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Long-Term Care Workforce Policy

LONG-TERM CARE WORKFORCE POLICY

National Long-Term Care Workforce Network Meetings

Between March and November 2023, CSG convened nine meetings of the National Long-Term Care Workforce Network to address a variety of topics related to various segments of the long-term care workforce. Recordings of eight of the meetings and presentation slides are available here.

April 30, 2024: Moving Forward Coalition Update

This meeting of the Network featured an update on the workforce-related action plans of the Moving Forward Nursing Home Quality Coalition. The Coalition is making progress on a number of fronts, including helping to create apprenticeships for Certified Nursing Assistants (CNAs) and encouraging states to develop Medicaid Incentive Payment Programs. Presenters included Coalition Chair Alice Bonner, Betsy White from Brown University’s School of Public Health, Jasmine Travers from the New York University College of Nursing, Jenna Kellerman from LeadingAge, and Kezia Scales from PHI. The webinar also included a report from Caroline Cadirao, director of the Hawaii Executive Office on Aging, who outlined legislative successes in the Aloha State during the 2024 session in the wake of a long-term care summit in February that CSG participated in.

March 18, 2024: Multisector Plans for Aging

This meeting of the Network looks at multisector plans for aging (MPA), which many states have explored in recent years to engage in cross-sector strategic planning to help them better coordinate long-term services and supports. Presenters included Carrie Graham, Ph.D., director of aging and disability policy at the Center for Health Care Strategies, which has offered guidance to states as part of MPA learning collaboratives. Also joining the conversation are Kevin Hancock, who has led the MPA process in Pennsylvania, and Rob Ence, who has led the process in Utah. A recent long-term care summit in Honolulu is also highlighted.

April 25, 2023: Moving Forward Coalition

During this Network meeting, attendees heard about the work of the Moving Forward Nursing Home Quality Coalition, which focuses on advancing seven goals outlined in a 2022 report from the National Academies of Sciences, Engineering and Medicine (NASEM). Joining the conversation were Coalition Chair Alice Bonner, Jasmine Travers of the New York University College of Nursing, who co-chairs the Coalition’s workforce-focused committee, and Jenna Kellerman, director of workforce strategy and development at LeadingAge.

May 24, 2023: Dementia Care Workforce

During this meeting of the Network, the dementia care workforce was the focus. Featured experts included Diane Ty, Senior Director of the Center for the Future of Aging at the Milken Institute, which has issued recent reports on building the dementia workforce and system capacity, the projected prevalence and cost of dementia, and the roadmap for investment in dementia care. Also, Andrew Ross, Director for State Affairs at the Alzheimer’s Association, discussed the association’s policy agenda and how states have addressed dementia care in recent years.

June 26, 2023: Nursing Home Clinician Workforce

During this meeting of the Network, the nursing home clinician workforce shortage was the focus. Presenters included leaders of AMDA, the Society for Post-Acute and Long-Term Care Medicine, the medical specialty society that represents over 50,000 medical directors, physicians, nurse practitioners, physician assistants and other practitioners working in various post-acute and long-term care settings.

July 24, 2023: Shortages in the Home Care Workforce

During this meeting of the Network, shortages in the home care workforce were the focus. Presenters included Dr. Rachel Werner, MD, PhD, Executive Director of the Leonard Davis Institute of Health Economics and a professor of health care management and economics and medicine at the University of Pennsylvania. She co-authored a recent article in the journal Health Affairs entitled “The Home Care Workforce Has Not Kept Pace With Growth in Home and Community-Based Services.” The Home Care Association of America is among the organizations working on policy solutions to address “The Home Care Workforce Crisis,” as a recent report describes the challenge. CEO Vicki Hoak joined the conversation as did April Young, senior director of strategic affairs at ADvancing States, the organization that represents the nation’s 56 state and territorial agencies on aging and disabilities and long-term services and supports directors.

August 1, 2023:
Building Career Pathways

During this meeting of the Network, building career pathways in long-term care was the focus. Among the presenters were Amy Robins, Director of Advocacy at PHI, the nation’s leading authority on the direct care workforce, which works to promote quality direct care jobs as the foundation for quality care. This meeting also highlighted the progress being made in Hawaii to support the development of career pathways.

September 27, 2023: Expanding Career Pathways

This meeting of the Network was a follow up to the August discussion on building career pathways. Among the presenters were Natasha Bryant, Senior Director of Workforce Research & Development in the Washington, DC office of the LeadingAge LTSS Center @UMass Boston and Kevin Coughlin, Policy Initiative Advisor – Executive at the Wisconsin Division of Medicaid Services. Also, Elizabeth (Betsy) White, APRN, PhD, Assistant Professor of Health Services, Policy, and Practice at the Brown University School of Public Health and a member of the Moving Forward Coalition’s Workforce-Focused Committee discussed the Coalition’s action plan to expand career pathways for certified nursing assistants.

October 18, 2023: Workforce Development Initiatives

This meeting of the Network highlighted workforce development initiatives in three states: Arizona, Indiana and Tennessee. Among the presenters were Bill Kennard, administrator of the Office of Health Care Workforce Development at the Arizona Health Care Cost Containment System, Peggy Welch, chief advocacy officer at the Indiana Family and Social Services Administration, and Anna Lea Cothron, system transformation director at the Division of TennCare (Tennessee’s Medicaid program).

November 17, 2023: AHCA/NCAL State Affiliates: Workforce Needs of Long-Term and Post-Acute Care Facilities in California, Florida and Minnesota

This meeting of the Network highlighted the workforce needs of long-term and post-acute care facilities and initiatives they have in the works to address them, including career pathways for certified nursing assistants, efforts to bolster the ranks of nursing home administrators, and strategies to incentivize youth to go into long-term care professions. Presenters included officials from three state affiliates of the American Health Care Association and National Center for Assisted Living (AHCA/NCAL); Claire Enright of the California Association of Health Facilities, Kristen Knapp of the Florida Health Care Association, and Nicole Mattson of Care Providers of Minnesota. Plus, NCAL Executive Director LaShuan Bethea and AHCA/NCAL Associate VP for Member Services and Government Relations Dana Ritchie joined the conversation to talk about the national policy agenda and other state workforce initiatives among their members.