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Medical Home

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  • Topic: Medical home
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How Cash and Counseling Affects Informal Caregivers

July 1, 2005 | Report

This report estimates the effects of Cash & Counseling on the caregivers who were providing the most unpaid assistance to adult beneficiaries, when those beneficiaries volunteered to participate in the demonstration and completed a baseline interview.

New State Strategies to Meet Long-Term Care Needs

January 1, 2010 | Journal Article

Consumer-directed long-term care service programs give participants the flexibility they want, while reducing unmet need for home and community-based services and supports. Their experiences offer valuable insights, guidance and encouragement to other states contemplating consumer-directed service expansions.

North Carolina's Direct Care Workforce Development Journey

July 1, 2009 | Journal Article

This case study of Better Jobs, Better Care: Building a Strong Long-Term Care Workforce specifically focuses on the work of one coalition, the North Carolina Partner Team, which succeeded in bringing together competing stakeholder groups. The coalition's work eventually led to the 2006 passage of the North Carolina New Organization Vision Award.

Creating a Special License for Long-Term-Care Providers with Supportive Workplaces

April 25, 2010 | Program Result

North Carolina Foundation for Advanced Health Programs created a voluntary, special state license to recognize long-term-care providers who offered a supportive workplace for their direct-care staff. The project was part of Better Jobs Better Care.

Measuring Worker Turnover in Long-Term Care

June 1, 2008 | Journal Article

This article describes how measures of staff turnover among long-term care workers are calculated differently by different provider organizations, which makes evaluating interventions designed to reduce staff turnover difficult. The authors urge for consistency across organizations.

What Do Direct Care Workers Say Would Improve Their Jobs?

July 1, 2008 | Journal Article

As part of the Better Jobs Better Care (BJBC) demonstration, direct care workers were asked for recommendations on how to improve their jobs. Across work settings, workers specified better pay and improved working relationships as key recommendations.

Implementation of the Better Jobs Better Care Demonstration

July 1, 2008 | Journal Article

Examining the Better Jobs Better Care demonstration illustrates the importance of resources and strong leadership in successful implementation of a workforce demonstration project.

How Does Cash and Counseling Affect Costs?

February 1, 2007 | Journal Article

This research examines Cash and Counseling's effects on the costs and uses of Medicaid's personal care services or home and community-based waiver services effects on other Medicaid costs and effects on total Medicaid costs.

Job Perceptions and Intent to Leave Among Direct Care Workers

December 1, 2007 | Journal Article

The high rate of turnover among the ranks of direct care workers in the long-term care arena was explored in this study.

Developing and Implementing Self-Direction Programs and Policies

February 27, 2009 | Toolkit

This handbook explains how states can increase program participants' choice of and control over their services and supports.

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