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Direct Care Workers and HIT

The direct care workforce, comprising over 600,000 workers across the U.S. and Canada, faces significant challenges including low wages, lack of benefits, high turnover rates, and chronic shortages. This presentation explores obstacles and opportunities within this sector, emphasizing the importance of technology adoption and training to enhance care coordination. Highlights include the role of digital tools in improving care delivery and staff satisfaction, as well as strategies for effective training and engagement of direct care workers to foster better working conditions.

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Direct Care Workers and HIT

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  1. The Direct Care Workforce: Obstacles and Opportunities Elizabeth Royal, SEIU June 13, 2013 Direct Care Workers and HIT

  2. SEIU • 2.2 million members • Over 1 million health care workers • Over 600,000 direct care workers • 27 states, DC and Canada

  3. Facts about Direct Care Workers** Direct Care Work : Low wages Few, if any, benefits High turnover High rates of injury Chronic shortages • CNAs, HHAs, Personal Care Workers • 2.3 million in personal care and home health ** • 1.7 million CNAs • 90% female • Age 25-54 • Disproportionately minority • Significant proportion are foreign born **Source: “Caring for America.” PHI Dec. 2011.

  4. HIT and Long Term Care: Why does it matter? • Bulk of care in LTC settings where adoption lags • Characteristics of LTC settings inhibit adoption • ACA and Care Coordination

  5. HIT in Home and Community-Based Care • Portal Technology • IHSS Home Care Workers: Members of Care Coordination Team under Managed Care • NY Care at Hand, VA, MA [https://careathand.com/#!home]

  6. Nursing Homes and CNA documentation** • CNAs driving implementation and adoption • Digital pen technology, hand held computers • Important Lessons ** On-Time Quality Improvement for Long Term Care. Case Studies, “Digital Pen Technology Results in Better Care and Improves Staff Satisfaction.” http://www.ahrq.gov/legacy/research/ltc/casestudies.pdf

  7. What do we know about how to train to this technology? • Involve DCWs in planning and implementation • Understand and plan for the needs of workers • Maintain constant and ongoing training • Utilize various venues for training and make it flexible

  8. Setting the Stage for Successful Adoption • Fund innovative pilots, especially those that expand DCW roles • Ensure adequate funding and support for the technology • Remember the needs of the setting and of the end users

  9. Elizabeth Royal elizabeth.royal@seiu.org Thank you

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