prominent research organizations are joining forces to analyze the frontline
workforce in home and hospice care.
Social and Scientific Systems Inc., and the LeadingAge Center for Applied Research, its
subcontractor, will conduct the analysis using a contract from the U.S.
Department of Health and Human Services, Office of the Assistant Secretary forPlanning and Evaluation (ASPE).
project is expected to help researchers better understand the ability of the
home and hospice care workforce to meet the growing demand for high-quality
care for elderly and younger individuals who live at home or in community-based
Building on Ongoing Work
ASPE contract will help Social and Scientific Systems, Inc. and the Center for
Applied Research continue their ongoing ASPE-supported work to analyze the 2007
National Home Health Aide Survey (NHHAS) and the 2007 National Home and Hospice
Care Survey (NHHCS) datasets.
a 2011 ASPE contract, the two research partners are developing a state policy database
featuring information about health care, long-term care, and labor policies.
The database also includes information about key state characteristics,
including socio-demographic characteristics, public program expenditures, and size
of the health care labor force.
project team is currently linking its state database to the NHHAS and NHHCS and
conducting a series of inter-related analyses intended to further its
understanding of the home health care industry.
Linking Databases for Increased Understanding
research partners will use the newest ASPE contract to continue their analysis
of the NHHAS and NHHCS. Specifically, the team will link those databases with
national, state, and county-level data to examine the association between state
associated with frontline home care workforce, such as supply, recruitment and
characteristics like training and culture.
study data is limited to agency-employed workers, the
research team will not be exploring the consumer-directed workforce.
Broad Interest in Developing a Quality
A number of policies
are driving much of the broad-based interest in the development and
sustainability of a quality frontline home care workforce. These policies
- Expansion of home and community-based service programs in response
to consumer preferences and legal mandates.
- Growth of home-based post-acute and palliative care. This growth has
encouraged substantial use of home health and hospice care.
- An increased focus on care coordination and
integration. The success of this coordination depends on the participation of home
health and home and community-based providers, and a trained, competent home
- Laws that allow nurses to delegate certain tasks to direct care workers
under their supervision. Such delegation requires a knowledgeable,
skilled and stable home care workforce and nurse supervisors who can facilitate
the safe empowerment of these workers.
Policy Makers and Providers
ASPE project offers a unique opportunity to explore,
and provide evidence-based solutions to address, the myriad care-related issues
facing policy makers, providers, and consumers. This multi-level study will provide
a better understanding of:
size and major characteristics of the frontline home care workforce.
policy, agency-level and other environmental characteristics influence the
availability of the workforce.
impact that these caregivers have on successful policy implementation, provider
practice and quality outcomes.
About The Office
of the Assistant Secretary for Planning and Evaluation
ASPE is the principal
advisor to the secretary of the U.S. Department of Health and Human Services (HHS) on
policy development, and is responsible for major activities in policy
coordination, legislation development, strategic planning, policy research,
evaluation, and economic analysis. More information is available at ASPE.