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Kelly CM, Deichert JA. A Profile of the Direct Care Workforce in Home- and Community-Based Services. J Appl Gerontol 2023; 42:1921-1929. [PMID: 37100419 DOI: 10.1177/07334648231173580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/28/2023] Open
Abstract
We used data from the 2020 American Community Survey to compare direct care workers (DCWs) in home and community-based services (HCBS) with workers in other long-term supportive services (LTSS), such as skilled nursing facilities (SNFs) and assisted living facilities (ALFs). Compared to DCWs in SNFs and ALFs, a higher proportion of DCWs in HCBS were over age 65, Latino/a, and single. A lower proportion of DCWs in HCBS worked for a for-profit company, worked year-round and full-time, and had employer-based health insurance.
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Affiliation(s)
- Christopher M Kelly
- Center for Public Affairs Research, University of Nebraska at Omaha, Omaha, NE, USA
| | - Jerome A Deichert
- Center for Public Affairs Research, University of Nebraska at Omaha, Omaha, NE, USA
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Russell D, Fong MC, Gao O, Lowenstein D, Haas M, Wiggins F, Brickner C, Franzosa E. Formative Evaluation of a Workforce Investment Organization to Provide Scaled Training for Home Health Aides Serving Managed Long-Term Care Plan Clients in New York State. J Appl Gerontol 2022; 41:1710-1721. [PMID: 35420904 DOI: 10.1177/07334648221084182] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
As part of its Medicaid program restructuring, New York State funded 11 Workforce Investment Organizations (WIO) to support training initiatives for the long-term care workforce. Focusing on one WIO, this formative evaluation examined quality improvement training programs delivered to 11,163 Home Health Aides employed by home care agencies serving clients of Managed Long-Term Care plans. Results are presented from a thematic analysis of qualitative interviews with organizational and program stakeholders examining contextual factors influencing program objectives, implementation, barriers and facilitators, and perceived outcomes. Findings suggested that WIO training programs were implemented during a period of shifting organizational strategies alongside value-based payment reforms and challenges to aide recruitment and retention. Stakeholders appraised WIO training programs positively and valued program flexibility and facilitation of communication and collaboration between agencies and plans. However, delivery and implementation challenges existed, and industry-wide structural fragmentation led stakeholders to question the WIO's larger impact.
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Affiliation(s)
- David Russell
- Department of Sociology, 1801Appalachian State University, Boone, NC, USA.,Center for Home Care Policy & Research, 44198Visiting Nurse Service of New York, New York, NY, USA
| | - Mei-Chia Fong
- Business Intelligence and Analytics, 44198Visiting Nurse Service of New York, New York, NY, USA
| | - Oude Gao
- Business Intelligence and Analytics, 44198Visiting Nurse Service of New York, New York, NY, USA
| | - Dan Lowenstein
- Business Intelligence and Analytics, 44198Visiting Nurse Service of New York, New York, NY, USA
| | - Marian Haas
- Business Intelligence and Analytics, 44198Visiting Nurse Service of New York, New York, NY, USA
| | - Faith Wiggins
- 1199SEIU Home Care Industry Education Fund, New York, NY, USA
| | - Carlin Brickner
- Business Intelligence and Analytics, 44198Visiting Nurse Service of New York, New York, NY, USA
| | - Emily Franzosa
- Geriatric Research Education and Clinical Center (GRECC), 20071James J Peters VA Medical Center, Bronx, NY, USA.,Icahn School of Medicine at Mount Sinai, New York, NY, USA
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