The Oregon Administrative Rules contain OARs filed through November 15, 2015

 

QUESTIONS ABOUT THE CONTENT OR MEANING OF THIS AGENCY'S RULES?
CLICK HERE TO ACCESS RULES COORDINATOR CONTACT INFORMATION

 



OREGON HEALTH AUTHORITY, DIVISION OF MEDICAL ASSISTANCE PROGRAMS




 

DIVISION 180
TRADITIONAL
HEALTH WORKERS
410-180-0300
Purpose
The purpose of these rules is to establish
criteria, description, and training requirements for Traditional Health Workers
(THW) which include community health workers, personal health navigators, peer wellness
specialists and other health care workers not regulated or certified by the state
of Oregon. These rules set forth the procedures for THW certification and enrollment
in a registry maintained by the Authority. These rules also establish curriculum
guidelines for training programs seeking to train THWs and the procedures for Authority
approval of training programs.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0305
Definitions
The following definitions apply to OAR
410-180-0300 through 410-180-0380:
(1) “Authority”
means the Oregon Health Authority.
(2) “Authority Approved
Training Program” (Training program) means an organization that has a training
program with curriculum that meets Authority standards for one or more types of
THWs and has been approved by the Authority to train those types of THWs.
(3) “Birth Doula”
means a birth companion who provides personal, nonmedical support to women and families
throughout a woman's pregnancy, childbirth, and post-partum experience.
(4) “Certified Traditional
Health Worker” means an individual who has successfully completed a training
program as required by these rules, and has applied for and been certified by the
Authority for one of the THW types; or a grandfathered THW who has been certified
by the Authority.
(5) “Community Based
Organization” (CBO) means a public or private nonprofit organization that
is representative of a community or significant segments of a community, which may
be located within or in close proximity to the community it serves; and is engaged
in meeting that community’s needs in the areas of social, human, or health
services.
(6) “Community Health
Worker” has the meaning given that term in ORS 414.025.
(7) “Contact Hour”
means a training hour, which includes classroom, group or distance learning. Contact
hour does not include homework time, preparatory reading, or practicum.
(8) “Competencies”
mean key skills and applied knowledge necessary for THWs to be effective in the
work field and carry out their roles.
(9) “Equivalency”
means an individual has fulfilled the requirements of a course or combination of
courses, by completing a relatively equivalent course.
(10) “Grandfathered
THW” means an individual who has been certified by the Authority as an THW
as a result of their prior THW work experience and fulfillment of all additional
requirements for grandfathering as set forth in these rules.
(11) “Incumbent Worker
Training” means training offered by an approved training program for individuals
eligible for grandfathering that assesses for and addresses any gaps in THW competencies.
(12) "Peer" means any individual
who has similar life experience, either as a current or former recipient of addictions
or mental health services, or as a family member of an individual who is a current
or former recipient of addictions or mental health services.
(13) “Peer Support
Specialist” means a person providing peer delivered services to an individual
or family member with similar life experience. A peer support specialist must be:
(a) A self-identified person
currently or formerly receiving mental health services; or
(b) A self-identified person
in recovery from an addiction disorder, who meets the abstinence requirements for
recovering staff in alcohol and other drug treatment programs;
(c) A self-identified person
in recovery from problem gambling; or
(d) A family member of an
individual who is a current or former recipient of addictions or mental health services.
(14) “Peer Wellness
Specialist” has the meaning given that term in ORS 414.025.
(15) “Personal Health
Navigator” has the meaning given that term in ORS 414.025.
(16) “Provisionally
Certified THW” means an individual who has temporary certified status, pursuant
to OAR 410-180-0327.
(17) "Registry" means a list
of certified THWs maintained by the Authority.
(18) "THW Applicant" means
an individual who has applied for THW certification.
(19) “Traditional Health
Worker” (THW) means a community health worker, peer wellness specialist, personal
health navigator, peer support specialist or birth doula.
(20) “Training Program
Applicant” means an organization that has applied for Authority approval of
its training program and curricula for any of the THW types.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0310
Community Health Worker, Peer Wellness
Specialist, Personal Health Navigator Certification Requirements
(1) To be certified as a community health
worker, peer wellness specialist, or personal health navigator, an individual must
successfully complete all required training offered by a training program for that
individual’s THW type.
(2) Individuals who have
worked or volunteered in the capacity of a community health worker, peer wellness
specialist or personal health navigator in the state of Oregon at least 3000 hours
from January 1, 2004 to June 30, 2014 but have not completed a training program
are eligible for certification if they successfully complete approved incumbent
worker training.
(3) Individuals who have
completed some or all of the certification training requirements may receive equivalency
for previously completed training. The training program shall determine equivalency
requirements.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0312
Peer Support Specialist Certification Requirements
(1) To be certified as a peer support
specialist, an individual must:
(a) Successfully complete
all required training offered by a training program for peer support specialist;
or
(b) Be certified by an entity
whose qualifications for the certificate includes completion of an Authority approved
training program for peer support specialists and a minimum of 20 hours of continuing
education every three years.
(2) Individuals who have
worked or volunteered in the capacity of a peer support specialist in the state
of Oregon at least 2000 hours from January 1, 2004 to June 30, 2014 but have not
completed a training program are eligible for certification if they successfully
complete an approved incumbent worker training.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0315
Birth Doula Certification Requirements
To be certified in Oregon as a birth
doula, an individual must:
(1) Successfully complete
an approved birth doula training program; or
(2) Have successfully completed
all birth doula training requirements as described in OAR 410-180-0375 through one
or a combination of non-approved birth doula training programs and meet the cultural
competency course requirements through an approved training program for doulas.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0320
THW Continuing Education Requirements
(1) To maintain certification status,
all THWs must complete at least 20 hours of continuing education during every three
year renewal period.
(2) Continuing education
hours taken in excess of the total number required may not be carried over to the
next renewal period.
(3) The Authority shall award
continuing education hours for:
(a) Additional THW training
offered by a training program; and
(b) Any other Authority approved
training or event.
(4) Requests for approval
of continuing education may come from the hosting organization or from a certified
THW attending the training or event.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0325
Application and Renewal Process for Traditional
Health Worker (THW) Certification and Registry Enrollment
(1) Individuals seeking THW certification
and registry enrollment must:
(a) Be at least 18 years
of age;
(b) Not be listed on the
Medicaid provider exclusion list;
(c) Have successfully completed
all training requirements for certification pursuant to these rules; and
(d) Submit to the Authority
all required documentation and a completed application on an Authority prescribed
form.
(2) Peer support specialists
as defined in OAR 410-180-0305(13)(b), (c) who choose to have their background check
completed by an outside entity pursuant to 410-180-0326 may be certified by that
entity.
(a) The entity’s certification
requirements must include all peer support specialists certification requirements
set forth in these rules.
(b) Peer support specialists
must have either:
(A) The outside entity submit
the certification and background check information to the Authority; or
(B) Submit to the Authority
all required documentation and a completed application on an authority prescribed
form.
(2) Individuals seeking THW
certification and registry enrollment as a grandfathered community health worker,
peer wellness specialist, personal health navigator, or peer support specialist
must:
(a) Be at least 18 years
of age;
(b) Not be listed on the
Medicaid provider exclusion list;
(c) Submit to the Authority
all required documentation and a completed application on an Authority prescribed
form;
(d) Submit a minimum of one
letter of recommendation and competency evaluation on an Authority prescribed form
from any previous employer for whom THW services have been provided from January
1, 2004 to June 30, 2014;
(e) Except for peer support
specialists, all THW’s must submit verifiable evidence of working or volunteering
in the capacity of a community health worker, peer wellness specialist or personal
health navigator for at least 3000 hours from January 1, 2004 to June 30, 2014;
(f) Peer support specialists
must submit verifiable evidence of working or volunteering in the capacity of a
peer support specialist for at least 2000 hours from January 1, 2004 to June 30,
2014;
(g) Verifiable evidence may
include but is not limited to pay statement, services contract, student practicum,
or volunteer time log.
(3) Applications are available
on the THW program webpage or a paper copy may be obtained upon request to the Oregon
Health Authority Office of Equity and Inclusion.
(4) Applicants may withdraw
from the process at any time by submitting written notification to the Authority.
(5) Applicants who complete
a training program after August 2, 2013 must apply for certification within three
years of program completion.
(6) Applicants who have completed
a training program more than three years prior to application for certification
shall be denied certification. If the Authority denies certification, the applicant
may file an appeal with the Authority for an exemption.
(7) If the Authority determines
that an applicant has met all certification requirements, the Authority shall notify
the applicant in writing granting the individual certification as a THW and add
the individual to the registry.
(8) Certification is valid
for 36 months from the date of certification.
(9) A THW seeking certification
renewal must:
(a) Submit a completed renewal
application on an Authority prescribed form; and
(b) Provide written verification
indicating the certificate holder has met the applicable requirements for continuing
education set forth in OAR 410-180-0320.
(10) Renewal applications
must be submitted to the Authority no less than 30 days prior to the expiration
of the current certification period.
(11) The Authority shall
remove a THW from the registry if the THW fails to renew certification within the
renewal period.
(12) THWs who have been removed
from the registry following certification expiration shall be denied renewal unless
they file an appeal with the Authority and are granted an exemption.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14;
DMAP 3-2014, f. & cert. ef. 1-15-14
410-180-0326
Background Check Requirements
(1) All individuals seeking certification
and registry enrollment as a community health worker, peer wellness specialist,
birth doula, peer support specialist as defined in OAR 410-180-0305 (13) (a) and
(d), or personal health navigator must have a background check conducted by the
Authority in accordance with 943-007-0010 through 0501 specifically incorporating
and limited to 407-007-0200 to 407-007-0250, and 407-007-0280 to 407-007-0325, and
407-007-0340 to 407-007-0370 and expressly not incorporating 407-007-0275 (Disqualifying
Convictions Under ORS 443.004 for Aging and People with Disabilities Programs) and
407-007-0277 (Disqualifying Convictions under 443.004 for Mental Health or Alcohol
and Drug Programs). The Authority may deny certification to a new or renewal applicant
based on a fitness determination applying a weighing test for potentially disqualifying
convictions or conditions.
(2) To be certified, enrolled
on the registry, and eligible for reimbursement under Medicaid, peer support specialists
as defined in OAR 410-180-0305(13)(b) and (c) must pass a background check. The
background check may be conducted by the Authority or an entity with a contract
with the Authority to provide background checks.
(a) If the Authority conducts
the background check, the Authority’s fitness determination shall comply with
the provision of section (1) and shall include the application of a weighing test
for potentially disqualifying convictions or conditions, or if otherwise excluded
from participation in the medical assistance program.
(b) If the contracting entity
conducts the background check, the provisions of 407-007-0277(Disqualifying Convictions
under ORS 443.004 for Mental Health or Alcohol and Drug Programs) shall apply.
(c) Peer support specialists
described in section (2) may determine which entity shall conduct the background
check.
(3) Individuals seeking certification
who are excluded from participating in the medical assistance program shall be denied
certification and registry enrollment. The Authority shall consult with the Office
of the Inspector General to determine if the applicant is excluded from participation.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 181.537,
414.635 & 414.665
Hist.: DMAP 3-2014,
f. & cert. ef. 1-15-14
410-180-0327
Provisional THW Certification
(1) Individuals may qualify for provisional
certification if:
(a) They are eligible for
grandfathering as described in OAR 410-180-0310 and 410-180-0312 but have not yet
completed incumbent worker training; or
(b) They have completed or
matriculated in a non-approved training program between February 4, 2010 and August
2, 2013 provided:
(A) The individual successfully
completes the training program; and
(B) The training program
includes a minimum of 40 contact hours of training.
(2) Individuals seeking provisional
certification must:
(a) Be at least 18 years
of age;
(b) Submit a completed application
on an Authority prescribed form; and
(c) Submit one of the following:
(A) Verifiable evidence of
working or volunteering in the capacity of a community health worker, peer wellness
specialist, or personal health navigator for at least 3000 hours from January 1,
2004 to June 30, 2014; or
(B) Verifiable evidence of
working or volunteering in the capacity of a peer support specialist for at least
2000 hours from January 1, 2004 to June 30, 2014; or
(C) Written documentation
of successful completion of a training program that includes at minimum 40 contact
hours of training.
(3) Applications are available
on the THW program webpage or a paper copy may be obtained upon request to the Oregon
Health Authority Office of Equity and Inclusion.
(4) If the Authority determines
that an applicant has met all provisional certification requirements, the Authority
shall notify the applicant in writing granting provisional certification.
(5) Provisionally certified
THWs may become certified if:
(a) The individual successfully
completes remaining training requirements or incumbent worker training from a training
program within one year from the provisional certification date; or
(b) The non-approved training
program completed by the provisionally certified THW becomes Authority approved.
(6) Provisionally certified
THWs seeking certification must comply with OAR 410-180-0325.
(7) The Authority shall revoke
provisional certification if the individual does not complete the remaining training
requirements within one year from the date of provisional certification.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0340
Standards of Professional Conduct
(1) A certified or provisionally certified
THW, pursuant to OAR 410-180-0305 must comply with Standards of Professional Conduct
set forth in this rule. The violation of the standards may result in the denial
of an application for certification or suspension or revocation of certification.
(2) THWs must:
(a) Acquire, maintain and
improve professional knowledge and competence using scientific, clinical, technical,
psychosocial, governmental, cultural and community-based sources of information;
(b) Represent all aspects
of professional capabilities and services honestly and accurately;
(c) Ensure that all actions
with community members are based on understanding and implementing the core values
of caring, respect, compassion, appropriate boundaries, and appropriate use of personal
power;
(d) Develop positive collaborative
partnerships with community members, colleagues, other health care providers, and
the community to provide care, services, and supports that are safe, effective,
and appropriate to a community member’s needs;
(e) Regardless of clinical
diagnosis, develop and incorporate respect for diverse community member backgrounds
including lifestyle, sexual orientation, race, gender, ethnicity, religion, age,
marital status, political beliefs, socioeconomic status or any other preference
or personal characteristic, condition or state when planning and providing services;
(f) Act as an advocate for
community members and their needs;
(g) Support self-determination
and advocate for the needs of community members in a culturally competent, trauma
informed manner
(h) Base decisions and actions
in support of empowerment and respect for community member’s culture and self-defined
health care goals using sound ethical reasoning and current principles of practice;
(i) Maintain individual confidentiality;
and
(j) Recognize and protect
an individual’s rights as described in section (3) of this rule.
(3) Individuals being served
have the right to:
(a) Be treated with dignity
and respect;
(b) Be free from theft, damage,
or misuse of personal property;
(c) Be free from neglect
of care, verbal, mental, emotional, physical, and sexual abuse;
(d) Be free from financial
exploitation;
(e) Be free from physical
restraints;
(f) Voice grievances or complaints
regarding services or any other issue without discrimination or reprisal for exercising
their rights;
(g) Be free from discrimination
in regard to race, color, national origin, gender, sexual orientation, or religion;
and
(h) Have their information
and records confidentially maintained.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0345
Denial, Suspension or Revocation of Certification
(1) The Authority may deny, suspend,
or revoke certification when an applicant or certificate holder fails to comply
with ORS 414.665 or these rules.
(2) The Authority shall deny,
suspend, or revoke certification pursuant to ORS 183.411 through 183.470 and the
applicant or certificate holder may request a contested case hearing.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0350
Training Program Requirements
(1) All training programs must:
(a) Meet the curriculum requirements
for the THW type being trained;
(b) Demonstrate active efforts
to establish equivalency for students who have previously completed training that
meets one or more training requirements for their THW type;
(c) Demonstrate active efforts
to involve experienced THWs in developing and teaching the core curriculum;
(d) Demonstrate active efforts
to collaborate with at least one culturally diverse CBO;
(e) Demonstrate the use of
various teaching methodologies including but not limited to popular education and
adult learning;
(f) Demonstrate the use of
various training delivery formats including but not limited to classroom instruction,
group and distance learning;
(g) Demonstrate efforts to
make training inclusive and accessible to individuals with different learning styles,
education backgrounds, and student needs;
(h) Demonstrate efforts to
remove barriers to enrollment for students;
(i) Demonstrate inclusion
of cognitive and practical examinations to evaluate and document the acquisition
of knowledge and mastery of skills by the individual trained. This examination:
(A) May be any combination
of written, oral, or practical competency tests; and
(B) Must assess THW competencies
covered in the curriculum.
(j) Demonstrate the inclusion
of a method or process for the individual trained to evaluate and give feedback
on the training experience;
(k) Maintain an accurate
record of each individual’s attendance and participation in training for at
least five years after course completion;
(l) Agree to verify and provide
the Authority with names of individuals who successfully completed the training
program when those individuals apply for certification and registry enrollment;
and
(m) Agree to issue a written
letter of completion to all successful training program graduates.
(2) All training programs
that provide incumbent worker training for individuals eligible to grandfather into
the NTHW program must also:
(a) Require students to submit
an Authority prescribed competency evaluation form from any previous employer, THW
coach or supervisor or volunteer coordinator or supervisor for whom THW services
have been provided in the five years prior to the date of application
(b) Include a pre-course
assessment to evaluate student’s current level of knowledge and skill; and
(c) Provide training that
addresses gaps in competencies identified in the employer competency evaluation
and pre-course assessment.
(3) Training program applicants
must submit an application to the Authority. At a minimum, the training program
application must include:
(a) Contact information for
the individual or entity, including director name and contact information;
(b) Syllabus and course materials
that demonstrate curriculum requirements are met; language per comment #23 above.
(c) Indication of the training
type to be offered:
(A) Curriculum for community
health workers, peer wellness specialists, peer support specialists, personal health
navigators, and birth doulas; and
(B) Additional curriculum
for:
(i) Community health workers;
(ii) Peer wellness specialists
(iii) Peer support specialists;
and
(iv) Incumbent worker training
(d) An overview of the teaching
philosophy and methodology;
(e) A description of the
method of final examination as described in section (1) (h);
(f) A list of instructors,
including experienced THWs if available;
(g) A description of the
geographic area served;
(h) If the applicant is not
a CBO, a signed agreement with description of the partnership with a CBO;
(i) A description of the
approach for recruiting and enrolling a diverse student population to meet the needs
of the community, including any strategies for reducing barriers to enrollment;
and
(j) An indication of whether
academic credit may be given for successful completion of training program.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0355
Application and Renewal Process for Authority
Training Program Approval
(1) Training program applications are
available on the THW program webpage or by requesting a paper copy from the Oregon
Health Authority Office of Equity and Inclusion.
(2) Training program applicants
must submit an application at least 90 days in advance of the first expected class
day.
(3) If an application is
incomplete, the Authority shall send notice requesting the additional materials
required. The notice shall specify the date by which additional materials must be
submitted. Unless the Authority grants an extension, if the applicant does not respond
within the specified time, the Authority shall return the application to the applicant
and take no further action.
(4) If the Authority determines
that an applicant has met all training program requirements, the Authority shall
send written notice of program approval. The written notice of Authority approval
shall be made available to any student or partnering organization that requests
a copy.
(5) The Authority shall maintain
a list of training programs. The list shall be available to the public.
(6) The training program
must apply to renew its approval status every three years.
(a) Renewal applications
are available on the THW program webpage or by requesting a paper copy from the
Oregon Health Authority Office of Equity and Inclusion.
(b) Training programs must
complete and submit the renewal application no less than six months prior to the
expiration of the current approval period.
(c) At a minimum, training
programs seeking renewal shall report:
(A) Summary of any proposed
changes to the curriculum;
(B) Number of students trained
in the three year approval period
(7) Training programs that
fail to submit a renewal application pursuant to section (6) (b) of this rule must
submit a new application and may not apply for renewal of its current approval.
(8) The Authority may conduct
site visits of training programs, either prior to approving or renewing a training
program application, or at any time during the three year approval period.
(9) During the three year
approval period, any change made to a training program shall be reported to the
Authority within 30 days of the decision to make the change.
(a) Changes that must be
reported include:
(A) Changes to the training
program director or primary contact;
(B) Changes to the teaching
methodology;
(C) Changes to the curriculum;
and
(D) Any other change that
is not consistent with or not represented in the initial application for approval.
(b) If the Authority determines
that the reported changes meet the training program requirements described in OAR
410-180-0350, the Authority shall approve the change.
(c) The Authority may request
additional information and justification for the reported change.
(d) If the Authority determines
that the reported changes do not comply with the training program requirements described
in OAR 410-180-0350, the Authority may deny the change or revoke training program
approval.
(10) A training program applicant
or approved training program may request a temporary waiver from a requirement in
these rules. A request for a waiver must be:
(a) Submitted to the Authority
in writing;
(b) Identify the specific
rule for which a waiver is requested;
(c) Identify the special
circumstances relied upon to justify the waiver;
(d) Describe alternatives
that were considered, if any, and why alternatives, including compliance, were not
selected;
(e) Demonstrate that the
proposed waiver is desirable to maintain or improve the training of THWs; and
(f) Indicate the proposed
duration of the waiver, not to exceed one year.
(11) If the Authority determines
that the applicant or program has satisfied the conditions of this rule, the Authority
may grant a waiver.
(12) An applicant or an approved
training program may not act on or implement a waiver until it has received written
approval from the Authority.
(13) AMH peer support specialist
training programs approved prior to August 2, 2013 may remain approved if:
(a) The program currently
provides a minimum of 40 hours of training; or
(b) The program increases
its curriculum to a minimum of 40 hours of training.
(c) The program must submit
to the Authority a peer support specialist program renewal application by October
2, 2013
(A) The renewal application
and waiver request is available on THW program webpage or by requesting a paper
copy from the Oregon Health Authority Office of Equity and Inclusion;
(B) If the renewal application
is not submitted before October 2, 2013, the program must apply as a new training
program.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0360
Denial, Suspension or Revocation of Training
Program Approval
(1) The Authority may deny, suspend
or revoke training program approval when an applicant or approved program has failed
to comply with ORS 414.665 or these rules.
(2) If the Authority denies,
suspends, or revokes approval it shall send written notice and explain the basis
for its decision.
(3) An applicant or approved
training program may request that the Authority reconsider its decision and may
request a meeting with Authority staff. The request for reconsideration and a meeting,
if requested, must be submitted in writing within 30 days of the date the Authority
mailed the written decision of denial, suspension or revocation. The request must
contain a detailed statement with supporting documentation explaining why the requestor
believes the Authority’s decision is in error. The Authority shall issue a
written decision on reconsideration following review of the materials submitted
by the applicant or training program and a meeting with the applicant or training
program, if applicable.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0370
Community Health Workers, Peer Wellness
Specialists, Personal Health Navigators, and Peer Support Specialists Certification
Curriculum Standards
(1) All Authority approved curricula
used to train community health workers, peer wellness specialists and personal health
navigators must:
(a) Include a minimum of
80 contact hours, which addresses the core curricula topics set forth in section
(2) of this rule and any other additional curriculum topics specific to the type
of worker being trained;
(b) Provide training that
addresses all the major roles and core competencies of community health workers,
peer wellness specialists and personal health navigators in Oregon as listed and
defined in Oregon Health Policy Board’s Report “The Role of Non-Traditional
Health Workers in Oregon’s Health Care System” incorporated by reference.
(http://www.oregon.gov/oha/oei/docs/nthw-report-120106.pdf, January 2012)
(2) An Authority approved
core curriculum for community health workers, peer wellness specialists and personal
health navigators shall, at a minimum, introduce students to the key principles
of the following topics:
(a) Community Engagement,
Outreach Methods and Relationship Building;
(b) Communication Skills,
including cross-cultural communication, active listening, and group and family dynamics;
(c) Empowerment Techniques;
(d) Knowledge of Community
Resources;
(e) Cultural Competency and
Cross Cultural Relationships, including bridging clinical and community cultures;
(f) Conflict Identification
and Problem Solving;
(g) Conducting Individual
Strengths and Needs Based Assessments;
(h) Advocacy Skills;
(i) Ethical Responsibilities
in a Multicultural Context;
(j) Legal Responsibilities;
(k) Crisis Identification
and Problem-Solving;
(l) Professional Conduct,
including culturally appropriate relationship boundaries and maintaining confidentiality;
(m) Navigating Public and
Private Health and Human Service Systems, including state, regional, and local;
(n) Working with Caregivers,
Families, and Support Systems, including paid care workers;
(o) Trauma-Informed Care,
including screening and assessment, recovery from trauma, minimizing re-traumatization;
(p) Self-Care;
(q) Social Determinants of
Health;
(r) Building Partnerships
with Local Agencies and Groups;
(s) The Role and Certified
Scope of Practice of Traditional Health Workers;
(t) Roles, expectations,
and supervisory relationships for Working in Multidisciplinary Teams, including
supervisory relationships;
(u) Data Collection and Types
of Data;
(v) Organization Skills and
Documentation and use of HIT;
(w) Introduction to Disease
Processes, including chronic diseases, mental health, tobacco cessation, and addictions
(warning signs, basic symptoms, when to seek medical help);
(x) Health Across the Life
Span;
(y) Adult Learning Principles
- Teaching and Coaching;
(z) Stages of Change;
(aa) Health Promotion Best
Practices; and
(bb) Health Literacy Issues.
(3) In addition to the core
curriculum set forth in section (2), training programs for community health workers
shall include the following topics:
(a) Self-Efficacy;
(b) Community Organizing;
(c) Group Facilitation Skills;
(d) Conducting Community
Needs Assessments;
(e) Popular Education Methods;
and
(f) Principles of Motivational
interviewing.
(4) In addition to the core
curriculum, set forth in section (2) training programs for peer wellness specialists
shall include the following topics:
(a) Self-Efficacy;
(b) Group Facilitation Skills;
(c) Cultivating Individual
Resilience;
(d) Recovery, Resilience
and Wellness Models; and
(e) Principles of Motivational
interviewing.
(5) An Authority approved
curriculum for peer support specialists shall include a minimum of 40 contact hours
that include:
(a) The core curriculum set
forth in section (2)(a) through (p);
(b) The Role and Scope of
Practice of Peer Support Specialists; and
(c) Recovery, Resilience
and Wellness.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0375
Birth Doula Certification Curriculum Standards
(1) All Authority approved curricula
used to train birth doulas must include a minimum of the following:
(a) 16 contact hours in Labor
Support training;
(b) 4 contact hours in Breastfeeding
training;
(c) 12 contact hours in Childbirth
Education; and
(d) 6 contact hours in Cultural
Competency training.
(2) Authority approved birth
doula training curricula must also incorporate the following components and students
must:
(a) Be CPR-certified for
children and adults;
(b) Read five books from
an Authority approved reading list;
(c) Write a 500 to 1000 word
essay on the value of labor support;
(d) Create a community resource
list;
(e) Submit evaluations from
work with three families and one provider;
(f) Attend at least three
births and three postpartum visits; and
(g) Have a valid food handler’s
permit.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13
410-180-0380
THW and Training Program Complaints and
Investigations
(1) Any individual may make a complaint
verbally or in writing to the Authority regarding an allegation as to the care or
services provided by a certified or provisionally certified THW pursuant to OAR
410-180-0305 or that an approved training program has violated THW statutes or these
rules.
(2) The identity of an individual
making a complaint shall be kept confidential to the extent permitted by law but
may be disclosed as necessary to conduct the investigation and may include but is
not limited to disclosing the complainant’s identity to the THW’s employer.
(3) If a complaint involves
an allegation of criminal conduct or that is within the jurisdiction of another
local, state, or federal agency, the Authority shall refer the matter to the appropriate
agency.
(4) The Authority shall investigate
complaints and take any actions that are necessary for resolution. An investigation
may include but is not limited to:
(a) Interviews of the complainant,
program management or staff, and other students; or
(b) Interviews of the complainant,
caregivers, clients, client’s representative, client’s family members,
and witnesses, and employer management and staff;
(c) On-site observations
of the training program, the client, THW performance and client environment; and
(d) Review of documents and
records.
(e) Utilize complaint and
investigation findings to identify trends and potential areas for quality improvement.
Stat. Auth.: ORS 413.042, 414.635 &
414.665
Stats. Implemented: ORS 414.635
& 414.665
Hist.: DMAP 42-2013(Temp),
f. & cert. ef. 8-2-13 thru 1-29-14; DMAP 66-2013, f. & cert. ef. 12-3-13

The official copy of an Oregon Administrative Rule is
contained in the Administrative Order filed at the Archives Division,
800 Summer St. NE, Salem, Oregon 97310. Any discrepancies with the
published version are satisfied in favor of the Administrative Order.
The Oregon Administrative Rules and the Oregon Bulletin are
copyrighted by the Oregon Secretary of State. Terms
and Conditions of Use