California’s Medicaid Personal Care Assistants: Characteristics and Turnover Among Family and Non-Family Caregivers

Personal care assistants (PCAs) provide support that enables older adults and individuals with disabilities to remain in home and community settings. This study characterizes the role played by family members and non-family PCAs in California’s Medicaid program, which oversees the nation’s largest consumer-directed personal care assistance program. We describe factors that affect turnover among PCAs,…

Health Information Technology Implementation: Implications for the Nursing Home Workforce

Many nursing homes have adopted health information technology (HIT) to help improve quality of care and staff productivity. However, it has been unclear as to whether HIT systems have had the intended effect on staff productivity and patient outcomes. This report describes a study utilizing a literature review as well as interviews and focus groups…

Nursing Home Implementation of Health Information Technology: Review of the Literature Finds Inadequate Investment in Preparation, Infrastructure, and Training

Many nursing homes have adopted health information technology (HIT) to help improve quality of care and staff productivity. However, the success of HIT systems in nursing homes depend on implementation and little is known about how these systems impact nursing home staff. This article describes a study that included a literature review of articles on…

Changing Home Care Aides: Differences Between Family and Non-Family Care in California Medicaid Home and Community-Based Services

In California, many Medicaid recipients receive home-and-community-based services (HCBS) in the form of home care aids. Family members can also receive payment as home care aids to these Medicaid recipients. This article describes an analysis of the data on first-time HCBS recipients to see which factors were associated with switching home care aids to provide…

Changing Home Care Aides: Differences Between Family and Non-Family Care in California Medicaid Home and Community-Based Services

In California, many Medicaid recipients receive home-and-community-based services (HCBS) in the form of home care aids. Family members can also receive payment as home care aids to these Medicaid recipients. This article describes an analysis of the data on first-time HCBS recipients to see which factors were associated with switching home care aids to provide…

Nursing Home Implementation of Health Information Technology: Review of the Literature Finds Inadequate Investment in Preparation, Infrastructure, and Training

Many nursing homes have adopted health information technology (HIT) to help improve quality of care and staff productivity. However, the success of HIT systems in nursing homes depend on implementation and little is known about how these systems impact nursing home staff. This article describes a study that included a literature review of articles on…

Health Information Technology Implementation: Implications for the Nursing Home Workforce

Many nursing homes have adopted health information technology (HIT) to help improve quality of care and staff productivity. However, it has been unclear as to whether HIT systems have had the intended effect on staff productivity and patient outcomes. This report describes a study utilizing a literature review as well as interviews and focus groups…

California’s Medicaid Personal Care Assistants: Characteristics and Turnover Among Family and Non-Family Caregivers

Personal care assistants (PCAs) provide support that enables older adults and individuals with disabilities to remain in home and community settings. This study characterizes the role played by family members and non-family PCAs in California’s Medicaid program, which oversees the nation’s largest consumer-directed personal care assistance program. We describe factors that affect turnover among PCAs,…

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