Recommendations for Establishing a Credentialing System for Iowa’s Direct Care Workforce, (pdf) a recent publication from the Iowa Direct Care Worker Task Force, is a useful tool for advocates in any state who want to create “an accessible, comprehensible, flexible, quality system of education and training for all direct care workers.”
The report documents work to be done to implement recommendations published by the task force in December 2006. Work began on the project last month.
Iowa’s proposed three-tiered credentialing system is intended to ensure that all direct-care workers are adequately prepared for the job. It also aims to make workers’ duties and qualifications clear to the consumers and family members who hire them, to acknowledge their special skills, and to correct the inequities of the current system, which requires training in some settings but not in others even when the same set of services is delivered in both.
Continue reading ‘Iowa Issues Detailed Blueprint for Establishing DCW Credentialing System’
The July issue of The Gerontologist is devoted to findings from the Better Jobs Better Care research and demonstration project. BJBC, which began in 2002 and ended in 2006, was the largest initiative in the nation ever created to address the high vacancy and turnover rates of direct-care workers by improving the quality of direct-care jobs. The initiative involved changing both public policy and employer practice. Demonstration grants were made to groups in Iowa, North Carolina, Oregon, Pennsylvania, and Vermont.
A nine-page overview lays out how and why the project came into being, the problems affecting the direct-care workforce, and how awareness of and responsiveness to those problems is changing. The essay is by Robyn Stone (pictured), executive director of the Institute for the Future of Aging Services, and PHI President Steven Dawson. FAS and PHI conceived of BJBC and provided technical assistance to the grantees. Funding was supplied by the Robert Wood Johnson Foundation and The Atlantic Philanthropies.
Among the findings detailed in the issue:
- Direct-care workers across long-term settings identified more pay, improved communication, better supervision, and being treated with respect as the most important things employers could do to improve jobs.
- After accounting for satisfaction with wages, benefits, and advancement opportunities — good basic supervision was most important in affecting CNAs to stay in their jobs.
- There is a positive correlation between CNA job commitment and resident satisfaction.
- After accounting for satisfaction with wages, benefits, and advancement opportunities, good basic supervision was the most important factor behind commitment to the job. Continue reading ‘Nationwide Initiative to Reduce DCW Turnover Documented’
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.
Continue reading ‘Rising Gas Prices Expose Home Care Fault Line’
“The residents come to know you better and trust you,” says a CNA of the changes a nursing home experienced after implementing consistent assignment.
The new system also benefits the home’s direct-care workers, according to a one-page report (pdf) by the Iowa Foundation for Medical Care, the Medicare Quality Improvement Organization for Iowa. “The staff have ownership and they are loving it,” says Assistant Administrator Deb Pascoe. Staff chose the neighborhoods they wanted to work in and divided resident caseloads.
The report describes an initiative by Wyndcrest Nursing Home in Clinton, Iowa, which piloted the change on one shift for several months before introducing it on others. “It’s important to remember that change takes time,” Pascoe explains. “Pilot testing provided us with an opportunity to work through problems before implementing it facility-wide.”
Continue reading ‘Iowa Residents, CNAs Reap the Benefits of Consistent Assignment’
On May 13, Iowa Governor Chet Culver (pictured) signed HF 2539, a new law that will have a dramatic and lasting impact on the direct-care workforce. The bill, whose intent is to “progress toward achievement of the goal that all Iowans have health care coverage,” includes several clauses specific to direct-care workers.
This dramatic success flows from years of work on the part of Di Findley, the founder and executive director of the Iowa CareGivers Association; extensive advocacy efforts by direct-care workers and their supporters; and the support of PHI’s Health Care for Health Care Workers campaign.
Read more and comment on the Health Care for Health Care Workers website
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