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 required and additional assessment screening tools. Required screening tools include the PAM, CAM or PPAM, PHQ-9, PSC-17, Katz ADL and BMI. Additional screening tools include the AUDIT, DAST, Falls Risk, GAD-7 and pain scales. The training will cover administering the screening tool, interpreting and scoring, tips, considerations, responding to the results, follow-up and resources. Review of this PowerPoint meets the training requirement for this special-topic ongoing training. Health Home Care Coordinators must complete this special-topic module within six (6) months of hire. Updated July 2021
• Coaching and Engaging Clients with Mental Health Needs: This special-topic training reviews the service delivery for behavioral health, assessing the client, their environment & behaviors, and the fundamentals of an effective behavioral support plan including strategies for supporting and engaging clients and suggestions for promoting collaboration between the Interdisciplinary Care Team and the client. Review of this module meets the training requirement for this special-topic ongoing training. Health Home Care Coordinators must complete this special-topic module within six (6) months of hire. Updated October 2019.
• 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: 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 as well as information on MAC and TSOA. Review of this handout meets the training requirement for this special-topic training. Updated April 2022.
• 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.
  • Certificate of Completion: Outreach and Engagement (PDF)

Optional On-Going Training

• 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.
• COVID-19 Training: The information is from a recent training titled Community Based Workforce COVID-19 training. This was a joint effort from the Department of Health and the Department of Social and Health Services and also includes a brief video on COVID-19. The training included:

  • Part 1:  Social and Health Supports During COVID-19

    • Responding to stigma in the COVID-19 pandemic
    • Helping people make a plan and access resources
    • Prescreening for a visit
    • Basics of COVID-19  
  • Part 2:   Physically Distanced Still Socially Connected
    • Helping People Manage Anxiety
    • Self-Care for Community Based Workforce
  • Attachments
    • Community Based Workers and COVID 19
    • COVID 10 Training Handout 4-30-20
• Dementia: How to Help- Key Issues and Best Practice Approaches. For Health Home Care Coordinators and Allied Staff. This special-topic training provides information about working with persons with dementia, reviewing cognitive impairment and dementia, best practice dementia-capable approaches and tools, resources and services to help. It was presented as part of the monthly training for Health Home Care Coordinators and allied staff October 13, 2022
• 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 November 2020.
• 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 Home Participation Authorization and Information Sharing Consent Form Guidance Training:  Guidance has been released around the Health Home Participation Authorization and Information Sharing Consent form. This special-topic training provides participants an overview of the guidance in completing this form. (March 2022)
• 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.
• Motivational Interviewing: A Clinical Approach to Behavioral Change: This special topic training will define Motivational Interviewing, describe the spirit, stages of change and basic skills. You will see Motivational Interviewing used in several scenarios. Training provided by Andrea Ray, MS, LMHC with United Healthcare with co-presenters Anthony Foster with Molina and Megin Most with Northwest Regional Council.
  • January 17, 2023
  • January 18, 2023
• 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.
• 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)
• PRISM training for Health Home Care Coordinators reviews features in PRISM including screens, risk tools and factors, accessing PRISM, uses of PRISM, and identifying providers. This is the video from the 2-day Health Home basic training for Health Home Care Coordinators and provides great information that is useful for Care Coordinators when using PRISM.
• Promoting and Supporting Cardiovascular Health: This special-topic training provides information including: describing the basic function of the heart and the effects of uncontrolled cardiovascular disease; identifies which risk factors for cardiovascular disease are modifiable and risk factors for cardiovascular disease/heart disease and stroke in the populations served by Health Home; provides information on cardiovascular disease prevention; describes how to check blood pressure accurate and what blood pressure numbers mean; and shares resources to support clients with cardiovascular disease. Presented to Health Home staff February 9, 2023.
• 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.
• SHIBA for Health Home Care Coordinators and Allied Staff: This special-topic training provides information about what SHIBA does. It was presented as part of the monthly training for Health Home Care Coordinators and allied staff on September 8, 2022
• 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.