the lewin group lewin phi phinational
DESCRIPTION
The Lewin Group www.lewin.com PHI www.phinational.org Research and Training Center on Community Living, University of Minnesota http://rtc.umn.edu/dsp/ The Annapolis Coalition www.annapoliscoalition.org Institute for the Future of Aging Services www.futureofaging.org. - PowerPoint PPT PresentationTRANSCRIPT
The Lewin Groupwww.lewin.com
PHIwww.phinational.org
Research and Training Center on Community Living, University of Minnesota
http://rtc.umn.edu/dsp/ The Annapolis Coalition
www.annapoliscoalition.org Institute for the Future of Aging Services
www.futureofaging.org
Major State HCBS Concerns
Streamlining access to HCBS Coordinating fragmented service systems Aligning reimbursement incentives with promotion of
quality Carrying out successful transitions from nursing
facilities and implementing diversion programs Expanding practice and philosophy of consumer
direction Aligning financing systems with consumer preference Availability of affordable and accessible housing Stability and quality of long term care workforce
HCBS Service and Support Providers
Unpaid Support Providers
Family Friends Neighbors Community
Organizations
Informal Caregivers
Paid Support Providers
Agency-based Providers
Individual Providers Family, friends,
neighbors (consumer-direction)
Direct Service Workforce
Major State HCBS DSW Focus Areas
Improving recruitment and retention Raising Visibility – Public Education and
Marketing Broad and Targeted Recruitment Strategies Improving Wages, Benefits, Recognition Improving and Standardizing Worker and
Supervisor Training Stakeholder involvement and strategic
partnership Measuring outcomes
Outcomes of Improved Recruitment
Greater public awareness, more positive image and more interest in the direct service field
Increased number of qualified applicants for open positions
More realistic understanding of direct service jobs among potential workers
Fewer job vacancies Fewer and shorter gaps in care experienced by
consumers
Outcomes of Improved Retention
Increased worker satisfaction Increased opportunities for professional
development and career advancement Reduced job turnover Greater number of experienced workers Greater continuity of care for consumers
Fewer changes in support provider experienced by consumers
Increased duration of time workers stay with individuals consumers, with the same agency or in the field
Outcomes of Stakeholder Involvement and Strategic Partnerships Policies more likely to meet true needs and
desires of stakeholders Barriers more likely to be foreseen and
addressed before implementation More cohesive and equitable policies across
workforce sectors Greater support among providers for new
initiatives More participation by workers in new initiatives Improved consumer satisfaction with services
DSW RC Intensive TA Recipients
20062007
NM
LA
NC
ME
TX
AZ SC
NY
NJ
WI
UT
GA
2008
MI
OHIN
VT
DE
Intensive TA Focus Areas2006 TA Recipients 2007 TA Recipients 2008 TA Recipients
Focus Areas AZ LA NY SC TX GA NJ NC UT WI DE IN MI OH VT
Strategic Planning and Partnership
X X X X X X
Disseminating Best Practices in Recruitment and Retention
X X X X X X X
Marketing/ Raising Awareness
X X X X
Data Collection System Design X X X X X X
Market/Demand Study X X X
Wage/Benefit Development X X
Intensive TA Focus Areas (continued)2006 TA Recipients 2007 TA Recipients 2008 TA Recipients
Focus Areas AZ LA NY SC TX GA NJ NC UT WI DE IN MI OH VT
Worker Training Credentialing
X X X X X X X
Consumer Directed Training
X X X
Worker Association X X
DSW Resource Center Lessons Learned
Dissemination of information and resources is a key task
Developing initiatives Involve all stakeholders including DSPs,
consumers, family members and advocates Think across population groups
– Similarities in challenges and needs striking– Some important differences identified– Many resources are useful across groups
Two key categories of workforce Self-directed services (several models) Agency-based services
Contact the Resource Center for more information about CMS workforce activities, the DSW Resource Center, or for assistance with recruitment and retention.