Publications

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Workforce Analysis: Why Quality Jobs Matter Advocacy Strategies State-Based Initiatives Worker-Owned Cooperatives Teaching Tools

Recruitment & Retention Recruitment Training and Education Peer Mentoring Supervision Workplace Culture and Caregiving Practices Wages and Benefits

State-Based Initiatives
	Reimbursement Practices and Issues in Vermont's Long-Term Care Programs By Dorie Seavey and Hollis Turnham, Community of Vermont Elders and Paraprofessional Healthcare Institute, November 2006. This report surveys public reimbursement methods employed in Vermont's various long-term care settings. It discusses payment methods and challenges that exist in each. The authors suggest improvements to the reimbursement approach, including a coordinated approach across the state's full array of long-term care settings, consistency and uniformity in standards, models that allow for the evaluation of the adequacy of rates over time, and higher performance standards related to quality care and quality jobs.
	Addressing New York City's Care Gap: Aligning Workforce Policy To Support Home-And-Community Care By Dorie Seavey, Steven Dawson and Carol Rodat, October 2006. New York City Workforce Investment Board. This issue brief provides an overview of the home- and community-based care workforce crisis in New York City. The authors analyze the supply and demand conditions that are creating a ''care gap'' in home- and community-based care. They also recommend ways of stabilizing the workforce through the workforce development system.
	Results of the 2003 National Survey of State Initiatives on the Long-Term Care Direct-Care Workforce By Susan Harmuth and Susan Dyson, Paraprofessional Healthcare Institute and the North Carolina Department of Health and Human Services' Office of Long Term Care (NCDHHS), March 2004. (83 pgs.). This is the fifth national survey of the direct-care workforce conducted by NCDHHS and PHI. It examines public policy actions taken by states to strengthen the direct-care workforce, and updates information collected in prior surveys.
	Michigan's Care Gap: Our Emerging Direct-Care Workforce Crisis By Hollis Turnham and Steven L. Dawson, 2003. (60 pgs.) This paper provides a detailed analysis of the direct-care workforce crisis in Michigan. In addition to describing the key stakeholders, the demographic changes that underlie the crisis, and the negative impact of poor quality jobs on each stakeholder group, the authors review current initiatives within the state to stabilize the workforce and make recommendations for future actions.
	Pennsylvania's Care Gap: Finding Solutions to the Direct-Care Workforce Crisis By Mark Davis and Steven L. Dawson, 2003. (60 pgs.) An overview of the direct-care workforce crisis in Pennsylvania, this paper explores how demographic shifts, combined with poor job quality, contribute to that crisis. Providers, consumers, workers, and state agencies need to work together to improve the quality of jobs, in order to attract workers to direct-care positions. The paper includes both public policy and workplace practice recommendations.
	Collaborating to Improve In-Home Supportive Services: Stakeholder Perspectives on Implementing California's Public Authorities By Janet Heinritz-Canterbury, 2002. (46 pgs.) This paper analyzes the four-stakeholder coalition that successfully passed legislation and implemented the county public authorities structure to improve the quality of jobs and services offered by California's In-Home Supportive Services.
	New Hampshire's Care Gap: The Health Care Workforce Shortage By Rebecca Crosby-Hutchinson. New Hampshire Community Loan Fund, February 2000. This report of New Hampshire's Paraprofessional Healthcare Initiative claims that worker retention is a major problem for New Hampshire long-term care providers, with 11,000 CNAs letting their licenses lapse since 1993. Noting that demographic changes are likely to make the workforce crisis worse over the next 15 years, th report recommends providing caregivers with: competitive wages, health insurance and other benefits including child care; opportunities for advancement; a positive public image; and a supportive work environment.
	Health Care Workforce Issues in Massachusetts By Barbara W. Frank and Steven L. Dawson. Massachusetts Health Policy Forum, June 2000. (32 pgs.) Arguing that the price of labor must rise to attract direct-care workers, Frank and Dawson make a number of key recommendations for changes in state policy and provider practice.