Introduction/Overview

Please complete this IN-SERVICE Application for your annual dementia in-service training to be reviewed for approval by LeadingAge Oregon.

Beginning January 1, 2019, OAR 411-054-0070 requires that all direct care staff complete six hours of annual training on dementia care by the anniversary of their hire date in 2020.  The training must reflect current standards for dementia care and be informed by the best evidence in the care and treatment of dementia.

The six hours of annual dementia care training may be included in the required minimum of 12 hours in-service training required for direct care staff within ALFs/RCFs.

If approved, the annual in-service training does not have to be submitted annually for approval.  If the approved training is changed or added to, then it would need to be submitted for approval.

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* 1. Name of Applicant/Company/Organization

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* 2. Type of Training Entity

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* 3. Application Submission Date

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* 4. Address (Address, City, State, Zip)

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* 5. Name of Person Submitting Application for Approval

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* 6. Email Address of Primary Contact Person for the Application

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* 7. Phone of Primary Contact for the Application

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* 8. Are you using one or more of the following "pre-approved" dementia training content sources to meet the in-service training requirements?

* Oregon Care Partners
* Relias Learning
* IPCed / Easy CEU / OnCourse
* CARES Health Care Interactive
* M.O.V.E. Person Centered Training
* Teepa Snow PAC training

View the full pre-approved list on the DHS Website

If you answered "YES" to Question 8, your training is Pre-Approved and do not need to continue to complete this application.  Individual providers are responsible for keeping documentation to present to state regulators.  

If you need to print the list of pre-approved training for documentation for your records, visit DHS's Dementia Training Webpage.
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If you answered "NO" to Question 8, please proceed with completing this application.

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* 9. Please submit a PDF of your training material, not to exceed 25 pages.  If additional information is required for review, it will be requested later.

DOCX, DOC, JPEG, GIF, JPG, PNG file types only.
Choose File
No file chosen

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* 10. Indicate training format.  (If the training includes more than one format, choose the category that represent the largest portion of training time.)

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* 11. Indicate training content sources (e.g., name of book, author, name of video, copyright date, year training developed).

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* 12. Indicate instructional methods/adult learning principles used.  Check all that are used.  Straight text or powerpoint slides without information on the instruction methods/adult learning principles will not receive a full review.

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* 13. Enter the estimated length of time it takes trainees to complete the training.

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* 14. Indicate whether passing a written exam is required for completing the training.

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