everything looks good

Is captioning available?

Hi, this is Catalina, AmeriCorps VISTA member with HHSC. Thank you for having us!😃

is there a streamtext link or Closed captioning?

Many thanks for putting together this briefing on the new report, most appreciated.

Hello Clara! thank you for representing the caregiver's here in Michigan 💪🏾💪🏾💪🏾❤❤❤❤👏🏿👏🏿👏🏿👏🏿

Catalina Piedrahita Employment and Training Specialist Healthcare Workforce Initiative with the Maine Department of Labor

Prudence Medina. Behavioral Health Professions Coordinator with WACH

Kym Juntti, Training Director: MORC, Inc. Hello Everyone!

Hi everyone! Fatmata Williams, Connecticut Medicaid.

Katherine Kennedy, Advanced Health Fellow, Providence VAMC & LTSS Center of Innovation. Hi everyone!

Joining from SourcePoint in Delaware, Ohio. Hello everyone!

Please note: this webinar is being recorded

Hello everyone, Tanya Burgess, School of Social Work Office of Gerontology at Arizona State University

Please share the presentation with the attendees later.

Allan Bergman, Disability Policy and Best Practice Advocate and SME for the Office of Disability Employment Policy at the U.S. DOL.

Rabbi Seth Stander; Community Aging Specialist at the Hope and Healing Center & Institute (Houston, TX). Thanks for providing today's presentation.

Please forward your questions in Chat

Becky Cordes here from Schaumburg Township Senior and Disability Services in Illinois. Hi Clare! 🙂

Rebecca Sky, NH State Commission on Aging

Lee Goldberg, AFL-CIO

Good Afternoon, joining from the Michigan Department of Health and Human Services in Lansing Michigan.

Can we have the presentation sent to the registrees? Thanks! Joseph Vincent from LIFE A Center for Independent Living.

Laura Russell. Alaska department of health and social services

Patricia West, Department of Developmental Services. CT

Yes, thank you for having this session -- Donna DeStefano, Tennessee Disability Coalition

Dr. Susan Elmore S A Elmore Consulting,LLC - Virginia or national -

Patricia Cook RN BSN MA- Colorado Gerontological Society

Hello! Joann Lo with United Domestic Workers/ AFSCME Local 3930 in California

Thanks for hosting this. Dr. Mark Diorio, Northern Virginia

Is there a streamtext link or a closed caption transcription, none is showing on the zoom screen. Thank you

Hello from Alabama. Julie Waters, Mental Health America- Montgomery. Thank you for this work!!!! and sharing!

Rimi Afroze, Provider Network Capacity Program Manager with WA Cares Fund, WA State DSHS. Thanks for organizing today's session !

Jonah Stoffers, Policy Analyst, California Department of Health Care Access and Information (HCAI)

good afternoon Louise Gorham from the university Massachusetts, commonwealth medicine's PCA orientation, recruitment and retention project

Hi Everyone! I'm Victoria Obatusin from WI Department of Health Services. Excited to be here!

Good afternoon, Georgia Crawford -Cambell, MSW from Michigan

Ben Veghte, WA Cares Fund, Washington State Department of Social and Health Services

we are looking into this.

One other long standing reality is the prevalence of Ableism and Ageism and devaluing these populations and, thus, devaluing the staff who provide supports and services with and for them.

Mark Fordyce WV Bureau of Senior Services

Hello from Oklahoma. Atheda Fletcher from Absentee Shawnee Tribal Health System, ADPI Coordinator

Good Afternoon. Fran Mancl representing Iowa CareGivers in Iowa.

Paula Basta - Illinois Dept. on Aging - Director

there closed captioning?

A recording of the event will be available along with the PPTs.

Jill Gerrie, the Arc Michigan

Henrietta Ivey- Representing Homecare Professional and Advocate for Detroit Homecare Professionals Owner of IPS LLC Homecare Detroit Mi

Judy Scott, representing the University of Colorado at Colorado Springs.

What a group of individuals on this call! Rachel Watkins-Petersen from Respite Care Association of Wisconsin

Q&A will be conducted via chat

is there closed captioning?

Hello! Trinity Baker with the Maine Long-Term Care Ombudsman Program

Hello. Amber Slichta with the Ralph C. Wilson, Jr. Foundation based in Detroit, MI and serving Southeast Mi and western NY!

Matt Williams - Illinois Network of Centers for Independent Living

We are looking into tis.

Thank you for this training

Thank you in advance for the recording and PPT- valuable!

Thank you for assuring us that the recording and the Presentation will be shared.

Linda Levin, ElderSource

Hello everyone Todd Jensen, Behavioral Health Workforce Coordinator, at Washington State Health Care Authority

Kathy Ganung- AAA who provides in-home care for seniors in Eastern Oregon.

Hello! I'm Rae McGarr, Project Manager with California Department of Health Care Access and Information.

Doug Standard with Daniel Kids in Jax, FL

I am seeking stakeholders to interview for an NIH Innovation Corps study. We seek insights and observations about the unique challenges that toileting care presents to the care experience, from the point of view of the direct care worker, the care recipient and the family caregivers. We also welcome the point of view from providers, nursing homes, home health agencies to learn if the Toilet Transfer, Toilet Hygiene measures are changing behaviors, used in care plans, etc. Please email pgraham@quainc.com and place "NIH I-Corps Interview" in the subject line. With thanks - important to capture as many points of view as possible!

I might have missed this earlier, but will slides be available after?

Thank you all so much for joining. It is terrific to see such a broad array of representation. Please share questions for the panelists in chat.

Colorado definition is this: Direct care workers assist older adults and people with disabilities to carry out basic activities of daily living across LTSS settings (i.e., individual homes, assisted living communities, and nursing homes). Direct care workers include personal care aides, home health aides, and certified nursing assistants.

where can we find the guide?

Thanks for having us! Claire Cote joining from the CT State Unit on Aging

Lynn Davis, Gabriel Homes, Reston, VA

Slides and a recording will be available.

Hello, everybody. My name is Naoko Muramatsu, Professor at School of Public Health at University of Illinois Chicago. I have been conducting research on home care workers over the past 15+ years in the context of Illinois Community Care Program.

The guide is at this link https://www.milbank.org/wp-content/uploads/2022/05/DirectCareWorker_Toolkit_final.pdf

Lynn Carpenter, Program Director, NH Needs Caregivers, New Hampshire

Thank you for the link!

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OOPs, Peg Graham, NIH Innovation Corps project, NYC

Here is the link to the guide

I apologize for not checking this setting.

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Hello from Idaho, Marilyn Sword with the Idaho Caregiver Alliance

Setting a Living Wage threshold is only helpful if the states fund the programs to pay base pay and overtime pay.

Living wage is not a minimum. This is much more difficult and has to be done at market level

Sasha O'Connell from Idaho's Office of Performance Evaluations here as well.

Agree Katherine and that is why we are encouraging states to take comprehensive approaches, as opposed to addressing only one aspect of the need.

Richelle Tierney - Idaho Council on Developmental Disabilities

Jen Davis-WY Governor's Office

So sorry to say that closed captioning was not activated.

We encourage you to use the chat to pose questions - we will address them during the last segment of the session.

Rachel Currans-Henry (she/hers), Oregon Department of Human Services, Strategic Initiatives Administrator for Aging and People with Disabilities

Lizette Stiehr, AADD (Alaska Association on Developmental Disabilities)

Peg Graham— please reach out to me in Arizona. embergoldstein@mac.com. I have some ideas on stakeholders for your NIH Innovation Corps study. Have you spoken with AZ State Jennifer Longdon?

I am working on the DCWF standardized curriculum in our state, and wondering how states may or may not be able to share their materials, what is working well, what is not?

CA has taken initiative shown in their master plan for aging.

Do these data include workers serving ID/DD clients, chronic mental illness/SUD etc?

Is this webinar being recorded?

Ramu--Yes, it is! Will be available next week.

Ramu--Yes, it's being recorded and will be available next week.

Apologies all - please use Q&A for your questions as opposed to chat. My mistake!

Bhagavati, Oregon Dept of Human Services, APD, Strategic Initiatives - will these slides from this great webinar be shared?

Marcella Dill, Exec. Dir. of Clarion Area Agency on Aging in Clarion, PA. Thank you for this webinar.

In case there si anybody to help, I am interested in setting up a Direct Work Force employment and training agency. My contact is: yeledairo@hotmail.com and 9294388244

Hi Dustin--Yes, slides and recording available after!

Hi there--Yes, slides and recording will be available and shared.

Thank you, Courtney! :-)

723783

This is such a great forum, humbling to hear about the great work going on!

yes I agree

We hope that there will be value no matter where your state is on the developmental curve.

I urge all of you to take a look at the index at the back of the Guide. It includes links to material from a diverse array of featured states that can help support work in peer states.

In the field of Developmental Disabilities, please be aware of the on-line training and competencies for Direct Support Professionals (DSPs) at both the College of Direct Support at the U. of Minnesota Institute on Community Integration and the National Alliance of Direct Support Professionals (NADSP), which provide career ladders, and training consistent with the CMS-HCBS "Setting Rules" and Person-Centered Planning for Long Term Supports and Services (not care) rather than the old model of "taking care of people", reinforcing the stigma of dependency and in conflict with the goals of all federal disability policy, including the Olmstead Supreme Court decision, of independence, interdependence, productivity and community inclusion and integration.

Thanks for that great resource Allan. Attention to a person-first approach is truly needed.

Well done, Michigan!

Terrific!

Awesome!!!! @Clare Luz👏🏿👏🏿👏🏿👏🏿👏🏿❤❤❤❤❤❤❤

Would be so much easier if we all did the same thing for the next 5 years and modify the program after we see results. Problem will be that the care workers will want more than 15/hr minimum wage and that will put folks back on HCBS waitlist for services. Most states cannot match CA budget or come even close

Terrific work! This is a relevant publication about occupational credentialing of DCWs" Kim, J. (2020). Occupational credentials and job qualities of direct care workers: Implications for labor shortages. Journal of Labor Research. 41(4), 403-420. https://doi.org/10.1007/s12122-020-09312-5

Agree that taking a uniform approach across the country would be quite challenging, but as we discuss in the guide, ARPA funds are at least one means of making these investments in the near term. Also acknowledge the challenge of sustaining these increases, absent permanency of the kind that was proposed by Build Back Better.

This is all very informative and helpful. Thank you for sharing the Direct Care Workforce Guide. -Melissa Price, South Caroline Respite Coalition

congratulations on getting it into the House budget!

Michigan's approach is robust and impressive! When will you begin to measure outcomes? Thank you very much for sharing!

This is great for Michigan!

and Michigan's and Clare's examples are good for the country!

Yes, Adrienne! very excited to see some outcome measures :-)

Way to represent Clare! Go Michigan!

well done Clare!!!!👏🏿👏🏿👏🏿👏🏿👏🏿👏🏿👏🏿👏🏿

Hi Kim!!! :)

Congratulation Clare !! Many more great work to come for Michigan. Thank you saying "Equity" in your last slide !!

The Pennsylvania Long‑Term Care Council created A Blueprint for Strengthening Pennsylvania's Direct Care Workforce in 2019 https://www.aging.pa.gov/organization/PennsylvaniaLongTermCareCouncil/Documents/Reports/LTCC_Blueprint%20for%20Strengthening%20Pennsylvania%E2%80%99s%20Direct%20Care%20Workforce_April2019.pdf

Thank you for the focus on the underlying causes. Very important and excited to see how things continue to progress.

Excellent presentations!!!

In case there is anyone who can help, I am interested in setting up a Direct Care Workforce employment and training agency. My contact is yeledairo@hotmail.com and 9294388244. Thank you

Absolutely outstanding work! So happy for all of us that momentum has been building and will keep building!!

Agree --collaboration with all partners is key to the success of moving forward. Thanks. Lauren Swanson-Aprill

Thank you all for your insights and progress. In Michigan, are the leaders in the developmental disabilities field and mental health field and independent living centers engaged as part of your collaborative? I hope so.

So great to hear these presentations! They help motivate support of the Direct Care Workforce and allow one to examine the work being done within our state of Iowa and continue to evaluate what work directions to take moving forward.

Thank you so much for this!

It would be so wonderful if all states putting ARPA funds into DCW initiatives would evaluate the success of their efforts.

Thank you so much Dr. Luz! I was also wondering how you agreed on the core competencies

Great question!

Kate - How many DCWs and Cared For individuals on your team?

Thank you all for sharing. Sheila Lewis, SC Dept on Aging.

Thanks for this great presentation!

Hi Courtney!

I am an AmeriCorps VISTA member working with HHSC and I learned tremendously from this.

Janine Gracy, Executive Director Trinity In-Home Care, Lawrence, KS.

Thanks for the guide, and the breath of knowledge and experiences in the presentations. Thank you

Thank you for an inspiring presentation. It is impressive what you have accomplished. I look forward to the PPT and recording. Nancy Hooyman, UW, Seattle, WA

The Guide is available here: https://www.milbank.org/publications/direct-care-workforce-policy-and-action-guide/

Thank you all for the work you are doing and the amazing guide you have put together. - Amy Huppi University of Massachusetts Boston Institute for Community Inclusion

Greetings from Brazil. I'm a bachelor's Physics student at UNESP, Guaratinguetá Campus. Today (4 years) i'm working/studing healthcare trough care form my mother (79 years old)...i'm in the HEALTH. Congratulations for the event.

If it's in the contract it must be reflected in the reimbursement rates, and it must include a margin to pay for overtime. Agencies are drowning in overtime costs in Michigan because the $2.35 doesn't include an overtime margin.

One problem I have seen is that in the effort to bring everyone under the same umbrella and “lift everyone up”, the programs that had higher rates are vilified and are told don’t need to get wage increases because other programs are lower, even though there could be justified reasons for acuity, etc. as to why the rates were higher. The calls for raising everyone’s wages to $15 per hour means the programs that were able to pay $12 per hour don’t get the same % increase as the others and so their workforce shortage actually gets worse.

We have Certified Family Home providers in Idaho most of whom care for family members with disabilities (kind of like Adult Foster Care) who have minimal requirements for certification and training. It sounds like those individuals would be considered part of your definition of direct support professionals?

Thank you!

Hi Marilyn--Yes, they would be included in the definition of DSPs.

Thank you, Courtney. Good to 'see' you!

Thank you everyone! Such great and encouraging information!

Thank you all for your work and expertise!

Need a Part 2! To be continued - hopefully! Thank you.

Thank you!!

Thank you for having this session. The Guide is so helpful and much needed.

Thank you very much. Very informative and inspiring session!

Thank you. We are working on a coalition here in Idaho to address this issue.

Julia: can you provide information about your apprenticeship program

Congratulations to you all for such inspiring works !!