Source: Paraprofessional Healthcare Institute, Facts 4, March 2011
From the summary:
A new PHI analysis on health care coverage for direct-care workers found that occupation, industry/setting of employment, and geographic region were key indicators of whether these frontline caregivers had coverage.
The new analysis found that in 2009, of all the nation’s direct-care workers — nursing assistants, home health aides, and personal care aides:
* nearly 1 million (28 percent) were uninsured;
* nearly 20 percent received health coverage through Medicaid or other public insurance at some point during the year; and
* only 47 percent had employer-sponsored coverage — compared to 68 percent of U.S. workers generally.
Source: AI-Jen Poo, New Labor Forum, Vol. 20 no. 1, Winter 2011
What does the triumph of Domestic Workers United mean for the future of the labor movement?
Source: Direct Care Alliance, February 2011
From the press release:
Direct Care Alliance announced the launch of the Direct Care Alliance Personal Care and Support Professional Credential, a competency-based test that will help improve the quality of long-term care for the elderly and people living with disabilities who depend on personal assistance workers to maintain their autonomy and quality of life.
The credential for personal assistance workers will help professionalize the direct care workforce by: 1) providing elders, people with disabilities and their families with a reliable way to assess the knowledge of those they hire; 2) giving agency employers a customer-centered assessment tool; 3) establishing a national standard for state policy makers; and 4) allowing workers in this field to demonstrate their professionalism and skill.
Source: Lauren D. Appelbaum, Institute for Research on Labor and Employment, UCLA, Research and Policy Brief, no. 6, December 2010
In August 2010, the California State Legislature passed a Resolution for a Domestic Workers Bill of Rights. This resolution highlights the work done by domestic workers in the state and the labor violations faced by these workers. The resolution calls for the fair treatment of these workers, noting that domestic workers have a right to be treated with respect and dignity. On November 29, 2010, New York State enacted a new Domestic Workers Bill of Rights, which guarantees basic work standards and protections for domestic workers. In January 2011, a law that would prohibit the mistreatment and underpayment of domestic workers will be introduced to the California State legislature. If passed, the California law would go beyond its New York counterpart by providing paid days off and severance upon termination, in addition to an eight hour day and minimum wage assurances
Source: Joseph Shapiro, NPR, All Things Considered, December 9, 2010
In a hotel ballroom outside Atlanta, a young man glides his wheelchair to the front of the meeting room. With his twisted hand he hits a button on a small gray box attached to the front of the chair and a machine speaks for him. “I am Mathew Harp, and I am 22 years old.”…
Picture a nursing home and you think of a place for the elderly. But yearly federal nursing home data shows that there are more than 6,000 young people up to the age of 21 living in American nursing homes. And there are thousands more who are in their early 20s….
“I was the youngest person in the nursing home. Most of the others were very old. I had only a few friends that would come and see me. I missed everyone very much,” he said. “And I wanted to leave. I wanted to live with my family so that I would not miss them so much.” After a year in the nursing home, Harp got his wish and, in March, he moved back into his mother’s home. That was possible because a state and federal program paid for the aides who come to his house nine hours every day. They help him get up, get dressed and eat.
Source: Nancy F. McKenzie, Direct Care Alliance, Policy Brief No. 4, September 2010
This briefing paper is an overview of lesbian, gay, bisexual or transgender (LGBT) elder issues in long-term care institutions, community care and home care. The briefing paper’s aim is to demonstrate how the cultural and legal landscape negatively affects the health of LGBT seniors, and direct care workers’ role in improving the quality of service to LGBT elders.
Source: Rick Surpin, Paraprofessional Healthcare Institute (PHI), Independence Care System (ICS), July 2010
From the summary:
The ICS/PHI blueprint, issued on November 24, is a detailed plan to simplify and rationalize the home and community-based service (HCBS) delivery system in New York City, which consumes $4.4 billion annually in Medicaid expenditures — accounting for at least 80 percent of all HCBS spending in New York State.
Currently, New York City’s HCBS delivery system suffers from a highly inefficient, fragmented, overlapping complexity of programs that provide Medicaid-funded services to elders and people living with disabilities.
The ICS/PHI reform blueprint directly addresses these challenges by proposing four essential reforms to New York City’s Medicaid-funded long-term care services for elders and people with disabilities:
* contain Medicaid costs;
* simplify the delivery system;
* improve quality outcomes by providing care management for consumers with complex needs; &
* stabilize the core HCBS workforce by establishing parity in wages for home care aides.
The blueprint builds on the strengths of the Medicaid-funded home and community-based service system, rather than turning to large managed care entities — which have limited, if any, experience in long-term care.
Source: Steve Olson, Rapporteur; Committee on the Role of Human Factors in Home Healthcare; National Research Council, 2010
From the summary:
The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research–the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments.
To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices.
On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.
Source: MetLife, October 2010
From the summary:
This survey provides national, statewide, and, in certain states (based on population), area-specific costs, average private-pay, daily rates for private and semi-private rooms in a nursing home, monthly base rates in assisted living communities, hourly rates for home health aide and homemaker services, and daily rates for adult day services.