HRS, Inc. has announced that their policies will be changing to allow LPNs to complete Clinical Reviews of the Health Risk Screening Tool (HRST). This change was made after a review by HRST clinical staff who determined that the Clinical Review is evolving to function primarily as a quality assurance measure to help ensure accurate screenings. Changes will be made to the current training and documentation and will become effective in January 2020.

When possible, the Clinical Review should be completed by an RN; however, the following is highly recommended for any agency that uses LPNs to complete Clinical Reviews:

1. When possible, choose LPNs who have experience working with people with I/DD;
2. Continue to train RNs to complete Clinical Reviews so that oversight can be given to LPNs as needed; and
3. When possible utilize LPNs who have obtained I/DD specific credentialing, such as DDC (Developmental Disabilities Certified).

The process and steps within the HRST web-based application required to complete a Clinical Review will remain the same. Clinical Reviewer training will be updated to accommodate LPNs and/or RNs completing the Clinical Review.

Please note that the required training by RNs and LPNs to complete Clinical Reviews remains as follows:

1. Successful completion of the HRST Online Rater Training
2. Successful completion of the HRST Clinical Reviewer Training

If you have any questions about these changes, please submit via email.

Also, as a reminder, if you are an RN or LPN and need to register for the live training, the next round of courses is scheduled in January 2020.

Register now to reserve your place:

• Erie County Public Library: Tuesday, January 21, 2020, 9:00 am – 4:30 pm
• Marywood University: Friday, January 24, 2020, 9:00 am – 4:30 pm