Strengthening the Workforce to Support Community Living and Participation for Older Adults and Individuals with Disabilities Proceedings of a Workshop (2017) / Chapter Skim
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3 Enabling Community Participation Through Workforce Training, Education, and Development
3 Enabling Community Participation Through Workforce Training, Education, and Development
Pages 25-40
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From page 25... ...
The panel ists described the approach that a multi-site provider of both skilled home health and personal care services is using to develop its workforce, the importance of training from the perspectives of family caregivers and of individuals with disabilities, and what the Health Resources and Services Administration (HRSA) is doing to build workforce capacity and infrastructure.
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From page 26... ...
BAYADA's 2,800 clinical staff in Home Health, both professional and paraprofessional, have the opportunity to do a lot of good in the communities they serve, Johnson said. In addition, the 700 office staff, including directors, clinical managers, and client services managers, might not provide services directly, but they play an equally important role in the delivery of care.
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From page 27... ...
Clinical competence training, he explained, aims to enhance the expertise of BAYADA's clinicians so that they can improve the physical and mental health outcomes of their clients. Community resource awareness training ensures that clinicians have access to those resources that enhance integration, participation, and social well-being.
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From page 28... ...
." SUPPORTING THE ROLES OF FAMILY CAREGIVERS Carol Levine Director, Families and Health Care Project United Hospital Fund "Family caregivers are us," said Carol Levine of the United Hospital Fund. They include family members, relatives, partners, friends, and
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From page 29... ...
"It creates a barrier." A study conducted by AARP and the United Hospital Fund in 2012 (Reinhard et al., 2012) found that 46 percent of family caregivers were performing complex medical nursing tasks, such as complex medication management involving multiple pills, injections, infusions, and patches, but few of these caregivers had received adequate training to perform these tasks (Reinhard et al., 2012)
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From page 30... ...
Some of the guides are for all family caregivers and cover topics such as becoming a family caregiver, the Health Insurance Portability and Accountability Act, medication management, advanced directives, urgent care centers, and care coordination. Care setting–specific guides discuss subjects such as hospitalists, hospital admission, surgery, hospital discharge options and checklists, short- and long-term rehabilitation, durable medical equipment, and how to work with home health aides.
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From page 31... ...
." TRAINING FOR DIRECT SUPPORT PROFESSIONALS Barbara Merrill Chief Executive Officer American Network of Community Options and Resources The American Network of Community Options and Resources (ANCOR) is a national nonprofit trade association advocating and supporting more than 1,000 private providers of services and supports to more than 600,000 people with intellectual and developmental disabilities and autism, as well as their families, explained Barbara Merrill of ANCOR.
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From page 32... ...
They continue supporting their clients through retirement and, increasingly, at the end of life, which can enable an individual to remain in his or her home rather than having to transition to a nursing home. Merrill said that the services that direct support professionals provide help indi iduals v lead meaningful lives and realize the promise of the Americans with Disabilities Act of 19902 and also enable people to be integrated into and have access to community living.
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From page 33... ...
As part of its workforce initiative, the Centers for Medicare & Medicaid Services (CMS) has funded the National Direct Service Workforce Resource Center Core Competencies program, which is working to identify a common set of core competencies across community-based long-term services and supports sectors (e.g., aging, behavioral health, intellectual and developmental disabilities, and physical disabilities)
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From page 34... ...
Merrill said that the study concluded that direct support professionals gained knowledge and skills and felt more valued by their supervisors when their organizations supported training and mentoring. In addition, turnover among of workers who received such training and mentoring fell by 16 percent.
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From page 35... ...
Currently, she said, there is a paucity of health care providers specializing in geriatrics. As a result, she added, "It is important now more than ever to ensure that all health rofessionals p and direct service workers receive content in geriatrics during their f ormal years of training, and this training must be inter-professional and community-based." One strategy that should be used to accomplish that goal, Weiss said, is to integrate geriatrics content into the curricula for health professionals and direct service providers, which will require a cadre of academic l eaders with expertise in geriatrics who can transform and integrate geriatrics into academia, clinical practice, research, the community, and c ommunity-based organizations.
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From page 36... ...
Although patients need to be engaged in the management of their multiple chronic conditions, families, caregivers, and community health workers are key members of the health care team who can assist patients in achieving their health care goals. Community health workers, Weiss said, are important in increasing capacity and infrastructure because these workers are trusted members of the community who can provide information and education as well as a wide variety of services.
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From page 37... ...
"Through community experiential learning, students are challenged to solve problems and make new connections through exposure to other professions, sectors, and populations." As an example of a successful inter-professional community-based training program, Weiss discussed the Health Mentors Program at Thomas Jefferson University,13 which started in 2007 with funding from several sources and is now self-sufficient and supported by the university. The goal of the program, she said, is to provide health professional students in nursing, physical therapy, occupational therapy, physician assistant, couples and family therapy, and pharmacy with the opportunity to gain an understanding of each other's roles on the health care team, as well as the patient perspective, in order to practice patient-centered 12 The Triple Aim is a framework for improving health care system performance through three dimensions: improving patient experience, improving health of populations, and reduc ng cost.
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From page 38... ...
This curriculum, said Weiss in closing, has had a positive impact on student attitudes toward chronic illness, interprofessional care, and aging. DISCUSSION Transitioning to a More Connected Model of Care Delivery Teresa Lee of the Alliance for Home Health Quality and Innovation spoke of the need to develop a well-connected, person-centered neighborhood to address the fragmentation that now characterizes the system for supporting community living and participation.
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From page 39... ...
Similarly, access to dental care is difficult for many people who are in dire need of dentistry. Some areas, such as Kansas City, Kansas, are hosting events offering pro bono dental services so that people can receive the work and care they need.
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From page 40... ...
BAYADA piloted a model that provided a monetary reward based on multifaceted outcomes, such as reduced hospitalizations and improved patient satisfaction, as one approach for increasing efficiency and improving retention in the face of Medicare reimbursement costs.
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