Caregivers and Quality in Long Term
Care
Robyn Stone, Dr.P.H.
Executive Director
Institute for Future of Aging
Services
American Association of
Homes and Services for
the Aging
Practice Profile Database
Collaboration between the Institute for the Future
of Aging Services and the Paraprofessional
Healthcare Institute, funded by U.S. Department of
Health and Human Services
Objectives
To identify successful recruitment and retention practices
Promote cross-learning
Profiles available on www.futureofaging.org or
www.directcareclearinghouse.org/practices/index.jsp
Practice Categories
Recruitment and entry-level training
Peer support and mentoring
Career Advancement
Management and supervisory training
Comprehensive culture change interventions
Wages, benefits and worker-supports
Linking Employment Abilities and
Potential (LEAP) of
Cuyahoga County, Ohio
Trains people with disabilities to become
PCAs, home health aides and CNAs
4-week basic attendant training class
Consumer consultants provide hands-on
training
Placement and follow-up
Cooperative Home Care Associates
Employment Counseling and Mentoring
Program
3 full time employment counselors
Transition assistance for trainees
Long-term peer mentoring for new
employees
Assistance in accessing public benefits
Leap for a 21st Century
Mather Life Ways
Mather Institute on Aging, IL
RN and LPN Development Module
Leadership
Clinical gerontological expertise
Team building skills
Person centered care
CNA Development Module
Clinical assessment
Team building
How to mentor new CNAs
Communication
Person centered care
Wellspring Innovative Solutions in
Wisconsin
Alliance super structure
Clinical training modules
Shared advanced practice nurse
Nursing coordinator to link components at facility
level
Care resource teams
Systematic collection and use of outcome data
Non-hierarchical management philosophy
San Francisco In-Home Supportive
Services
Central worker registry and on-call services
for independent personal care workers
Advocate for higher wages (hourly wage
increased from $5.29 in 1997 to $9.70 in 2001)
Offers health insurance plan (workers pay $3
monthly premium, rest averaging $150 paid
by IHSS)