ࡱ> EGBCD [bjbj>> =DTTS% 8R_."222   *_,_,_,_,_,_,_agdD,_  ,_22A_<"<"<"22*_<"*_<"<"lX]2C+e fZ4_W_0_Z(eP!peh]]8e] Zg@<"4   ,_,_!|   _e          :  Development of Professional Certification for Information & Referral Specialist Aging/Disabilities (CIRS-A/D) The Alliance of Information and Referral Systems (AIRS at www.airs.org) is a nonprofit association of over 1,100 organizations that provide I&R across North America. In addition to the creation of international standards, AIRS offers a professional credentialing program for individuals working within the I&R sector of human services. AIRS Certification Certification is a measurement of documented knowledge in the field of I&R reflecting specific competencies and related performance criteria, which describe the knowledge, skills, attitudes and work-related behaviors needed by I&R practitioners to successfully execute their responsibilities. The AIRS Certification Program is operated in alignment with national standards for credentialing organizations. There are currently more than 5,100 AIRS Certified practitioners in the United States and Canada. Candidates may only apply to take the certification examination following the establishment of eligibility which is based on a combination of I&R experience combined with educational background (for example, at least 1 year of I&R employment for applicants with a Bachelors or higher degree). The examinations are administered by approved proctors. Once secured, AIRS Certification must be renewed every two years following an application requiring proof of continuous professional development. AIRS Certification provides value to individuals, organizations and communities. From CIRS-A to CIRS-A/D AIRS in partnership with the National Association of States United for Aging and Disabilities (NASUAD) and the National Association of Area Agencies on Aging (n4a), has offered Certification in Information and Referral Aging (CIRS-A) for the past ten years. Professional certification needs to maintain relevance and as it became clear that the work of those within Aging was being aligned more closely with those working within Disabilities, it also became clear that AIRS needed to transform our existing CIRS-Aging (CIRS-A) certification to a CIRS-Aging/Disabilities (CIRS-A/D) certification. This involved much more than a simple name change. It involved a psychometric process that stretched over several months and nine distinct stages (summarized below and described in more detail within the document). Stage 1: Job Task Analysis Stage 2: Job Task Analysis Validation Stage 3: Assessment of Existing Questions Stage 4: New Question Development Stage 5: Question Review Stage 6: Cut Score Development Stage 7: Exam Creation Stage 8: Exam Review Stage 9: Final Exam Simulation Volunteer Subject Matter Experts (SMEs) Central to the process was the participation of more than 80 volunteers drawn from a wide range of aging and disabilities organizations and responsibilities (from directors to front-line staff) from 27 states who served as subject matter experts. Each stage required the work of various volunteer groups chosen to reflect the diversity of our sector, both in terms of the type of work performed, the geographic region, the nature of the agencies (small and large/urban and rural), and in terms of the individuals themselves (from 2 to 20 years of I&R experience, different levels of education, and cultural backgrounds). Most groups also included members for whom English was a second language. AIRS would like to thank all of the following individuals who volunteered for this challenging and highly confidential process, and their organizations for allowing their participation. NameOrganizationCityStateAbigail MusselmanADRC of Dane CountyMadisonWIAlison HammondPrince William County Area Agency on AgingPrince WilliamVAAngel JewellCSI Office on AgingTwin FallsIDAngela BrownNational Association of Area Agencies on Aging (n4a)WashingtonDCAngela MacDonaldDisability Action CenterDalton Gardens IDAngela R. EdwardsTrident Area Agency on AgingNorth CharlestonSCAnne WildmanNorthern Kentucky Area Development DistrictFlorenceKYAnnMarie AbbottOlympic Area Agency on AgingAberdeenWABarbara GordonKIPDA AAA, Independent Living/Aging and Disability Resource CenterLouisvilleKYBarbara LaboskyNortheast Iowa Area Agency on AgingDecorahIABasil Bailey, RNArea Agency on Aging, District 7Rio GrandeOHBeverly M. HuguleyThree River Area Agency on AgingFranklinGABeverly WaidCoastal Regional Commission/Area Agency on AgingDarienGABob GormanIndependence NorthwestNaugatuckCTBob KyllonenOlympic Area Agency on AgingAberdeenWACelia EasleyCentral Plains Area Agency on AgingWichitaKSChelsea B. CrittleCentral Mississippi Planning & Development DistrictJacksonMSCheryl GainesMiddle Alabama Area Agency on AgingCaleraALChrista EdwardsSenior Services of Southeastern VirginiaNorfolkVAChristine ThompsonSouthwest Missouri Office on AgingSpringfieldMOChristine WeltonSenior Choices, Area Agency on Aging for SWFLNorth Fort MyersFLDarlene MachinAging & Disability Resource CenterEllensburgWADeborah Danner-GulleyArea Agency on Aging, District 7Rio GrandeOHDeborah SeedIllinois Department on AgingChicagoILDebra MorganValley Area Agency on AgingFlintMIDiane WhiteSouthern GA Area Agency on AgingWaycrossGADonna BiletoNorthwestern Illinois Area Agency on AgingRockfordILDonnieka WoodsAging & In-Home ServicesFort WayneINElizabeth PhillipsADRC of Central WisconsinWisconsin RapidsWI Gary BolducEast Tennessee Human Resource AgencyKnoxvilleTNGlenn A. ClaflinAccess Independence, Inc.StratfordCTHolly AndersonAAA of Deep TexasJasperTXJanet LongWashington County Disability, Aging & Veteran ServicesHillsboroORJennifer R. CraigKentuckiana Regional Planning & Development Agency AAALouisvilleKYJune RenaudCounty of Kauai Agency on Elderly AffairsLihueHIKaren NelsonNorthwest Georgia Regional CommissionDaltonGAKaren Woodley211 Palm Beach/Treasure CoastLantanaFLKathryn Van CurenWest Central Florida Aging & DisabilityTampaFLKathy LyonsHeart of Texas 2-1-1WacoTXKatrine ColtenOlympic Area Agency on AgingAberdeenWAKealoha TakahashiCounty of Kauai, Agency on Elderly AffairsLihueHILaMonica UptonWyandotte/Leavenworth Aging and Disability Kansas CityKSLaWanna BroderickKnoxville - Knox County Office On Aging - Senior Citizens I & RKnoxvilleTNLeah GarciaArea Agency on Aging & Disabilities of Southwest WashingtonVancouverWALeslieAnn CiotiJefferson Council on Aging - ADRCMetairieLALynda SouthardCajun Area Agency on AgingLafayetteLAMarci D. Brown-McMurphyCommunity Action Program of East Central Oregon, AAAPendletonORMargaret MatthewsArea Agency on Aging of Central TexasBeltonTXMarie HaeneltDouglas County Senior ServicesRoseburgORMarissa WhitehouseMississippi Department of Human ServicesJacksonMSMary OsborneNational Association of Area Agencies on Aging (n4a)WashingtonDCMatt RomeroCentral Oregon Council on AgingBendORMatthew YeeCentral Illinois Agency on AgingPeoriaILMegan VelasquezLifeStream ServicesYorktownINNadine AutryThe Freedom Center, Inc.Frederick MDNanette ReclaveNational Association of States United for Aging and Disabilities WashingtonDCOlivia HarveyJunction Center for Independent Living Inc & Mountain Empire NortonVAPamela BilalHoward County Maryland - Office on AgingColumbiaMDPatricia A KeplerIndependent Living ResourcesPortlandORPatricia ParmeterMilestones Area Agency on AgingBurlington IAPhilip AnaHawaii Executive Office on AgingHonoluluHIRachel HeltonMountain Empire Older Citizens, Inc.Big Stone GapVARachel KaehnyWashington County ADRCWest BendWIRaquel AmayaMultnomah County Aging & Disability ServicesPortlandORRonnie GipsonBrazos Valley Council of Governments Area Agency on AgingBryanTXRose Mary DudleyCouncil of Community ServicesRoanokeVASara TribeNational Association of States United for Aging and Disabilities WashingtonDCSharon WilliamsonDepartment of Behavioral Health and Developmental DisabilitySavannahGASheila CaseyLa Plata County Senior ServicesDurangoCOShelly OgataHawaii County Office of AgingHiloHISue GreenoSenior Resources Area Agency on AgingNorwich CTTami L WackerEast Central IL Area Agency on AgingBloomingtonILTammy L JohnsonUnited Way of Greater ClevelandClevelandOHTracy BarrowsArea Agency on Aging of Pasco-PinellasSt. PetersburgFLValerie Ng JoeUnited Way of Greater HoustonHoustonTXVirginia PackDepartment of Oklahoma, Aging Services of OklahomaOklahoma CityOKWenda BlackHarvey County Department on AgingNewtonKSWendi AltmanNH DHHS, ServiceLink ProgramConcordNHYolanda PearsonOlympic Area Agency on AgingAberdeenWAYvonne DuhaylongsodHawaii Pacific UniversityHonoluluHI Stage 1: Job Task Analysis The first and most crucial stage involves the development of a Job Task Analysis (JTA). In order to create a testing instrument (i.e. an exam), you must know what needs to be tested. What does an I&R Specialist working in the Aging and/or Disabilities sectors, actually do? What skills and knowledge is needed to carry out those tasks competently? Which parts of the job are the most important? The additional challenge of the JTA was to ensure that the skills and knowledge identified as necessary to handle the disability-focused work of ADRCs was the same as the attributes required to deal with aging issues. Our guides through this and all of the subsequent stages were AIRS certification consultants, Michael Hamm and Dr. Gerald Rosen. Michael Hamm managed the accreditation program for the National Organization for Competency Assurance (NOCA) for eight years and is an American National Standards Institute (ANSI) certified auditor for compliance determination. He is a national authority on certification and accreditation indeed he has literally written the book on it, authoring Fundamentals of Accreditation. Our psychometrician, Dr Gerald Rosen, is a consulting psychologist specializing in the design and administration of testing programs, test validation, statistical analysis, and vocational testing. Dr. Rosen has more than 20 years of experience in testing and measurement, and has produced numerous professional publications on these topics. He has managed the development of many national certification and licensure programs. His background also includes a slice of I&R as he once worked at a crisis center in Pennsylvania. The volunteer subject matter experts shared their experience and insights over a two-day session. The process began with a blank slate as far as the expectations were concerned but as people talked about the work they did, it was clear that there was a commonality of knowledge, skills and process. The draft document established 7 Domains, 18 Tasks, 32 Knowledge Areas and 24 Skills Sets. The Tasks were weighted in terms of their relative importance to the job and to the client (for example, Screening/Assessment was determined to comprise 20% of the overall job). Stage 2: Job Task Analysis Validation However, the JTA only represented the combined views of the 13 SMEs who attended the session. Did those conclusions hold true for everyone else? The draft document was shared with more than 2,000 current CIRS-A participants providing them with a chance to make general and specific comments through an online survey that yielded detailed feedback from 265 individuals which represented a response rate of around 12%. One of the questions asked was Do you support the idea of having a single Certification that covers the work of I&R/Specialists serving both older adults and persons with disabilities (and their families and caregivers)? The response was an overwhelming 91.9% in favor of the initiative. The results validated the draft and enhanced it through several minor word improvements and subtle adjustments to the weightings of the various tasks. Here are the final approved domains: DomainsSubject of DomainWeight of Domain1Rapport18%2Screening/Assessment20%3Identification of Resources and Preferences 17%4Information, Assistance, Referral and Advocacy 19%5Documentation11%6Follow-up10%7Ethics, Professional, and Legal Issues 5% The document was approved by the AIRS Certification Commission. To view the full JTA report:  HYPERLINK "http://www.airs.org/files/public/AIRS_Certification_CIRS-AD_PracticeAnalysisReport" http://www.airs.org/files/public/AIRS_Certification_CIRS-AD_PracticeAnalysisReport. Stage 3: Existing Question Assessment Once we knew what needed to be tested, how many of our existing CIRS-A questions were still relevant and how many new questions would be required and in what areas? Another volunteer SME team was assembled. The challenge for this group was to go through the entire CIRS-A question database of more than 300 items and decide which questions should be kept and which should be removed. Any retained items had to be assigned to a Domain/Task within the new JTA. At the end of this process, we were able to quantify how many new questions were needed and in which areas (for example, we needed 12 new questions that tested the understanding of demographic documentation). Only about 60% of the existing questions were deemed both still relevant and equally applicable to someone working with persons with disabilities as well as with aging adults. However, through the ensuing process, virtually all of the retained questions were edited to the point of being almost unrecognizable from their original form. Stage 4: New Question Development We now needed to write over 100 new questions and subject matter experts to write them. These volunteers received training from Dr. Rosen on question writing techniques. This was the most challenging stage. Writing good questions is hard. But what is really hard is writing good wrong answers. This involves coming up with three distracters for each question that are plausible without being misleading while still leaving one answer that is obviously correct (but only obvious to the individuals that properly understand the issue). The group spent two days together engaged in individual and collaborative exercises that facilitated the process of question writing. The session resulted in a final bank of about 300 new and revised questions. Each question was linked to a specific Domain within the new JTA and had a verifiable source. Stage 5: Question Review It was now time for the entire item bank to undergo an extensive review from volunteers that had not been involved in any earlier stage. As a result, some questions were completely eliminated while the majority benefited from detailed editing. Very few questions emerged unaltered. I Stage 6: Cut Score Development A cut score (or pass mark) is not a random number. It should represent the percentage of answers that most accurately reflects the ability of an individual who is competent in the issues being tested. A cut score is never perfect. But it should be the score that eliminates as many false positives and false negatives as possible (that is, it tries to ensure that people who are competent, pass and that people who are not yet as competent, do not pass). Within this context, an exam might have a pass mark as high as 95 or as low as 40 if those marks represent the border line between someone with the desired amount of understanding and someone who has yet to reach that level. The AIRS Certification Program, in common with many examinations, uses a methodology known as modified Angoff ratings to determine cut scores. Basically, this involves SMEs assigning a degree of difficulty number to each question in the item bank. Technically, each exam can have a different cut score depending on the difficulty or otherwise of the questions within each exam. However, AIRS generates a mathematical formula to ensure that each exam contains the same balance of difficult and easy questions (that is, each exam has the same cut score). As a natural part of this process, further changes were made to many questions to improve their clarity and some questions were eliminated. Stage 7: Exam Creation AIRS now had a database of more than 300 extensively reviewed questions but no actual examinations. Using mathematical models from the cut score analysis, three new exams were created with an identical (to within 2 decimal points) balance of difficult/easy questions that accurately reflected the weighting of the JTA (for example, 10% of the questions involved a knowledge of the issues surrounding follow-up). By the end, each new exam had a cut score of 75. Stage 8: Exam Review But there were still two more stages required to ensure each exam was a fair test unto itself (for example, an exam did not contain two questions that addressed the same issue with similar words or did not contain a question that inadvertently gave away another answer). This process involved yet another opportunity to confirm and further hone item clarity and accuracy, and even at this stage, a handful of questions were removed as the SME team verified that there is one and only one correct answer for each question. Stage 9: Final Exam Simulation In the final stage, each of these three new exams underwent a simulation exercise which involved having experienced CIRS-A holders who had not been involved in earlier stages, take the exam under real conditions. This enabled us to analysis the performance of each individual question in terms of whether it was clear to examinees and did not inadvertently lead competent individuals to choose an incorrect answer. The process also ensured that we could be confident that each of the three exams returned equal results. As a bonus, this group of volunteers provided further suggestions and recommendations on the need to change certain questions. Once they had taken the exams, they completed an online survey that provided the following results:     Transition plan for existing CIRS-A holders The AIRS Certification Commission consulted with stakeholders to determine the best way to grandparent existing CIRS-A holders to the new CIRS-A/D qualification. The challenge was to provide the best balance between recognizing the new influences, respecting existing professionalism, ensuring no additional expense while also being as equitable as possible. The final decision will apply to all CIRS-A holders regardless of their current speciality and requires them to first take a free online training module which will be made available by NASUAD on issues relating to providing I&R to persons with disabilities and their caregivers, and will also touch on some basic awareness issues regarding persons with disabilities. The training would conclude with a self-administered online test of not more than 20 questions. This quiz would have to be passed before an individual could describe themselves as a CIRS-A/D. Final Implementation In order to provide agencies with some basic training/information on the issues covered in the new exams and lead time towards knowingly booking CIRS-A/D exams, the AIRS Certification Commission has decided that March 16th 2015 will be the first day on which the new CIRS-A/D exam will be available. Continuous Cycle The process of reviewing JTAs, creating new questions and refreshing existing exams occurs about every 4 years, takes about 12 months to complete and follows national standards for credentialing organizations. Appendix Benefits of AIRS Certification For the individual, AIRS Certification: Adds professional recognition to what you do. It addresses the misconception that I&R people just answer phones. Provides a transferable qualification. Many job postings state a preference for applicants with AIRS certification. As a consequence, there is much more mobility of I&R staff. Some agencies provide a pay increase for Certified staff. For the agency, AIRS Certification: Builds confidence among staff they believe more in their skills if they have been validated by an external body. Enhances agency quality assurance and consistency of service levels within your own I&R. Helps funders and other stakeholders understand and appreciate the professionalism involved in I&R. It shows that there is an emphasis on quality as the competencies of I&R positions have been defined it and are being externally tested. For the majority of its frontline staff is, along with AIRS Accreditation, often one of the criteria for securing and maintaining funding. The process of studying forces people to understand the context in which they perform their job and the skills that they need in a more systematic way. The alignment of training resources (e.g. ABCs of I&R and online training) with the Standards and the Certification process provides a continual enhancement of service. For the general public and the human services sector, AIRS Certification: Enhances agency quality assurance and consistency of service levels between different I&Rs. Improves customer service. Staff are aware of the requirements for quality performance and are more ready and capable of meeting them.     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