Washington Health Home Program - On-Going Training

Required On-Going Training

  • Assessment Screening Tools: This special-topic training provides Care Coordinators and allied staff with information about administering the Patient Health Questionnaire (PHQ)-9 to screen clients for potential depression. It also provides information about interpreting and responding to the results. It provides information about suicide intervention. Review of this module meets the training requirement for this special-topic ongoing training. Updated December 2017.
  • Coaching and Engaging Clients with Mental Health Needs: This special-topic training provides the fundamentals of an effective behavioral support plan, strategies for supporting and engaging clients and suggestions for promoting collaboration between the Interdisciplinary Care Team and the client. Review of this module meets in part the training requirement for Care Coordinator special-topic training. Updated August 2017.
  • Cultural and Disability Competence Considerations: This special-topic training provides participants with an overview of cultural and disability considerations, as well as, potential roadblocks for developing competency. Health Home Care Coordinators must complete this special-topic module within six (6) months of hire. Updated October 2017.
  • Medicare Grievances and Appeals: This special-topic training provides Care Coordinators and allied staff with an introduction to Medicare benefits, appeal rights and the process for filing a grievance or appeal.  Review of this module meets the training requirement for this special-topic ongoing training required for Care Coordinators who work with clients receiving Medicare. Updated March 2019.
  • Navigating the LTSS System: Part 1: This special-topic training provides Care Coordinators and allied staff with an introduction to Home and Community Services and Developmental Disability core programs. The training provides information about in-home and residential services and special benefits for the MPC, COPES and Community First Choice (CFC) programs. Review of this module meets the training requirement for this special-topic training. Updated July 2017.
  • Navigating the LTSS System: Part 2: This special-topic training provides Care Coordinators and allied staff with an introduction to Home and Community Services and Developmental Disability Administration discharge resources for clients returning to the community from institutional settings. Review of this module meets the training requirement for this special-topic training. Updated September 2017. 
  • Outreach and Engagement Strategies: This special-topic training is designed to provide participants with strategies for locating clients and methods for increasing engagement. Health Home Care Coordinators must complete this module within six (6) months of hire. Updated in 2018.

Optional On-Going Training

  • Adult Protective Services and Mandatory Reporting: This special-topic training is designed to provide information about types of abuse and reporting requirements for Care Coordinators and allied staff. Completion of this training module by Health Home Care Coordinators is not required, but strongly encouraged since Care Coordinators are mandated to report suspected abuse, neglect, exploitation and abandonment of vulnerable adults. (Updated September 2018)
  • Advance Care Planning: This special-topic training provides information about Advance Care Planning for clients of any age. It offers tips for starting the conversation about preferences and wishes when a client is unable to speak for themselves. Discussing ACP provides a segue into a dialogue about advance directives. Review of this module is not required but recommended to improve care coordinator’s comfort in discussing advance directives which is a requirement of the Health Home Program.
  • Advance Directives: This special-topic training is designed to provide information about different types of legal tools that may be useful for clients and families receiving Health Home Services. The PowerPoint also describes the responsibilities and activities of the Care Coordinator related to advance directives. Completion of this training module by Health Home Care Coordinators is not required, but strongly encouraged since Care Coordinators are required to offer the client an opportunity to discuss advance directives and assist them in accessing legal assistance to create advance directives. Updated April 2017.
  • Advanced Home Care Aide Specialist (AHCAS) Pilot: This special-topic training provides information about the AHCAS pilot program for Individual Providers (IPs) paid by the Department of Social and Health Services. Clients who have a Health Action Plan (HAP) through the Health Home Program may participate in the pilot through December 2018. IPs receive advanced training and participate with their clients utilizing the HAP and care coordination to improve the quality of their care and health outcomes. Review of this module is not required but recommended as the pilot provides opportunities to engage clients in the Health Home Program.
  • Care Coordination and Documentation: This special-topic training is designed to provide information about Care Coordination which is one of the six core Health Home services. The training also provides guidance on documentation of Health Home activities plus tips for professional narratives and recordkeeping. Completion of this training module by Health Home Care Coordinators is not required but strongly encouraged because accurate documentation and successful care coordination are vital to helping Health Home clients.
  • The Community First Choice (CFC) Program: This special-topic training is designed to provide information about a new DSHS waiver program that your clients may receive beginning July 1, 2015.The training provides information about the services this LTSS program can provide for clients who receive Home and Community Based Services (HCBS). CFC offers some new benefits to clients which could assist Care Coordinators in providing health promotion and coaching (one of the six Health Home services). Completion of this training module by Health Home Care Coordinators is not required, but strongly encouraged since many Health Home clients will transfer onto this new program.
  • Comprehensive Care Coordination: This special-topic training focuses on one of the six Health Home Services. Comprehensive Care Coordination is examined and activities that constitute this service are reviewed. Comprehensive Care Coordination and its relationship to the three tiers of care coordination services are considered.
  • Discharge Resources: This special-topic training is designed to provide information about DSHS resources and services available to clients discharging from hospitals, nursing facilities, and other residential settings. Care transitions is one of the six services provided by Health Home Care Coordinators and this training will provide resources that may assist clients and their families in relocating successfully into the community. Completion of this training module by Health Home Care Coordinators is not required, but strongly encouraged since care transition and discharge planning are an integral part of comprehensive care coordination.
  • Documentation and Quality Assurance: This special-topic training provides suggestions for documenting Health Home services and case narratives in client files and electronic health records. It also provides information about program and contract requirements that may be considered during quality assurance activities performed by the Health Care Authority and the Department of Social and Health Services. This is not a required on-going training topic.
  • Falls Prevention: This special-topic training provides information about the health consequences of falls. It includes information about falls assessments and resources. Review of this PowerPoint is not required but recommended since a number of Health Home clients could benefit from understanding the risk falls pose to maintaining independence. Updated September 2017.
  • Financial Eligibility: Medicaid 101: This special-topic training provides information about Medicaid eligibility. It offers tips for applying and maintaining eligibility plus information about income and resource standards for various core Medicaid programs. Review of this module is not required but recommended because all Health Home clients receive Medicaid coverage. Updated February 2017.
  • Gatekeeper Training for Suicide Prevention: This special-topic training provides Care Coordinators and allied staff with information about the QPR approach to addressing clients expressing the potential for harming themselves. It provides statistical information about the incidence of suicide in Washington. It is not a required training topic and complements training on Assessment Screening Tools. It suggests interventions that may be helpful to Health Home staff working with clients who express feelings of depression and suicide ideation.
  • Goal Setting and Action Planning: This special-topic training is designed to provide participants with information and ideas for creating and developing long term and short term goals, and action steps.
  • The Health Action Plan (HAP): This special-topic training is designed to provide participants with information about the revisions to the HAP and required screenings. It also provides information on changes to the screening requirements for the Parent Patient Activation Measure (PPAM) and the Personal Health Questionnaire – 9 (PHQ-9). It introduces the Pediatric Symptom Checklist -17 (PSC-17) which is required for children ages four to 17 years of age. Completion of this training module by Health Home Care Coordinators is not required, but strongly encouraged since Care Coordinators must implement changes to the HAP data fields and required screenings on October 1, 2014.
  • Health Promotion and Wellness Coaching: This special-topic training is designed to provide information about how to act as a Wellness Coach for your Health Home clients. The training also examines one of the core Health Home services: Health Promotion. It describes activities that may constitute health promotion in your work with clients. Completion of this training module by Health Home Care Coordinators is not required, but strongly encouraged since many Health Home clients may benefit from health promotion and coaching to better manage their chronic conditions.
  • Housing and Employment for Clients with Behavioral Healthcare Needs: This special-topic training provides information about housing and employment programs that may benefit Health Home clients experiencing homelessness. It includes information about the prevalence and impact on clients experiencing unemployment and/or homelessness.  Review of this PowerPoint is not required but recommended since understanding how to navigate the housing system to locate affordable housing may benefit our homeless clients or clients at risk for losing stable housing.
  • Hypertension and Cardiovascular Disease: This special-topic training provides information about high blood pressure and its relationship to a number of chronic diseases including heart attack, peripheral vascular disease and kidney disease. Review of this PowerPoint is not required but recommended since many Health Home clients could benefit from understanding the importance of taking their blood pressure and reporting the results to their physician.
  • Improving Your Client's Oral Health: This special-topic training is designed to provide participants with basic information about oral health and its impact on clients with chronic disease.  It also provides information on integrating dental health with other services and supports for Health Home clients plus some resources for locating providers who accept Medicaid.  Completion of this training module by Health Home Care Coordinators is not required, but strongly encouraged since oral health has a great impact on chronic disease.
  • Interpreter Services: This special-topic training provides information about the Interpreter Services Program for the Washington State Health Care Authority. The PowerPoint provides information on how to set up an account with the state’s language bank and how to schedule an interpreter. It describes the process for obtaining and paying an interpreter outside of the system. This is not required training for Health Home Care Coordinators.
  • Medicaid Transportation Program and Comprehensive Care Transitions: This special-topic training provides information about a new Non-Emergency Medical Transportation (NEMT) benefit developed exclusively for Health Home clients. This presentation also focuses on Comprehensive Care Coordination, one of the six Health Home services. The role of the Care Coordinator and strategies for providing this service are explored in an effort to reduce health care costs and ultimately result in better health outcomes for clients.
  • Medicaid and Medicare Working Together in Washington: This special-topic training is designed to provide participants information about Medicare and Medicaid. The training covers Medicare, including eligibility and enrollment, Medicare benefit coverage choices, the role of the Statewide Health Insurance Benefits Advisors (SHIBA).  It also covers the Medicaid program and how to apply for it. Completion of this training module by Health Home Care Coordinators is not required, but is strongly encouraged because all Health Home clients receive Medicaid and some also have Medicare or may be applying for it in the future.
  • Office of Deaf and Hard of Hearing: This special-topic training is designed to provide participants an overview of the Office of Deaf and Hard of Hearing (ODHH). The training covers hearing loss including impact, awareness, and education. The training also introduces ODHH’s seven programs that provide services and access as well as communication technology. Completion of this training module by Health Home Care Coordinators is not required, but is strongly encouraged because Care Coordinators may work with clients and families impacted by hearing loss.
  • Pediatric Chronic Conditions and Home Health Care: This special-topic training is designed to provide participants with information about chronic conditions in children and the types of care and equipment they may  receive while living in their own home. Completion of this training module by Health Home Care Coordinators is not required, but is strongly encouraged because some Care Coordinators may work with children and their families to provide Health Home services.
  • Pediatric Home Care and the PSC-17: This special-topic training is designed to provide participants with information about chronic conditions in children and the types of care and equipment they may receive while living in their own home. Completion of this training module by Health Home Care Coordinators is not required, but is strongly encouraged because some Care Coordinators work with children and their families to provide Health Home services. Information about the Pediatric Screening Checklist (PSC)-17 is also provided.  Updated April 2018.
  • Person-Centered Health Action Planning and Individual and Family Support: This special-topic training is designed to provide information about person-centered practice and how to apply the concepts in working with clients to develop Health Action Plans. The training also describes Individual and Family Support, one of the six core Health Home services. It provides examples and suggestions for providing individual and family support. Completion of this training module by Health Home Care Coordinators is not required, but strongly encouraged since this is a core service that may benefit clients and their family members to better self-manage our clients’ chronic diseases.
  • Reducing and Preventing Falls and Fall Risk: This special-topic training is designed to provide participants with information about fall risk and falls. It provides Care Coordinators with resources for working with children and older adults. It provides information about administering and interpreting the SAIL Guide and SAIL Fall Risk evaluation. It provides additional resources such as CDC Home and Recreation Resources and the STEADI program. Completion of this training module by Health Home Care Coordinators is not required, but is strongly encouraged because the consequences of a fall may impact our client's ability to live independently.
  • Prediabetes and Diabetes in Washington State and Resources to Support Management and Prevention: This special-topic training is designed to inform participants about prediabetes and diabetes and its prevalence in Washington State.  It provides information on screening and treatment and offers community resources for clients. Completion of this training module by Health Home Care Coordinators is not required, but is strongly encouraged because over one third of Health Home clients have been diagnosed with this chronic condition and health action planning may help slow the progression of the disease and improve overall health. (Updated November 2017)
  • Traumatic Brain Injury: This special-topic training is designed to provide participants an overview of Traumatic Brain Injury (TBI) including the physical, cognitive, communication and emotional impacts TBI survivors may face. The training also goes into the Washington Traumatic Brain Injury Strategic Partnership Advisory Council, how and why it came about, and the current work being done by the Council. Completion of this training module by Health Home Care Coordinators is not required, but is strongly encouraged because Care Coordinators may work with clients and families impacted by TBI.
  • Working with Families and Children with Mental Health Needs: This special-topic training provides information about working with children with mental health needs, autism, and ACE. It also provides suggestions for engaging family members. Review of this module meets in part the training requirement for Care Coordinator special-topic training if completed prior to March 10, 2016. After March 9, 2016 the requirement may be met by reviewing the PowerPoint for “Coaching and Engaging Clients with Mental Health Needs” dated March 10, 2016.