Competency in Home Care doesn't just describe the standards of practice... It gives you the resources to meet them. It provides practical, authoritative guidance for: creating effective staff development plans, designing orientation programs that get caregivers up to speed immediately, establishing performance criteria for every position in the home care continuum, and ensuring ongoing competency. Plus you get powerful insights into the growth of modern home care, the role of competency programs in staff recruitment and retention, and how to get it done in any organization, regardless of background, makeup, or affiliation.

Contributors

ix

(2)

Foreword

xi

(2)

Preface

xiii

Chapter 1 Competency Dynamics

1

(24)

Competency Through the Years

2

(1)

Home Care as a Specialty

3

(1)

Competency Defined

4

(3)

Professional and Paraprofessional Attributes in Home Care

7

(2)

Social and Economic Forces

9

(3)

Effects of Regulatory Requirements

12

(3)

The Value of Competency in Home Care

15

(10)

Chapter 2-Pre-Development Considerations

25

(8)

Key Components

25

(8)

Chapter 3-The Role of Staff Development

33

(28)

Qualifications and Educational Background

35

(2)

The Educator Role

37

(4)

The Administrative and Managerial Role

41

(3)

The Role of Consultant

44

(2)

The Role of Researcher

46

(4)

Shared Responsibilities for Competency

50

(11)

Chapter 4-Constructing Competency Programs in Home Care

61

(10)

Laying the Foundation

61

(1)

Determinants of Competence

61

(5)

Evaluators of Competence

66

(1)

Competency Measurements

66

(2)

Competency Assessment in the Home

68

(3)

Chapter 5-The Educational Process Applied to the Home Care Setting

71

(26)

Philosophical Foundation and Resources

71

(1)

Needs Assessments

72

(3)

Program Development

75

(4)

Learning Strategies and Styles

79

(4)

Teaching Strategies

83

(7)

Creativity in Education

90

(2)

Evaluation of Learners

92

(5)

Chapter 6-Frameworks and Models for Competency Program Development

97

(6)

Frameworks

97

(2)

Care Maps

99

(1)

OASIS

99

(4)

Chapter 7-A Blueprint for Design of a Competency Program

103

(10)

Assign Responsibility and Achieve Support and Buy-in from Administration

103

(1)

Develop Policies

103

(1)

Select/Design a Framework

104

(1)

Review Standards of Practice and Job Descriptions

104

(1)

Design and Implement Needs Assessments

104

(1)

Establish Competencies

105

(1)

Design Tools

106

(1)

Design a Plan for Remediation and Retesting

107

(2)

Establish Competency Statements

109

(1)

Establish Performance Criteria

109

(1)

Provide Education

109

(1)

Assess Competency

109

(1)

Document Competency

109

(1)

Evaluation of the Competency Program

110

(3)

Chapter 8-Competency-Based Orientation

113

(22)

Uniqueness of the Orientation Process in Home Care

113

(3)

The Orientation Experience

116

(2)

Overview of CBO

118

(2)

CBO Format

120

(8)

Expected Outcomes

128

(3)

Appendix 8-A-RN Self-Assessment

131

(4)

Chapter 9-Ongoing Competency Evaluation Program

135

(34)

Scope

135

(1)

Multidisciplinary Competency

136

(2)

Contract Staff

138

(1)

Benefits of Ongoing Competency Assessment

139

(1)

Strategies to Achieve Competency

140

(29)

Chapter 10-Performance Improvement

169

(8)

Performance Improvement and Competency

169

(8)

Chapter 11-Tort Liability of Home Health Care Organizations and Their Employees

177

(10)

Joshua H. Soven

Corrine Parver

Tort Liability of HCOs

177

(3)

Tort Liability of Clinicians

180

(1)

Tort Liability of Home Health Care Evaluators

180

(1)

Tort Liability of Home Health Care Certifying Associations

181

(2)

Conclusion

183

(4)

Appendix A-Standards of Practice

187

(58)

Exhibit A-1: ANA Standards of Nursing Staff Development

187

(4)

Exhibit A-2: ANA Standards of Home Health Nursing Practice

191

(11)

Exhibit A-3: Standards for Social Work in Home Health Care

202

(3)

Exhibit A-4: Standards of Practice for Physical Therapy and the Accompanying Criteria

205

(5)

Exhibit A-5: Standards of Practice for Occupational Therapy

210

(6)

Exhibit A-6: Delivery of Speech-Language Pathology and Audiology Services in Home Care

216

(4)

Exhibit A-7: Medicare Conditions of Participation

220

(25)

Appendix B--Competency Templates

245

(20)

Exhibit B-1: Aide Competency Template

246

(2)

Exhibit B-2: RN Competency Template

248

(4)

Exhibit B-3: LPN Competency Template

252

(4)

Exhibit B-4: PT Competency Template

256

(2)

Exhibit B-5: OT Competency Template

258

(2)

Exhibit B-6: ST Competency Template

260

(2)

Exhibit B-7: Social Work Competency Template

262

(3)

Appendix C-Competency-Based Orientation Modules

265

(26)

Exhibit C-1: Aide CBO Module

266

(2)

Exhibit C-2: PT CBO Module

268

(3)

Exhibit C-3: OT CBO Module

271

(3)

Exhibit C-4: Speech and Audiology CBO Module

274

(3)

Exhibit C-5: Social Work CBO Module

277

(2)

Exhibit C-6: RN CBO Module

279

(7)

Exhibit C-7: LPN CBO Module

286

(5)

Resources

291

(4)

Index

295

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