Who’s Going to Care? Analysis and Recommendations for Building New York’s Care Coordination and Care Management Workforce

Source: Karla Silverman, Helen Schaub, Dan Lowenstein, 1199SEIU United Healthcare Workers East (1199SEIU) and the Primary Care Development Corporation (PCDC), July 2015

From the press release:
“Who’s Going to Care? Analysis and Recommendations for Building New York’s Care Coordination and Care Management Workforce,” a new report by 1199SEIU United Healthcare Workers East (1199SEIU) and the Primary Care Development Corporation (PCDC), finds significant challenges that threaten to undermine the care coordination and care management workforce as healthcare transformation gets underway. …. Healthcare providers are beginning to adopt team-based approaches to healthcare, where care coordination is provided for all patients and care management is provided for high-need, high-cost patients, primarily in community settings. Care coordination and care management are widely recognized as essential to lowering costs and improving patient outcomes and engagement. But the field is still evolving, and the workforce needed to undertake these challenging jobs lags far behind, according to the study….

…Results from a survey of 49 mostly downstate New York Health Homes (which manage care of Medicaid enrollees with costly and complex chronic conditions) about their care management and care coordination workforce reveal the need for sufficient compensation, training and career ladders to ensure the effectiveness of care coordination.
The study revealed that:
• Recruitment and retention challenges are prevalent, driven by insufficient salary, high caseload and lack of appropriate skills and competencies. ….
• Job titles for those providing care coordination and care management are still evolving. ….
• A diverse and broad set of skills and competencies are needed by the care coordination and care management workforce. ….
• Ongoing training and supervision are needed for staff that provide care coordination and care management….