Direct Care Workforce

Attorney General of New York, Letitia James (AG), released a preliminary report on the effect of COVID-19 on nursing homes in New York. The report found that pre-existing short-staffing issues were a defining factor in how a great number of nursing homes in New York fared during the first six months of the COVID-19 pandemic. Consumer Voice for Quality Long-Term Care also released a report detailing harm and neglect resulting from facilities being locked down and inadequate staffing.

This issue brief is the second publication from the ADvancing States Aging and Disabilities Technology Workgroup, which was established in 2019 in order to drive improvements in aging and disabilities state agencies’ information technology (IT), facilitate sharing and learning among states, and assist states as they seek to implement and integrate technology that supports holistic person-centered services.

This report, led in collaboration with ASPE’s Office of Health Policy, provides potential approaches to expand and strengthen the entry-level health care workforce in the United States, with a primary focus on the following occupational categories: licensed practical nurses, medical assistants, dental assistants, hygienists, home health aides, certified nursing assistants, and personal care aides, community health workers, and peer specialists.

The AARP Public Policy Institute recently launched a three-year initiative which aims to transform long term care in the United States. LTSS Choices will be a series of reports, blogs, videos, podcasts, and virtual convenings that seek to catalyze reform and spark ideas to modernize LTSS, long term services and supports. The goal is a long-term care system that provides a wide range of choices to meet the dynamic needs and preferences of consumers and their families.

COVID-19 has led to immeasurable repercussions in healthcare systems across the nation and world. The one issue common to all professional direct care workers was the limited availability of personal protective equipment. This policy brief focuses on DCW and challenges they faced, and continue to face, in adequately protecting themselves and others from the transmission and infection of this deadly virus.

AUCD recently released an FAQ document to support state and local disability leaders advocate for the role of individuals with disabilities in the allocation and distribution plans for a COVID-19 vaccine. The FAQ includes information on the approval, manufacturing, allocation, and distribution processes for a COVID-19 vaccine, AUCD network vaccine resources, and links to addition federal, state, and local public health resources.

ACL and the Lewin Group released a report highlighting key takeaways from the AARP 2020 LTSS State Scorecard on state efforts in establishing high-performing ADRC/NWD systems. The report compares current data with results from the 2017 LTSS State Scorecard. The report provides scores based on five domains in ADRC/NWD system functions. The report also shares promising practices/lessons learned from five states – Alabama, Georgia, Massachusetts, Ohio, and South Dakota.

This resource was developed for human service agency leadership whose role is directing the organization and delivery of services and supports. The five competency domains include: Strengths-Based, Culturally Informed, Whole Person-Focused; Cultivating Connections Inside the System and Out; Rights, Choice, and Control; Partnership, Teamwork, Communication, and Facilitation; and Documentation, Implementation, and Monitoring.

This resource aims to help human service agencies in states, tribes, and territories to measure their progress in developing person-centered systems. The Self-Assessment was designed to be used by staff at all levels. The Self-Assessment measures progress in eight different domains: Leadership; Person-Centered Culture; Eligibility & Service Access; Person-Centered Service Planning & Monitoring; Finance; Workforce Capacity and Capabilities; Collaboration & Partnership; and Quality & Innovation

The Rosalynn Carter Institute for Caregiving (RCI) recently released a report with the results of a survey of caregivers nationwide. RCI surveyed caregivers through its partner network and 422 provided responses in the summer of 2020. The study sought to explore the direct experience of caregiver stress since the beginning of the COVID-19 pandemic. The survey includes data on financial stressors, medical stressors, isolation, and other factors affecting caregiver stress in the pandemic.