In the US, some health systems and emergency medical services agencies are leveraging the versatility and experience of community paramedics to meet needs for COVID-19 testing, care, and vaccination. This report describes models of community paramedic practice that have been utilized in the US during the pandemic and discusses changes in law and regulation that…
Health care workers in long-term care (LTC) settings often face financial security concerns due to low wages, inconsistent hours, and lack of benefits. As a result, there are higher rates of LTC workers who hold multiple jobs, which can increase workers’ exposure to COVID-19. Because COVID-19 is an especially serious threat to the frail elderly,…
Registered nurses (RNs) are the largest licensed health profession in the US and a key component of the long-term care (LTC) workforce. RNs who work in LTC settings earn less than those who work in hospitals and Black and Hispanic RNs employed in urban hospitals earn less than White and Asian nurses, even after controlling…
Demand is rising for direct care workers (including personal care aides, home health aides, and nursing assistants), but recruitment and retention challenges are widespread. While the COVID-19 pandemic has greatly exacerbated these challenges, it has also created a new labor pool of millions of workers who have been displaced from occupations with similar entry-level requirements….
During the COVID-19 pandemic, numerous concerns about the nursing workforce have been reported. With a shortage of registered nurses (RNs) likely underway now, employers need to ramp up their efforts to retain RNs and develop career paths for newly-graduated RNs. They also need to rapidly develop and implement strategies to mitigate the potential harm of…
Despite considerable research on nursing turnover, few studies have considered turnover among nurses working in home health care. Between 2016 and 2019, the average annual separation rate of home health nurses was over 30%, with most separations occurring voluntarily. Schedule volatility and turnover were positively associated for full-time nurses, but not for part-time nurses. This…
Electronic Visit Verification (EVV) is a state-implemented telephone and computer based technology system used to verify electronically that a Medicaid Personal Care Services (PCS) worker has arrived on the job and assisted a person with a disability with approved PCS tasks. EVV was a response to concerns about fraud, waste, and abuse in Medicaid-funded PCS….
Several states and cities established alternate care sites in locations such as convention centers and dormitories, to provide sub-acute care for people with SARS-Cov2 infection. This policy brief examines the roles of these sites, their staffing mix, their recruitment and deployment strategies, and their training approaches.
Personal care, home health, and nursing aides provide the majority of care to chronically ill and disabled older adults. This workforce faces challenging working conditions, resulting in high turnover and workforce instability that affect the quality of care for older adults. This study adds to the literature by examining racial and ethnic disparities in well-being…
Medical providers are significant drivers of care in post-acute long-term care settings, yet little research has examined the medical provider workforce and its role in ensuring quality of care. This article examines the impact of nursing home medical staffing organization dimensions on the quality of care in US nursing homes. Respondents who reported having a…
