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The Direct Care Workforce: Obstacles and Opportunities Elizabeth Royal, SEIU June 13, 2013 Direct Care Workers and HIT

Direct Care Workers and HIT

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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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Page 1: Direct Care Workers and HIT

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

Page 2: Direct 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

Page 3: Direct Care Workers and HIT

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

Page 4: Direct Care Workers and HIT

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

Page 5: Direct Care Workers and HIT

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]

Page 6: Direct Care Workers and HIT

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

Page 7: Direct Care Workers and HIT

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

Page 8: Direct Care Workers and HIT

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