The following is a list of PAS Workforce resources related to New Hampshire.
The list is provided and maintained by the National
Clearinghouse on the Direct Care Workforce. Each citation contains
an abstract and information about how to obtain the entire version.
Paraprofessional Healthcare Institute and the North Carolina Department of Health and Human Services. (March 2004). Chart of direct-care workforce activities in New Hampshire.
Abstract:
This chart describes existing or enacted direct-care workforce initiatives in this state as of March 2004. The information was collected as part of a national survey of state initiatives on the long-term care direct-care workforce. Additional details about this state may be found in the full report.
Argiropolis, Michael , Annette Nielsen, and Richard Ricker. (March 2006). Eldercare in New Hampshire: Labor market trends and their implications. New Hampshire Economic and Labor Market Information Bureau.
Abstract:
This report by the New Hampshire Economic and Labor Market Information Bureau explores the labor market for elder care in New Hampshire. The report explores the demand for elder care services and the supply of workers (defined as Personal and home care aides, Home health aides, and Nursing aides, orderlies and attendants) to deliver those services.
Kopiec, Kathleen. (October 2000). The work experiences of certified nursing assistants in New Hampshire. New Hampshire Community Loan Fund.
Abstract:
The aim of this study was to learn how paraprofessional health care workers view their work, what they think would improve the quality of their job, how workers can be attracted to the field, and how turnover can be reduced. Through interviews and focus groups, the findings reveal that the challenges associated with a health aide's job vary depending on the type of setting.
New Hampshire Community Loan Fund. (Winter 2006-2007). Home alone in New Hampshire. Northern New England LEADS Institute.
Abstract:
This paper explores New Hampshire's growing demand for direct-care workers who provide long-term care services to elderly and disabled consumers. The paper argues that low wages, meager benefits, and harsh working conditions all contribute to a high turnover rate among workers, jeopardizing quality care. Its authors conclude that job descriptions, wages, and benefits all need to be adjusted to reflect the strengths and skills that direct-care work requires.
Anderson, Wayne L., Joshua M. Wiener, Angela M. Greene, and Janet O'Keeffe. (April 2004). Direct service workforce activities of the Systems Change grantees. RTI International.
Abstract:
In 2001 the Centers for Medicare and Medicaid Services (CMS) awarded Real Choice Systems Change (RCSC) Grants to states and other entities working to improve state long-term care systems. Twenty grantees began one or more initiatives to improve the recruitment and retention of direct service workers. This report focuses on the workforce initiatives of these 20 grantees, with an in-depth look at 7. The report strongly recomends that policymakers, providers, and consumers address workforce problems.
Wong, Alice, H. Stephen Kaye, and Robert Newcomer. (July 2007). State legislation regarding wages and benefits of home care workers: Thirteen promising practices. Center for Personal Assistance Services.
Abstract:
This report focuses on examples of state legislation seeking to increase the hourly wages or benefits of direct-care workers. The thirteen bills or legislative appropriations included in the report increase wages through Medicaid reimbursement rates, amending current laws, or providing health insurance parity.
Crosby-Hutchinson, Rebecca. (February 2001). New Hampshire's care gap: The healthcare workforce shortage. New Hampshire Community Loan Fund.
Abstract:
This report of New Hampshire's Paraprofessional Healthcare Imitative claims that worker retention is a major problem for New Hampshire long-term care providers, with 11,000 CNAs letting their licenses lapse since 1993. Noting that demographic changes are likely to make the workforce crisis worse over the next 15 years, the report recommends providing caregivers with: competitive wages, health insurance and other benefits including child care; opportunities for advancement; a positive public image; and a supportive work environment.
Kahn, Karen. (August 2000). Quality Care Partners: A case study. PHI.
Abstract:
This case study traces the early development of Quality Care Partners, a home care cooperative, and its entry into the marketplace. Initiated as a sectoral development project, in Manchester, New Hampshire, the study documents the lessons learned in the areas of building partnerships, acquiring financing, identifying markets, identifying leadership, and developing customer demand.
Frydman, David and Michele Winchester. (April 2005). New Hampshire consumer-directed personal care: A gap analysis. Institute for Health Law and Ethics, Franklin Pierce Law Center.
Abstract:
This report provides an overview of consumer-directed personal care in New Hampshire, discusses gaps identified by focus groups, and makes initial recommendations to address the care gap. The authors note the shortage of personal care attendants due to: lack of competitive wages, lack of employee benefits, and low Medicaid reimbursement rates. The report offers a series of recommendations, including enacting wage-pass through legislation to increase compensation, investing in health care coverage, and funding overtime pay.
PHI. (September 2008). Northern New England LEADS Institute: An evaluation.
Abstract:
This report evaluates measurable outcomes of the LEADS Institute, an initiative that sought to develop person-centered care at 12 long-term care facilities by providing training, technical assistance, and cross learning opportunities. Interviews with stakeholders, job satisfaction and work environment surveys, data on turnover and absences, document review, and ''lessons learned'' discussions provide evidence of improvements in management, job quality, public policy, and the quality of communication within long-term care settings.
