The Direct Care News     transparent logo, white type
For direct care workers and their allies
 
March 11, 2014
Spotlight on Nursing Home Staffing
Nursing facility staff levels are drawing increased attention lately, spurring discussion about the connection between staffing levels and the quality of care, services and support received by residents.

A Center for Medicare Advocacy analysis has found that although most nursing facilities in the U.S. do not have sufficient staff to provide residents with necessary care, the federal enforcement system cites very few facilities with staffing deficiencies and often does not impose any financial penalties even when it finds that a facility has insufficient staff.

A recently released Department of Health and Human Services Office of Inspector General (OIG) report finds that one third of skilled nursing home residents are being harmed, and in some cases dying, as a result "adverse or temporary harm events," which are instances where harm results due either to the care provided by the
facility or care that was not provided when needed. Read more.
Direct from Washington, D.C.
Capitol HIll
Cancelled Health Insurance Plans Allowed Two-Year Extension: Last Wednesday, the Obama administration announced a two-year extension for individual health insurance policies that don't comply with the Affordable Care Act's requirements for comprehensive health care coverage. The extension is optional for both states and the health plans. Learn more.

President's Budget Proposal Addresses Areas That May Affect Direct Care Workers: Last Tuesday, President Obama submitted his $3.9 trillion fiscal year 2015 budget request to Congress. The budget seeks to boost economic growth, expand opportunity for Americans and control the national debt. It addresses several areas that could impact direct care workers and their families, including raising the minimum wage; enforcing wage, overtime, family and medical leave, and other worker protections and laws; unemployment insurance; taxes; access to high-quality, affordable health care; immigration reform; and more. Learn more.

OAA Reauthorization Bill Introduced in House Calls for Database to Track People Who Have Committed Elder Abuse Crimes: On February 28, the Older Americans Act Reauthorization Act of 2014 (H.R.4122) was introduced in the U.S. House of Representatives by Representatives Bonamici (D-OR) and Hinojosa (D-TX). The bill calls for reauthorization of the Older Americans Act, which plays a primary role in the social and nutrition services available for older adults, including in the long-term services and supports arena. Authorization for OAA ended in 2011. Representative Hinojosa said the bill "offers broader and more detailed assistance programs" for senior citizens and noted "a database that can identify and track people who have committed elder abuse crimes and ... will serve to keep them out of facilities where seniors are being cared for." 
Direct from the Headlines
Olympia Dukakis on why we need to take better care of home care aides, who take such good care of the rest of us.

This ad from the Healthcare for All Virginians Coalition--including DCA--features quotes from GOP governors who expanded their states' Medicaid programs.

A direct care worker in Britain is leading a campaign to encourage more people--especially men--to join her profession. Meanwhile a British activities director is urging more of his fellow men to become care workers, also in order to head off a "drastic" looming shortage.

Direct care workers are lobbying for better pay and better care in Illinois, Washington and Delaware.

NPR reporter Daniel Zwerdling is looking for CNAs, nurses and others at hospitals and nursing homes who have suffered on the job injuries. If that applies to you, check out this online survey.

A retired CNA in Wisconsin won a million-dollar lottery.
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Get Direct Care Workers Covered
If you're considering enrolling in health insurance under the Affordable Care Act (ACA), time is running out! Open enrollment ends March 31. Learn about how DCA's Get Direct Care Workers Covered initiative can help if you live in New York state.

Those in other states may click here to learn more about the ACA's health insurance options and savings options, and how to sign up for coverage.
Direct Care Alliance is the national advocacy voice of direct care workers in long-term care. We empower workers to speak out for better wages, benefits, respect, and working conditions, so more people can commit to direct care as a career. We also convene powerful allies nationwide to build consensus for change. 

If you have comments on this issue of The Direct Care News or ideas for future issues, please contact Elise Nakhnikian at 646-823-7434 or enakhnikian@directcarealliance.org.