Supervision and Management Strategies and
Advocacy Activities on Behalf of CNAs

State

Describe

New funds available for new initiatives? (CMP)

 

Commission/Taskforce?

Topic?

Studies?

Other Strategies?

Key Contact?

AL

Eden Alternative work group

N

Governor appointed committee of NH administrators and Aging Director

DK

N

 

AK

 

 

 

 

 

Nancy Johnson, Arkansas Adv. For Nursing Home Reform, gjohnson@artelco.com;

Alice Ahart, Ombudsman, alice.ahart@mail.state.ar.us

AZ

 

Y for training

Comprehensive Workforce Taskforce. Reinstated for next legislative session. Includes Dept. Health, Economic Security, AAAs, providers, Alzheimer’s Assn, and others.

No study, but work will focus on workforce development and retention, funding, and other areas.

Tucson area coalition of providers, consumers and workers create job bank, continuing education, support etc. Judy Clinco, (520) 327-6351

 

Dawn Savattone, AAA and ombudsman, 602-264-2255.

 

CA

 

N

Y  Workgroup includes State omb., DHS, CAHF, looking at Recruitment, trg. and retention

Conducting CNA survey. Recn. to Dir, DHS. 

$25 million in state grants tfor training, recruitment and retention of caregivers

Susan DeMarois , Calif. Council of Alzh. Assn. 916-979-9131. Heather Martin, Lic. and Cert, 1800 Third St., Suite 210, Sacco. Ca 94234. 916-322-9912.

CO

CNA leadership day

N

Y. Formal panel soon to be announced, chaired by ED of state Health Care Assn. 

 

Alz. training

Virginia Fraser, 303-722-0300. chgin28@aol.com

D.C.

nominal efforts

DK

Y. Mayor’s Health Policy Council, LTC Committee, DC LTC Coalition. Looking at: N.H. regs for DC, and assisted living

Nothing current

Implementing assisted living in D.C.

Beverly Bryant, DC ltc omb., 202-434-2140

DE

Office of State Omb. emphasize benefits of Eden Option, and promotes aqua therapy for ltc facilities

N

Y. Senior Victim Task Force in A.G. office established subcommittees to improve health and safety of NH residents. Ensure that NH staff do not have criminal history.

Not now

Develop systems that protect residents from abuse, neglect, and financial exploitation.

Tim Hoyle, Ombudsmen office, 302-577-4791, thoyle@state.de.us

GA

Eden alternative coalition

N

Y. Appointees to be from provider, worker, consumer, home care and state depts. of  Labor, Human Resources, Community Health, Adult Education etc. .

 

Coalition of providers, Council on Aging, Alzheimer’s Assn, Ombudsmen, AAA, Georgia Gerontological Society

 

Becky Kurtz. 888-454-5826. bakurtz@dhr.state.ga.us

HI

 

 

N

Hi does not have ltc worker shortage

 

John G. McDermott, Exec. Office on Aging, State of Hawaii, N. 1 Capital District, 250 South Hotel Street, Suite 109, Honolulu, HI, 96813-2831, 808-586-7268. jgmcderm@mail.health.state.hi.us

IA

Iowa Caregivers Assn. received funding to recommend how to recruit and retain CNAs through non-financial incentives (e.g. support, shared responsibility, etc.)

Y. ICA study funded through CMP and medicaid dollars

ICA survey of CNAs and nurses. Also Commission with IA Healthcare Assn, Omb. office and IA Dept of Inspections and Appeals. 

Looking at use of non-traditional workers. Not doing a study, or advocating rule changes, but intense recruitment efforts, PR and cultural changes at facility level.

Co-sponsored with Alz.Assn. statewide meeting of stakeholders including: providers, officials from workforce devt, welfare to work, education, health, immigration and ltc, elected officials, consumers  direct care workers and unions.

Iowa Caregivers Assn, 1117 Pleasant St., Des Moines, IA, 50309. 575-241-8697. Iowacga@aol.com

ID

 

N

N

 

N

Cathy Hart, ID Comm. on Aging, P.O. Box 83720-0007, Boise, ID  83720-0007. Chart@icoa.state.id.us  (208)334-3833.

IL

LTCOP is bringing Pioneers to IL to provide NF staff with concept and implementation strategies.

Y. IL DPH increasing assignment of monitors in homes. They can provide technical assistance to staff while in NF.

Y. looking at recruitment and retention of CNAs. Based on study will develop C.N.A. incentive program by 1/1/01.

No study yet. Due 1/1/01. Commission participants include: DPH, Il Health Care Assn, Life Services Network, Il Council on LTC, County NH Assn, organized labor, Il Community college board, Southern Il Univ. at Carbondale Dept of workforce Ed., Il State Bd. of Ed, Dept on Aging Omb.

 

Beverly Rowley, browley@ageo84r1.state.il.us. 217-785-3143.

IN

Conference promoting best practices, nonprofit assn. promoting culture change to membership.

Y – for training in restraint reduction

Y- task force. United Sr. Action, Alzheimers Assn, Nonprofit industry assn, consumers and omb. program. Looking at all possibilities for improving staffing

Not that far along.

 

Paul Severance, United Sr. Action

1211 Hyatt Street, Indianapolis, IN 46221. pseverance@iquest.net, 317-634-0872. or Doug Starks, Alz. Assn, 317 – 575-9620.

LA

Individual facility level: several facilities have or plan to “edenize”.

N

Y, looking at training needs.

N

N

Dr. Bob Crow, 504-942-8201

Deborah Eley, Community Living Omb Program 225-925-8884

MA

Broad coalition achieved significant legislative goals

?

CORE (Coalition to Reform Eldercare) includes  Alz. Assn., n.h. and h.h. provider assns., Elderly Legal Services, NASW, Paraprofessional Healthcare Institute.

PHI study on workforce crisis in ltc across settings. Published June 2000 in statewide meeting of stakeholders.

Legislative strategy incorporated unions, providers, workers, consumers, community colleges. Focus on workforce concerns across ltc sectors

Barbara Frank, PHI, 617-338-8478, bfrank1020@aol.com, Deb Thomson, Alz. Assn, 617-868-6718, Deborah.Thomson@Alz.org, Kathy Fitzgerald, Greater Boston Eldery Legal Services, 617-371-1270. kfitzgerald@gbels.org

ME

ME Health Care Assn launched, with partial state funding a “labor task force”. Meets monthly, includes all stakeholders.

 

Y

Feb. 1999 study of all ltc workers by the Labor Task Force, convened by Me. Health Care Assn. Paid by ME. DOL, DHS and members of ME. Health Care Assn. Primary rec. to create career ladder for entry-level health care workers in Me.

May 2000 MHCA sponsored training for new supervisors in ltc settings to promote better mgt.

Catherine Valcourt, Legal Counsel for LTCOP, Paula Valente, Maine Care, 207-623-1146

MD

 

 

Y. Now being established. Aging health, industry, advocates.  Looking at implementation of task force legislation. Reconvene Medicaid Nursing Home Reimbursement study Group.

Report findings to Senate and House by Dec. 1, 2000.

 

Patricia Bayliss, MD Dept of Aging, 410-767-1100. plb@marlooa.state.md.us

MI

MI Office of Services to Aging committed to bringing Eden Alternative to MI. Second annual conference and celebration of C.N.A.s.

No

(incomplete)

 

 

Eileen Kostanecki, state budget 517-373-0370, Cindy Paul 517-373-8928.

MT

 

N

Y. AARP, AL providers, ombudsmen, QA and Senior and LTC divisions. Looking at ed/trg./staffing requirements for AL owners, mgrs, workers. 

Not yet. due 2001.

 

Hilke Faber, AARP, 206-517-2319. hfaber@aarp.org, Barb Smith, SLTC/DPHHS, 406-444-4064. basmith@state.mt.us

NH

Eden altern. in several NF. Staffing Crisis Task Force discussing ways to promote culture change.

N

Y. DHHS identified human service workforce as top priority. Assigned workforce taskforce. Red Cross, Hlth Care Assn, VNA, HHA, prof. assn, Assn of Res. Care Homes, Div. of Elderly and Adult services, LTC Ombudsmen, Hosp. Assn etc

Looking at recruitment, retention, financing, image  No study yet.

Health Care Assn planning pilot projects in several NF.

Proposing state-wide award and recognition of CNAs representing each area of practice to heighten public awareness.   SLTCO compiled Staffing Crisis I&R Packet for NF.

Rebecca Hutchinson, Dir. of NH Paraprofessional Healthcare Initiative, NH Community Loan Fund, 603-224-6669. Rhutchinson@nhclf.org

NM

 

 

Y. HOME coalition, Health Action New Mexico

 

Attempt to develop rel. with NM Hlth Care Assn, DON

Kay Bird,

505-827-7645. kay.bird@state.nm.us

 Linda Sechovic,

NM Hlth Care Assn

505-880-1088

NY

Pioneer Network, 1199 SEIU investing in helping NH in NYC start culture change. Working on changing supervision in NH

N – NY does not use CMP. Must go into Medicaid.

Y. provider association, NYS DOH, SEIU, Paraprofessional Healthcare Inst., CSEA, Nurses Assn.

Looking at recruitment and turnover

Study underway by Paraprofessional Healthcare Institute. Due in early 2001.

NYAHSA also has study.

 

Louis Bonilla, Paraprofessional Healthcare Institute 718-402-7766, Louis@paraprofessional.org, Cynthia Ruddder, Nursing Home Community Coalition of NYS, 212-385-0355, Pearl Granite, SEIU, 212-261-2297.

NC

Cultural change training with LTC Pioneers

Y for those promoting Eden alternative

Several in state. AAA, ombudsmen, regulators, providers, comm. colleges, advocates, hospitals etc.

Looking at recruitment, retention, benefits, training, wages, stress mgt.

State Health Facilities Division completed study. Click here.

Update due Fall 2000. Bob Konrad at UNC published study of registered C.N.A.s who no longer working in health care.

Meeting with direct care staff in November .

Susan Harmuth, Division of Facility Services, 919-733-4139. Susan.harmuth@ncmail.net, Nancy  Smith Hunnicutt, 828-251-6622. nancy@landofsky.org. , konrad@mail.schsr.unc.edu

ND

Health and LTC facilities, AARP, Dept of Human Serv, Med. Assn sponsored conference on managing, retaining staff.

N

Yes. Governor appointed Task Force on LTC Planning.

Report available in Sept.

Y. Voc tech colleges offer programs

Dave Zentr?? 701-328-3191, Carol Olson – DHS 701-328-2538. Fax: 328-2359) 

OK

 

N

Legislative “Continuum of Care Committee”, Ad Hoc Comm. of State Health Dept on Training for Nurse Aides, LTC Facilities Advisory Board.

Looking at continuum of care and easy access. Proposing: adequate reimbursement, increase staffing, increase trg. re dementia, mentoring program for C.N.A. after hired.

Coalition with omb. office and NH assn., C.N.A. of year award, held a few round table summits re pay and recruitment/retention problems, costs and requirements. C.N.A. trg. provided in voc-techs , and in facilities.

Eleanor Kurtz, DHS, 405-521-6734. elearnor.Kurtz@okdhs.org

OR

 

 

Or. Health Care Assn tried, failed to get task force funded in legisl. session. . Ballot measure for Nov. 2000 would create 9 member commission ensuring high-quality home care services for elderly, disabled receiving publicly-funded personal care.

 

 

Kathy Labady, Senior Disabled Services Division 503-945-6462

RI

Bilingual speaking and NH cooking for different populations

N

Y. Omb., Depts of Elderly Affairs, Human Services, Health, Nursing homes, home care, legislators, union  Looking at short term problems.

RI Health Care Ass. With AAHSA affiliate did survey of C.N.A.s

Yes. pulling voc-tech into commission

 

SD

 

N

Y. DOH, Medicaid, S.D. Health Care Assn. Looking at Rate setting in relation to workforce supply

First mtg. June 2000

unsure.

 

TN

 

 

 

 

 

 

TX

 

 

Y. TX Health and Human Services Comm, and TX Workforce Comm. Looking at welfare to work proposals to transition from welfare to independence.

Study due Jan. 2001

Y. stakeholder partnerships.

Susan Sycor. 512-438-3111. TX Dept of Human Svcs.

VA

Informal discussions re Eden alternative

N

Y. Joint Commission on Health Care of the VA General Assembly.  Looking at Recruitment and retention incentives, reimb. issues, career devt, staffing ratios.

Study avail from JCHC, Old City Hall, 1005 E. Broad St., Suite 115, Richmond, VA 23219

 

Patrick Finnerty, JCHC, 804-786-5445, Lorrene Maynard,VAPNA,  757-244-2857.

VT

 

N

Dept of Aging and Disabilities, Dept of Ed. and Trg. looking at issue.

 

 voc. tech

Joan Senecal, 103 S. Main St., State Dept of Aging and Disabilities. Waterbury, VT 05676  241-2400.

WA

 

 

 

 

 

 

WV

Informally, WV HCA and Social work conference brought in Dr. Thomas. . Conversations among providers, ombudsmen and others to have licensure change regs that inhibit Eden approach.

N

Y. Legislature in last session passed resolution to form committee to look at ltc issues.  WV Interagency LTC panel comprised of WV Health Care Authority, WV Sr. Services, WV Office of Health Facility Licensure, Bureau of Med. Services, Dept of HHS, WVU. Ctr. on Aging, Bureau of Public Health, WV Health Care Assn, WV council of Home Health, WV state legislature provider orgs.

Primary issues: trg. improvement of staff, med. admin, pay scales, trg. in palliative care

Study due in June, 2000

WV Health Care Authority,   304-558-7000. hcawv.org Wm. Davis, Capital City Task Force, 124 Tiskelwah Ave. Elkview WV 25071

WI

1999 was Year of LTC worker.

?

Governor appointed commission to study issue. Conference in 1999.

Study completed in 1999. Multi-stakeholder group continuing to meet .

Proposals include more training and funding.

Claudia Stein, Ombudsman office

608-264-9760