Pathway to the Future: How Workforce Development and Quality Jobs Can Promote Quality Care Conference Package. Pathways to Better Care: Investing in the Long-Term Care Workforce

05/01/2004

Debra J. Lipson, M.H.S.A.
American Association of Homes and Services for the Aging

OVERVIEW

  • Better Jobs Better Care (BJBC) Goals and Premises
  • BJBC Demonstration Projects
  • Policy/practice themes and initial experiences
  • National Study of Demonstration Projects
  • BJBC Applied Research Projects

BETTER JOBS BETTER CARE (BJBC) GOAL

  • Support changes in long-term care policy and provider practice that:
    • Help to reduce high vacancy and turnover rates among direct care staff across the spectrum of long-term care settings.
    • Improve workforce quality.

KEY PREMISES OF BJBC

  • Coalitions of providers, consumers and workers are key to making sustained changes.
  • Public policies and workplace practices should support and reinforce each other.
  • More/better research needed to document the effectiveness of public policies and workplace practices.

BJBC PROGRAM STRUCTURE

  • Co-funded by The Robert Wood Johnson Foundatino and The Atlantic Philanthropies.
  • National Program Office -- Institute for the Future of Aging Services, providing program direction and technical assistance.
  • Technical Assistance partner -- Paraprofessional Healthcare Institute.
  • 2 grant programs:
    • Demonstration grants.
    • Applied Research and Evaluation grants.

BJBC DEMONSTRATION GRANTS

  • 5 Demonstration grants:
    • Up to $1.4 million over 3½ years awarded to coalitions in five states
  • Multi-stakeholder coalitions including:
    • Long-term care providers, workers and consumers, working with state and local agencies, workforce development agencies, educational institutions, etc.

BJBC STATE COALITIONS AND LEAD AGENCIES

  • Iowa -- Iowa Caregivers Association
  • North Carolina -- North Carolina Foundation for Advanced Health Programs
  • Oregon -- Oregon Technical Assistance Corporation
  • Pennsylvania -- Center for Advocacy for the Rights and Interests of the Elderly
  • Vermont -- Community of Vermont Elders

BJBC STATE COALITION POLICY INITIATIVES

  • Efforts to link payment, or rewards, to positive workforce development practices and outcomes
  • Wage/benefit enhancements and/or wage parity across long-term care provider types.
  • DCW Training:
    • State recognition of additional DCW skills.
    • Universal core curriculum for all types of DCWs.
    • Increased access to advanced training.

BJBC STATE COALITION WORKPLACE PRACTICE IMPROVEMENTS

  • Organization culture change to empower and value DCWs.
  • Peer mentoring, supervisor training programs.
  • Promoting/valuing cultural diversity in the workforce.
  • Development of innovative curricula and training methods.

SYNERGY BETWEEN POLICY AND PRACTICE INITIATIVES

  • State licensing designation and “quality awards” for better DCW workforce inputs/outcomes reinforces provider investment in training.
  • State recognition of additional training and skills gives incentives to DCWs to advance or stay in the field, which are reinforced by pay increases and public training subsidies.

BJBC NATIONAL DEMONSTRATION STUDY

  • Penn State University -- Kemper/Brannon
    • Document and analyze grantee activities, successes and challenges.
    • Assess impact of policy and practice changes on provider organizations, quality of DCW jobs and worker perceptions of quality of care.
  • Management Information System, PSU Survey Research Center
    • Consistent web-based system to track employee retention, turnover, changes in working conditions in all providers participating in BJBC demonstration activities.

BJBC APPLIED RESEARCH AND EVALUATION GRANTS

  • 8 Applied Research and Evaluation Grants awarded
    • Up to $500,000 each over 2 years to university and non-profit research institutes.
  • Designed to generate practical, empirical knowledge about the strategies and practices that work best to attract and retain a high-quality direct care workforce.
  • Impact of wage/benefit enhancements.
  • Potential to expand labor pool by recruiting family/friends, older workers.
  • Organizational and management practices.
  • Cultural competency.
  • Training needs of CNAs/HHAs.

PUBLIC/PROVIDER/POLICYMAKER EDUCATION AND AWARENESS

  • Dissemination of project findings, results and policy implications
    • Website
    • Newsletter -- Insights -- and Issue Briefs
    • Professional conferences
    • Policy seminars in Washington, DC
    • Media briefings, interviews, etc.

FOR MORE INFORMATION

  • Visit the BJBC website:
    • http://www.bjbc.org
    • See project profiles and descriptions under each type of grant program
    • Download newsletters, issue briefs, etc.
  • Contact us or join our mailing list:
    • bjbc@aahsa.org
    • 202-508-1216

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