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Are rising gas prices making it harder for you to deliver or receive care? Add your comments at the end of this post. 

We all feel the pinch from high gas prices, but for home care workers it’s more of a punch. As PHI President Steven Dawson puts it: “The doubling of gas prices over the past few years has been like a pay cut for many home care workers — particularly those serving clients in rural areas.

“Policy makers like to believe that home care is cheaper than nursing homes, but that’s only true because home care workers are paid less than nursing home workers, often without health benefits,” adds Dawson. “There’s not much good to say about higher gas prices, except perhaps that they will now force policy makers to look more closely at the real costs of shifting toward home-based care, and in response create realistic reimbursement policies that will offer home care workers a true livable wage and benefits.”

When PHI’s Michigan State Director Hollis Turnham wrote about the home care gas crisis in our blog in June, talking about the problems she was already hearing about, anticipating others, and asking what other people were experiencing, the response was swift and impassioned. An employer called rising gas prices “the 500 lb gorilla in the room for home care agencies.” A home care worker talked about seeing turnover increase and “looking for something closer to home myself.” The head of a home care and hospice aide recruitment agency said he planned to do “something very tangible to address this issue,” though he wasn’t ready yet to say just what. 

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“I can honestly say that I love being a Shahbaz, and so do my fellow Shahbazim,” Edna Hess told the senators at a July 23 U.S. Senate Special Committee on Aging hearing.

Hess worked for years as a CNA at the Lebanon Valley Brethren Home in Palmyra, Pennsylvania, becoming a Shahbaz (the Green House® name for direct-care workers) when the home converted to the Green House® model nine months ago. Since then, she told the committee, not a single Shahbaz has left. “This a big improvement over my facility’s 23 percent annual turnover rate for nursing assistants, and an even bigger improvement over the national turnover rate for nursing assistants, which I understand to be slightly over 70 percent per year.”

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A recent “listening session” on the direct-care workforce for Wisconsin legislators demonstrated the power — and the limitations — of capturing lawmakers’ attention with personal testimonials.

Family members attested to the importance of paid caregivers, employers discussed the increasing difficulty of recruiting enough workers, and direct-care workers talked about the difficulty of surviving on their wages as gas prices and other expenses increase.

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A profile of Alice Hedt in one of the leading magazines for long-term care providers praises her ability to work well with providers without compromising her standards. That rare talent, says the article, has won the nursing home consumer advocate praise from “an industry she frequently seems to tweak.” The article ran in the July issue of McKnight’s Long-Term Care News & Assisted Living.

“She has very strong management skills and high expectations, but at the same time is very kind and forgiving. She’s soft-spoken but strong-willed. She doesn’t have a mean bone in her body,” said NCCNHR founder Elma Holder of Hedt, who is now the group’s executive director.

NCCHNR, which advocates for minimum federal staffing standards for nursing homes, stresses the importance of proper workplace systems and supports for nursing assistants.

Elise Nakhnikian, Senior Online Editor
enakhnikian@phinational.org

A newly awarded federal grant will fund continuing research and analysis on how to strengthen and support the personal assistance services workforce.

The University of California San Francisco’s five-year-old Center for Personal Assistance Services (PAS Center) learned last week that is has been funded for another five years by the National Institute on Disability and Rehabilitation Research. In a news release about the grant, Charlene Harrington (pictured), the Center’s director and principal investigator, describes the center’s goal as “providing support so that people with disabilities can live and work independently in their community, as opposed to being institutionalized in a nursing home.”

Starting this October, the center will focus on three areas under the $4.25 million grant: improving access to PAS by individuals with disabilities; improving the workforce to support individuals with disabilities, and understanding the complexities of the economics of PAS. The center has done research documenting low wages, a scarcity of health care benefits, and high turnover rates among PAS workers.

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“If I had only one sentence, this would be it: Direct support work is a highly skilled job,” says Amy Hewitt.

“It’s not viewed that way by society – or, frankly, by many employers – but not everybody can do this job. You have to be smart; you have to be able to problem solve; you have to be flexible and a quick thinker. You also need patience and empathy and creativity. We’re not going to get anywhere in terms of policy advocacy or getting the supports we need in place without clearly articulating that this is a highly skilled job.”

Hewitt is a senior research associate at the University of Minnesota’s Research and Training Center on Community Living. The center’s mission is to support community living for people with intellectual and developmental disabilities – and that has led to a focus on strengthening and supporting the direct support workforce.

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