3/22/2014. Your Credential: Evolving with Practice Competencies. Agenda. CDR Project Goal. Objectives

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1 Your Credential: Evolving with Practice Competencies Presented by: Barbara L. Grant and Leanne Worsfold Commission on Dietetic Registration Saturday, April 5, 2014 Objectives Identify the Essential Practice Competencies for CDR Credentialed Nutrition and Dietetics Practitioners. Recognize the impact of the practice competencies to future CDR credentialing. Describe how competencies are applied in everyday practice. 2 Agenda Practice Competencies Define Competencies Provide an overview of the CDR Practice Competencies Explain how the practice competencies can be integrated into your practice and the workplace Explain your role in the national validation study PDP Describe PDP enhancements and introduce you to the PDP "goal wizard" CDR Project Goal Develop and validate national practice competencies for integration into the Professional Development Portfolio (PDP), as a component of the recertification process for RDs or RDNs and DTRs. 3 1

2 Defining Competencies Practice Competencies A competency is a synthesis of knowledge, skills, abilities, behaviors and other characteristics an individual must demonstrate in order to perform work roles or occupational functions successfully. Practice Competencies are a collection of validated statements that describe the performance demonstrated in current RD or RDN and DTR practice Practice Competencies Competency 10.2 Implement the nutrition care process to ensure individual health goals are established, monitored and achieved adhering to the Standards of Practice in Nutrition Care for RDNs Performance Indicator Identifies and selects valid and reliable nutritional assessment tools to conducts a comprehensive assessment Analyzes and synthesizes the assessment data to establish a nutrition problems following the Standards of Practice in Nutrition Care for RDNs. Practice Illustrate Example Uses comparative standards to estimate energy, fat, protein, carbohydrate, fiber, fluid, vitamin, and mineral needs as well as recommended body weight, BMI, and desired growth patterns. Takes into consideration blood laboratory values and test results. Determine if adaptive equipment is required (i.e. grip on food utensils) and makes referrals. Independently screen customers for needed internal and external services and resources (i.e. nursing, occupational therapy, speechlanguage pathology, social work, physician, community resources). The Big Picture Regulations Standards of Practice/ Guidelines Legislation / External Regulatory Bodies Continuing Practice Competencies Job descriptions/ Review Scope of Practice Recertification Tool Kit of Resources 2

3 Comprehensive Scope of Practice Resources for RDNs and DTRs Project Steps: (July 2012 to Present) 1. Environmental Scan 2. Communication and collaboration with key stakeholders 3. CAP/QM working group developed framework & outline 4. National webinars to validate outline and identify gaps 5. Conduct National Validation Study March CAP/QM working group will modify outline based on feedback from the National Validation Study 9 10 Knowledge-Based vs Competencies-Based Why introduce practice competencies? Proactively moves the PDP forward As a profession we are ahead of the curve in shifting from a knowledge-based to a competencies-based recertification program

4 Competencies Around the World Conscious Competence Model Consciously Competent Unconsciously Competent Consciously Incompetent Unconsciously Incompetent 13 How can you use competencies in practice? 15 A staff member is required to engage in a remediation program after documented errors and complaints from patients. The CNM in collaboration with the staff member is developing a remediation plan. The competencies articulate validated expectations for the profession. Therefore, the CNM can cite the competencies as goals and list performance indicators to measure whether the staff member has demonstrated competence in this area of practice. 16 4

5 An RDN is returning to work in a new area of practice. She is asking what information she should read before returning to work. The CNM and staff member identify competencies to include in her learning plan. The HR Department has asked you to revise the performance evaluations and competencies for both RDNs and DTRs within your workplace. The practice competencies provide a valid resource to support the revisions WI- FM What s in it for me? A CNM is seeking a higher-level position within the organization. She is seeking job advancement as director of patient care services. The CNM has a job interview scheduled for the next week. The CNM presents both her portfolio materials and a list of competencies specific to organizational management and foundational knowledge in clinical healthcare

6 Functional Analysis Competency Framework SPHERES: 9 core spheres & 5 functional spheres Defines an area of which someone acts, exists or has influence or significance; has broad high-level wording that describe a group of competencies Describe the major functions for effective performance COMPETENCIES Describe the identifiable components of expected performance (knowledge, skill, judgment and attitude) PERFORMANCE INDICATORS Describe an inter-related set of factors that define the level of expected performance Framework Clinical Care Public Health/ Community Business, Industry and Product Development and Marketing Management of Organizations Foodservices Management Ethics and Professionalism Communications and Collaboration Leadership and Advocacy Critical Thinking and Decision-making Informatics Research, Evidence Informed Practice and Quality Improvement Safety and Risk Management Food, Nutrition, Dietetics and Physical Activity Education and Counseling PRACTICE ILLUSTRATION EXAMPLES Examples to illustrate day-to-day performance of the competency Provides opportunity for more content without being exclusive (includes RDNs and DTRs) Registered Dietitian or Registered Dietitian Nutritionist Dietetic Technician, Registered National Validation Study National Validation Study 23 Have a voice! Participate in the national validation study. 24 E-blast circulated to all registrants with a link to online validation survey Survey announcement will be posted in Eat Right Weekly and on the CDR website Modification will be made based on validation study 6

7 Enhanced PDP Implementation Incorporate competencies into Professional Development Portfolio (PDP) CDR anticipates incorporation into the PDP process beginning with practitioners whose five-year recertification cycles end May 31, 2021 Mapped the PDP learning need codes to the practice competencies 28 Choose Competencies That Are Relevant To YOU 27 7

8 Communication Plan PDP Goal Wizard Tool Kit One-pager introduction sheet Frequently Asked Questions Newsletter article template Standardized presentation Webinar posted on CDR website FNCE presentation Questions And Thank You! 8