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	<title>Comments on: Senate Bill Proposes Career Ladder Funding for DCWs</title>
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	<link>http://phinational.org/archives/senate-bill-proposes-career-ladder-funding-for-dcws/</link>
	<description>PHI works to improve long-term care -- by improving the jobs of home health aides, certified nurse aides, &#38; personal care attendants.</description>
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		<title>By: Ruth</title>
		<link>http://phinational.org/archives/senate-bill-proposes-career-ladder-funding-for-dcws/comment-page-1/#comment-3179</link>
		<dc:creator>Ruth</dc:creator>
		<pubDate>Mon, 13 Apr 2009 19:55:27 +0000</pubDate>
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		<description>I beleive the bill is a step in the right direction but I have some concerns. First, before the bill is passed, there should be guidelines to enhance the position of the individuals taking the course of study. Will the individual be able to work or help design plan of care focusing on &quot;patient-centered&quot; programs. Some of the patient-centered programs are fine dining, residents choosing medication time and bath time, recreational activities, and outside leisure activities. Second, after the bill is passed, are there certain safeguards that facilities run by private organizations will raise pay scales for workers and not supress the pay scales by less than .50 raises. Performance evaluations are imperative but other incentives, such as monetary increases, educational opportunities, short-term rewards, and long-term rewards are necessary to maintain motivation in the direct-care workers industry.
There is nothing wrong with financial incentives but I would strive for rewards that are concrete and will benefit the worker in the long term.</description>
		<content:encoded><![CDATA[<p>I beleive the bill is a step in the right direction but I have some concerns. First, before the bill is passed, there should be guidelines to enhance the position of the individuals taking the course of study. Will the individual be able to work or help design plan of care focusing on &#8220;patient-centered&#8221; programs. Some of the patient-centered programs are fine dining, residents choosing medication time and bath time, recreational activities, and outside leisure activities. Second, after the bill is passed, are there certain safeguards that facilities run by private organizations will raise pay scales for workers and not supress the pay scales by less than .50 raises. Performance evaluations are imperative but other incentives, such as monetary increases, educational opportunities, short-term rewards, and long-term rewards are necessary to maintain motivation in the direct-care workers industry.<br />
There is nothing wrong with financial incentives but I would strive for rewards that are concrete and will benefit the worker in the long term.</p>
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		<title>By: Yvonne Atkinson</title>
		<link>http://phinational.org/archives/senate-bill-proposes-career-ladder-funding-for-dcws/comment-page-1/#comment-292</link>
		<dc:creator>Yvonne Atkinson</dc:creator>
		<pubDate>Sat, 26 Apr 2008 21:04:40 +0000</pubDate>
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		<description>Career Ladder Funding for DCW&quot;S

I am Yvonne Atkinson, President of Presbyterian Homes in the Presbytery of Lake Erie in NW PA.  We have a career ladder for every position in our company.  Our employees are invited to learn more about care and safety of the residents.   When they complete the training they receive more money.  

We have had many complete the career ladders but we don&#039;t really have a step up position to give them because  when it is all said and done you need so many chiefs and so many indians for lack of a better discription.  

If a CNA completes 2 ladders they become a CNA II or CNA III respectully but their duties don&#039;t change.  They receive more money and we hope that they become our mentors for new employees but that is not the result often achieved.

The Career Ladder concept is one to be studied.  One completes it for the money but then the money becomes a non motivator in time. 
Paying a respectful wage and offering a career ladder with no financial incentive might provide a better outcome.  Then those who complete the studies are there because they want to learn and do better and that in their motivation.

Sincerely, Yvonne Atkinson</description>
		<content:encoded><![CDATA[<p>Career Ladder Funding for DCW&#8221;S</p>
<p>I am Yvonne Atkinson, President of Presbyterian Homes in the Presbytery of Lake Erie in NW PA.  We have a career ladder for every position in our company.  Our employees are invited to learn more about care and safety of the residents.   When they complete the training they receive more money.  </p>
<p>We have had many complete the career ladders but we don&#8217;t really have a step up position to give them because  when it is all said and done you need so many chiefs and so many indians for lack of a better discription.  </p>
<p>If a CNA completes 2 ladders they become a CNA II or CNA III respectully but their duties don&#8217;t change.  They receive more money and we hope that they become our mentors for new employees but that is not the result often achieved.</p>
<p>The Career Ladder concept is one to be studied.  One completes it for the money but then the money becomes a non motivator in time.<br />
Paying a respectful wage and offering a career ladder with no financial incentive might provide a better outcome.  Then those who complete the studies are there because they want to learn and do better and that in their motivation.</p>
<p>Sincerely, Yvonne Atkinson</p>
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