The APIC Infection Prevention Competency Model, 2013 Update

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2 The APIC Infection Prevention Competency Model, 2013 Update Marilyn Hanchett RN MA CPHQ CIC Senior Director, Professional Practice APIC Washington, DC September, 2013

3 Quick Review of Model Development Task Force of senior APIC leaders Two years in development Committee and external stakeholder reviews Decision not to mirror previous work by other disciplines or organizations Introduced in AJIC, May 2012 Presented at AC 2012, San Antonio, Texas

4 The Task Force Disbanded but Work Continues The need for on going development was identified in 2011 The Task Force officially disbanded in March, 2013 The APIC BOD established a new standing committee in 2012, the Professional Development Council, to help oversee continuing work on Refinement of the model Development of the association s competency program

5 Our Changing Demographics Many IPs are in the Early to Mid Career Stages of Their Careers How many years have you been working in infection prevention and control? (n=4,154) 0 to 2 years 23% 3 to 5 years 24% 6 to 10 years 19% 11 to 15 years 12% 16 + years 23% 2011 APIC National Member Survey Competency Model = Roadmap to a Successful IP Career

6 The Initial Scope of Work The competency model MUST be: Applicable across practice settings Relevant to the career span Incorporate the need for certification in some way Build on existing work in this area Be BOTH evidence and practice based as well as future oriented What do we mean by competency now? How will this change in the next 3 5 years?

7 What the Initial Scope of Work Did NOT Include Entry into practice eligibility (who should be an infection preventionist?) Recommendations about the process of certification and/or recertification Development of a universal template for IP job description

8 Supporting Principles Competency is self defined Competency is self assessed Certification is necessary Education supports all levels and aspects of competency

9 The Conceptual Model at Work Using a Conceptual Model Competency Model (conceptual framework) Standards of Practice and/or Best Practices & Guidelines Specific Duties, Tasks, Knowledge and Skills IP Real World Example Surveillance is necessary for all IPs (core competency) CDC s NHSN is the nationally accepted method IPs will use Facility specific surveillance duties are described in policy & job descriptions

10 Structural Elements are Distinct but Synergistic Elements We Use Conceptual Models Standards Guidelines, Best Practices Policy, Procedure, Protocol Job Description How We Use Them Provides broad framework for addressing large scale issues. Serves to anchor all other efforts to address these issues. Identify what must be done, based on the highest level of evidence Describes the optimum approach when there is insufficient evidence to develop a standard Summarizes the how to information needed to meet standards or guidelines Explain how the individual's role supports implementation in a way that is consistent with the conceptual model

11 Let s Expand the HH Example: NOVICE Collects HH compliance data Teaches hand hygiene techniques; coaches front line staff Identifies potential and actual performance barriers PROFICIENT Manages facility wide, interdisciplinary HH program Participates in local or regional collaboratives Conducts trending & quantitative analyses; reports ADVANCED Helps evaluate emerging technology for HH monitoring Provides feedback to CDC, TJC etc. re guidelines Assists with HH studies and research Teaches, coaches managers & organizational leaders

12 How Do We Work Together? Elements We Use Conceptual Models Standards Guidelines, Best Practices Policy, Procedure, Protocol Job Description How Elements Work Together APIC developed IP Competency Model APIC, in collaboration with IPAC (formerly CHICA-Canada), has published standards of practice APIC has ongoing collaboration with CDC & many other national regulatory & advisory groups YOU develop or give input at your facility and keep up to date! YOU work to align your job description with the elements above

13 Making This Relevant to Your IP Position First Step: Comparative Analysis of YOUR Key Role-Specific Documents List of IP Core Competencies Your Annual Eval Criteria Professional Practice Standards Your Job Description

14 Another Useful Exercise Future Competency Domain My Organization s Anticipated Needs, 1-2 Yrs My Organization's Anticipated Needs, 3-5 Yrs Knowledge, Skills and Other Preparation I Need Now (or will need) Leadership and Program Management Technical Infection Prevention and Control (beyond core competencies) Performance Imporvemeny & Implementation Science

15 So... What is New This Year? PDC exploring member interest in some type of advanced practice designation. Revision to both the APIC study guide and online course in progress now; new materials to be released in 2014 CAA program in second year; 60 new awards about to be announced New Self Assessment tool introduced for proficient & advanced IPs in summer issue, Prevention Strategist

16 And more... New white paper showing the relationship of implementation science to the competency model is development for 2014 APIC and IPAC (CHICA Canada) Standards of Practice update nearing completion New chapter on competency and certification being written for the upcoming edition of the APIC TEXT (to be released June, 2014)

17 What s Important Now? Program Priority # 1: Expand Certification CIC credential represents the bridging point between novice and proficient Increasingly recognized in recruitment and promotion processes Recognized by ANCC Magnet Program Competency Advancement Assistance (CAA) Program launched 2012 to help address financial needs

18 Certification Within the Professional Role Completion of Approved, Basic Professional Curriculum as Provided by a Recognized Institution (College, University) Licensure (Minimum Qualifications for Safe Practice) Initial Practice Experience + Continuing Education Board Certification Practice in Board Certified Specialty Area

19 Certification is a Strategic Priority IP competencies and certification goal: Define, develop, strengthen, and sustain competencies of the IP across the career span and support board certification in infection prevention and control (CIC) to obtain widespread adoption Indicator: Certification of 50% of eligible APIC members as CIC The APIC Strategic Plan has been published in both Prevention Strategist and AJIC

20 Program Priority # 2: Continue to Refine the Model Can you suggest other areas where the model should be refined? Need to describe how the transition to advanced status occurs, how it is defined and how APIC will recognize it

21 Next Steps # 3: Increase IP Understanding of Implementation Science Implementation science goal Promote and facilitate the development and implementation of scientific research to prevent infection. Objectives and initiatives 1. Define implementation science (IS) and demonstrate the value of implementing the science of prevention to members, partners, and stakeholders. 2. Identify gaps in the research agenda and address the gaps. 3. Collaborate with related disciplines and organizations in promoting implementation science research.

22 Do You Know What It Is? Question: 1. How familiar are you with dissemination and implementation science? Number Who Answered: 702 View Details Extremely familiar 44 6 % Familiar % Neither familiar nor unaware % Unaware % Extremely unaware 29 4 %

23 How Important Is It? Question: 2. To what extent do you believe dissemination and implementation science research is important to the field of infection prevention and control (IPC)? Number Who Answered: 700 View Details Extremely important % Important % Neither important nor unimportant 35 5 % Unimportant 0 0 % Extremely unimportant 0 0 % Don't know/not familiar %

24 What is APIC s Role? Question: 4. What role, if any, do you believe that APIC has or should have in dissemination and implementation research? Note: multiple items could be selected for this question Number Who Answered: 699 View Details Public policy/advocate % Provide or solicit funding % Facilitator between researchers and IPs Develop and provide IPs with training to be consumers of research None of the above. APIC has no role in such research studies % % 5 1 % Don t know/not familiar % Other Answers 2 0 %

25 How Can APIC Help? Question: 6. What training could APIC provide its members to enhance knowledge, awareness, and participation in dissemination and implementation research? Number Who Answered: 697 View Details Research design and methodology % Statistical analysis % Critical analysis of medical literature % None of the above 16 2 % Other Answers 50 7 %

26 A collaborative project by the PGC and RC Publication in AJIC is planned (2014)

27 Sneak Peak: Work in Progress

28 Next Steps # 4: Exploration and Response to the Future Oriented Domains How will IP role change in the next 5 years? What new knowledge and skills will be required? Are we ready for new role challenges? What do we do to better prepare? How can APIC and its chapters better coordinate their efforts to enhance overall competency and prepare for future demands?

29 The Competency Model: International Adoption Presented at the International Federation of Infection Control conference, 2012 In use in China now Being implemented in Japan

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