Proposal Ideas for Direct-Care Workforce Employment and Training Initiatives

Strategic Areas Proposal Ideas ARRA/WIA Target Population
Recruitment &
Pre-employment Training
  • Programs that provide recruitment, pre-screening, literacy and ESL, and/or foundation skills training for health care workers
  • Programs that leverage One-Stop systems to build a pool of available workers who have satisfied most pre-employment training requirements and screening
  • Training programs that provide Vocational ESL (V-ESL) for direct-care workers
Entry-level and dislocated workers
“Core Curriculum” Approaches
  • Initiatives that establish a formal, competency-based, adult learner-centered basic training for direct-care workers that is portable across settings
  • Initiatives that establish statewide minimum training program for any direct- care worker providing “hands on” assistance
Entry-level, dislocated and incumbent workers  
Apprenticeship Approaches
  • Initiatives that establish US DOL registered apprenticeship training programs for CNAs, Home Health Aides, Direct Support Specialists, and Health Support Specialists
Entry-level, dislocated and incumbent workers 
Career Paths and Advancement Approaches
  • Programs that help incumbent and newly hired workers move vertically. Examples include: PCA to CNA or HHA, CNA or HHA to LPN to RN, respiratory technicians, pharmacy technicians
  • Programs that help incumbent and newly hired workers move laterally. Examples include: peer mentors, medication aides, specialization in geriatrics, dementia, rehabilitation, and end-of-life care
Entry-level, dislocated and incumbent workers 
Job Redesign for Chronic Care Mgmt
  • Programs that train direct-care workers as “Care Transition Buddies” enabling workers to move with consumers across settings (e.g., from nursing home care to home care), work with interdisciplinary teams, and assist family caregivers
  • Programs that train direct-care workers as “Continuing Care Aides” to work in interdisciplinary teams, help monitor and report out changes in chronic health conditions, and ensure compliance with medication and health care regimens
  • Programs that train DCWs in telehealth applications (remote monitoring)
  • Programs that train direct-care workers as wellness and prevention coaches to support positive health-related behaviors relating to eating habits, physical activity, and social connection.
  • Programs that train direct-care workers to support family caregivers, especially when family member is new to additional responsibilities or care transitions
Entry-level, dislocated and incumbent workers 
Setting-Based or Sectoral Approaches
  • Initiatives that establish industry-supported job descriptions, and standardized training programs and credentialing for direct-care settings such as assisted living and private duty home care.
  • Initiatives that establish a statewide sectoral intermediary for direct‐care workers to identify immediate recruitment, training and employment opportunities and to coordinate funding streams and resources in order to improve direct-care jobs.
  • Initiatives that promote retention approaches tied to supervisory training and organizational development, such as coaching supervision training for front-line supervisors and RNs working in long-term care settings.
Entry-level, dislocated and incumbent workers