Sorry, one more thing:
Sec. 7, Subd. 2a, (b)
The reference here to "regular home care nursing" is confusing to me. What exactly are they attempting to allow here? It seems like the goal, knowing who is pushing this, is get more staff into what used to be called private duty nursing & now, home care nursing, but this part is not clear to me in what the end result of this clause would be. Would these new certified professionals only be able to provide the care under home care nursing codes?
Susan Morgan, RN, BSN | Compliance Director
Office: 952-935-3515 | Fax: 952-935-7112 | Cell: 952-388-9043
1011 1st Street South #315
Hopkins, MN 55343
Email: susanmorgan@accracare.org | Website: www.accracare.org
Alexandria | Bemidji | Brainerd | Duluth | Fergus Falls | Grand
Rapids | Hopkins | Lake City | Moorhead | Red Wing
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Sent: Tuesday, January 24, 2017 7:47:59 AM
To: mhcabod@list.mnhomecare.org
Subject: Re: MHCA Leg Team: Certified Paraprofessionals for HCBS Bill Draft
Hi,
I am also concerned about how the Board of Nursing would respond to this. Kathy, you & I attended a MN Home Care Council meeting last year when this proposal was discussed and if I remember correctly, Renee Cronquist, from the BON, was very vocal about her opposition to moving a bill like this forward and the delegation of duties related to high tech client care being assigned to medical technicians.
My specific questions are:
1. What are the training requirements for a Med tech. and what makes their qualifications similar to that of an LPN? I can agree that a CEMT has adequate training to work in a similar fashion to an LPN, but not a med tech.
2. Sec. 5, Subd. 2, (7) - Supervision:
Medicare is not specific regarding LPN supervision requirements, so tying the requirement to this makes no sense. MN Statute would need to specify exactly what is required.
3. Sec. 6, Subd.6 - Delegation:
Again, what training is provided to a med tech which would allow them complete independence of medication administration? Perhaps it could be delegated to them, but this seems to allow much broader approval that may not be safe practice.
4. Sec. 7, Subd. 2a. - Training for Certified Professionals:
The training listed is very similar to what most agencies provide to a home health aide upon hire, with the exception of the vent and trach training. Again, this feels oversimplified and I am concerned it could result in placing under-qualified individuals into the HC workforce which could then place clients and agencies at risk.
I am all for increasing the available workforce, but it should be done carefully and with more input from the industry and definitely requires BON support.
Sue
Susan Morgan, RN, BSN | Compliance Director
Office: 952-935-3515 | Fax: 952-935-7112 | Cell: 952-388-9043
1011 1st Street South #315
Hopkins, MN 55343
Email: susanmorgan@accracare.org | Website: www.accracare.org
Alexandria | Bemidji | Brainerd | Duluth | Fergus Falls | Grand
Rapids | Hopkins | Lake City | Moorhead | Red Wing
Confidentiality Notice: The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you
Sent: Monday, January 23, 2017 10:34:15 PM
To: mhcabod@list.mnhomecare.org
Subject: RE: MHCA Leg Team: Certified Paraprofessionals for HCBS Bill Draft
The MNA, Board of Nursing and LPN Association approve of this?
Even this part?
4.15
(4) ventilator operation and maintenance and the care of ventilator-dependent clients;
4.16
(5) the care of clients with tracheotomies;
If they will approve of this, it does add to the labor supply that is very short staffed. I am not sure I have any nurses that would delegate this or feel comfortable using it but I suppose others might.
Austin Figge, RN
Prairie River Home Care, Inc.
From: mhcabod@list.mnhomecare.org [mailto:mhcabod@list.mnhomecare.org]
On Behalf Of Kathy Messerli
Sent: Monday, January 23, 2017 5:11 PM
To: mhcabod@list.mnhomecare.org
Subject: FW: MHCA Leg Team: Certified Paraprofessionals for HCBS Bill Draft
Importance: High
I am forwarding this to the full board to give you an opportunity to weigh in on the latest PHCC language. Please see the email below; we just learned it may be introduced this week. Kevin had reached out to them and had not received a response until now (I am disheartened by the lack of collaboration). It does appear that they have added some language to last year’s version.
Please provide me with your input by tomorrow. Thanks!
Kathy Messerli
Executive Director | Minnesota HomeCare Association
2550 University Ave. W., Ste. 350 S | St. Paul, MN 55114-1900
Direct: 651.635.0038 | Main: 651.635.0607
Toll-free: 866.607.0607 | Fax: 651.635.0043
www.mnhomecare.org | kmesserli@mnhomecare.org
Mission: MHCA represents and supports Minnesota home care providers committed to high quality home care services.
Vision: MHCA will shape the home care landscape to improve and sustain quality home care services.
MHCA supports the Best Life Alliance.
From:
legteam@list.mnhomecare.org [mailto:legteam@list.mnhomecare.org]
On Behalf Of Simons, Anni
Sent: Monday, January 23, 2017 1:02 PM
To: legteam@list.mnhomecare.org
Subject: MHCA Leg Team: Certified Paraprofessionals for HCBS Bill Draft
MHCA Legislative Team,
Attached you will find a draft of the Certified Paraprofessional bill that we discussed earlier this fall. After not hearing much about this bill for some time now, we recently learned this bill may be introduced this week, and the stakeholders working on the bill have asked if MHCA will take a position. Steve Gottwalt, working on the bill on behalf of PHCC, described the bill as: “With a severe shortage of LPNs and RNs for HCBS, this is a carefully crafted and limited bill to help address the workforce shortage without new money. We have the involvement and support of the EMS community. We have met with the MNA, Board of Nursing and LPN Assoc., and have responded to their concerns in this language.”
Please share any strong thoughts you might have on whether MHCA should take a position on the bill or remain neutral (preferably in an email to Kevin and me and Kathy Messerli and our Leg Team Chair Vicki Gerrits).
Thanks,
Kevin and Anni
Anni Simons
Fredrikson & Byron, P.A.
Government Relations Specialist
525 Park St., Suite 225
St. Paul, MN 55103
Telephone: (612) 492-7516
Cell: (651) 341-2276
E-mail: asimons@fredlaw.com
Web: www.fredlaw.com
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