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.

info@dswresourcecenter.org1-877-822-2647