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Ensuring a Qualified Long-Term Care Workforce: From Pre-Employment Screens to On-the-Job Monitoring
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Author(s): Lewin Group |
Organization(s): Lewin Group |
In an effort to improve the quality of care provided in long-term care settings, as well as ensure a committed and qualified long-term care workforce, ASPE contracted with The Lewin Group to study the efficacy of various approaches to pre-employment screening and on-the-job monitoring of nurse assistants to prevent resident abuse in nursing homes. This study is intended to inform policymakers, providers, consumers and other interested parties about the relative contributions and perceived effectiveness of existing federal mandates and state and provider based strategies for preventing or reducing the abuse of vulnerable adults. [93 PDF pages] |
Published: May, 2006 |
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The Supply and Demand of Professional Social Workers Providing Long-Term Care Services: Report to Congress
(Report)
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Author(s): Department of Health and Human Services, Department of Veterans Affairs and Department of Labor |
Organization(s): Office of the Assistant Secretary for Planning and Evaluation |
This report discusses the current and future availability of professional social workers in long-term care settings. Recommendations for addressing any identified future shortage areas, including cooperative strategies involving federal agencies, professional associations, and school of social work are also addressed. [31 PDF pages] |
Published: March, 2006 |
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Linking TANF Recipients with Paraprofessional Long-Term Care Jobs
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Author(s): Jacqueline Kauff, Gretchen Kirby and LaDonna Pavetti |
Organization(s): Mathematica Policy Research |
This brief is based on Mathematica's study of Temporary Assistance for Needy Families (TANF) recipients as long-term care (LTC) workers. The study examined the suitability of TANF recipients for employment as certified nurse aides and home health aides and the feasibility of training recipients for these paraprofessional jobs. The authors used two data sources: (1) a survey of single-parent TANF recipients in three states and the District of Columbia; and (2) in-person visits to five programs that train TANF recipients and other low-income individuals for these jobs. The study shows that more than half of those on the TANF caseload have the potential to succeed in paraprofessional LTC jobs and that there are many different ways to design and implement successful LTC training programs for TANF recipients. [8 PDF pages] |
Published: March, 2005 |
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TANF Recipients as Potential Long-Term Care Workers: An Assessment of the Prospects in the District of Columbia, Illinois, Maryland and South Carolina
(Report)
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Author(s): Gretchen Kirby, LaDonna Pavetti, Jeffrey Max and Jesse Gregory |
Organization(s): Mathematica Policy Research |
The LTC industry's need for workers and TANF recipients' need for jobs could be mutually beneficial if, indeed, recipients' characteristics, skills, and circumstances match the requirements, accessibility, and availability of LTC jobs. In this paper, the authors provide a brief overview of what is already known about the characteristics of long-term care jobs and the individuals who hold them, focusing on nurse aides and home health aides. They use survey data from the District of Columbia and three states (Illinois, Maryland and South Carolina) to examine the characteristics and circumstances of all single-parent TANF case heads, and of those recipients who are or have recently been employed in the long-term care industry. Finally, the authors use multivariate analysis to predict the likelihood of employment among current TANF recipients and use the results to estimate the proportion of the current TANF caseload that could potentially be employed in the long-term care industry and describe their characteristics. They conclude this paper with a brief discussion of the potential policy and/or program initiatives that this analysis suggests. [82 PDF pages] |
Published: March, 2005 |
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Training TANF Recipients and Low-Income Populations for Long-Term Care Paraprofessional Jobs
(Report)
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Author(s): Jacqueline Kauff |
Organization(s): Mathematica Policy Research |
The LTC industry's need for workers and TANF recipients' need for jobs could be mutually beneficial if (1) the characteristics of TANF recipients are well-matched to the requirements of the paraprofessional jobs in demand; (2) available LTC jobs offer the hours and pay that TANF recipients need to move toward self-sufficiency; and (3) workforce development programs can create routes to the LTC industry that are accessible, attractive, and easily navigable for TANF recipients. In an effort to assess the suitability of TANF recipients for such jobs and the feasibility of training recipients for such jobs, ASPE contracted with Mathematica Policy Research, Inc., to conduct the Study of TANF Recipients as Long-Term Care Workers. An earlier report from the study presented findings on the suitability of TANF recipients for employment in the LTC industry based on analyses of administrative data from three states and the District of Columbia and concluded that over half of the TANF caseload meets the basic requirements for LTC jobs. This report presents findings from a qualitative analysis of five programs that train TANF recipients and similar low-income populations for paraprofessional jobs in the LTC industry to assess the feasibility of and challenges embedded in such efforts. |
Published: January, 2005 |
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Recruiting and Retaining a Quality Paraprofessional Long-Term Care Workforce: Building Collaboratives with the Nation's Workforce Investment System
(Report)
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Author(s): Michael E. Fishman, Burt Barnow, Asaph Glosser and Karen Gardiner |
Organization(s): Lewin Group |
This paper provides the fundamental context of both the long-term care sector and the workforce investment system in order to build understanding among members of each system. It is not intended to be comprehensive but to provide enough information to stimulate dialogue. Section II briefly describes the characteristics of the long-term care paraprofessional workforce. Section III outlines the growth in the long-term care sector. Section IV discusses workforce shortages from an economic perspective and why they exist in the long-term care sector. Section V describes the response of the long-term care sector to the shortage of paraprofessionals. Section VI describes the Workforce Investment Act (WIA) and the role of the workforce system. Section VII provides some examples of workforce investment initiatives in the long-term care sector. Finally, Section VIII presents some opportunities for collaboration. [24 PDF pages] |
Published: May, 2004 |
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Pathway to the Future: How Workforce Development and Quality Jobs Can Promote Quality Care Conference Package
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[32 PDF pages] |
Published: May, 2004 |
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Executive Summary
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Measuring Long-Term Care Work: A Guide to Selected Instruments to Examine Direct Care Worker Experiences and Outcomes
(Report)
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Author(s): Lauren D. Harris-Kojetin, Kristen M. Kiefer, Diane Brannon, Teta Barry, Joseph Vasey and Michael Lepore |
Organization(s): Institute for the Future of Aging Services |
This Guide was developed to help long-term care providers devise appropriate surveys for measuring the experiences, behaviors and outcomes of Direct Care Workers (DCW) which might influence DCW retention and the long-term care work environment. This Guide can help organizations: (1) understand the importance of accurate measurement to guiding effective DCW retention efforts; (2) develop a measurement plan to target DCW retention strategies; and (3) become a more informed user of survey-based and records-based data for monitoring and improving the work environment. A separate online File Listing gives the user the ability to go directly to the chapter or appendix they are interested in. [394 PDF pages] |
Published: November, 2003 |
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State-Based Initiatives to Improve the Recruitment and Retention of the Paraprofessional Long-Term Care Workforce
(Report)
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Author(s): Institute for the Future of Aging Services and Paraprofessional Healthcare Institute |
Organization(s): Institute for the Future of Aging Services |
The Department of Health and Human Services awarded a contract to launch a national initiative designed to improve recruitment and retention of direct care workers in the long-term care field. As part of this initiative, the Institute for the Future of Aging Services and the Paraprofessional Healthcare Institute have identified a range of workforce improvement initiatives at the state and sub-state level to reduce high vacancy and turnover rates among direct care workers, and improve the quality of their jobs. This report summarizes the experiences of five states--California, Massachusetts, North Carolina, Pennsylvania and Wisconsin--that have pursued several strategies to address this issue to inform policymakers, long-term care providers, organized labor and other worker groups, and consumers across the country grappling with serious shortages of direct care workers. [41 PDF pages] |
Published: June, 2003 |
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State Wage Pass-Through Legislation: An Analysis
(Report)
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Author(s): Institute for the Future of Aging Services |
Organization(s): Institute for the Future of Aging Services |
Twenty-one states have implemented "wage pass-through" programs with the stated expectation that doing so will help address the shortage of direct care workers employed by long-term care providers in their states. A wage pass-through is an additional allocation of funds provided through Medicaid reimbursement for the express purpose of increasing compensation for direct care workers. The purpose of this issue brief is to: describe the structure of wage pass-through programs in selected states; summarize what is known about the impact of these programs on the recruitment and retention of direct care workers; and identify key design elements that states should consider if they choose to implement a wage pass-through. [8 PDF pages] |
Published: December, 2002 |
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