Archive | April, 2009

Advocacy Group Calls for Patient-Centered Care, Quality Workforce

Debra Ness

Debra Ness

In a statement delivered on April 21 at the Senate Finance Committee’s Roundtable on Delivery System Reform, Debra Ness, president of the National Partnership for Women & Families (NPWF), called for a patient-centered approach to the issue of national health care reform.

She singled out workforce reform as one of the most pressing areas of concern.

In her statement, she told the roundtable that “Americans stand today at a historic crossroads: Before us lies the opportunity to fix a health care system that is beset by high costs, inefficiencies and inadequate coverage.” Continue Reading

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Manual Offers Guidance for Culture Change in LTC

For more than 20 years, America’s nursing homes have struggled to live up to the goals of the “culture change” movement, which would transform nursing homes from clinical institutions into home-like settings in accordance with person-centered federal standards established in the 1980s.

A new manual from the Advancing Excellence in America’s Nursing Homes campaign created with support from the Commonwealth Fund seeks to address this issue by offering nursing home staff an evidence-based guide to preparing, implementing, and sustaining clinical and cultural changes. Continue Reading

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Sebelius Confirmed as HHS Secretary

Kathleen Sebelius being sworn in by President Obama on April 28

Kathleen Sebelius being sworn in by President Obama on April 28

Kathleen Sebelius was confirmed to head the Department of Health and Human Services late Tuesday by a Senate vote of 65 to 31, and sworn in later that night in a White House ceremony. The vote had been delayed by Republicans concerned about her position on abortion. Continue Reading

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PODCAST: Rodat on Covering NY Caregivers

Carol Rodat

Carol Rodat

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download podcast (mp3)
Recorded: Tuesday, April 28, 2009
Duration: 05:47
File Size: 2.65 MB

In this podcast, PHI NY policy director Carol Rodat discusses the importance of providing health coverage for New York’s home care workers. Rodat’s podcast has been released in conjunction with two reports (press release):

This podcast was produced through the Fairness Initiative on Low-Wage Work.

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PRESS RELEASE: PHI Urges NY to Cover Caregivers

PRESS RELEASE
For Immediate Release

New York’s Caregivers Lack Coverage: PHI Urges State Action

Despite their importance to health care services, one in three personal and home care aides lacks insurance and those that do have coverage are in danger of losing eligibility every time they lose hours. Two new reports published by PHI and funded by the New York State Health Foundation (NYSHealth) call on policymakers to address the health care needs of this rapidly growing workforce. Continue Reading

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Maine: PHI Testifies on DCW Wage Bill

maine quarterAllison Lee, national campaign manager for the PHI Health Care for Health Care Workers campaign, recently testified before the Maine Health and Human Services Committee in support of LD1364 (rtf).

LD1364 is a bill that would standardize the wage rate for all personal assistance workers at a minimum of $12 per hour. Advocates are encouraging the state to use federal stimulus monies to fund the initiative.

Lee’s testimony:

Testimony of Allison Lee,
National Campaign Manager
Health Care for Health Care Workers
PHI

Prepared for the Maine Health and Human Services Committee
April 28, 2009

Thank you for the opportunity to submit testimony in support of LD 1364 – An Act To Stimulate the Economy by Expanding Opportunities for Personal Assistance Workers. PHI is a national non-profit that works to improve the quality of eldercare and disability services through improving the jobs of the direct-care workforce. For the past two years, I have been working with the Maine Direct-Care Coalition on a campaign to secure affordable, quality health care benefits for direct-care workers in the state.

Providing decent paying jobs with benefits is the key to providing quality care for Maine’s most vulnerable citizens. In 2006, according to the Maine Department of Labor, there were 23,182 direct-care workers employed in the state. However, that number underestimates the total number of workers as it does not count many workers who are employed directly by a consumer.

PHI analysis of the Maine occupational projections predicts that positions for personal assistance workers are expected to increase by 45% over the decade ending in 2016. These jobs make the list of the top ten fastest-growing jobs in the Maine economy and also the list of the top ten occupations expected to produce the largest number of annual openings. Yet, indicators show that the workforce is shrinking. In order to meet the growing demand for services, direct-care worker jobs must pay a decent wage to attract new entrants into the workforce.

While real wages for these workers have improved by roughly 4 percent over last decade, they are still under $9/hour. In addition, 40 percent of direct-care workers nationwide live in households that rely on one or more public benefits, such as Medicaid or food stamps, reflecting the heavy public subsidies required to compensate for the low wages and inadequate benefits received by most of these workers.

This predicted occupational growth presents an economic opportunity for the state of Maine. Direct-care worker jobs are the jobs of the future—they can’t be outsourced; they are recession‐proof and they can be powerful economic drivers improving the lives of many low‐income families and spurring community revitalization.

Maine can realize additional economic and social benefits by investing in direct-care jobs—higher tax revenues, reduced reliance on public benefits by direct-care workers, more efficient use of Medicaid and Medicare funds due to lower turnover costs, better retention of workers, and improved quality of care for aging and disabled populations.

LD 1364 is an important investment in a critical workforce. With the increased federal match that will be coming to the state, Maine would be wise to leverage state dollars to make a great impact on a vital economic engine – the direct-care workforce.

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