to their own staff or a private contractor holding classes for the public, will be required to submit all required documentation to the DSHS to become an approved training program. All completed HCA certificates, must have the DSHS training program code on them. In the future, there will be a DSHS web page listing approved training programs. 14. The exam fee will be $115 or $125 dollars depending if you are requesting a written or oral exam. The exam consists of a written or oral exam and a skills exam. It is possible to pass one and not the other. If you must retake the skills exam, the retake fee is $75. If you must retake the written exam, the fee is $40. If you must retake an oral exam, the fee is $50. If you must reschedule your exam because you were unable to be present or you "no showed", the rescheduling fee is $25. 15. The written exam will be offered in the following languages: Korean, Russian, Simplified Chinese, Spanish and Vietnamese. The written exam will be administered via computer. All applications will be in English only. 16. The skills exam will be offered in the following languages by use of interpreters: Korean, Russian, Cantonese, Spanish and Vietnamese. All applications will be in English only. 17. Prometrics will only accept payment via cashier's check, money order, MC or Visa. They will not accept business checks from student employers. 18. If a student does not complete their training within 120 days, they must be either terminated or suspended until their training is completed. Then if they pass 150 days and do not have their HCA certificate in hand, they will again need to be either terminated or suspended until they have it. 19. During the 120 day training period, the caregiver may not work without direct supervision. This direct supervision must continue until the training is completed. 20. If a boarding home client chooses to hire a private duty caregiver to supplement the assistance they receive from the staff, the law does not require this person to have a HCA certification. However, the BH may choose to required HCA certification because the law states the BH is ultimately responsible for the care provided. 21. Caregivers hired directly by individuals and paid with private funds are not required to obtain an HCA certificate. 22. An employee who is only providing IDLs and no ADL's (personal care) does not need an HCA certificate. But if they EVER assist with an ADL in any way, they must have the HCA. 23. As of January 1, 2011, all staff must have 2 hours of orientation and 3 hours of safety training prior to contact with residents. The law states this training must be provided by an RN or a qualified instructor. The law defines "qualified" in detail, but in essence, it will allow for most trainers currently doing this training to continue. The orientation and safety training have required content that can be found in the 388-112 draft. Again - to be allowed to teach these courses, the instructor must complete the required DHSH paperwork to become either a facility instructor or and independent trainer. 24. The new training is required to be at least 70 hours. CPR and First Aid may not count toward the 70 hours. All 70 hours cannot be in core competencies. It is recommended that 40-50 hours be in core competencies with 2 hours in orientation, 3 hours in safety and the remaining hours in either "enhanced" training or the required "population specific" training. The current Dementia, Mental Health and Developmental Disabilities training courses may count toward the population specific training component and time. Basic nurse delegation training and diabetes delegation training will NOT be allowed to count toward the 70 hours. 25. As of January 1, 2011 all CPR and First Aid will only be accepted if provided by a DSHS approved instructor. If you currently have someone teaching your CPR and First Aid separately from Fundamentals, they will need to complete and submit the required Program provider paperwork to obtain approval. 26. Any current staff who complete all 10 hours of CE between Jan 1, 2011 and June 30 2011, will only be required to have 10 hours for 2011 and it does not have to be provided by a DSHS approved instructor. After July 1, 2011, 12 hours will be required and may only be taught by a DSHS instructor. All required CE will move to match the renewal of HCA certificates which will occur on the employee's birthday and will not longer be measured by the calendar year. 27. While the basic nurse delegation and diabetes delegation training will not be allowed to count toward the 70 hours required training, it WILL be allowed to count for the 2012 CE requirements. 28. So far, no one has completed the DSHS contracting process. Some applications are in, but only three of them are complete. There are only three staff members to process all of the applications. Applications should be in now if the instructor wants to be sure to be able to teach January 1, 2011. 29. Any provider of CE or training, such as Silver Chair, must apply as a curriculum developer and an approved instructor. 30. The WAC states no training may last longer than 8 hours in a stretch. Most classes are running 4-6 hours to accommodate adult learner attention spans. 31. The DOH website lists an email contact option if you have further questions.

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