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The Direct Care Workforce: Obstacles and Opportunities Elizabeth Royal, SEIU June 13, 2013. Direct Care Workers and HIT. SEIU. 2.2 million members Over 1 million health care workers Over 600,000 direct care workers 27 states, DC and Canada. - PowerPoint PPT Presentation
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The Direct Care Workforce: Obstacles and Opportunities
Elizabeth Royal, SEIU June 13, 2013
The Direct Care Workforce: Obstacles and Opportunities
Elizabeth Royal, SEIU June 13, 2013
Direct Care Workers and HITDirect Care Workers and HIT
SEIUSEIU
2.2 million membersOver 1 million health care
workersOver 600,000 direct care
workers27 states, DC and Canada
2.2 million membersOver 1 million health care
workersOver 600,000 direct care
workers27 states, DC and Canada
Facts about Direct Care Workers**Facts about Direct Care Workers**
CNAs, HHAs, Personal Care Workers 2.3 million in personal care
and home health ** 1.7 million CNAs
90% female Age 25-54 Disproportionately minority Significant proportion are
foreign born
**Source: “Caring for America.” PHI Dec. 2011.
CNAs, HHAs, Personal Care Workers 2.3 million in personal care
and home health ** 1.7 million CNAs
90% female Age 25-54 Disproportionately minority Significant proportion are
foreign born
**Source: “Caring for America.” PHI Dec. 2011.
Direct Care Work :Direct Care Work :• Low wages • Few, if any, benefits • High turnover • High rates of injury• Chronic shortages
• Low wages • Few, if any, benefits • High turnover • High rates of injury• Chronic shortages
HIT and Long Term Care: Why does it matter?HIT and Long Term Care: Why does it matter?Bulk of care in LTC settings where
adoption lags
Characteristics of LTC settings inhibit adoption
ACA and Care Coordination
Bulk of care in LTC settings where adoption lags
Characteristics of LTC settings inhibit adoption
ACA and Care Coordination
HIT in Home and Community-Based CareHIT in Home and Community-Based Care
Portal Technology
IHSS Home Care Workers: Members of Care Coordination Team under Managed Care
NY Care at Hand, VA, MA [https://careathand.com/#!home]
Portal Technology
IHSS Home Care Workers: Members of Care Coordination Team under Managed Care
NY Care at Hand, VA, MA [https://careathand.com/#!home]
Nursing Homes and CNA documentation**Nursing Homes and CNA documentation**
CNAs driving implementation and adoption
Digital pen technology, hand held computers
Important Lessons
CNAs driving implementation and adoption
Digital pen technology, hand held computers
Important Lessons
** On-Time Quality Improvement for Long Term Care. Case Studies, “Digital Pen Technology Results in Better Care and Improves Staff Satisfaction.” http://www.ahrq.gov/legacy/research/ltc/casestudies.pdf
What do we know about how to train to this technology?What do we know about how to train to this technology? Involve DCWs in planning and
implementation
Understand and plan for the needs of workers
Maintain constant and ongoing training
Utilize various venues for training and make it flexible
Involve DCWs in planning and implementation
Understand and plan for the needs of workers
Maintain constant and ongoing training
Utilize various venues for training and make it flexible
Setting the Stage for Successful AdoptionSetting the Stage for Successful Adoption
Fund innovative pilots, especially those that expand DCW roles
Ensure adequate funding and support for the technology
Remember the needs of the setting and of the end users
Fund innovative pilots, especially those that expand DCW roles
Ensure adequate funding and support for the technology
Remember the needs of the setting and of the end users