Pathway to the Future: How Workforce Development and Quality Jobs Can Promote Quality Care Conference Package. Background Information

05/01/2004

The Paraprofessional Healthcare Institute (PHI) and the North Carolina Department of Health and Human Services (NCDHHS) have once again collaborated to survey states about direct-care workforce issues. The 2003 survey updates and expands upon information collected from states in prior surveys to examine public policy actions taken by states to strengthen the direct-care workforce. Specifically, the purpose of this survey was to:

  • Obtain an updated assessment from states as to whether directcare worker vacancies are currently a serious workforce issue;
  • Determine whether state budget constraints during 2003 had any effect on planned or existing direct-care worker initiatives, and/or whether the direct-care workforce was affected by Medicaid program changes;
  • Identify new direct-care workforce public policy actions taken by states since the June 2002 survey;
  • Determine the degree to which states are, or are considering, tying reimbursement to outcomes associated with direct-care workforce and/or quality of care initiatives;
  • Compile additional information from states that use a uniform methodology to track turnover rates of direct-care workers in one or more long-term care settings regarding data tracking methods used, data trends, etc.; and
  • Update individual state charts of known public policy actions taken since the first survey conducted in 1999.

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