Form CMS-10404 Employer Organization Survey
CMS National Balancing Indicators Project (NBIP) Direct Service Workforce (DSW) Data Collection Effort
CMS-10404 - Employer Organization Surveys and Materials 2-14-12
Employer Organization Survey
OMB: 0938-1160
CMS-10404;
OMB 0938-New
February 14, 2012
SPT Grantee Employer Organization Surveys and Accompanying Materials Table of Contents
Survey 1: Arkansas Employer Organization Survey Materials (divider page)
Post Card Front
EO Post Card Back
EO Cover Letter
EO Survey
Survey 2: Florida Employer Organization Survey Materials (divider page)
Post Card Front
EO Post Card Back
EO Cover Letter
EO Survey
Survey 3: Kentucky Employer Organization Survey Materials (divider page)
Post Card Front
EO Post Card Back
EO Cover Letter
EO Survey
Survey 4: Maine Employer Organization Survey Materials (divider page)
Post Card Front
EO Post Card Back
EO Cover Letter
EO Survey
Survey 5: Massachusetts EO Survey Materials – Survey #1 (divider page)
Post Card Front
EO Post Card Back
EO Cover Letter
EO Survey
Survey 6: Massachusetts EO Survey Materials – Survey #2 (divider page)
Post Card Front
EO Post Card Back
EO Cover Letter
EO Survey
Survey 7: Michigan EO Survey Materials – Survey #1 (divider page)
Post Card Front
EO Post Card Back
EO Cover Letter
EO Survey
Survey 8: Michigan EO Survey Materials – Survey #2 (divider page)
Post Card Front
EO Post Card Back
EO Cover Letter
EO Survey
Survey 9: Michigan EO Survey Materials – Survey #2 (divider page)
Post Card Front
EO Post Card Back
EO Cover Letter
EO Survey
Survey #1: Arkansas Employer Organization Survey Materials
Arkansas Direct Service Workforce Employer Survey
Arkansas
Division of Aging and Adult Services P.O.
Box 1437 Slot
S530 Little
Rock, AR 72203
Recipient
Name Street
Address City,
State, Zip Code
Arkansas
Division of Aging and Adult Services P.O.
Box 1437 Slot
S530 Little
Rock, AR 72203
Recipient
Name Street
Address City,
State, Zip Code
Arkansas Division of Aging and Adult Services
P.O. Box 1437
Slot S530
Little Rock, AR 72203
<<First Name>> <<Last Name>>
<<Recipient Title>>
<<Recipient Organization>>
<<Recipient Street Address>>
<<Recipient City>>, <<Recipient State>> <<Recipient Zip>>
<<Greeting Line>>
The Arkansas Division of Aging and Adult Services is in the process of collecting information about the experiences of your direct service workforce, as a part of a federally funded study sponsored by the Centers for Medicare and Medicaid Services. You are being asked to complete this survey because your organization receives funding to provide Elder Choices, Alternative Community Services, and/or State Plan services to older adults and/or people of all ages with physical or intellectual/developmental disabilities. We are asking for your participation in a very important online or paper survey about your employees. This is an opportunity for you to voice your opinions. The survey is voluntary, your responses will be kept private under the guidelines of the Privacy Act, and it will not affect your status as a provider.
We are interested in information about all your employees who provide hands-on, direct services and support. The Arkansas Division of Aging and Adult Services recognizes that many direct service agencies experience turnover at unaffordably high rates. Information from this survey will be used to develop ways to attract more workers into these jobs and keeping workers in these jobs longer. The information from this survey can also assist organizations like yours in understanding how you compare to other organizations in your state, and how organizations in your state compare to those in other states.
You can be assured that any information you give us on the survey will be kept private. Your agency name will be kept separate from the responses. The survey ID number will be used only for the purpose of tracking which organizations have completed the survey so that we can follow up to encourage a higher response rate. Results will only be reported in aggregate form and your organization will not be identified. If you have questions while completing the survey or would like more information about the study, please contact the Direct Service Workforce Resource Center toll-free at 1-877-822-2647. This survey should take approximately 1 hour to complete and should be completed by someone with access to your company’s personnel records. Thank you in advance for completing this survey.
Sincerely,
<<Sender Name>>
<<Current Title>>
Enclosure
Survey Instructions
Purpose of the Survey:
You received this survey because your organization receives funding to provide Elder Choices, Alternative Community Services, and/or State Plan services to older adults and/or people of all ages with physical or intellectual/developmental disabilities. We are interested in information about all your employees who provide hands-on, direct services and support.
The Centers for Medicare and Medicaid Services has asked Arkansas to gather and report basic information about the volume, stability, wages, and compensation of the direct service workforce (DSW). This information will allow state and federal policymakers to:
Identify and set priorities for long-term support and services reform and systems change.
Inform policy development regarding direct services workforce improvement initiatives.
Promote integrated planning and coordinated approaches for long-term supports and services.
Create a baseline against which the progress of workforce improvement initiatives can be measured.
Compare workforce outcomes for various programs and populations to better evaluate the impact of policy initiatives.
Compare state progress with the progress of other states and with overall national performance (where data from other states are available).
Information from this survey will help the federal and state governments develop ways to attract more workers into these jobs and keep workers in these jobs longer. The information from this survey can also assist organizations like yours understand how you compare to other organizations in your state, and how organizations in your state compare to those in other states (where data from other states are available). Your organization will be given the opportunity to see the results from Arkansas as soon as they are available.
Notice of Privacy:
Filling out this survey is voluntary. Your answers to these questions will be kept private under the guidelines of the Privacy Act and will not affect your status as a Medicaid waiver provider. This survey has been assigned a Survey ID number that appears at the bottom of every page. This number is the only way your organization will be identified; it will be kept separate from your responses and used only for the purpose of tracking which organizations complete the survey, so that we can follow up with organizations that do not fill it out to encourage a higher response rate. Results of this survey will be reported only in the aggregate; your organization will not be identified in any way.
If you have any questions or concerns about the survey, please contact the Direct Service Workforce Resource Center toll-free at 1-877-822-2647.
Directions:
We encourage you to complete your survey online at:
https://www.research.net/s/Arkansas-Employer-Survey
If you complete your survey online, please enter 123456 when it asks for your Survey ID number. Alternatively, you may complete the paper survey enclosed and return your completed survey to by mail using the stamped return envelope enclosed to the address below:
UALR Survey Research Center
Institute of Government
University of Arkansas at Little Rock
Ross Hall 404
2801 S. University Ave.
Little Rock, AR 72204-1099
The survey will take approximately one hour to complete and will require access to your organization’s personnel data. Please answer each question as accurately as possible. If you do not know the answer to one or more of the questions, please ask the person in your organization who would be able to provide an accurate answer. This survey should be completed by the person or group in your organization responsible for maintaining direct services worker records including wages, benefits, hiring, training, and tenure with your organization. If your organization is part of a larger national or state organization, please send the survey to your organization’s headquarters, or contact them for answers to any questions that you do not know.
We encourage you to keep a copy of your answers to this survey as a baseline for your own organization so that you can monitor your progress in addressing staff recruitment, retention and training challenges over time and compare your organization’s experiences to those of other organizations in Arkansas. You can learn more about effective recruitment and retention strategies at the Direct Service Workforce Resource Center (www.dswresourcecenter.org).
Please refer to the following definitions as you complete this survey.
Definitions: Types of Workers
This survey is about people employed or contracted to be direct service workers. Direct service workers may work in one or more type of service settings and with one or more populations. This includes all paid workers whose primary job responsibility is direct service work. The direct service workforce includes the following job titles and those in similar roles:
Personal Support Specialists (PSSs)
Home Health Aids (HHAs)
Direct Support Professionals (DSPs)
Certified Nursing Assistants (CNAs)
Homemakers
Personal Attendants (PAs)
Please include in your responses:
All people whose primary job responsibility is to provide support, training, supervision, and personal assistance to older adults and/or people of all ages with physical and/or intellectual disabilities with support needs.
All part-time, full-time, intermittent and on-call direct service workers.
All direct service workers from all branches, divisions, or offices of your organization in this state.
Contract or subcontracted workers who are not employed by your organization directly.
All paid staff members who spend at least 50% of their hours doing direct service tasks. These people may do some supervisory tasks, but their primary job responsibility and more than 50% of their hours are spent doing direct service work.
Only include supervisors if more than 50% of their hours are spent doing direct service tasks.
Do not include licensed health care staff (nurses, social workers, psychologists, etc.), administrative staff, or full time managers or directors, unless they spend 50% or more of their hours providing direct, hands-on support and personal assistance or supervision to individuals with disabilities or older adults.
Definitions: Workplace settings / services
This survey refers to the following services in your Arkansas:
Community living supports
Personal care
Private duty nursing
Home maker/ home chore
Adult day care
Adult day health services
Respite
Ongoing supported employment services
Attendant care
Please include in your responses direct service workers in the following settings:
Residential services—Supports provided to a person living in a community home with two or more people of any age with disabilities or who are aging (e.g., group home, Assisted Living Facility).
In-home supports/Home care—Supports provided to a person in their own home or in the home of a family member in which they reside.
Day programs and rehabilitative or medical supports—Supports provided outside an individual’s home such as adult day care and adult day health care services, rehabilitative services, day training and habilitation services, and disability specific non-school based services to children and youth with disabilities (e.g., respite, drop in centers).
Job or vocational services—Supports to help individuals to locate, acquire and keep a job for which they are paid. This includes services such as job coaching, supported employment, work crews, sheltered workshops, and job training.
Do not include employees in the following settings:
People who work only in institutional settings such as ICF-MRs, Skilled Nursing Facilities, Nursing Homes, Hospitals, or Rehabilitation Facilities. However, employees of institutional settings should be included if they work with people living in home and community settings.
People who are hired directly by the person or the person’s family for whom your organization’s role is limited to being a fiscal intermediary/employer of record.
People working only in school settings for children through 12th grade.
People working in child care facilities unless they specifically support children with disabilities.
People providing therapy services, such as occupational therapists.
Survey Questions
Which of the following services does your organization currently provide? (check all that apply)
Community living supports
Personal care
Private duty nursing
Home maker/home chore
Adult day care
Adult day health services
Respite
Supported employment services
Other (please indicate)
Which of the following populations does your organization serve with Medicaid funds in home and community based settings in Arkansas? (check all that apply)
People 65 years or older with chronic illness or disability, people with cognitive impairment/dementia
People with physical disabilities
People with developmental disabilities / intellectual disabilities
People with mental health conditions / psychiatric disabilities
People with chemical dependency related support needs
People with chronic illnesses (including HIV/AIDS)
People with a traumatic brain injury
Is your organization… (check only one answer)
Independent entity (i.e., not part of a chain or larger organization)
Part of a chain, system or multi-organization structure (within your state or nationally)
Government operated
I am not sure/don’t know
If your organization has multiple sites in this state, for what part of the organization are you responding? (check only one answer)
The entire organization in this state
A subdivision of the organization within this state
A single service setting that is part of a larger organization
Our organization has only one site
Excluding services provided to people in their own or a family member’s home, how many different service locations (e.g., agency offices, residential group homes, supported employment sites, adult day centers, adult day care and adult day health care, day programs) does your organization operate in Arkansas?
Total
number of locations
I am not sure/don’t know
Workforce Volume
The following questions are related to the number and assignments of the direct services workers your organization employs or contracts with to provide the services listed in Question #1.
How many hours per week (not per pay period) do direct service workers have to work to be considered full-time employees at your organization?
Number
of hours per week
I am not sure/don’t know
Does your organization contract with direct services workers who are not employees of your organization to provide the services listed in Question #1?
Yes
No
I am not sure/don’t know
How many total direct service workers did your organization employ or contract with on January 31, 2012? (check box below if using a different date)
A)
Number who work 36 or more hours per week
B)
Number who work 1 to 35 hours per week
Total
number of direct service workers (the sum of A plus B)
Used date other than last day of past month (please indicate)
I am not sure/don’t know
How many employed or contracted direct service workers work primarily in each of these types of settings? (please count each employee once, in the setting he or she works the most hours)
A)
Residential services
B)
In-home supports
C)
Day programs and other community supports
D)
Job or vocational services
Total
number of direct service workers (the sum of A-D)
I am not sure/don’t know
How many people with a disability or who are aging does your organization currently support?
Total number of people supported
I am not sure/don’t know
How many people does your organization currently support in each of the following settings? Individuals should be counted in more than one category if they receive services in more than one setting.
Residential
services
In-home
supports
Day
programs and other community support programs
Job
or vocational services
I am not sure/don’t know
Workforce Stability
The following information will be used to calculate the turnover and vacancy rates for direct service workers that your organization employs or contracts with to provide the services listed in Question #1.
How many direct service workers do you need to hire this week? Please include all full-time and part-time, on-call, contract, and intermittent positions that are currently funded but have no specific person assigned. You might be using overtime or substitutes to cover these positions.
Number
of new workers needed
I am not sure/don’t know
In the last 12 months, how many direct service workers (including full-time, part-time, on-call, contract, or intermittent) left employment or stopped contracting with your organization for any reason (voluntary or involuntary)?
Total
direct service workers who left the organization
I am not sure/don’t know
How many of your direct service worker employees have worked for your organization less than six months, 6-12 months, and more than 12 months?
Number
with less than 6 months of continuous paid employment (that is, a
continuous six-month period of time during which they were an
employee the entire period)
Number
with 6 to 12 months of continuous paid employment
Number
with more than 12 months of continuous paid employment
I am not sure/don’t know
Worker Compensation and Benefits
The following information will be used to determine the average wage rates and benefit levels for direct services workers your organization employs or contracts with to provide the services listed in Question #1. Please use your organization’s definition of full-time and part-time for this section. Please report average amounts across your organization.
What was the average starting hourly wage paid to full-time, part-time, on-call, contract, or intermittent direct service workers who were hired in your organization over the last 12 months?
$___.___ (per hour)
I am not sure/don’t know
What is the current average hourly wage paid to all full-time, part-time, on-call, contract, or intermittent direct service workers in each of the following types of services or settings?
Residential
services
In-home
supports
Day
programs and other community supports
Job
or vocational services
Current
average hourly wage across all services and settings
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use vacation or paid time off (excluding sick time) at your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid vacation or paid time off
No paid vacation time or paid time off offered
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use paid sick time? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid sick time
Paid sick time is not offered
I am not sure/don’t know
Which of the following direct service worker groups are eligible for individual health insurance coverage through your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for health insurance coverage
No health insurance coverage is offered
I am not sure/don’t know
How many direct service workers (including full-time, part-time, on-call, contract, or intermittent) currently receive individual health insurance coverage through your organization?
Number
of direct service workers enrolled in health insurance coverage
through your organization
I am not sure/don’t know
For direct service workers who are currently receiving individual health insurance coverage, what percentage of the premium is paid for by your organization? (check only one answer)
0%
1% to 25%
26% to 50%
51% to 75%
76% or more
Different percentages for different direct service workers ________ (please describe)
I am not sure/don’t know
Does your organization compensate direct service workers for mileage or travel costs for travel between consumer homes or work sites?
Yes – for all travel for all direct service workers
Yes – for all travel for some direct service workers
Sometimes - under certain circumstances
No, we do not compensate direct service staff for mileage or travel costs between consumers’ homes or work sites
I am not sure/don’t know
Organizational Cultural Competence
Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professions to work effectively in cross-cultural situations.1
Does your organization have a written plan for recruiting, retaining, and promoting staff who are representative of populations served?
Yes
No
I am not sure/don’t know
Are interpreters available if needed who are knowledgeable about healthcare terminology and can translate and/or interpret information to diverse populations?
Yes
No
I am not sure/don’t know
Does your organization have a written policy concerning cultural competence?
Yes
No
I am not sure/don’t know
If yes, which of the following populations are included in cultural competency training, plan, or policy at your organization? (check all that apply)
Racial/ethnic minorities
Language minorities
Lesbian/gay/bisexual/transgender population
Specific religious groups or faith-based affiliations
AIDS/HIV status
Disability status
I am not sure/don’t know
Do staff at your organization receive training in cultural competence?
Yes
No
I am not sure/don’t know
Does your training address key cultural related knowledge, skills, and attitudes of the populations served by your organization?
Yes
No
I am not sure/don’t know
Workforce Challenges
Which of the following are currently significant challenges for your organization?
(check all that apply)
Finding qualified direct service workers
Direct service worker turnover
Direct service worker competence
Employee training
Employee motivation
Employee satisfaction
None of the above
I am not sure/don’t know
How would you describe your organizations ability to recruit and hire qualified direct service workers? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant recruitment challenges for your organization?
(check up to three challenges)
Finding people to work in part-time or intermittent positions
Finding people who are willing to work for the wage we offer
Finding people who are willing to work in a position that does not offer health insurance
Finding people who can communicate effectively with the people they will support
Finding people who meet minimum education or experience requirements
Finding people who will work evenings, weekends or holidays
Finding people who can give up their unemployment benefits
Finding people with a clean driving record
Finding people with a clear criminal background check
Finding people who meet minimum requirements to be a direct service worker
Finding workers with reliable child-care
Finding workers with reliable transportation
Finding workers with the skills needed to serve the people we support
Other types of jobs are more attractive
None of the above
I am not sure/don’t know
Training
Does your organization require newly hired direct service workers to participate in any specific skill training - training that goes beyond general information that orients a new employee to this organization and their work setting?
Yes
No
It depends, some new hires are exempt from this training
It depends on the direct service work job
I am not sure/do not know
Thank you for completing this survey.
For paper surveys: Please return your completed survey to the address below in the postage paid envelope provided.
UALR Survey Research Center
Institute of Government
University of Arkansas at Little Rock
Ross Hall 404
2801 S. University Ave.
Little Rock, AR 72204-1099
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-NEW. The time required to complete this information collection is estimated to average 1 hr per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
Survey #2: Florida Employer Organization Survey Materials
Florida Direct Service Workforce Employer Survey
Centers
for Medicare and Medicaid Services 7500
Security Boulevard Baltimore,
MD 21244
Recipient
Name Street
Address City,
State, Zip Code
Centers
for Medicare and Medicaid Services 7500
Security Boulevard Baltimore,
MD 21244
Recipient
Name Street
Address City,
State, Zip Code
Centers for Medicare and Medicaid Services
7500 Security Boulevard
Baltimore, MD 21244
<<First Name>> <<Last Name>>
<<Recipient Title>>
<<Recipient Organization>>
<<Recipient Street Address>>
<<Recipient City>>, <<Recipient State>> <<Recipient Zip>>
<<Greeting Line>>
The Centers for Medicare and Medicaid Services is working with the Florida Department of Elder Affairs and the Agency for Persons with Disabilities to collect information about the experiences of your direct service workforce, as a part of a federally funded study. You are being asked to complete this survey because your organization receives funding to provide Florida Medicaid HCBS supports and services to older adults and/or people of all ages with physical or intellectual/developmental disabilities. We are asking for your participation in a very important online or paper survey about your employees. This is an opportunity for you to voice your opinions. The survey is voluntary, your responses will be kept private under the guidelines of the Privacy Act, and it will not affect your status as a provider.
We are interested in information about all your employees who provide hands-on, direct services and support. The Florida Department of Elder Affairs and the Agency for Persons with Disabilities recognizes that many direct service agencies experience turnover at unaffordably high rates. Information from this survey will be used to develop ways to attract more workers into these jobs and keeping workers in these jobs longer. The information from this survey can also assist organizations like yours in understanding how you compare to other organizations in your state, and how organizations in your state compare to those in other states. Survey results will be analyzed by the Centers for Medicare and Medicaid Services and states to assess the nature of the direct service workforce, including its compensation, volume, and turnover rates.
You can be assured that any information you give us on the survey will be kept private. Your agency name will be kept separate from the responses. The survey ID number will be used only for the purpose of tracking which organizations have completed the survey so that we can follow up to encourage a higher response rate. Results will only be reported in aggregate form and your organization will not be identified. If you have questions while completing the survey or would like more information about the study, please contact the Direct Service Workforce Resource Center toll-free at 1-877-822-2647. This survey should take approximately 1 hour to complete and should be completed by someone with access to your company’s personnel records. Thank you in advance for completing this survey.
Sincerely,
<<Sender Name>>
<<Current Title>>
Enclosure
Survey Instructions
Purpose of the Survey:
You received this survey because your organization receives funding to deliver Florida Medicaid HCBS supports and services to older adults and/or people of all ages with physical or intellectual/developmental disabilities. We are interested in information about all your employees who provide hands-on, direct services and support.
The Centers for Medicare and Medicaid Services has asked the Florida Department of Elder Affairs to gather and report basic information about the volume, stability, wages, and compensation of direct service workers (DSW). This information will allow federal policymakers to:
Identify and set priorities for long-term support and services reform and systems change.
Inform policy development regarding direct services workforce improvement initiatives.
Promote integrated planning and coordinated approaches for long-term supports and services.
Create a baseline against which the progress of workforce improvement initiatives can be measured.
Compare workforce outcomes for various programs and populations to better evaluate the impact of policy initiatives.
Compare state progress with the progress of other states and with overall national performance (where data from other states are available).
Information from this survey will help the federal and state governments develop ways to attract more workers into these jobs and keep workers in these jobs longer. The information from this survey can also assist organizations like yours understand how you compare to other organizations in your state, and how organizations in your state compare to those in other states (where data from other states are available). Your organization will be given the opportunity to see the results from CMS as soon as they are available.
Notice of Privacy:
Filling out this survey is voluntary. Your answers to these questions will be kept private under the guidelines of the Privacy Act and will not affect your status as a Medicaid HCBS waiver provider in Florida. Information will be kept private under the guidelines of the Privacy Act. This survey has been assigned a Survey ID number that appears at the bottom of every page. This number is the only way your organization will be identified; it will be kept separate from your responses and used only for the purpose of tracking which organizations complete the survey, so that we can follow up with organizations that do not fill it out to encourage a higher response rate and send you the survey results from Florida. Results of this survey will be reported only in the aggregate; your organization will not be identified in any way.
If you have any questions or concerns about the survey, please contact the DSW Resource Center at 1-877-822-2647.
Directions:
We encourage you to complete your survey online at: https://www.research.net/s/Florida-Employer-Org
If you complete your survey online, please enter <<123456>> when it asks for your Survey ID number. Alternatively, you may complete the paper survey enclosed and return your completed survey to [address to be determined] by mail using the stamped return envelope.
The survey will take approximately one hour to complete and will require access to your organization’s personnel data. Please answer each question as accurately as possible. If you do not know the answer to one or more of the questions, please ask the person in your organization who would be able to provide an accurate answer. This survey should be completed by the person or group in your organization responsible for maintaining direct services worker records including wages, benefits, hiring, training, and tenure with your organization. If your organization is part of a larger national or state organization, please send the survey to your organization’s headquarters, or contact them for answers to any questions that you do not know. Please complete this survey for all locations and workers employed by or contracted with across your entire organization in the categories listed below.
We encourage you to keep a copy of your answers to this survey as a baseline for your own organization so that you can monitor your progress in addressing staff recruitment, retention and training challenges over time and compare your organization’s experiences to those of other organizations in Florida. You can learn more about effective recruitment and retention strategies at the Direct Service Workforce Resource Center (www.dswresourcecenter.org).
Please refer to the following definitions as you complete this survey.
Definitions: Types of Workers
This survey is about people employed or contracted to be direct service workers. Direct service workers may work in one or more type of service settings and with one or more populations. This includes all paid workers whose primary job responsibility is direct service work. The direct service workforce includes the following job titles and those in similar roles:
Personal and home care aides
Home health aides
Direct support professionals
Certified nursing assistants
Homemakers
Personal attendants
Please include in your responses:
All people whose primary job responsibility is to provide support, training, supervision, and personal assistance to older adults and/or people of all ages with physical and/or intellectual disabilities with support needs..
All part-time, full-time, intermittent and on-call direct service workers.
All direct service workers from your branch, division or office.
Contract or subcontracted workers who are not employed by your organization directly.
All paid staff members who spend at least 50% of their hours doing direct service tasks. These people may do some supervisory tasks, but their primary job responsibility and more than 50% of their hours are spent doing direct service work.
Only include supervisors if more than 50% of their hours are spent doing direct service tasks.
Do not include licensed health care staff (nurses, social workers, psychologists, etc.), case managers, administrative staff, or full time managers or directors, unless they spend 50% or more of their hours providing direct, hands-on support and personal assistance or supervision to individuals with disabilities or older adults.
Definitions: Workplace settings / services
This survey refers to the following services in Florida:
Community living supports
Personal care
Home maker/ home chore
Adult day services
Respite
Ongoing supported employment services
Please include in your responses direct service workers in the following settings:
Residential services—Supports provided to a person living in a community home with two or more people of any age with disabilities or who are aging (e.g., group home, Assisted Living Facility).
In-home supports/Home care—Supports provided to a person in their own home or in the home of a family member in which they reside.
Day programs and rehabilitative or medical supports—Supports provided outside an individual’s home such as adult day services, rehabilitative services, day training and habilitation services, and disability specific non-school based services to children and youth with disabilities (e.g., respite, drop in centers).
Job or vocational services—Supports to help individuals to locate, acquire, and keep a job for which they are paid. This includes services such as job coaching, supported employment, work crews, sheltered workshops, and job training.
Do not include employees in the following settings:
People who work only in institutional settings such as ICF-MRs, Skilled Nursing Facilities, Nursing Homes, Hospitals, or Rehabilitation Facilities. However, employees of institutional settings should be included if they work with people living in home and community settings.
People who are hired directly by the person or the person’s family for whom your organization’s role is limited to being a fiscal intermediary/employer of record.
People working only in school settings for children through 12th grade.
People working in child care facilities unless they specifically support children with disabilities.
People providing therapy services such as occupational therapists.
Survey Questions
Which of the following services does your organization currently provide? (check all that apply)
Community living supports
Personal care
Home maker/home chore
Adult day services
Respite
Ongoing supported employment services
Other (please indicate)
Which of the following populations does your organization serve with Medicaid funds in home and community based settings in Florida? (check all that apply)
People 65 years or older
People with physical disabilities
People with developmental disabilities / intellectual disabilities
People with mental health conditions / psychiatric disabilities
People with chemical dependency related support needs
People with chronic illnesses (including HIV/AIDS)
People with a traumatic brain injury
To which of the following age groups does your organization provide home and community based supports? (check all that apply)
Birth to 5 years
6 to 18 years
19 to 21 years
22 to 40 years
41 to 64 years
65 to 74 years
75 to 84 years
85 or older
In which county(ies) in Florida does your organization provide services?
ALACHUA
BAKER
BAY
BRADFORD
BREVARD
BROWARD
CALHOUN
CHARLOTTE
CITRUS
CLAY
COLLIER
COLUMBIA
MIAMI-DADE
DESOTO
DIXIE
DUVAL
ESCAMBIA
FLAGLER
FRANKLIN
GADSDEN
GILCHRIST
GLADES
GULF
HAMILTON
HARDEE
HENDRY
HERNANDO
HIGHLANDS
HILLSBOROUGH
HOLMES
INDIAN RIVER
JACKSON
JEFFERSON
LAFAYETTE
LAKE
LEE
LEON
LEVY
LIBERTY
MADISON
MANATEE
MARION
MARTIN
MONROE
NASSAU
OKALOOSA
OKEECHOBEE
ORANGE
OSCEOLA
PALM BEACH
PASCO
PINELLAS
POLK
PUTNAM
SANTA ROSA
SARASOTA
SEMINOLE
ST. JOHNS
ST. LUCIE
SUMTER
SUWANNEE
TAYLOR
UNION
VOLUSIA
WAKULLA
WALTON
WASHINGTON
I am not sure/don’t know
Is your organization… (check only one answer)
Independent entity (i.e., not part of a chain or larger organization)
Part of a chain, system or multi-organization structure (either within Florida or nationally)
Government operated
I am not sure/don’t know
If your organization is part of a chain, please confirm that you will complete this survey for your local site only. (check only one answer)
Yes, I will provide data from this branch, division, or office only (a single service setting that is part of a larger organization)
No, I will provide data for all the branches in Florida
Excluding services provided to people in their own or a family member’s home, how many different service locations [e.g. agency offices, residential group homes, supported employment sites, adult day centers, day programs] does your organization operate in Florida?
Total
number of locations
I am not sure/don’t know
Workforce Volume
The following questions are related to the number and assignments of the direct services workers your organization employs or contracts with to provide the services listed in Question #1.
How many hours per week (not per pay period) do direct service workers have to work to be considered full-time employees at your organization?
Number
of hours per week
I am not sure/don’t know
Does your organization contract with direct services workers who are not employees of your organization to provide the services listed in Question #1?
Yes
No
I am not sure/don’t know
How many total direct service workers did your organization employ or contract with on January 31, 2012? (check box below if using a different date)
A)
Number who work 36 or more hours per week
B)
Number who work 1 to 35 hours per week
Total
number of direct service workers (the sum of A plus B)
Used date other than last day of past month (please indicate)
I am not sure/don’t know
How many employed or contracted direct service workers work primarily in each of these types of settings? (please count each employee once, in the setting he or she works the most hours)
A)
Residential services
B)
In-home supports/Home care
C)
Day programs and rehabilitative or medical supports
D)
Job or vocational services
Total
number of direct service workers (the sum of A-D)
I am not sure/don’t know
How many people with a disability or who are aging does your organization currently support?
Total
number of people supported
I am not sure/don’t know
How many people does your organization currently support in each of the following settings? Individuals should be counted in more than one category if they receive services in more than one setting.
A)
Residential services
B)
In-home supports/Home care
C)
Day programs and rehabilitative or medical supports
D)
Job or vocational services
I am not sure/don’t know
Workforce Stability
The following information will be used to calculate the turnover and vacancy rates for direct service workers that your organization employs or contracts with to provide the services listed in Question #1.
How many direct service workers do you need to hire this week? Please include all full-time and part-time, on-call contract, and intermittent positions that are currently funded but have no specific person assigned. You might be using overtime or substitutes to cover these positions.
Number
of new workers needed
I am not sure/don’t know
In the last 12 months, how many direct service workers (including full-time, part-time, on-call, contract, or intermittent) left employment or stopped contracting with your organization for any reason (voluntary or involuntary)?
Total
direct service workers who left the organization
I am not sure/don’t know
Worker Compensation and Benefits
The following information will be used to determine the average wage rates and benefit levels for direct service workers your organization employs or contracts with to provide the services listed in Question #1. Please use your organization’s definition of full-time and part-time for this section. Please report average amounts across your organization.
What was the average starting hourly wage paid to full-time, part-time, on-call, or intermittent direct service workers who were hired in your organization over the last 12 months?
$____.____ (per hour)
I am not sure/don’t know
What is the current average hourly wage paid to all full-time, part-time, on-call, or intermittent direct service workers in each of the following types of services or settings?
Residential
services
In-home
supports/Home care
Day
programs and rehabilitative or medical supports
Job
or vocational services
Current
average hourly wage across all services and settings
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use vacation or paid time off (excluding sick time) at your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid vacation or paid time off
No paid vacation time or paid time off offered
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use paid sick time? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid sick time
Paid sick time is not offered
I am not sure/don’t know
Which of the following direct service worker groups are eligible for individual health insurance coverage through your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for health insurance coverage
No health insurance coverage is offered
I am not sure/don’t know
How many direct service workers (including full-time, part-time, on-call, contract, or intermittent) currently receive individual health insurance coverage through your organization?
Number
of direct service workers enrolled in health insurance coverage
through your organization
I am not sure/don’t know
Training
For each topic listed below, please check the boxes next to the topics that your organization requires in-service or on-the-job training on (check all that apply).
-
Yes, we require training on this topic.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Check the boxes next to the topics you would identify as a critical training need for direct service workers in your organization (check at least three and all that apply).
-
Yes, this is a critical training need for direct service workers in my organization.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Organizational cultural competence
Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professions to work effectively in cross-cultural situations.1
Does your organization have a written plan for recruiting, retaining, and promoting staff who are representative of populations served?
Yes
No
I am not sure/don’t know
Are interpreters available if needed who are knowledgeable about healthcare terminology and can translate and/or interpret information to diverse populations?
Yes
No
I am not sure/don’t know
Does your organization have a written policy concerning cultural competence?
Yes
No
I am not sure/don’t know
If yes, which of the following populations are included in cultural competency training, plan, or policy at your organization? (check all that apply)
Racial/ethnic minorities
Language minorities
Lesbian/gay/bisexual/transgender population
Specific religious groups or faith-based affiliations
AIDS/HIV status
Disability status
I am not sure/don’t know
Do staff at your organization receive training for staff development in cultural competence?
Yes
No
I am not sure/don’t know
Does your training address key cultural related knowledge, skills, and attitudes of the populations served by your organization?
Yes
No
I am not sure/don’t know
Thank you for completing this survey.
For paper surveys:
Please return it to [address to be determined] in the postage paid envelope provided.
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-NEW. The time required to complete this information collection is estimated to average 1 hr per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
Survey #3: Kentucky Employer Organization Survey Materials
Kentucky Medicaid Waiver Direct Service Workforce Employer Survey
Kentucky
Department for Aging and Independent Living 275
East Main Street, 3E-E Frankfort
KY 40621
Recipient
Name Street
Address City,
State, Zip Code
Recipient
Name Street
Address City,
State, Zip Code
Kentucky
Department for Aging and Independent Living 275
East Main Street, 3E-E Frankfort
KY 40621
<<Greeting Line>>
As part of a federal grant, the Kentucky Department for Aging and Independent Living is in the process of collecting information on behalf of the Centers for Medicare and Medicaid Services. This information relates to the experiences of your Medicaid Waiver Direct Service Workforce, as a part of a federally funded study. You are being asked to complete this survey because your organization receives funding to provide Medicaid waiver services to older adults and/or people of all ages with physical or intellectual/developmental disabilities. We are asking for your participation in a very important online or paper survey about your employees. This is an opportunity for you to voice your opinions. The survey is voluntary, your responses will be kept private under the guidelines of the Privacy Act, and it will not affect your status as a provider.
We are interested in information about all your employees who provide hands-on, direct services and support. The Kentucky Department for Aging and Independent Living recognizes that many Medicaid Waiver direct service agencies experience turnover at unaffordably high rates. Information from this survey will be used to develop ways to attract more workers into these jobs and keeping workers in these jobs longer. The information from this survey can also assist organizations like yours in understanding how you compare to other organizations in your state, and how organizations in your state compare to those in other states. The survey data may be potentially used to provide policy makers with workforce trends with information about the strength of the long term supports and services.
You can be assured that any information you give us on the survey will be kept private. Your agency name will be kept separate from the responses. The survey ID number will be used only for the purpose of tracking which organizations have completed the survey so that we can follow up to encourage a higher response rate. Results will only be reported in aggregate form and your organization will not be identified. If you have questions while completing the survey or would like more information about the study, please contact the Direct Service Workforce Resource Center toll-free at 1-877-822-2647. This survey should take approximately 1 hour to complete and should be completed by someone with access to your company’s personnel records. Thank you in advance for completing this survey.
Sincerely,
<<Recipient Name>>
<<Current Title>>
Enclosure
Kentucky Medicaid Waiver Direct Service Workforce Employer Survey
Survey Instructions
Purpose of the Survey:
You received this survey because your organization receives funding to provide Medicaid waiver funded services to older adults and/or people of all ages with physical or intellectual/developmental disabilities. We are interested in information about all your employees who provide hands-on, direct services and support.
The Centers for Medicare and Medicaid Services has asked Kentucky to gather and report basic information about the volume, stability, wages, and compensation of the direct service workforce (DSW). This information will allow state and federal policymakers to:
Identify and set priorities for long-term support and services reform and systems change.
Inform policy development regarding direct services workforce improvement initiatives.
Promote integrated planning and coordinated approaches for long-term supports and services.
Create a baseline against which the progress of workforce improvement initiatives can be measured.
Compare workforce outcomes for various programs and populations to better evaluate the impact of policy initiatives.
Compare state progress with the progress of other states and with overall national performance (where data from other states are available).
Information from this survey will help the federal and state governments develop ways to attract more workers into these jobs and keep workers in these jobs longer. The information from this survey can also assist organizations like yours understand how you compare to other organizations in your state, and how organizations in your state compare to those in other states (where data from other states are available). Your organization will be given the opportunity to see the results from Kentucky as soon as they are available.
Notice of Privacy:
Filling out this survey is voluntary. Your answers to these questions will be kept private under the guidelines of the Privacy Act and will not affect your status as a Medicaid waiver provider. This survey has been assigned a Survey ID number that appears at the bottom of every page. This number is the only way your organization will be identified; it will be kept separate from your responses and used only for the purpose of tracking which organizations complete the survey, so that we can follow up with organizations that do not fill it out to encourage a higher response rate. Results of this survey will be reported only in the aggregate; your organization will not be identified in any way.
If you have any questions or concerns about the survey, please contact the Direct Service Workforce Resource Center toll-free at 1-877-822-2647.
Directions:
We encourage you to complete your survey online at:
https://www.research.net/s/KY-DSW-Employer-Survey
If you complete your survey online, please enter <<123456>> when it asks for your Survey ID number. Alternatively, you may complete the paper survey enclosed and return your completed survey to Employer Organization Survey, c/o Department for Aging and Independent Living, 275 East Main Street, 3E-E, Frankfort KY 40621 by mail using the stamped return envelope enclosed.
The survey will take approximately one hour to complete and will require access to your organization’s personnel data. Please answer each question as accurately as possible. If you do not know the answer to one or more of the questions, please ask the person in your organization who would be able to provide an accurate answer. This survey should be completed by the person or group in your organization responsible for maintaining direct services worker records including wages, benefits, hiring, training, and tenure with your organization. If your organization is part of a larger national or state organization, please send the survey to your organization’s headquarters, or contact them for answers to any questions that you do not know.
We encourage you to keep a copy of your answers to this survey as a baseline for your own organization so that you can monitor your progress in addressing staff recruitment, retention and training challenges over time and compare your organization’s experiences to those of other organizations in Kentucky. You can learn more about effective recruitment and retention strategies at the Direct Service Workforce Resource Center (www.dswresourcecenter.org).
Please refer to the following definitions as you complete this survey.
Definitions: Types of Workers
This survey is about people employed or contracted to be direct service workers. Direct service workers may work in one or more type of service settings and with one or more populations. This includes all paid workers whose primary job responsibility is direct service work. The direct service workforce includes the following job titles and those in similar roles:
Personal Support Specialists (PSSs)
Home Health Aids (HHAs)
Direct Support Professionals (DSPs)
Certified Nursing Assistants (CNAs)
Homemakers
Personal Care Attendants (PCAs)
Please include in your responses:
All people whose primary job responsibility is to provide support, training, supervision, and personal assistance to older adults and/or people of all ages with physical and/or intellectual disabilities with support needs.
All part-time, full-time, intermittent and on-call direct service workers.
All direct service workers from all branches, divisions or offices of your organization in this state.
Contract or subcontracted workers who are not employed by your organization directly.
All paid staff members who spend at least 50% of their hours doing direct service tasks. These people may do some supervisory tasks, but their primary job responsibility and more than 50% of their hours are spent doing direct service work.
Only include supervisors if more than 50% of their hours are spent doing direct service tasks.
Do not include licensed health care staff (nurses, social workers, psychologists, etc.), administrative staff, or full time managers or directors, unless they spend 50% or more of their hours providing direct, hands-on support and personal assistance or supervision to individuals with disabilities or older adults.
Definitions: Workplace settings / services
This survey refers to the following services in your state:
Community living supports
Personal care
Private duty nursing
Home maker/ home chore
Adult day services
Respite
Ongoing supported employment services
Attendant care
Please include in your responses direct service workers in the following settings:
Residential services—Supports provided to a person living in a community home with two or more people of any age with disabilities or who are aging (e.g., group home, Assisted Living Facility.
In-home supports/Home care—Supports provided to a person in their own home or in the home of a family member in which they reside.
Day programs and rehabilitative or medical supports—Supports provided outside an individual’s home such as adult day services, rehabilitative services, day training and habilitation services, and disability specific non-school based services to children and youth with disabilities (e.g., respite, drop in centers).
Job or vocational services—Supports to help individuals to locate, acquire and keep a job for which they are paid. This includes services such as job coaching, supported employment, work crews, sheltered workshops, and job training.
Do not include employees in the following settings:
People who work only in institutional settings such as ICF-MRs, Skilled Nursing Facilities, Nursing Homes, Hospitals, or Rehabilitation Facilities. However, employees of institutional settings should be included if they work with people living in home and community settings.
People who are hired directly by the person or the person’s family for whom your organization’s role is limited to being a fiscal intermediary/employer of record.
People working only in school settings for children through 12th grade.
People working in child care facilities unless they specifically support children with disabilities.
People providing therapy services, such as occupational therapists.
Survey Questions
Which of the following services does your organization currently provide? (check all that apply)
Community living supports
Personal care attendant
Private duty nursing
Home maker/home chore
Adult day services
Respite
Ongoing supported employment services
Other (please indicate)
Is your organization… (check only one answer)
Independent entity (i.e., not part of a chain or larger organization)
Part of a chain, system or multi-organization structure (within your state or nationally)
Government operated
I am not sure/don’t know
If your organization has multiple sites in this state, for what part of the organization are you responding? (check only one answer)
The entire organization in this state
A subdivision of the organization within this state
A single service setting that is part of a larger organization
Our organization has only one site
Excluding services provided to people in their own or a family member’s home, how many different service locations (e.g., residential settings, community settings, work settings, and adult day health settings) does your organization operate in Kentucky?
Total
number of locations
I am not sure/don’t know
Workforce Volume
The following questions are related to the number and assignments of the direct services workers your organization employs or contracts with to provide the services listed in Question #1.
How many hours per week (not per pay period) do direct service workers have to work to be considered full-time employees at your organization?
Number
of hours per week
I am not sure/don’t know
Does your organization contract with direct services workers who are not employees of your organization to provide the services listed in Question #1?
Yes
No
I am not sure/don’t know
How many total direct service workers did your organization employ or contract with on January 31, 2012? (check box below if using a different date)
A)
Number who work 36 or more hours per week
B)
Number who work 1 to 35 hours per week
Total
number of direct service workers (the sum of A plus B)
Used date other than last day of past month (please indicate)
I am not sure/don’t know
How many employed or contracted direct service workers work primarily in each of these types of settings? (please count each employee once, in the setting he or she works the most hours)
A)
Residential services
B)
In-home supports
C)
Day programs and other community supports
D)
Job or vocational services
Total
number of direct service workers (the sum of A-D)
I am not sure/don’t know
How many people with a disability or who are aging does your organization currently support?
Total
number of people supported
I am not sure/don’t know
How many people does your organization currently support in each of the following settings? Individuals should be counted in more than one category if they receive services in more than one setting.
A)
Residential services
B)
In-home supports/Home care
C)
Day programs and rehabilitative or medical supports
D)
Job or vocational services
I am not sure/don’t know
Workforce Stability
The following information will be used to calculate the turnover and vacancy rates for direct service workers that your organization employs or contracts with to provide the services listed in Question #1.
How many direct service workers do you need to hire this week? Please include all full-time and part-time, on-call, contract and intermittent positions that are currently funded but have no specific person assigned. You might be using overtime or substitutes to cover these positions.
Number
of new workers needed
I am not sure/don’t know
In the last 12 months, how many direct service workers (including full-time, part-time, on-call, contract, or intermittent) left employment or stopped contracting with your organization for any reason (voluntary or involuntary)?
Total
direct service workers who left the organization
I am not sure/don’t know
During the last 12 months, how many new direct service workers (including full-time, part-time, on-call, contract, or intermittent) did your organization hire/contract with?
Total
number of direct service workers who were hired/contracted
I am not sure/don’t know
How many of your direct service worker employees have worked for your organization less than six months, 6-12 months, and more than 12 months?
Number
with less than 6 months of continuous paid employment (that is, a
continuous six-month period of time during which they were an
employee the entire period)
Number
with 6 to 12 months of continuous paid employment
Number
with more than 12 months of continuous paid employment
I am not sure/don’t know
Worker Compensation and Benefits
The following information will be used to determine the average wage rates and benefit levels for direct services workers your organization employs or contracts with to provide the services listed in Question #1. Please use your organization’s definition of full-time and part-time for this section. Please report average amounts across your organization.
What was the average starting hourly wage paid to full-time, part-time, on-call, contract, or intermittent direct service workers who were hired in your organization over the last 12 months?
$___.___ (per hour)
I am not sure/don’t know
What is the current average hourly wage paid to all full-time, part-time, on-call, contract, or intermittent direct service workers in each of the following types of services or settings?
Residential
services
In-home
supports
Day
programs and other community supports
Job
or vocational services
Current
average hourly wage across all services and settings
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use vacation or paid time off (excluding sick time) at your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid vacation or paid time off
No paid vacation time or paid time off offered
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use paid sick time? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid sick time
Paid sick time is not offered
I am not sure/don’t know
Which of the following direct service worker groups are eligible for individual health insurance coverage through your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for health insurance coverage
No health insurance coverage is offered
I am not sure/don’t know
How many direct service workers (including full-time, part-time, on-call, contract, or intermittent) currently receive individual health insurance coverage through your organization?
Number
of direct service workers enrolled in health insurance coverage
through your organization
I am not sure/don’t know
Organizational Cultural Competence
Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professions to work effectively in cross-cultural situations.1
Does your organization have a written plan for recruiting, retaining, and promoting staff who are representative of populations served?
Yes
No
I am not sure/don’t know
Are interpreters available if needed who are knowledgeable about healthcare terminology and can translate and/or interpret information to diverse populations?
Yes
No
I am not sure/don’t know
Does your organization have a written policy concerning cultural competence?
Yes
No
I am not sure/don’t know
If yes, which of the following populations are included in cultural competency training, plan, or policy at your organization? (check all that apply)
Racial/ethnic minorities
Language minorities
Lesbian/gay/bisexual/transgender population
Specific religious groups or faith-based affiliations
AIDS/HIV status
Disability status
I am not sure/don’t know
Do staff at your organization receive training in cultural competence?
Yes
No
I am not sure/don’t know
Does your training address key cultural related knowledge, skills, and attitudes of the populations served by your organization?
Yes
No
I am not sure/don’t know
Workforce Challenges
How would you describe your organizations ability to retain qualified direct service workers once they are hired? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant retention challenges for your organization?
(check up to three challenges)
Wages are not high enough
Full-time positions or sufficient hour are not available
Gas prices or public transit fares are too high
Paid health insurance is not offered
Conflict amongst direct service workers, supervisors, and/or managers
Workers are unable to do the essential job duties
Workers do not have reliable child-care
Workers do not have reliable transportation
Other personal stressors faced by workers
None of the above
I am not sure/don’t know
Thank you for completing this survey.
For paper surveys:
Please return your completed survey to Employer Organization Survey, c/o Department for Aging and Independent Living, 275 East Main Street, 3E-E, Frankfort KY 40621 in the postage paid envelope provided.
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-NEW. The time required to complete this information collection is estimated to average 1 hr per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
Survey #4: Maine Employer Organization Survey Materials
Maine Direct Service Workforce Employer Survey
Maine
Department of Health and Human Services 221
State Street Augusta,
ME 04333
Recipient
Name Street
Address City,
State, Zip Code
Maine
Department of Health and Human Services 221
State Street Augusta,
ME 04333
Recipient
Name Street
Address City,
State, Zip Code
Maine Department of Health and Human Services
221 State Street
Augusta, ME 04333
<<First Name>> <<Last Name>>
<<Recipient Title>>
<<Recipient Organization>>
<<Recipient Street Address>>
<<Recipient City>>, <<Recipient State>> <<Recipient Zip>>
<<Greeting Line>>
The Maine Department of Health and Human Services is collecting survey information from providers about their direct service workforce as a part of a study funded by the federal Centers for Medicare and Medicaid Services (CMS). Seven states are participating in the study.
You are being asked to complete this survey (on line or on paper) because your organization receives funding to provide MaineCare services to older adults and/or people of all ages with physical or intellectual/developmental disabilities. The survey is about employees in your organization who provide hands-on direct services and supports. It includes questions about your agency’s workforce volume, stability, compensation and benefits as well as workforce challenges and training needs. Survey results will be used to show statewide differences and for quality improvement purposes.
The survey is voluntary, your responses will be kept private under the guidelines of the Privacy Act, and it will not affect your status as a provider. Your agency name will be kept separate from the responses. The survey ID number will be used only for the purpose of tracking which organizations have completed the survey so that we can follow up to encourage a higher response rate. Results will only be reported in aggregate form and your organization will not be identified.
This survey should take approximately 1 hour to complete and should be completed by someone with access to your company’s personnel records. If you have questions while completing the survey or would like more information about the study, please contact the Direct Service Workforce Resource Center toll-free at 1-877-822-2647. Thank you in advance for completing this survey.
Sincerely,
<<To be Determined>>
<<Current Title>>
Enclosure
Survey Instructions
Purpose of the Survey:
You received this survey because your organization receives funding to deliver MaineCare services to older adults and/or people of all ages with physical or intellectual/developmental disabilities. We are interested in information about all your employees who provide hands-on, direct services and support.
The Centers for Medicare and Medicaid Services has asked Maine to gather and report basic information about the volume, stability, wages, and compensation of direct service workers (DSW). This information will allow state and federal policymakers to:
Identify and set priorities for long-term support and services reform and systems change.
Inform policy development regarding direct services workforce improvement initiatives.
Promote integrated planning and coordinated approaches for long-term supports and services.
Create a baseline against which the progress of workforce improvement initiatives can be measured.
Compare workforce outcomes for various programs and populations to better evaluate the impact of policy initiatives.
Compare state progress with the progress of other states and with overall national performance (where data from other states are available).
Notice of Privacy:
Filling out this survey is voluntary. Your answers to these questions will be kept private under the guidelines of the Privacy Act and will not affect your status as a MaineCare provider. This survey has been assigned a Survey ID number that appears at the bottom of every page. This number is the only way your organization will be identified; it will be kept separate from your responses and used only for the purpose of tracking which organizations complete the survey, so that we can follow up with organizations that do not fill it out to encourage a higher response rate. Results of this survey will be reported only in the aggregate; your organization will not be identified in any way.
If you have any questions or concerns about the survey, please contact the Direct Service Workforce Resource Center at 1-877-822-2647.
Directions:
We encourage you to complete your survey online at:
https://www.research.net/s/Maine-Employer-Org
If you complete the survey online, please enter <<123456>> when it asks for your Survey ID number. Alternatively, you may complete the paper survey enclosed and return your completed survey to Survey Research Center, University of Southern Maine, 15 Baxter Boulevard, Portland, Maine 04104 by mail using the stamped return envelope enclosed.
The survey will take approximately one hour to complete and will require access to your organization’s personnel data. Please answer each question as accurately as possible. If you do not know the answer to one or more of the questions, please ask the person in your organization who would be able to provide an accurate answer. This survey should be completed by the person or group in your organization responsible for maintaining direct services worker records including wages, benefits, hiring, training, and tenure with your organization. If your organization is part of a larger national or state organization, please send the survey to your organization’s headquarters, or contact them for answers to any questions that you do not know.
We encourage you to keep a copy of your answers to this survey as a baseline for your own organization so that you can monitor your progress in addressing staff recruitment, retention, and training challenges over time and compare your organization’s experiences to those of other organizations in Maine. You can learn more about effective recruitment and retention strategies at the Direct Service Workforce Resource Center (www.dswresourcecenter.org).
Please refer to the following definitions as you complete this survey.
Definitions: Types of Workers
This survey is about people employed or contracted to be direct service workers. Direct service workers may work in one or more type of service settings and with one or more populations. This includes all paid workers whose primary job responsibility is direct service work. The direct service workforce includes the following job titles and those in similar roles:
Personal Support Specialists (PSSs)
Home Health Aids (HHAs)
Direct Support Professionals (DSPs)
Certified Nursing Assistants (CNAs)
Homemakers
Personal Attendants (PAs)
Please include in your responses:
All people whose primary job responsibility is to provide support, training, supervision, and personal assistance to older adults and/or people of all ages with physical and/or intellectual disabilities with support needs.
All part-time, full-time, intermittent, and on-call direct service workers.
All direct service workers from all branches, divisions, or offices of your organization in this state.
Contract or subcontracted workers who are not employed by your organization directly.
All paid staff members who spend at least 50% of their hours doing direct service tasks. These people may do some supervisory tasks, but their primary job responsibility and more than 50% of their hours are spent doing direct service work.
Only include supervisors if more than 50% of their hours are spent doing direct service tasks.
Do not include licensed health care staff (nurses, social workers, psychologists, etc.), administrative staff, or full time managers or directors, unless they spend 50% or more of their hours providing direct, hands-on support and personal assistance or supervision to individuals with disabilities or older adults.
Definitions: Workplace settings / services
This survey refers to the following services in Maine:
Personal Care Services
Home maker
Adult Day Health
Respite
Community Support
Work Support
Home Support
Please include in your responses direct service workers in the following settings:
Residential services—Supports provided to a person living in a community home or apartment with two or more people of any age with disabilities or who are aging.
In-home supports —Supports provided to a person in his or her own home or in the home or apartment or in the home of a family member.
Day programs and community support programs—Supports provided outside an individual’s home such as adult day health services and community supports.
Job or vocational services—Supports to help individuals on the job for which they are paid (e.g., work supports).
Do not include employees in the following settings:
People who work only in institutional settings such as ICF-MRs, Skilled Nursing Facilities, Nursing Homes, Hospitals, or Rehabilitation Facilities. However, employees of institutional settings should be included if they work with people living in home and community settings.
People who are hired directly by the person or the person’s family for whom your organization’s role is limited to being a fiscal intermediary/employer of record.
People working only in school settings for children through 12th grade.
People working in child care facilities unless they specifically support children with disabilities.
People providing therapy services, such as occupational therapists.
Survey Questions
Which of the following services does your organization currently provide? (check all that apply)
Personal Care Services
Home maker
Adult Day Health
Respite
Community Support
Work Support
Home Support
Other (please indicate)
Is your organization… (check only one answer)
A public or government organization (state or local)
A private for-profit organization
A private non-profit organization
A combination of public and private
Other (please indicate)
Which of the following populations does your organization serve with MaineCare? (check all that apply)
People 65 years or older with chronic illness or disability, people with cognitive impairment/dementia
People with physical disabilities
People with developmental disabilities, intellectual disabilities, or autism
People with mental health conditions / psychiatric disabilities
People with chemical dependency related support needs
People with chronic illnesses (including HIV/AIDS)
People with a traumatic brain injury
To which of the following age groups does your organization provide home and community based supports? (check all that apply)
Birth to 5 years
6 to 18 years
19 to 21 years
22 to 40 years
41 to 64 years
65 to 74 years
75 to 84 years
85 or older
Is your organization… (check only one answer)
Independent entity (i.e., not part of a chain or larger organization)
Part of a chain, system or multi-organization structure (within your state or nationally)
Government operated
I am not sure/don’t know
If your organization has multiple sites in this state, for what part of the organization are you responding? (check only one answer)
The entire organization in this state
A subdivision of the organization within this state
A single service setting that is part of a larger organization
Our organization has only one site
Excluding services provided to people in their own or a family member’s home, how many different service locations (e.g., residential settings, community settings, work settings, and adult day health settings) does your organization operate in Maine?
Total
number of locations
I am not sure/don’t know
Workforce Volume
The following questions are related to the number and assignments of the direct services workers your organization employs or contracts with to provide the services listed in Question #1.
How many hours per week (not per pay period) do direct service workers have to work to be considered full-time employees at your organization?
Number
of hours per week
I am not sure/don’t know
Does your organization contract with direct services workers who are not employees of your organization to provide the services listed in Question #1?
Yes
No
I am not sure/don’t know
How many total direct service workers did your organization employ or contract with on January 31, 2012? (check box below if using a different date)
A)
Number who work 36 or more hours per week
B)
Number who work 1 to 35 hours per week
Total
number of direct service workers (the sum of A plus B)
Used date other than last day of past month (please indicate)
I am not sure/don’t know
How many employed or contracted direct service workers work primarily in each of these types of settings? (please count each employee once, in the setting he or she works the most hours)
A)
Residential services
B)
In-home supports
C)
Day programs and other community supports
D)
Job or vocational services
Total
number of direct service workers (the sum of A-D)
I am not sure/don’t know
How many people with a disability or who are aging does your organization currently support?
Total
number of people supported
I am not sure/don’t know
How many people does your organization currently support in each of the following settings? Individuals should be counted in more than one category if they receive services in more than one setting.
A)
Residential services
B)
In-home supports/Home care
C)
Day programs and rehabilitative or medical supports
D)
Job or vocational services
I am not sure/don’t know
Workforce Stability
The following information will be used to calculate the turnover and vacancy rates for direct service workers that your organization employs or contracts with to provide the services listed in Question #1.
How many direct service workers do you need to hire this week? Please include all full-time and part-time, on-call, contract, and intermittent positions that are currently funded but have no specific person assigned. You might be using overtime or substitutes to cover these positions.
Number
of new workers needed
I am not sure/don’t know
In the last 12 months, how many direct service workers (including full-time, part-time, on-call, contract, or intermittent) left employment or stopped contracting with your organization for any reason (voluntary or involuntary)?
Total
direct service workers who left the organization
I am not sure/don’t know
During the last 12 months, how many new direct service workers (including full-time, part-time, on-call, contract, or intermittent) did your organization hire/contract with?
Total
number of direct service workers who were hired/contracted
I am not sure/don’t know
How many of your direct service worker employees have worked for your organization less than six months, 6-12 months, and more than 12 months?
Number
with less than 6 months of continuous paid employment (that is, a
continuous six-month period of time during which they were an
employee the entire period)
Number
with 6 to 12 months of continuous paid employment
Number
with more than 12 months of continuous paid employment
I am not sure/don’t know
Worker Compensation and Benefits
The following information will be used to determine the average wage rates and benefit levels for direct services workers your organization employs or contracts with to provide the services listed in Question #1. Please use your organization’s definition of full-time and part-time for this section. Please report average amounts across your organization.
What was the average starting hourly wage paid to full-time, part-time, on-call, contract, or intermittent direct service workers who were hired in your organization over the last 12 months?
$___.___ (per hour)
I am not sure/don’t know
What is the current average hourly wage paid to all full-time, part-time, on-call, contract, or intermittent direct service workers in each of the following types of services or settings?
Residential
services
In-home
supports
Day
programs and other community supports
Job
or vocational services
Current
average hourly wage across all services and settings
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use vacation or paid time off (excluding sick time) at your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid vacation or paid time off
No paid vacation time or paid time off offered
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use paid sick time? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid sick time
Paid sick time is not offered
I am not sure/don’t know
Which of the following direct service worker groups are eligible for individual health insurance coverage through your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for health insurance coverage
No health insurance coverage is offered
I am not sure/don’t know
How many direct service workers (including full-time, part-time, on-call, contract, or intermittent) currently receive individual health insurance coverage through your organization?
Number
of direct service workers enrolled in health insurance coverage
through your organization
I am not sure/don’t know
For direct service workers who are currently receiving individual health insurance coverage, what percentage of the premium is paid for by your organization? (check only one answer)
0%
1% to 25%
26% to 50%
51% to 75%
76% or more
Different percentages for different direct service workers ________ (please describe)I am not sure/don’t know
What other types of benefits are direct service workers (including full-time, part-time, on-call, contract, or intermittent) eligible to receive from your organization (check all that apply)?
Paid time off, reimbursement or other support for post-secondary education
Employer paid job-related training
Employer-sponsored retirement plan
Employer-sponsored disability insurance
Other (please indicate)
I am not sure/don’t know
Does your organization compensate direct service workers for mileage or travel costs for travel between consumer homes or work sites?
Yes – for all travel for all direct service workers
Yes – for all travel for some direct service workers
Sometimes - under certain circumstances
No, we do not compensate direct service staff for mileage or travel costs between consumers’ homes or work sites
I am not sure/don’t know
Organizational Cultural Competence
Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professions to work effectively in cross-cultural situations.1
Does your organization have a written plan for recruiting, retaining, and promoting staff who are representative of populations served?
Yes
No
I am not sure/don’t know
Are interpreters available if needed who are knowledgeable about healthcare terminology and can translate and/or interpret information to diverse populations?
Yes
No
I am not sure/don’t know
Does your organization have a written policy concerning cultural competence?
Yes
No
I am not sure/don’t know
If yes, which of the following populations are included in cultural competency training, plan, or policy at your organization? (check all that apply)
Racial/ethnic minorities
Language minorities
Lesbian/gay/bisexual/transgender population
Specific religious groups or faith-based affiliations
AIDS/HIV status
Disability status
I am not sure/don’t know
Do staff at your organization receive training in cultural competence?
Yes
No
I am not sure/don’t know
Does your training address key cultural related knowledge, skills, and attitudes of the populations served by your organization?
Yes
No
I am not sure/don’t know
Workforce Challenges
Which of the following are currently significant challenges for your organization?
(check all that apply)
Finding qualified direct service workers
Direct service worker turnover
Direct service worker competence
Employee training
Employee motivation
Employee satisfaction
None of the above
I am not sure/don’t know
How would you describe your organization’s ability to recruit and hire qualified direct service workers? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant recruitment challenges for your organization?
(check up to three challenges)
Recruitment is not a problem for this organization
Finding people to work in part-time or intermittent positions
Finding people who are willing to work for the wage we offer
Finding people who are willing to work in a position that does not offer health insurance
Finding people who can communicate effectively with the people they will support
Finding people who meet minimum education or experience requirements
Finding people who will work evenings, weekends or holidays
Finding people who can give up their unemployment benefits
Finding people with a clean driving record
Finding people with a clear criminal background check
Finding people who meet minimum requirements to be a direct service worker
Finding workers with reliable child-care
Finding workers with reliable transportation
Finding workers with the skills needed to serve the people we support
Other types of jobs are more attractive
None of the above
I am not sure/don’t know
How would you describe your organization’s ability to retain qualified direct service workers once they are hired? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant retention challenges for your organization?
(check up to three challenges)
Wages are not high enough
Full-time positions or sufficient hour are not available
Gas prices or public transit fares are too high
Paid health insurance is not offered
Conflict amongst direct service workers, supervisors, and/or managers
Workers are unable to do the essential job duties
Workers do not have reliable child-care
Workers do not have reliable transportation
Other personal stressors faced by workers
None of the above
I am not sure/don’t know
Employee Characteristics
Using your Equal Opportunity Statistics, what percentage of your current direct service workforce are in the following racial/ethnic groups:
Hispanic or Latino (a person of Cuban, Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Not Hispanic or Latino
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
American Indian or Alaskan Native (person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Black, African American, or Haitian (a person having origins in any of the black racial groups of Africa)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Asian (a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Native Hawaiian or Other Pacific Islander (a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
White or European American (a person having origins in any of the original peoples of Europe, the Middle East, or North Africa)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Training and Qualifications for Direct Service Workers
Which of the following are required to begin work as a direct service worker in your organization? (check all that apply)
A criminal background check
A current driver’s license
A high school diploma or its equivalent
Ability to speak and write in English
An abuse/neglect registry check
Certification or licensure
Education beyond a high school diploma
Passing a drug check
Other (please describe)
I am not sure/don’t know
Does your organization require newly hired direct service workers to participate in any specific skill training - training that goes beyond general information that orients a new employee to this organization and their work setting?
Yes
No
It depends, some new hires are exempt from this training
It depends on the direct service work job
I am not sure/do not know
In what cases are new hires exempted from the specific skill training described in #38 above? (check all that apply)
If they have a specific number of months or years working in a similar position
If they are already certified to do their position (for example as a PCA or CNA)
If they have advanced professional education (e.g., LPN, RN, Social Worker)
Other reasons (please specify)
All new hires must complete specific skill training upon hire without exception
I am not sure/do not know
Does your organization offer (or contract with another entity to provide) periodic ongoing skill development trainings or formal in-service programs to all direct service workers (that is not just for new hires)?
Yes
No
I am not sure/do not know
Is participation in training or in-service programs or continuing education programs linked to compensation? (check all that apply)
No
Yes, workers are paid for the time spent in training
Yes, workers receive a stipend for their time in training
Yes, workers can receive reimbursement for training or tuition costs
Yes, pay raises are based on participation in training programs
Other (please specify)
I am not sure/do not know
For each topic listed below, please check the boxes next to the topics that your organization requires in-service or on-the-job training on (check all that apply).
-
Yes, we require training on this topic.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cardiopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Check the boxes next to the topics you would identify as a critical training need for direct service workers in your organization (check at least three and all that apply).
-
Yes, this is a critical training need for direct service workers in my organization.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cardiopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Information about you:
We are requesting this information so we may conduct follow up calls to
clarify data if necessary. You do not have to provide this information.
-
Your name:
Phone #:
Email address:
Thank you for completing this survey.
For paper surveys:
Please return it to Survey Research Center, University of Southern Maine, 15 Baxter Boulevard, Portland, Maine 04104 in the postage paid envelope provided.
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-NEW. The time required to complete this information collection is estimated to average 1 hr per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
Survey #5: Massachusetts Employer Organization Survey Materials – Survey #1
Massachusetts DSW Employer Survey (DDS adult waiver programs)
Executive
Office of Health and Human Services c/o
University of Massachusetts Medical
School 333
South Street Shrewsbury,
MA 01545
Recipient
Name Street
Address City,
State, Zip Code
Recipient
Name Street
Address City,
State, Zip Code
Executive
Office of Health and Human Services c/o
University of Massachusetts Medical
School 333
South Street Shrewsbury,
MA 01545
Executive Office of Health and Human Services
c/o University of Massachusetts Medical School
333 South Street
Shrewsbury, MA 01545
Attn: Laney Bruner-Canhoto, Office #13W532
<<Executive Director First Name>> <<Executive Director Last Name>>
<<Provider/Employer Organization Name>>
<<Provider/Employer Organization Mailing Address>>
<< City>>, <<State>> << Zip>>
Dear <<Executive Director First Name>> <<Executive Director Last Name>>,
The Massachusetts Executive Office of Health and Human Services, in collaboration with the Association of Developmental Disabilities Providers (ADDP), is in the process of collecting information about the experiences of your direct service workforce. This survey effort is part of a federally funded study sponsored by the Centers for Medicare and Medicaid Services. You are being asked to complete this survey because your organization receives funding to provide Medicaid home and community-based adult waiver programs to people with intellectual/developmental disabilities through a Department of Developmental Services (DDS) contract. We are asking for your participation in this very important survey about your employees. This is an opportunity for you to voice your opinions. Please note the survey is voluntary, your responses will be kept private under the guidelines of the Privacy Act, and it will not affect your status as a provider.
We are interested in information about all your employees who provide hands-on, direct services and support. We recognize that many direct service agencies experience turnover at unaffordably high rates. Information from this survey will be used to develop ways to attract more workers and keep workers longer. The information from this survey can also assist organizations like yours in understanding how you compare to other organizations in Massachusetts, and how organizations in Massachusetts compare to those in other states. Survey results will be used to better understand the current state of the direct service workforce in Massachusetts and areas of policy improvement. We will send you the aggregate results of the surveys as soon as they are available.
You can be assured that any information you give us on the survey will be kept private. Your agency name will be kept separate from your organization’s responses. The survey ID number will be used only for the purpose of tracking which organizations have completed the survey so that we can follow up to encourage a higher response rate. Results will only be reported in aggregate form and your organization will not be identified.
In addition to the paper survey provided, an online accessible version of this survey is also available. To access the survey go to https://www.research.net/s/MA-DSW-Employer-DDS and enter the unique code provided to you on page 1 of the survey. If you have questions while completing the survey or would like more information about the study, please contact the Direct Service Workforce Resource Center toll-free at 1-877-822-2647. This survey should take approximately 1 hour to complete and should be completed by someone with access to your company’s personnel records. Thank you in advance for completing this survey.
Sincerely,
Christine Griffin
Assistant Secretary, Disability Policies and Programs
Executive Office of Health and Human Services
Ann L. Hartstein
Secretary
Executive Office of Elder Affairs
Gary H. Blumenthal
President & CEO
Association of Developmental Disabilities Providers
Survey Instructions
Purpose of the Survey:
You received this survey because your organization receives funding to deliver Medicaid home and community-based adult waiver programs to people with intellectual/developmental disabilities through a Department of Developmental Services (DDS) contract. We are interested in information about all your employees who provide hands-on, direct services and support.
The Centers for Medicare and Medicaid Services has asked Massachusetts to gather and report basic information about the volume, stability, wages, and compensation of the direct service workforce (DSW). This information will allow state and federal policymakers to:
Identify and set priorities for long-term support and services reform and systems change.
Inform policy development regarding direct services workforce improvement initiatives.
Promote integrated planning and coordinated approaches for long-term supports and services.
Create a baseline against which the progress of workforce improvement initiatives can be measured.
Compare workforce outcomes for various programs and populations to better evaluate the impact of policy initiatives.
Compare state progress with the progress of other states and with overall national performance (where data from other states are available).
Information from this survey will help the federal and state governments develop ways to attract more workers into these jobs and keep workers in these jobs longer. The information from this survey can also assist organizations like yours understand how you compare to other organizations in your state, and how organizations in your state compare to those in other states (where data from other states are available). Your organization will be given the opportunity to see the results from Massachusetts as soon as they are available.
Notice of Privacy:
Filling out this survey is voluntary. Your answers to these questions will be kept private under the guidelines of the Privacy Act and will not affect your status as a Department of Developmental Services (DDS) contracted waiver provider in Massachusetts. This survey has been assigned a Survey ID number that appears at the bottom of every page. This number is the only way your organization will be identified; it will be kept separate from your responses and used only for the purpose of tracking which organizations complete the survey, so that we can follow up with organizations that do not fill it out to encourage a higher response rate. Results of this survey will be reported only in the aggregate; your organization will not be identified in any way.
If you have any questions or concerns about the survey, please contact the Direct Service Workforce Resource Center toll-free at 1-877-822-2647 or Cheryl Cumings at 617-573-1817.
Directions:
We encourage you to complete your survey online at:
https://www.research.net/s/MA-DSW-Employer-DDS
If you complete your survey online, please enter 123456 when it asks for your Survey ID number. Alternatively, you may complete the paper survey enclosed and return your completed survey to Cheryl Cumings, c/o Executive Office of Elder Affairs, One Ashburton Place 5th Floor, Boston, MA, 02108 by mail using the stamped return envelope enclosed.
The survey will take approximately one hour to complete and will require access to your organization’s personnel data. Please answer each question as accurately as possible. If you do not know the answer to one or more of the questions, please ask the person in your organization who would be able to provide an accurate answer. This survey should be completed by the person or group in your organization responsible for maintaining direct services worker records including wages, benefits, hiring, training, and tenure with your organization. If your organization is part of a larger national or state organization, please send the survey to your organization’s headquarters, or contact them for answers to any questions that you do not know.
We encourage you to keep a copy of your answers to this survey as a baseline for your own organization so that you can monitor your progress in addressing staff recruitment, retention and training challenges over time and compare your organization’s experiences to those of other organizations in Massachusetts. You can learn more about effective recruitment and retention strategies at the Direct Service Workforce Resource Center (www.dswresourcecenter.org).
Please refer to the following definitions as you complete this survey.
Definitions: Types of Workers and Workplace Settings
This survey is about people employed or contracted to be direct service workers. Direct service workers may work in one or more type of service settings and with one or more populations. This includes all paid workers whose primary job responsibility is direct service work. The direct service workforce includes the following job titles and those in similar roles:
Direct Support Professionals (DSPs)
Certified Nursing Assistants (CNAs)
Homemakers
Please include in your responses:
All people whose primary job responsibility is to provide support, training, supervision, and personal assistance to older adults and/or people of all ages with physical and/or intellectual/developmental disabilities with support needs.
All part-time, full-time, intermittent and on-call direct service workers.
All direct service workers from all branches, divisions or offices of your organization in this state.
Contract or subcontracted workers who are not employed by your organization directly.
All paid staff members who spend at least 50% of their hours doing direct service tasks. These people may do some supervisory tasks, but their primary job responsibility and more than 50% of their hours are spent doing direct service work.
Only include supervisors if more than 50% of their hours are spent doing direct service tasks.
Do not include licensed health care staff (nurses, social workers, psychologists, etc.), administrative staff, or full time managers or directors, unless they spend 50% or more of their hours providing direct, hands-on support and personal assistance or supervision to individuals with disabilities or older adults.
Please include in your responses direct service workers in the following settings:
Residential services—Supports provided to a person living in a community home with two or more people of any age with disabilities or who are aging (e.g., group home, Assisted Living Facility, shared living arrangements).
In-home supports/Home care—Supports provided to a person in their own home or in the home of a family member in which they reside.
Day programs and rehabilitative or medical supports—Supports provided outside an individual’s home such as adult day care and adult day health care services, rehabilitative services, day training and habilitation services, and disability specific non-school based services to children and youth with disabilities (e.g., respite, drop in centers).
Job or vocational services—Supports to help individuals to locate, acquire and keep a job for which they are paid. This includes services such as group and center based day supports, supported employment, community-based day supports.
Do not include employees in the following settings:
People who work only in institutional settings such as ICF-MRs, Skilled Nursing Facilities, Nursing Homes, Hospitals, or Rehabilitation Facilities. However, employees of institutional settings should be included if they work with people living in home and community settings.
People who are hired directly by the person or the person’s family for whom your organization’s role is limited to being a fiscal intermediary/employer of record.
People working only in school settings for children through 12th grade.
People working in child care facilities unless they specifically support children with disabilities.
People provide therapy services, such as occupational therapists.
Survey Questions
Which of the following services does your organization currently provide? (check all that apply)
Individual Support and Community Habilitation
Supported Employment Services
Day Habilitation Supplement
Individualized Home Supports
Group or Center Based Day Supports
Home-maker
Live-in Caregiver
Respite
Adult Companion
Chore
Peer Support
Residential Habilitation
Other (please indicate)
Is your organization… (check only one answer)
Independent entity (i.e., not part of a chain or larger organization)
Part of a chain, system or multi-organization structure (within your state or nationally)
Government operated
I am not sure/don’t know
If your organization has multiple sites in this state, for what part of the organization are you responding? (check only one answer)
The entire organization in this state
A subdivision of the organization within this state
A single service setting that is part of a larger organization
Our organization has only one site
Excluding services provided to people in their own or a family member’s home, how many different service locations (e.g., agency offices, residential group homes, assisted living facilities, supported employment sites, adult day centers, adult day care and adult day health care, day programs) does your organization operate in Massachusetts?
Total
number of locations
I am not sure/don’t know
Workforce Volume
The following questions are related to the number and assignments of the direct services workers your organization employs or contracts with to provide the services listed in Question #1.
How many hours per week (not per pay period) do direct service workers have to work to be considered full-time employees at your organization?
Number
of hours per week
I am not sure/don’t know
Does your organization contract with direct services workers who are not employees of your organization (e.g., independent contractors) to provide the services listed in Question #1?
Yes
No
I am not sure/don’t know
How many total direct service workers did your organization employ or contract with on January 31, 2012? (check box below if using a different date)
A)
Number who work 36 or more hours per week
B)
Number who work 1 to 35 hours per week
Total
number of direct service workers (the sum of A plus B)
Used date other than last day of past month (please indicate)
I am not sure/don’t know
How many employed or contracted direct service workers work primarily in each of these types of settings? (please count each employee once, in the setting he or she works the most hours)
A)
Residential services
B)
In-home supports
C)
Day programs and other community supports
D)
Job or vocational services
Total
number of direct service workers (the sum of A-D)
I am not sure/don’t know
How many people with a disability or who are aging does your organization currently support?
Total
number of people supported
I am not sure/don’t know
How many people does your organization currently support in each of the following settings? Individuals should be counted in more than one category if they receive services in more than one setting.
A)
Residential services
B)
In-home supports
C)
Day programs and other community support programs
D)
Job or vocational services
I am not sure/don’t know
Workforce Stability
The following information will be used to calculate the turnover and vacancy rates for direct service workers that your organization employs or contracts with to provide the services listed in Question #1.
How many direct service workers do you need to hire this week? Please include all full-time and part-time, on-call, contract and intermittent positions that are currently funded but have no specific person assigned. You might be using overtime or substitutes to cover these positions.
Number
of new workers needed
I am not sure/don’t know
In the last 12 months, how many direct service workers (including full-time, part-time, on-call, contract, or intermittent) left employment or stopped contracting with your organization for any reason (voluntary or involuntary)?
Total
number of direct service workers who left the organization
I am not sure/don’t know
How many of your direct service worker employees have worked for your organization less than six months, 6-12 months, and more than 12 months?
Number
with less than 6 months of continuous paid employment (that is, a
continuous six-month period of time during which they were an
employee the entire period)
Number
with 6 to 12 months of continuous paid employment
Number
with more than 12 months of continuous paid employment
I am not sure/don’t know
Worker Compensation and Benefits
The following information will be used to determine the average wage rates and benefit levels for direct service workers your organization employs or contracts with to provide the services listed in Question #1. Please use your organization’s definition of full-time and part-time for this section. Please report average amounts across your organization.
What was the average starting hourly wage paid to full-time, part-time, on-call, contract, or intermittent direct service workers who were hired in your organization over the last 12 months?
$___.___ (per hour)
I am not sure/don’t know
What is the current average hourly wage paid to all full-time, part-time, on-call, contract, or intermittent direct service workers in each of the following types of services or settings?
Residential
services
In-home
supports
Day
programs and other community supports
Job
or vocational services
Current
average hourly wage across all services and settings
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use vacation or paid time off (excluding sick time) at your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid vacation
No paid vacation time or paid time off offered
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use paid sick time? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid sick time
Paid sick time is not offered
I am not sure/don’t know
Which of the following direct service worker groups are eligible for individual health insurance coverage through your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for health insurance coverage
No health insurance coverage is offered
I am not sure/don’t know
How many direct service workers (including full-time, part-time, on-call, contract, or intermittent) currently receive individual health insurance coverage through your organization?
Number
of direct service workers enrolled in health insurance coverage
through your organization
I am not sure/don’t know
For direct service workers who are currently receiving individual health insurance coverage, what percentage of the premium is paid for by your organization? (check only one answer)
0%
1% to 25%
26% to 50%
51% to 75%
76% or more
Different percentages for different direct service workers ________ (please describe)
I am not sure/don’t know
What other types of benefits are direct service workers (including full-time, part-time, on-call, or intermittent) eligible to receive from your organization (check all that apply)?
Paid time off, reimbursement or other support for post-secondary education
Employer paid job-related training
Employer-sponsored retirement plan
Employer-sponsored disability insurance
Other (please indicate)
I am not sure/don’t know
Organizational Cultural Competence
Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professions to work effectively in cross-cultural situations.1
Does your organization have a written plan for recruiting, retaining, and promoting staff who are representative of populations served?
Yes
No
I am not sure/don’t know
Are interpreters available if needed who are knowledgeable about healthcare terminology and can translate and/or interpret information to diverse populations?
Yes
No
I am not sure/don’t know
Does your organization have a written policy concerning cultural competence?
Yes
No
I am not sure/don’t know
If yes, which of the following populations are included in cultural competency training, plan, or policy at your organization? (check all that apply)
Racial/ethnic minorities
Language minorities
Lesbian/gay/bisexual/transgender population
Specific religious groups or faith-based affiliations
AIDS/HIV status
Disability status
I am not sure/don’t know
Do staff at your organization receive training in cultural competence?
Yes
No
I am not sure/don’t know
Does your training address key cultural related knowledge, skills, and attitudes of the populations served by your organization?
Yes
No
I am not sure/don’t know
Workforce Challenges
Which of the following are currently significant challenges for your organization?
(check all that apply)
Finding qualified direct service workers
Direct service worker turnover
Direct service worker competence
Employee training
Employee motivation
Employee satisfaction
None of the above
I am not sure/don’t know
How would you describe your organization’s ability to retain qualified direct service workers once they are hired? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant retention challenges for your organization?
(check up to three challenges)
Conflict amongst direct service workers, supervisors, and/or managers
Full-time positions or sufficient hour are not available
Gas prices are too high
Health insurance is not offered to all employees
Personal stressors faced by workers
Wages are not high enough
Workers are disqualified from working based on state standards (e.g., substantiated abuse/neglect, a criminal conviction, a driving violation)
Workers are unable to do the essential job duties
Workers do not have reliable child-care
Workers do not have reliable transportation
None of the above
I am not sure/don’t know
Employee Characteristics
Using your Equal Opportunity Statistics, what percentage of your current direct service workforce have the following characteristics:
Hispanic or Latino (a person of Cuban, Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Not Hispanic or Latino
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
American Indian or Alaskan Native (person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Black, African American, or Haitian (a person having origins in any of the black racial groups of Africa)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Asian (a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Native Hawaiian or Other Pacific Islander (a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
White or European American (a person having origins in any of the original peoples of Europe, the Middle East, or North Africa)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Training for Direct Service Workers
Does your organization require newly hired direct service workers to participate in any specific skill training - training that goes beyond general information that orients a new employee to this organization and their work setting?
Yes
No
It depends, some new hires are exempt from this training
It depends on the direct service work job
I am not sure/do not know
For each topic listed below, please check the boxes next to the topics that your organization requires in-service or on-the-job training on (check all that apply).
-
Yes, we require training on this topic.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Check the boxes next to the topics you would identify as a critical training need for direct service workers in your organization (check at least three and all that apply).
-
Yes, this is a critical training need for direct service workers in my organization.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Thank you for completing this survey.
For paper surveys:
Please return your completed survey to Cheryl Cumings, c/o Executive Office of Elder Affairs, One Ashburton Place 5th Floor, Boston, MA, 02108 in the postage paid envelope provided.
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-NEW. The time required to complete this information collection is estimated to average 1 hr per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
Survey #6: Massachusetts Employer Organization Survey Materials – Survey #2
Massachusetts DSW Employer Survey (Frail Elder
Waiver/Home Care Program)
Recipient
Name Street
Address City,
State, Zip Code
Executive
Office of Health and Human Services c/o
University of Massachusetts Medical
School 333
South Street Shrewsbury,
MA 01545
Recipient
Name Street
Address City,
State, Zip Code
Executive
Office of Health and Human Services c/o
University of Massachusetts Medical
School 333
South Street Shrewsbury,
MA 01545
Executive Office of Health and Human Services
c/o University of Massachusetts Medical School
333 South Street
Shrewsbury, MA 01545
Attn: Laney Bruner-Canhoto, Office #13W532
<<First>> <<Last>>
<< Title>>
<<Provider/Employer Organization Name>>
<<Provider/Employer Organization Mailing Address >>
<< City>>, <<State>> <<Zip>>
Dear <<First>> <<Last>>,
The Executive Office of Elder Affairs in conjunction with the Executive Office of Health and Human Services, is in the process of collecting information about the experiences of your Direct Service Workforce. This survey effort is part of a federally funded study and is in collaboration with the Massachusetts Council for Home Care Aide Services, Inc. and Home Care Alliance of Massachusetts. The survey is sponsored by the Centers for Medicare and Medicaid Services. You are being asked to complete this survey because your organization receives Medicaid funding to deliver Home Care Program services to seniors and/or people with physical or intellectual/developmental disabilities. We are asking for your participation in a very important online or paper survey about your employees. This is an opportunity for you to voice your opinions. The survey is voluntary, your responses will be kept private under the guidelines of the Privacy Act, and it will not affect your status as a provider.
We are interested in information about all your employees who provide hands-on, direct services and support. We recognize that many direct service agencies experience turnover at unaffordably high rates. Information from this survey will be used to develop ways to attract more workers and keep workers longer. The information from this survey can also assist organizations like yours in understanding how you compare to other organizations in Massachusetts, and how organizations in Massachusetts compare to those in other states. Survey results will be used to better understand the current state of the direct service workforce in Massachusetts and areas for policy improvement. We will send you the aggregate results of the surveys as soon as they are available.
You can be assured that any information you give us on the survey will be kept private. Your agency name will be kept separate from your organization’s responses. The survey ID number will be used only for the purpose of tracking which organizations have completed the survey so that we can follow up to encourage a higher response rate. Results will only be reported in aggregate form and your organization will not be identified.
In addition to the paper survey provided, an online accessible version of this survey is also available. To access the survey go to https://www.research.net/s/MA-DSW-Employer-FE and enter the unique code provided to you on page 1 of the survey. If you have questions while completing the survey or would like more information about the study, please contact the Direct Service Workforce Resource Center toll-free at 1-877-822-2647. This survey should take approximately 1 hour to complete and should be completed by someone with access to your company’s personnel records. Thank you in advance for completing this survey.
Sincerely,
Ann L. Hartstein
Secretary
Executive Office of Elder Affairs
Christine Griffin
Assistant Secretary, Disability Policies and Programs
Executive Office of Health and Human Services
Lisa Gurgone
Executive Director
Massachusetts Council for Home Aide Services
Pat Kelleher
Executive Director
Home Care Alliance of Massachusetts
Survey Instructions
Purpose of the Survey:
You received this survey because your organization receives Medicaid funding to deliver Home Care Program services to seniors and/or people with physical or intellectual/developmental disabilities. We are interested in information about all your employees who provide hands-on, direct services and support.
The Centers for Medicare and Medicaid Services has asked Massachusetts to gather and report basic information about the volume, stability, wages, and compensation of the direct service workforce (DSW). This information will allow state and federal policymakers to:
Identify and set priorities for long-term support and services reform and systems change.
Inform policy development regarding direct services workforce improvement initiatives.
Promote integrated planning and coordinated approaches for long-term supports and services.
Create a baseline against which the progress of workforce improvement initiatives can be measured.
Compare workforce outcomes for various programs and populations to better evaluate the impact of policy initiatives.
Compare state progress with the progress of other states and with overall national performance (where data from other states are available).
Information from this survey will help the federal and state governments develop ways to attract more workers into these jobs and keep workers in these jobs longer. The information from this survey can also assist organizations like yours understand how you compare to other organizations in your state, and how organizations in your state compare to those in other states (where data from other states are available). Your organization will be given the opportunity to see the results from Massachusetts as soon as they are available.
Notice of Privacy:
Filling out this survey is voluntary. Your answers to these questions will be kept private under the guidelines of the Privacy Act and will not affect your status as a Medicaid Home Care program provider in Massachusetts. This survey has been assigned a Survey ID number that appears at the bottom of every page. This number is the only way your organization will be identified; it will be kept separate from your responses and used only for the purpose of tracking which organizations complete the survey, so that we can follow up with organizations that do not fill it out to encourage a higher response rate. Results of this survey will be reported only in the aggregate; your organization will not be identified in any way.
If you have any questions or concerns about the survey, please contact the Direct Service Workforce Resource Center toll-free at 1-877-822-2647 or Cheryl Cumings at 617-573-1817.
Directions:
We encourage you to complete your survey online at:
https://www.research.net/s/MA-DSW-Employer-FE
If you complete your survey online, please enter <<123456>> when it asks for your Survey ID number. Alternatively, you may complete the paper survey enclosed and return your completed survey to Cheryl Cumings, c/o Executive Office of Elder Affairs, One Ashburton Place 5th Floor, Boston, MA, 02108 by mail using the stamped return envelope enclosed.
The survey will take approximately one hour to complete and will require access to your organization’s personnel data. Please answer each question as accurately as possible. If you do not know the answer to one or more of the questions, please ask the person in your organization who would be able to provide an accurate answer. This survey should be completed by the person or group in your organization responsible for maintaining direct services worker records including wages, benefits, hiring, training, and tenure with your organization. If your organization is part of a larger national or state organization, please send the survey to your organization’s headquarters, or contact them for answers to any questions that you do not know.
We encourage you to keep a copy of your answers to this survey as a baseline for your own organization so that you can monitor your progress in addressing staff recruitment, retention and training challenges over time and compare your organization’s experiences to those of other organizations in Massachusetts. You can learn more about effective recruitment and retention strategies at the Direct Service Workforce Resource Center (www.dswresourcecenter.org).
Please refer to the following definitions as you complete this survey.
Definitions: Types of Workers and Workplace Settings
This survey is about people employed or contracted to be direct service workers. Direct service workers may work in one or more type of service settings and with one or more populations. This includes all paid workers whose primary job responsibility is direct service work. The direct service workforce includes the following job titles and those in similar roles:
Personal and home care aides
Home health aides
Direct support professionals
Certified nursing assistants
Homemakers
Personal attendants
Supportive home care aides
Please include in your responses:
All people whose primary job responsibility is to provide support, training, supervision, and personal assistance to older adults and/or people of all ages with physical and/or intellectual/developmental disabilities with support needs.
All part-time, full-time, intermittent and on-call direct service workers.
All direct service workers from all branches, divisions or offices of your organization in this state.
Contract or subcontracted workers who are not employed by your organization directly.
All paid staff members who spend at least 50% of their hours doing direct service tasks. These people may do some supervisory tasks, but their primary job responsibility and more than 50% of their hours are spent doing direct service work.
Only include supervisors if more than 50% of their hours are spent doing direct service tasks.
Do not include licensed health care staff (nurses, social workers, psychologists, etc.), administrative staff, or full time managers or directors, unless they spend 50% or more of their hours providing direct, hands-on support and personal assistance or supervision to individuals with disabilities or older adults.
Please include in your responses direct service workers in the following settings:
Residential services—Supports provided to a person living in a community home with two or more people of any age with disabilities or who are aging (e.g., group home, Assisted Living Facility, day programs).
In-home supports/Home care—Supports provided to a person in their own home or in the home of a family member in which they reside.
Day programs and rehabilitative or medical supports—Supports provided outside an individual’s home such as adult day care and adult day health care services, rehabilitative services, day training and habilitation services, and disability specific non-school based services to children and youth with disabilities (e.g., respite, drop in centers).
Job or vocational services—Supports to help individuals to locate, acquire and keep a job for which they are paid. This includes services such as job coaching, supported employment, work crews, sheltered workshops, and job training.
Do not include employees in the following settings:
People who work only in institutional settings such as ICF-MRs, Skilled Nursing Facilities, Nursing Homes, Hospitals, or Rehabilitation Facilities. However, employees of institutional settings should be included if they work with people living in home and community settings.
People who are hired directly by the person or the person’s family for whom your organization’s role is limited to being a fiscal intermediary/employer of record.
People working only in school settings for children through 12th grade.
People working in child care facilities unless they specifically support children with disabilities.
People providing therapy services, such as occupational therapists.
Survey Questions
Which of the following services does your organization currently provide? (check all that apply)
Homemaker
Personal Care
Home Health
Adult Day Health
Supportive Day Program
Chore
Companion
Other (please indicate)
Is your organization… (check only one answer)
Independent entity (i.e., not part of a chain or larger organization)
Part of a chain, system or multi-organization structure (within your state or nationally)
Government operated
I am not sure/don’t know
If your organization has multiple sites in this state, for what part of the organization are you responding? (check only one answer)
The entire organization in this state
A subdivision of the organization within this state
A single service setting that is part of a larger organization
Our organization has only one site
Excluding services provided to people in their own or a family member’s home, how many different service locations (e.g., agency offices, residential group homes, assisted living facilities, supported employment sites, adult day centers, adult day care and adult day health care, day programs) does your organization operate in Massachusetts?
Total
number of locations
I am not sure/don’t know
Workforce Volume
The following questions are related to the number and assignments of the direct services workers your organization employs or contracts with to provide the services listed in Question #1.
How many hours per week (not per pay period) do direct service workers have to work to be considered full-time employees at your organization?
Number
of hours per week
I am not sure/don’t know
Does your organization contract with direct services workers who are not employees of your organization (e.g., independent contractors) to provide the services listed in Question #1?
Yes
No
I am not sure/don’t know
How many total direct service workers did your organization employ or contract with on January 31, 2012? (check box below if using a different date)
A)
Number who work 36 or more hours per week
B)
Number who work 1 to 35 hours per week
Total
number of direct service workers (the sum of A plus B)
Used date other than last day of past month (please indicate)
I am not sure/don’t know
How many employed or contracted direct service workers work primarily in each of these types of settings? (please count each employee once, in the setting he or she works the most hours)
A)
Residential services
B)
In-home supports
C)
Day programs and other community supports
D)
Job or vocational services
Total
number of direct service workers (the sum of A-D)
I am not sure/don’t know
How many people with a disability or who are aging does your organization currently support?
Total
number of people supported
I am not sure/don’t know
How many people does your organization currently support in each of the following settings? Individuals should be counted in more than one category if they receive services in more than one setting.
A)
Residential services
B)
In-home supports
C)
Day programs and other community support programs
D)
Job or vocational services
I am not sure/don’t know
Workforce Stability
The following information will be used to calculate the turnover and vacancy rates for direct service workers that your organization employs or contracts with to provide the services listed in Question #1.
How many direct service workers do you need to hire this week? Please include all full-time and part-time, on-call, contract, and intermittent positions that are currently funded but have no specific person assigned. You might be using overtime or substitutes to cover these positions.
Number
of new workers needed
I am not sure/don’t know
In the last 12 months, how many direct service workers (including full-time, part-time, on-call, contract, or intermittent) left employment or stopped contracting with your organization for any reason (voluntary or involuntary)?
Total
number of direct service workers who left the organization
I am not sure/don’t know
How many of your direct service worker employees have worked for your organization less than six months, 6-12 months, and more than 12 months?
Number
with less than 6 months of continuous paid employment (that is, a
continuous six-month period of time during which they were an
employee the entire period)
Number
with 6 to 12 months of continuous paid employment
Number
with more than 12 months of continuous paid employment
I am not sure/don’t know
Worker Compensation and Benefits
The following information will be used to determine the average wage rates and benefit levels for direct service workers your organization employs or contracts with to provide the services listed in Question #1. Please use your organization’s definition of full-time and part-time for this section. Please report average amounts across your organization.
What was the average starting hourly wage paid to full-time, part-time, on-call, contract, or intermittent direct service workers who were hired in your organization over the last 12 months?
$___.___ (per hour)
I am not sure/don’t know
What is the current average hourly wage paid to all full-time, part-time, on-call, contract, or intermittent direct service workers in each of the following types of services or settings?
Residential
services
In-home
supports
Day
programs and other community supports
Job
or vocational services
Current
average hourly wage across all services and settings
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use vacation or paid time off (excluding sick time) at your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid vacation
No paid vacation time or paid time off offered
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use paid sick time? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid sick time
Paid sick time is not offered
I am not sure/don’t know
Which of the following direct service worker groups are eligible for individual health insurance coverage through your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for health insurance coverage
No health insurance coverage is offered
I am not sure/don’t know
How many direct service workers (including full-time, part-time, on-call, contract, or intermittent) currently receive individual health insurance coverage through your organization?
Number
of direct service workers enrolled in health insurance coverage
through your organization
I am not sure/don’t know
For direct service workers who are currently receiving individual health insurance coverage, what percentage of the premium is paid for by your organization? (check only one answer)
0%
1% to 25%
26% to 50%
51% to 75%
76% or more
Different percentages for different direct service workers ________ (please describe)
I am not sure/don’t know
What other types of benefits are direct service workers (including full-time, part-time, on-call, contract, or intermittent) eligible to receive from your organization (check all that apply)?
Paid time off, reimbursement or other support for post-secondary education
Employer paid job-related training
Employer-sponsored retirement plan
Employer-sponsored disability insurance
Other (please indicate)
I am not sure/don’t know
Organizational Cultural Competence
Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professions to work effectively in cross-cultural situations.1
Does your organization have a written plan for recruiting, retaining, and promoting staff who are representative of populations served?
Yes
No
I am not sure/don’t know
Are interpreters available if needed who are knowledgeable about healthcare terminology and can translate and/or interpret information to diverse populations?
Yes
No
I am not sure/don’t know
Does your organization have a written policy concerning cultural competence?
Yes
No
I am not sure/don’t know
If yes, which of the following populations are included in cultural competency training, plan, or policy at your organization? (check all that apply)
Racial/ethnic minorities
Language minorities
Lesbian/gay/bisexual/transgender population
Specific religious groups or faith-based affiliations
AIDS/HIV status
Disability status
I am not sure/don’t know
Do staff at your organization receive training in cultural competence?
Yes
No
I am not sure/don’t know
Does your training address key cultural related knowledge, skills, and attitudes of the populations served by your organization?
Yes
No
I am not sure/don’t know
Workforce Challenges
Which of the following are currently significant challenges for your organization?
(check all that apply)
Finding qualified direct service workers
Direct service worker turnover
Direct service worker competence
Employee training
Employee motivation
Employee satisfaction
None of the above
I am not sure/don’t know
How would you describe your organizations ability to retain qualified direct service workers once they are hired? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant retention challenges for your organization?
(check up to three challenges)
Conflict amongst direct service workers, supervisors, and/or managers
Full-time positions or sufficient hour are not available
Gas prices are too high
Health insurance is not offered to all employees
Personal stressors faced by workers
Wages are not high enough
Workers are disqualified from working based on state standards (e.g., substantiated abuse/neglect, a criminal conviction, a driving violation)
Workers are unable to do the essential job duties
Workers do not have reliable child-care
Workers do not have reliable transportation
None of the above
I am not sure/don’t know
Employee Characteristics
Using your Equal Opportunity Statistics, what percentage of your current direct service workforce have the following characteristics:
Hispanic or Latino (a person of Cuban, Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Not Hispanic or Latino
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
American Indian or Alaskan Native (person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Black, African American, or Haitian (a person having origins in any of the black racial groups of Africa)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Asian (a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Native Hawaiian or Other Pacific Islander (a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
White or European American (a person having origins in any of the original peoples of Europe, the Middle East, or North Africa)
0-20% 21-40% 41-60% 61-80% 81%- 100% not sure/don’t know
Training for Direct Service Workers
Does your organization require newly hired direct service workers to participate in any specific skill training - training that goes beyond general information that orients a new employee to this organization and their work setting?
Yes
No
It depends, some new hires are exempt from this training
It depends on the direct service work job
I am not sure/do not know
For each topic listed below, please check the boxes next to the topics that your organization requires in-service or on-the-job training on (check all that apply).
-
Yes, we require training on this topic.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Check the boxes next to the topics you would identify as a critical training need for direct service workers in your organization (check at least three and all that apply).
-
Yes, this is a critical training need for direct service workers in my organization.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Thank you for completing this survey.
For paper surveys:
Please return your completed survey to Cheryl Cumings, c/o Executive Office of Elder Affairs, One Ashburton Place 5th Floor, Boston, MA, 02108 in the postage paid envelope provided.
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-NEW. The time required to complete this information collection is estimated to average 1 hr per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
Survey # 7: Michigan Employer Organization Survey Materials – Survey #1
Michigan MI Choice Employer Workforce Survey
PHI
– Michigan PO
Box 505 Linden,
MI 48451-9912
Recipient
Name Street
Address City,
State, Zip Code
PHI
– Michigan PO
Box 505 Linden,
MI 48451-9912
Recipient
Name Street
Address City,
State, Zip Code
PHI-Michigan
P.O. Box 505
Lansing, MI 48451-9912
<<First Name>> <<Last Name>>
<<Recipient Title>>
<<Recipient Organization>>
<<Recipient Street Address>>
<<Recipient City>>, <<Recipient State>> <<Recipient Zip>>
<<Greeting Line>>
The Michigan Office of Services to the Aging (OSA) is in the process of collecting information about the experiences of your direct service workers (DSW), registered nurses (RNs), and licensed practical nurses (LPNs), as a part of a federally funded study, sponsored by the Centers for Medicare and Medicaid Services. PHI has been contracted by OSA to facilitate the distribution of the survey and data analysis. You are being asked to complete the MI Choice Employer Workforce survey because your organization receives funding to provide services for older adults and/or people of all ages with physical or intellectual/developmental disabilities and mental illness. These services include: adult day; community living supports; homemaking; personal care; private duty; residential services, or respite services. We are asking for your participation in a very important online or paper survey about your employees. This is an opportunity for you to voice your opinions. The survey is voluntary, your responses will be kept private under the guidelines of the Privacy Act, and it will not affect your status as a provider.
We are interested in information about all your employees who provide hands-on, direct services and support. OSA recognizes that many direct service agencies experience turnover at unaffordably high rates. Information from this survey will be used to develop ways to attract more workers into these jobs and keep workers in these jobs longer. The information from this survey can also assist organizations like yours in understanding how you compare to other organizations in your state, and how organizations in your state compare to those in other states. You will have access to a summary of the results by September 2012.
You can be assured that any information you give us on the survey will be kept private. Your agency name will be kept separate from the responses. The survey ID number will be used only for the purpose of tracking which organizations have completed the survey so that we can follow up to encourage a higher response rate. Results will only be reported in aggregate form and your organization will not be identified. If you have questions while completing the survey or would like more information about the study, please contact Tameshia Bridges, Michigan Senior Workforce Advocate at PHI at (517) 643-1049 or email at [email protected]. This survey should take approximately 1 hour to complete and should be completed by someone with access to your company’s personnel records. Please return your completed survey to:
PHI –Michigan
PO Box 505
Linden, MI 48451-9912
Thank you in advance for completing this survey.
Sincerely,
<<Sender Name>>
<<Current Title>>
Enclosure
Survey Instructions
Purpose of the Survey:
You received this survey because your organization receives funding to provide for older adults and/or people of all ages with physical or intellectual/developmental disabilities the following services:
Adult day
Community living supports
Homemaking
Personal care
Private duty
Residential services
Respite services
The Centers for Medicare and Medicaid Services has asked Michigan to gather and report basic information about the volume, stability, wages, and compensation of direct service workers (DSW), registered nurses (RNs), and licensed practical nurses (LPNs). This information will allow state and federal policymakers to:
Identify and set priorities for long-term support and services reform and systems change.
Inform policy development regarding direct services workforce improvement initiatives.
Promote integrated planning and coordinated approaches for long-term supports and services.
Create a baseline against which the progress of workforce improvement initiatives can be measured.
Compare workforce outcomes for various programs and populations to better evaluate the impact of policy initiatives.
Compare state progress with the progress of other states and with overall national performance (where data from other states are available).
Information from this survey will help the federal and state governments develop ways to attract more workers into these jobs and keep workers in these jobs longer. The information from this survey can also assist organizations like yours understand how you compare to other organizations in your state, and how organizations in your state compare to those in other states (where data from other states are available). Your organization will be given the opportunity to see the results from Michigan by September 2012
Notice of Privacy:
Filling out this survey is voluntary. Your answers to these questions will be kept private under the guidelines of the Privacy Act and will not affect your status as a MI Choice provider. This survey has been assigned a Survey ID number that appears at the bottom of every page. This number is the only way your organization will be identified; it will be kept separate from your responses and used only for the purpose of tracking which organizations complete the survey, so that we can follow up with organizations that do not fill it out to encourage a higher response rate. Results of this survey will be reported only in the aggregate; your organization will not be identified in any way.
If you have any questions or concerns about the survey, please contact Tameshia Bridges at (517) 643-1049 or [email protected]
Directions:
We encourage you to complete your survey online at:
https://www.research.net/s/Michigan-MI-Choice-Employer-Survey
If you complete the survey online, please enter <<123456>> when it asks for your Survey ID number. Alternatively, you may complete the paper survey enclosed and return your completed survey to PHI Michigan, P.O. Box 505, Linden, MI 48451-9912by mail using the stamped return envelope enclosed.
The survey will take approximately one hour to complete and will require access to your organization’s personnel data. Please answer each question as accurately as possible. If you do not know the answer to one or more of the questions, please ask the person in your organization who would be able to provide an accurate answer. This survey should be completed by the person or group in your organization responsible for maintaining employee records including wages, benefits, hiring, training, and tenure with your organization. If your organization is part of a larger national or state organization, please consult with your organization’s headquarters for answers to any questions that you do not know.
We encourage you to keep a copy of your answers to this survey as a baseline for your own organization so that you can monitor your progress in addressing staff recruitment, retention, and training challenges over time and compare your organization’s experiences to those of other organizations Michigan. You can learn more about effective recruitment and retention strategies at the Direct Service Workforce Resource Center (www.dswresourcecenter.org).
Please refer to the following definitions as you complete this survey.
Definitions: Types of Workers
This survey is about people employed or contracted to be direct service workers, RNs, and LPNs. Direct service workers may work in one or more type of service settings and with one or more populations. This includes all paid workers whose primary job responsibility is direct service work. The direct service workforce includes the following job titles and those in similar roles:
Personal and home care aides
Home health aides
Direct support professionals
Certified nursing assistants
Homemakers
Personal attendants
Please include in your responses:
All people whose primary job responsibility is to provide support, training, supervision, and personal assistance to older adults and/or people of all ages with physical and/or intellectual disabilities with support needs.
All part-time, full-time, intermittent, and on-call direct service workers, RNs and LPNs.
All direct service workers, RNs, and LPNs from all branches, divisions, or offices of your organization in this state.
Contract or subcontracted workers who are not employed by your organization directly.
All paid staff members who spend at least 50% of their hours doing direct service tasks. These people may do some supervisory tasks, but their primary job responsibility and more than 50% of their hours are spent doing direct service work.
Only include supervisors if more than 50% of their hours are spent doing direct service tasks.
Do not include other licensed health care staff (physicians, social workers, psychologists, etc.), administrative staff, or full time managers or directors, unless they spend 50% or more of their hours providing direct, hands-on support and personal assistance or supervision to individuals with disabilities or older adults.
Definitions: Workplace Settings / Services
This survey refers to the following services in your state:
Community living supports
Personal care
Private duty nursing
Home maker/ home chore
Adult day services
Respite
Residential Services
Please include in your responses if applicable for your organization:
Direct service workers in the following settings:
Residential services—Supports provided to a person living in a community home or apartment with two or more people of any age with disabilities or who are aging (e.g. group home, Assisted Living, adult foster care home, home for the aged).
In-home supports /Home care/personal care —Supports provided to a person in his or her own home or in the home or apartment or in the home of a family member.
Day programs and community support programs—Supports provided outside an individual’s home such as adult day services.
Job or vocational services—Supports to help individuals on the job for which they are paid or in settings where job coaching and or training is available.
Do not include employees in the following settings:
People who work only in institutional settings such as ICF-MRs, Skilled Nursing Facilities, Nursing Homes, Hospitals, or Rehabilitation Facilities. However, employees of institutional settings should be included if they work with people living in home and community settings.
People working only in school settings for children through 12th grade.
People who are hired directly by the person or the person’s family for whom your organization’s role is limited to being a fiscal intermediary/employer of record.
People working in child care facilities unless they specifically support children with disabilities.
People providing therapy services, such as occupational therapists.
Survey Questions
Which of the following services does your organization currently provide? (check all that apply)
Community living supports
Personal care
Private duty nursing
Home maker/home chore
Adult day services
Respite
Residential services
Other (please indicate)
Is your organization… (check only one answer)
Independent entity (i.e., not part of a chain or larger organization)
Part of a chain, system, or multi-organization structure (within your state or nationally)
Government operated
I am not sure/don’t know
If your organization has multiple sites in this state, for what part of the organization are you responding? (check only one answer)
The entire organization in this state
A subdivision of the organization within this state
A single service setting that is part of a larger organization
Our organization has only one site
Excluding services provided to people in their own or a family member’s home, how many different service locations (agency offices, residential adult foster homes or homes for the aged, adult day centers) does your organization operate in Michigan?
Total
number of settings
I am not sure/don’t know
Workforce Volume
The following questions are related to the number and assignments of the direct services workers , RNs and LPNs your organization employs or contracts with to provide the services listed in Question #1.
Direct Service Workers
How many hours per week (not per pay period) do direct service workers have to work to be considered full-time employees at your organization?
Number
of hours per week
I am not sure/don’t know
Does your organization contract with direct services workers who are not employees of your organization to provide the services listed in Question #1?
Yes
No
I am not sure/don’t know
How many total direct service workers did your organization employ or contract with on January 31, 2012? (check box below if using a different date)
A)
Number who work 36 or more hours per week
B)
Number who work 1 to 35 hours per week
Total
number of direct service workers (the sum of A plus B)
Used date other than last day of past month (please indicate)
I am not sure/don’t know
How many employed or contracted direct service workers work primarily in each of these types of settings? (please count each employee once, in the setting he or she works the most hours)
A)
Residential services
B)
In-home supports/home care/personal care
C)
Day programs and other community supports
D)
Job or vocational services
Total
number of direct service workers (the sum of A-D)
I am not sure/don’t know
RNs and LPNs
How many hours per week (not per pay period) do registered nurses (RN) and licensed practical nurses (LPN) have to work to be considered full-time employees at your organization?
Number
of hours per week, RN
Number
of hours per week, LPN
This organization does not employ any RNs or LPNs [SKIP QUESTIONS 10-12 AND GO DIRECTLY TO QUESTION 13]
I am not sure/don’t know
Does your organization contract with RNs or LPNs who are not employees of your organization to provide the services listed in Question #1?
Yes
No
I am not sure/don’t know
How many total RNs did your organization employ or contract with on January 31, 2012?
Number
who work 36 or more hours per week, RN
Number
who work 1 to 35 hours per week, RN
Total
number of RNs
I am not sure/don’t know
How many total LPNs did your organization employ or contract with on January 31, 2012?
Number
who work 36 or more hours per week, LPN
Number
who work 1 to 35 hours per week, LPN
Total
number of LPNs
I am not sure/don’t know
Individuals Served
How many people with a disability or who are aging does your organization currently support?
Total
number of people supported
I am not sure/don’t know
How many people does your organization currently support in each of the following settings? Individuals should be counted in more than one category if they receive services in more than one setting.
A)
Residential services
B)
In-home supports/home care/personal care
C)
Day programs and rehabilitative or medical supports
D)
Job or vocational services
I am not sure/don’t know
Workforce Stability
The following information will be used to calculate the turnover and vacancy rates for direct service workers, RNs, and LPNs that your organization employs or contracts with to provide the services listed in Question #1.
Direct Service Workers
How many direct service workers do you need to hire this week? Please include all full-time and part-time, on-call, contract or intermittent positions that are currently funded but have no specific person assigned. You might be using overtime or substitutes to cover these positions.
Number
of new workers needed
I am not sure/don’t know
In the last 12 months, how many direct service workers (including full-time, part-time, on-call, contract or intermittent) left employment or stopped contracting with your organization for any reason (voluntary or involuntary)?
Total
direct service workers who left the organization
I am not sure/don’t know
RNs and LPNs
How many RNs and LPNs do you need to hire this week? Please include all full-time and part-time, on-call and intermittent positions that are currently funded but have no specific person assigned. You might be using overtime or substitutes to cover these positions.
Number
of new nurses needed, RN
Number
of new nurses needed, LPN
This organization does not employ any RNs or LPNs [SKIP QUESTION 17 AND GO DIRECTLY TO QUESTION 18]
I am not sure/don’t know
In the last 12 months, how many RNs and LPNs (including full-time, part-time, on-call, or intermittent) left employment or stopped contracting with your organization for any reason (voluntary or involuntary)?
Total
RNs who left the organization
Total
LPNs who left the organization
I am not sure/don’t know
Worker Compensation and Benefits
The following information will be used to determine the average wage rates and benefit levels for direct service workers, RNs and LPNs your organization employs or contracts with to provide the services listed in Question #1. Please use your organization’s definition of full-time and part-time for this section. Please report average amounts across your organization.
Direct Service Workers
What was the average starting hourly wage paid to full-time, part-time, on-call, contract, or intermittent direct service workers who were hired in your organization over the last 12 months?
$___.___ (per hour) for direct service workers
I am not sure/don’t know
What is the current average hourly wage paid to all full-time, part-time, on-call, contract, or intermittent direct service workers in each of the following types of services or settings?
Residential
services
In-home
supports/home care/personal care
Day
programs and other community supports
Job
or vocational services
Current
average hourly wage across all services and settings
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use vacation or paid time off (excluding sick time) at your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call, or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid vacation or paid time off
No paid vacation time or paid time off offered
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use paid sick time? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call, or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid sick time
Paid sick time is not offered
I am not sure/don’t know
Which of the following direct service worker groups are eligible for individual health insurance coverage through your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call, or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for health insurance coverage
No health insurance coverage is offered
I am not sure/don’t know
How many direct service workers (including full-time, part-time, on-call, contract, or intermittent) currently receive individual health insurance coverage through your organization?
Number
of direct service workers enrolled in health insurance coverage
through your organization
I am not sure/don’t know
For direct service workers who are currently receiving individual health insurance coverage, what percentage of the premium is paid for by your organization? (check only one answer)
0%
1% to 25%
26% to 50%
51% to 75%
76% or more
Different percentages for different direct service workers ________ (please describe)
I am not sure/don’t know
Does your organization compensate direct service workers for mileage or travel costs for travel between consumer homes or work sites?
Yes – for all travel for all direct service workers
Yes – for all travel for some direct service workers
Sometimes - under certain circumstances
No, we do not compensate direct service staff for mileage or travel costs between consumers’ homes or work sites
I am not sure/don’t know
RNs and LPNs
What was the average starting hourly wage paid to full-time, part-time, on-call, contract, or intermittent RNs and LPNs who were hired in your organization over the last 12 months?
$___.___ (per hour) for RNs
$___.___ (per hour) for LPNs
This organization does not employ any RNs or LPNs [SKIP QUESTIONS 27-33 AND GO DIRECTLY TO QUESTION 34]
I am not sure/don’t know
What is the current average hourly wage paid to all full-time, part-time, on-call, contract, or intermittent RNs and LPNs?
$___.___ (per hour) for RNs
$___.___ (per hour) for LPNs
I am not sure/don’t know
Which of the following RNs and LPNs are eligible to earn and use vacation or paid time off (excluding sick time) at your organization? (check all that apply)
Full-time RNs
Full-time LPNs
Part-time RNs
On call or intermittent RNs
Contract RNs
Part-time LPNs
On call or intermittent LPNs
Contract LPNs
No RNs are eligible for paid vacation or paid time off
No LPNs are eligible for paid vacation or paid time off
I am not sure/don’t know
Which of the following RNs and LPNs are eligible to earn and use paid sick time? (check all that apply)
Full-time RNs
Full-time LPNs
Part-time RNs
On call or intermittent RNs
Contract RNs
Part-time LPNs
On call or intermittent LPNs
Contract LPNs
No RNs are eligible for paid sick time
No LPNs are eligible for paid sick time
I am not sure/don’t know
Which of the following RNs and LPNs are eligible for individual health insurance coverage through your organization? (check all that apply)
Full-time RNs
Full-time LPNs
Part-time RNs
On call or intermittent RNs
Contract RNs
Part-time LPNs
On call or intermittent LPNs
Contract LPNs
No RNs are eligible for health insurance coverage
No LPNs are eligible for health insurance coverage
No health insurance coverage is offered by this organization
I am not sure/don’t know
How many RNs and LPNs (including full-time, part-time, on-call, contract, or intermittent) currently receive individual health insurance coverage through your organization?
Number
of RNs receiving health insurance coverage paid by this
organization
Number
of LPNs receiving health insurance coverage paid by this
organization
I am not sure/don’t know
For RNs and LPNs who are currently receiving individual health insurance coverage, what percentage of the premium is paid for by your organization? (check only one answer)
0%
1% to 25%
26% to 50%
51% to 75%
76% or more
Different percentages for different RNs and LPNs ________ (please describe)
I am not sure/don’t know
Does your organization compensate RNs and LPNs for mileage or travel costs for travel between consumer homes or work sites?
Yes – for all travel for all RNs and all LPNs
Yes – for all travel for RNs only
Yes – for all travel for LPNs only
Sometimes for some nurses - under certain circumstances
No, we do not compensate RNs or LPNs for mileage or travel costs between consumers’ homes or work sites
I am not sure/don’t know
Organizational Cultural Competence
Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professions to work effectively in cross-cultural situations.1
Does your organization have a written plan for recruiting, retaining, and promoting staff who are representative of populations served?
Yes
No
I am not sure/don’t know
Are interpreters available if needed who are knowledgeable about healthcare terminology and can translate and/or interpret information to diverse populations?
Yes
No
I am not sure/don’t know
Does your organization have a written policy concerning cultural competence?
Yes
No
I am not sure/don’t know
If yes, which of the following populations are included in cultural competency training, plan, or policy at your organization? (check all that apply)
Racial/ethnic minorities
Language minorities
Lesbian/gay/bisexual/transgender population
Specific religious groups or faith-based affiliations
AIDS/HIV status
Disability status
I am not sure/don’t know
Do staff at your organization receive training in cultural competence?
Yes
No
I am not sure/don’t know
Does your training address key cultural related knowledge, skills, and attitudes of the populations served by your organization?
Yes
No
I am not sure/don’t know
Direct Service Workforce Challenges
Please answer the following questions about direct service workers only. Do not include challenges related to recruitment and retention of RNs and LPNs in your responses to these questions.
How would you describe your organization’s ability to recruit and hire qualified direct service workers? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant recruitment challenges for your organization?
(check up to three challenges)
Recruitment is not a problem for this organization
Finding people to work in part-time or intermittent positions
Finding people who are willing to work for the wage we offer
Finding people who are willing to work in a position that does not offer health insurance
Finding people who can communicate effectively with the people they will support
Finding people who meet minimum education or experience requirements
Finding people who will work evenings, weekends or holidays
Finding people who can give up their unemployment benefits
Finding people with a clean driving record
Finding people with a clear criminal background check
Finding people who meet minimum requirements to be a direct service worker
Finding workers with reliable child-care
Finding workers with reliable transportation
Finding workers with the skills needed to serve the people we support
Other types of jobs are more attractive
None of the above
I am not sure/don’t know
How would you describe your organization’s ability to retain qualified direct service workers once they are hired? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant retention challenges for your organization?
(check up to three challenges)
Wages are not high enough
Full-time positions or sufficient hour are not available
Gas prices or public transit fares are too high
Paid health insurance is not offered
Conflict amongst direct service workers, supervisors, and/or managers
Workers are unable to do the essential job duties
Workers do not have reliable child-care
Workers do not have reliable transportation
Other personal stressors faced by workers
None of the above
I am not sure/don’t know
Direct Service Workforce Qualifications and Training
Which of the following are required to begin work as a direct service worker in your organization? (check all that apply)
A criminal background check
A current driver’s license
A high school diploma or its equivalent
Ability to speak and write in English
An abuse/neglect registry check
Certification or licensure
Education beyond a high school diploma
Passing a drug test
I am not sure/don’t know
Does your organization offer (or contract with another entity to provide) periodic ongoing skill development trainings or formal in-service programs to all direct service workers (that is not just for new hires)?
Yes
No
I am not sure/do not know
For each topic listed below, please check the boxes next to the topics that your organization requires in-service or on-the-job training on (check all that apply).
-
Yes, we require training on this topic.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Check the boxes next to the topics you would identify as a critical training need for direct service workers in your organization (check at least three and all that apply).
-
Yes, this is a critical training need for direct service workers in my organization.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Thank you for completing this survey.
For paper surveys:
Please return it to PHI Michigan, P.O. Box 505, Linden, MI 48451-9912 in the postage paid envelope provided.
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-NEW. The time required to complete this information collection is estimated to average 1 hr per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
Survey #8: Michigan Employer Organization Survey Materials – Survey #2
Home Help Employer Workforce Survey
PHI
- Michigan PO
Box 505 Linden,
MI 48451-9912
Recipient
Name Street
Address City,
State, Zip Code
PHI
- Michigan PO
Box 505 Linden,
MI 48451-9912
Recipient
Name Street
Address City,
State, Zip Code
PHI-Michigan
P.O. Box 505
Linden, MI 48451-9912
<<First Name>> <<Last Name>>
<<Recipient Title>>
<<Recipient Organization>>
<<Recipient Street Address>>
<<Recipient City>>, <<Recipient State>> <<Recipient Zip>>
<<Greeting Line>>
The <<Michigan Office of Services to the Aging>> (OSA) is in the process of collecting information about the experiences of your direct service workforce, as a part of a federally funded study, sponsored by the Centers for Medicare and Medicaid Services. PHI has been contracted by OSA to facilitate the distribution of the survey and data analysis. You are being asked to complete this survey because your organization receives funding to provide Home Help services for older adults and/or people of all ages with physical or intellectual/developmental disabilities and mental illness. We are asking for your participation in a very important online or paper survey about your employees. This is an opportunity for you to voice your opinions. The survey is voluntary, your responses will be kept private under the guidelines of the Privacy Act, and it will not affect your status as a provider.
We are interested in information about all your employees who provide hands-on, direct services and support. OSA recognizes that many direct service agencies experience turnover at unaffordably high rates. Information from this survey will be used to develop ways to attract more workers into these jobs and keep workers in these jobs longer. The information from this survey can also assist organizations like yours in understanding how you compare to other organizations in your state, and how organizations in your state compare to those in other states. You will have access to a summary of the results by September 2012.
You can be assured that any information you give us on the survey will be kept private. Your agency name will be kept separate from the responses. The survey ID number will be used only for the purpose of tracking which organizations have completed the survey so that we can follow up to encourage a higher response rate. Results will only be reported in aggregate form and your organization will not be identified. If you have questions while completing the survey or would like more information about the study, please contact Tameshia Bridges, Michigan Senior Workforce Advocate at PHI, at (517) 643-1049 or [email protected]. This survey should take approximately 1 hour to complete and should be completed by someone with access to your company’s personnel records.
Please return your completed survey to:
PHI –Michigan
PO Box 505
Linden, MI 48451-9912
Thank you in advance for completing this survey.
Sincerely,
<<Recipient Name>>
<<Current Title>>
Enclosure
Survey Instructions
Purpose of the Survey:
You received this survey because your organization receives funding to deliver Home Help services to older adults and/or people of all ages with physical or intellectual/developmental disabilities. We are interested in information about all your employees who provide hands-on, direct services and support.
The Centers for Medicare and Medicaid Services has asked Michigan to gather and report basic information about the volume, stability, wages, and compensation of direct service workers (DSW). This information will allow state and federal policymakers to:
Identify and set priorities for long-term support and services reform and systems change.
Inform policy development regarding direct services workforce improvement initiatives.
Promote integrated planning and coordinated approaches for long-term supports and services.
Create a baseline against which the progress of workforce improvement initiatives can be measured.
Compare workforce outcomes for various programs and populations to better evaluate the impact of policy initiatives.
Compare state progress with the progress of other states and with overall national performance (where data from other states are available).
Information from this survey will help the federal and state governments develop ways to attract more workers into these jobs and keep workers in these jobs longer. The information from this survey can also assist organizations like yours understand how you compare to other organizations in your state, and how organizations in your state compare to those in other states (where data from other states are available). Your organization will be given the opportunity to see the results from Michigan by September 2012.
Notice of Privacy:
Filling out this survey is voluntary. Your answers to these questions will be kept private under the guidelines of the Privacy Act and will not affect your status as a Home Help provider. This survey has been assigned a Survey ID number that appears at the bottom of every page. This number is the only way your organization will be identified; it will be kept separate from your responses and used only for the purpose of tracking which organizations complete the survey, so that we can follow up with organizations that do not fill it out to encourage a higher response rate. Results of this survey will be reported only in the aggregate; your organization will not be identified in any way.
If you have any questions or concerns about the survey, please contact Tameshia Bridges at (517) 643-1049 or [email protected].
Directions:
We encourage you to complete your survey online at:
https://www.research.net/s/Michigan-Home-Help-Employer-Survey
If you complete the survey online, please enter <<123456>> when it asks for your Survey ID number. Alternatively, you may complete the paper survey enclosed and return your completed survey to PHI Michigan, P.O. Box 505, Linden, MI 48451-9912 by mail using the stamped return envelope enclosed.
The survey will take approximately one hour to complete and will require access to your organization’s personnel data. Please answer each question as accurately as possible. If you do not know the answer to one or more of the questions, please ask the person in your organization who would be able to provide an accurate answer. This survey should be completed by the person or group in your organization responsible for maintaining direct services worker records including wages, benefits, hiring, training, and tenure with your organization. If your organization is part of a larger national or state organization, please consult with your organization’s headquarters for answers to any questions that you do not know.
We encourage you to keep a copy of your answers to this survey as a baseline for your own organization so that you can monitor your progress in addressing staff recruitment, retention, and training challenges over time and compare your organization’s experiences to those of other organizations Michigan. You can learn more about effective recruitment and retention strategies at the Direct Service Workforce Resource Center (www.dswresourcecenter.org).
Please refer to the following definitions as you complete this survey.
Definitions: Types of Workers and Settings
This survey is about people employed or contracted to be direct service workers. Direct service workers may work in one or more type of service settings and with one or more populations. This includes all paid workers whose primary job responsibility is direct service work. The direct service workforce includes the following job titles and those in similar roles:
Home Help worker
Home health aides
Direct support professionals
Home care workers
Personal care attendants
Please include in your responses:
All people whose primary job responsibility is to provide support, training, supervision, and personal assistance to older adults and/or people of all ages with physical and/or intellectual disabilities with support needs
All part-time, full-time, intermittent, and on-call direct service workers.
All direct service workers from all branches, divisions, or offices of your organization in this state.
Contract or subcontracted workers who are not employed by your organization directly.
All paid staff members who spend at least 50% of their hours doing direct service tasks. These people may do some supervisory tasks, but their primary job responsibility and more than 50% of their hours are spent doing direct service work.
Only include supervisors if more than 50% of their hours are spent doing direct service tasks.
Do not include licensed health care staff (nurses, social workers, psychologists, etc.), administrative staff, or full time managers or directors, unless they spend 50% or more of their hours providing direct, hands-on support and personal assistance or supervision to individuals with disabilities or older adults.
Please include in your responses if applicable for your organization:
Direct service workers in the following settings:
Residential services—Supports provided to a person living in a community home or apartment with two or more people of any age with disabilities or who are aging.
In-home supports /Home care/personal care —Supports provided to a person in his or her own home or in the home or apartment or in the home of a family member.
Day programs and community support programs—Supports provided outside an individual’s home such as adult day health services and community supports.
Job or vocational services—Supports to help individuals on the job for which they are paid or in settings where job coaching or training is available (e.g., work supports).
Do not include employees in the following settings:
People who work only in institutional settings such as ICF-MRs, Skilled Nursing Facilities, Nursing Homes, Hospitals, or Rehabilitation Facilities. However, employees of institutional settings should be included if they work with people living in home and community settings.
People working only in school settings for children through 12th grade.
People working in child care facilities unless they specifically support children with disabilities.
People providing therapy services, such as occupational therapists.
Survey Questions
Which of the following services does your organization currently provide? (check all that apply)
Personal care
Private duty nursing
Adult day services
Respite
Other (please indicate)
Is your organization… (check only one answer)
Independent entity (i.e., not part of a chain or larger organization)
Part of a chain, system or multi-organization structure (within your state or nationally)
Government operated
I am not sure/don’t know
If your organization has multiple sites in this state, for what part of the organization are you responding? (check only one answer)
The entire organization in this state
A subdivision of the organization within this state
A single service setting that is part of a larger organization
Our organization has only one site
Workforce Volume
The following questions are related to the number and assignments of the direct services workers your organization employs or contracts with to provide the services listed in Question #1.
How many hours per week (not per pay period) do direct service workers have to work to be considered full-time employees at your organization?
Number
of hours per week
I am not sure/don’t know
Does your organization contract with direct services workers who are not employees of your organization to provide the services listed in Question #1?
Yes
No
I am not sure/don’t know
How many total direct service workers did your organization employ or contract with on January 31, 2012? (check box below if using a different date)
A)
Number who work 36 or more hours per week
B)
Number who work 1 to 35 hours per week
Total
number of direct service workers (the sum of A plus B)
Used date other than last day of past month (please indicate)
I am not sure/don’t know
How many employed or contracted direct service workers work primarily in each of these types of settings? (please count each employee once, in the setting he or she works the most hours)
A)
Residential services
B)
In-home supports/home care/personal care
C)
Day programs and other community supports
D)
Job or vocational services
Total
number of direct service workers (the sum of A-D)
I am not sure/don’t know
How many people with a disability, mental illness, or who are aging does your organization currently support?
Total
number of people supported
I am not sure/don’t know
How many people does your organization currently support in each of the following settings? Individuals should be counted in more than one category if they receive services in more than one setting.
Residential
services
In-home
supports/home care/personal care
Day
programs and rehabilitative or medical supports
Job
or vocational services
I am not sure/don’t know
Workforce Stability
The following information will be used to calculate the turnover and vacancy rates for direct service workers that your organization employs or contracts with to provide the services listed in Question #1.
How many direct service workers do you need to hire this week? Please include all full-time and part-time, on-call, contract or intermittent positions that are currently funded but have no specific person assigned. You might be using overtime or substitutes to cover these positions.
Number
of new workers needed
I am not sure/don’t know
In the last 12 months, how many direct service workers (including full-time, part-time, on-call, contract or intermittent) left employment or stopped contracting with your organization for any reason (voluntary or involuntary)?
Total
direct service workers who left the organization
I am not sure/don’t know
Worker Compensation and Benefits
The following information will be used to determine the average wage rates and benefit levels for direct service workers your organization employs or contracts with to provide the services listed in Question #1. Please use your organization’s definition of full-time and part-time for this section. Please report average amounts across your organization.
What was the average starting hourly wage paid to full-time, part-time, on-call, contract, or intermittent direct service workers who were hired in your organization over the last 12 months?
$___.___ (per hour)
I am not sure/don’t know
What is the current average hourly wage paid to all full-time, part-time, on-call, contract, or intermittent direct service workers in each of the following types of services or settings?
Residential
services
In-home
supports/home care/personal care
Day
programs and other community supports
Job
or vocational services
Current
average hourly wage across all services and settings
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use vacation or paid time off (excluding sick time) at your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid vacation or paid time off
No paid vacation time or paid time off offered
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use paid sick time? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid sick time
Paid sick time is not offered
I am not sure/don’t know
Which of the following direct service worker groups are eligible for individual health insurance coverage through your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for health insurance coverage
No health insurance coverage is offered
I am not sure/don’t know
How many direct service workers (including full-time, part-time, on-call, contract, or intermittent) currently receive individual health insurance coverage through your organization?
Number
of direct service workers enrolled in health insurance coverage
through your organization
I am not sure/don’t know
For direct service workers who are currently receiving individual health insurance coverage, what percentage of the premium is paid for by your organization? (check only one answer)
0%
1% to 25%
26% to 50%
51% to 75%
76% or more
Different percentages for different direct service workers ________ (please describe)
I am not sure/don’t know
Does your organization compensate direct service workers for mileage or travel costs for travel between consumer homes or work sites?
Yes – for all travel for all direct service workers
Yes – for all travel for some direct service workers
Sometimes - under certain circumstances
No, we do not compensate direct service staff for mileage or travel costs between consumers’ homes or work sites
I am not sure/don’t know
Organizational Cultural Competence
Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professions to work effectively in cross-cultural situations.1
Does your organization have a written plan for recruiting, retaining, and promoting staff who are representative of populations served?
Yes
No
I am not sure/don’t know
Are interpreters available if needed who are knowledgeable about healthcare terminology and can translate and/or interpret information to diverse populations?
Yes
No
I am not sure/don’t know
Does your organization have a written policy concerning cultural competence?
Yes
No
I am not sure/don’t know
If yes, which of the following populations are included in cultural competency training, plan, or policy at your organization? (check all that apply)
Racial/ethnic minorities
Language minorities
Lesbian/gay/bisexual/transgender population
Specific religious groups or faith-based affiliations
AIDS/HIV status
Disability status
I am not sure/don’t know
Do staff at your organization receive training in cultural competence?
Yes
No
I am not sure/don’t know
Does your training address key cultural related knowledge, skills, and attitudes of the populations served by your organization?
Yes
No
I am not sure/don’t know
Workforce Challenges
How would you describe your organization’s ability to recruit and hire qualified direct service workers? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant recruitment challenges for your organization?
(check up to three challenges)
Recruitment is not a problem for this organization
Finding people to work in part-time or intermittent positions
Finding people who are willing to work for the wage we offer
Finding people who are willing to work in a position that does not offer health insurance
Finding people who can communicate effectively with the people they will support
Finding people who meet minimum education or experience requirements
Finding people who will work evenings, weekends or holidays
Finding people who can give up their unemployment benefits
Finding people with a clean driving record
Finding people with a clear criminal background check
Finding people who meet minimum requirements to be a direct service worker
Finding workers with reliable child-care
Finding workers with reliable transportation
Finding workers with the skills needed to serve the people we support
Other types of jobs are more attractive
None of the above
I am not sure/don’t know
How would you describe your organization’s ability to retain qualified direct service workers once they are hired? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant retention challenges for your organization?
(check up to three challenges)
Wages are not high enough
Full-time positions or sufficient hour are not available
Gas prices or public transit fares are too high
Paid health insurance is not offered
Conflict amongst direct service workers, supervisors, and/or managers
Workers are unable to do the essential job duties
Workers do not have reliable child-care
Workers do not have reliable transportation
Other personal stressors faced by workers
None of the above
I am not sure/don’t know
Employee Qualifications and Training
Which of the following are required to begin work as a direct service worker in your organization? (check all that apply)
A criminal background check
A current driver’s license
A high school diploma or its equivalent
Ability to speak and write in English
An abuse/neglect registry check
Certification or licensure
Education beyond a high school diploma
Passing a drug check
Other (please describe)
I am not sure/don’t know
Does your organization offer (or contract with another entity to provide) periodic ongoing skill development trainings or formal in-service programs to all direct service workers (that is not just for new hires)?
Yes
No
I am not sure/do not know
For each topic listed below, please check the boxes next to the topics that your organization requires in-service or on-the-job training on (check all that apply).
-
Yes, we require training on this topic.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Check the boxes next to the topics you would identify as a critical training need for direct service workers in your organization (check at least three and all that apply).
-
Yes, this is a critical training need for direct service workers in my organization.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Thank you for completing this survey.
For paper surveys:
Please return it to PHI Michigan, P.O. Box 505, Linden, MI 48451-9912 in the postage paid envelope provided.
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-NEW. The time required to complete this information collection is estimated to average 1 hr per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
Survey #9: Michigan Employer Survey Materials – Survey #3
Michigan Community Mental Health
PHI
–Michigan PO
Box 505 Linden,
MI 48451-9912
Recipient
Name Street
Address City,
State, Zip Code
PHI
–Michigan PO
Box 505 Linden,
MI 48451-9912
Recipient
Name Street
Address City,
State, Zip Code
PHI-Michigan
P.O. Box 505
Linden, MI 48451-9912
<<First Name>> <<Last Name>>
<<Recipient Title>>
<<Recipient Organization>>
<<Recipient Street Address>>
<<Recipient City>>, <<Recipient State>> <<Recipient Zip>>
<<Greeting Line>>
The Michigan Department of Community Health (MDCH) is in the process of collecting information about the experiences of your direct service workforce, as a part of a federally funded study, sponsored by the Centers for Medicare and Medicaid Services. PHI has been contracted by MDCH to facilitate the distribution of the survey and data analysis. You are being asked to complete this survey because your organization receives funding to provide Community Mental Health funded services for people of all ages with intellectual or developmental disabilities or mental illness. We are asking for your participation in a very important online or paper survey about your employees. This is an opportunity for you to voice your opinions. The survey is voluntary, your responses will be kept private under the guidelines of the Privacy Act, and it will not affect your status as a provider.
We are interested in information about all your employees who provide hands-on, direct services and support. MDCH recognizes that many direct service agencies experience turnover at unaffordably high rates. Information from this survey will be used to develop ways to attract more workers into these jobs and keep workers in these jobs longer. The information from this survey can also assist organizations like yours in understanding how you compare to other organizations in your state, and how organizations in your state compare to those in other states. You will have access to a summary of the results by September 2012.
You can be assured that any information you give us on the survey will be kept private. Your agency name will be kept separate from the responses. The survey ID number will be used only for the purpose of tracking which organizations have completed the survey so that we can follow up to encourage a higher response rate. Results will only be reported in aggregate form and your organization will not be identified. If you have questions while completing the survey or would like more information about the study, please contact Tameshia Bridges, Michigan Senior Workforce Advocate at PHI, at (517) 643-1049 or [email protected]. This survey should take approximately 1 hour to complete and should be completed by someone with access to your company’s personnel records.
Please return your completed survey to:
PHI –Michigan
PO Box 505
Linden, MI 48451-9912
Thank you in advance for completing this survey.
Sincerely,
<<Recipient Name>>
<<Current Title>>
Enclosure
Survey Instructions
Purpose of the Survey:
You received this survey because your organization receives funding to provide services though the Community Mental Health system for people of all ages with physical or intellectual or developmental disabilities and/or mental illness the following services:
Adult Day Services
Chore Services
Community living supports
Job/Vocational Services
Personal care
Private duty nursing
Residential services
Respite services
The Centers for Medicare and Medicaid Services has asked Michigan to gather and report basic information about the volume, stability, wages, and compensation of direct service workers (DSW). This information will allow state and federal policymakers to:
Identify and set priorities for long-term support and services reform and systems change.
Inform policy development regarding direct services workforce improvement initiatives.
Promote integrated planning and coordinated approaches for long-term supports and services.
Create a baseline against which the progress of workforce improvement initiatives can be measured.
Compare workforce outcomes for various programs and populations to better evaluate the impact of policy initiatives.
Compare state progress with the progress of other states and with overall national performance (where data from other states are available).
Information from this survey will help the federal government and state develop ways to attract more workers into these jobs and keep workers in these jobs longer. The information from this survey can also assist organizations like yours understand how you compare to other organizations in your state, and how organizations in your state compare to those in other states (where data from other states are available). Your organization will be given the opportunity to see the results from Michigan by September 2012.
Notice of Privacy:
Filling out this survey is voluntary. Your answers to these questions will be kept private under the guidelines of the Privacy Act and will not affect your status as a CMH provider. This survey has been assigned a Survey ID number that appears at the bottom of every page. This number is the only way your organization will be identified; it will be kept separate from your responses and used only for the purpose of tracking which organizations complete the survey, so that we can follow up with organizations that do not fill it out to encourage a higher response rate. Results of this survey will be reported only in the aggregate; your organization will not be identified in any way.
If you have any questions or concerns about the survey, please contact PHI’s Senior Workforce Advocate, Tameshia Bridges at (517) 643-1049 or by email at [email protected] .
Directions:
We encourage you to complete your survey online at:
https://www.research.net/s/Michigan-CMH-Provider Organization Survey (NOT AVAILABLE FOR PILOT TESTING)
If you complete the survey online, please enter 123456 when it asks for your Survey ID number. Alternatively, you may complete the paper survey enclosed and return your completed survey to PHI Michigan, P.O. Box 505, Linden, MI 48451-9912., by mail using the stamped return envelope enclosed.
The survey will take approximately one hour to complete and will require access to your organization’s personnel data. Please answer each question as accurately as possible. If you do not know the answer to one or more of the questions, please ask the person in your organization who would be able to provide an accurate answer. This survey should be completed by the person or group in your organization responsible for maintaining employee records including wages, benefits, hiring, training, and tenure with your organization. If your organization is part of a larger national or state organization, please send the survey to your organization’s Michigan headquarters, or contact them for answers to any questions that you do not know.
We encourage you to keep a copy of your answers to this survey as a baseline for your own organization so that you can monitor your progress in addressing staff recruitment, retention, and training challenges over time and compare your organization’s experiences to those of other organizations Michigan. You can learn more about effective recruitment and retention strategies at the Direct Service Workforce Resource Center (www.dswresourcecenter.org).
Please refer to the following definitions as you complete this survey.
Definitions: Types of Workers
This survey is about people employed or contracted to be direct service workers, Direct service workers may work in one or more type of service settings and with one or more populations. This includes all paid workers whose primary job responsibility is direct service work. The direct service workforce includes the following job titles and those in similar roles:
Direct support professionals
Direct support worker
Personal care attendant
Homemakers
CLS Worker
Job Coach
Please include in your responses:
All people whose primary job responsibility is to provide support, training, supervision, and personal assistance to people of all ages with physical and/or intellectual disabilities and/or mental illness with support needs.
All part-time, full-time, intermittent, and on-call direct service workers.
All direct service workers from all branches, divisions, or offices of your organization in this state.
Contract or subcontracted direct service workers who are not employed by your organization directly.
All paid staff members who spend at least 50% of their hours doing direct service tasks. These people may do some supervisory tasks, but their primary job responsibility and more than 50% of their hours are spent doing direct service work.
Only include supervisors if more than 50% of their hours are spent doing direct service tasks.
Do not include other licensed health care staff (physicians, social workers, psychologists, etc.), administrative staff, or full time managers or directors, unless they spend 50% or more of their hours providing direct, hands-on support and personal assistance or supervision to individuals with disabilities or older adults.
Definitions: Workplace Settings / Services
This survey refers to the following services provided through waiver programs administered by the Community Mental Health system in Michigan:
Adult Day Services
Chore Services
Community living supports
Job/Vocational Services
Personal care
Private duty nursing
Residential services
Respite services
Please include in your responses if applicable for your organization:
Direct service workers in the following settings:
Residential services—Supports provided to a person living in a community home or apartment with two or more people of any age with disabilities or who are aging (e.g. group home, assisted living, adult foster care home, home for the aged).
In-home supports /home care/personal care —Supports provided to a person in his or her own home or in the home or apartment or in the home of a family member.
Day programs and community support programs—Supports provided outside an individual’s home such as adult day services.
Job or vocational services—Supports to help individuals on the job for which they are paid.
Do not include employees in the following settings:
People who work only in institutional settings such as ICF-MRs, Skilled Nursing Facilities, Nursing Homes, Hospitals, or Rehabilitation Facilities. However, employees of institutional settings should be included if they work with people living in home and community settings.
People working only in school settings for children through 12th grade.
People who are hired directly by the person or the person’s family for whom your organization’s role is limited to being a fiscal intermediary/employer of record.
People working in child care facilities unless they specifically support children with disabilities.
People providing therapy services, such as occupational therapists.
Survey Questions
Which of the following services does your organization currently provide? (check all that apply)
Adult day services
Chore Services
Community Living Supports
Homemaker
Job/Vocational Services
Personal Care
Private Duty nursing
Residential Services
Respite
Other (please indicate)
Is your organization… (check only one answer)
Independent entity (i.e., not part of a chain or larger organization)
Part of a chain, system, or multi-organization structure (within your state or nationally)
Government operated
I am not sure/don’t know
If your organization has multiple sites in this state, for what part of the organization are you responding? (check only one answer)
The entire organization in this state
A subdivision of the organization within this state
A single service setting that is part of a larger organization
Our organization has only one site
Excluding services provided to people in their own or a family member’s home, how many different service locations (agency offices, residential adult foster homes or homes for the aged, adult day centers) does your organization operate in Michigan?
Total
number of settings
I am not sure/don’t know
Workforce Volume
The following questions are related to the number and assignments of the direct services workers your organization employs or contracts with to provide the services listed in Question #1.
Direct Service Workers
How many hours per week (not per pay period) do direct service workers have to work to be considered full-time employees at your organization?
Number
of hours per week
I am not sure/don’t know
Does your organization contract with direct services workers who are not employees of your organization to provide the services listed in Question #1?
Yes
No
I am not sure/don’t know
How many total direct service workers did your organization employ or contract with on January 31, 2012? (check box below if using a different date)
A.
Number who work 36 or more hours per week
B.
Number who work 1 to 35 hours per week
Total
number of direct service workers (the sum of A plus B)
Used date other than last day of past month (please indicate)
I am not sure/don’t know
How many employed or contracted direct service workers work primarily in each of these types of settings? (please count each employee once, in the setting he or she works the most hours)
A.
Residential services
B.
In-home supports/home care/personal care
C.
Day programs and other community supports
D.
Job or vocational services
Total
number of direct service workers (the sum of A-D)
I am not sure/don’t know
Individuals Served
How many people with a disability and/or mental illness does your organization currently support in each of the following settings and in total?
Total
number of people supported
I am not sure/don’t know
How many people does your organization currently support in each of the following settings? Individuals should be counted in more than one category if they receive services in more than one setting.
Residential
services
In-home
supports/home care/personal care
Day
programs and rehabilitative or medical supports
Job
or vocational services
I am not sure/don’t know
Workforce Stability
The following information will be used to calculate the turnover and vacancy rates for direct service workers that your organization employs or contracts with to provide the services listed in Question #1.
Direct Service Workers
How many direct service workers do you need to hire this week? Please include all full-time and part-time, on-call, contract, and intermittent positions that are currently funded but have no specific person assigned. You might be using overtime or substitutes to cover these positions.
Number
of new workers needed
I am not sure/don’t know
In the last 12 months, how many direct service workers (including full-time, part-time, on-call, contract, or intermittent) left employment or stopped contracting with your organization for any reason (voluntary or involuntary)?
Total
direct service workers who left the organization
I am not sure/don’t know
Worker Compensation and Benefits
The following information will be used to determine the average wage rates and benefit levels for direct services workers your organization employs or contracts with to provide the services listed in Question #1. Please use your organization’s definition of full-time and part-time for this section. Please report average amounts across your organization.
Direct Service Workers
What was the average starting hourly wage paid to full-time, part-time, on-call, contract, or intermittent direct service workers who were hired in your organization over the last 12 months?
$___.___ (per hour) for direct service workers
I am not sure/don’t know
What is the current average hourly wage paid to all full-time, part-time, on-call, contract, or intermittent direct service workers in each of the following types of services or settings?
Residential
services
In-home
supports/home care/personal care
Day
programs and other community supports
Job
or vocational services
Current
average hourly wage across all services and settings
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use vacation or paid time off (excluding sick time) at your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid vacation or paid time off
No paid vacation time or paid time off offered
I am not sure/don’t know
Which of the following direct service workers are eligible to earn and use paid sick time? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for paid sick time
Paid sick time is not offered
I am not sure/don’t know
Which of the following direct service worker groups are eligible for individual health insurance coverage through your organization? (check all that apply)
Full-time direct service workers
Part-time direct service workers
On call or intermittent direct service workers
Contracted full-time direct service workers
No direct service workers are eligible for health insurance coverage
No health insurance coverage is offered
I am not sure/don’t know
How many direct service workers (including full-time, part-time, on-call, contract, or intermittent) currently receive individual health insurance coverage through your organization?
Number
of direct service workers enrolled in health insurance coverage
through your organization
I am not sure/don’t know
For direct service workers who are currently receiving individual health insurance coverage, what percentage of the premium is paid for by your organization? (check only one answer)
0%
1% to 25%
26% to 50%
51% to 75%
76% or more
Different percentages for different direct service workers ________ (please describe)
I am not sure/don’t know
Does your organization compensate direct service workers for mileage or travel costs for travel between consumer homes or work sites?
Yes – for all travel for all direct service workers
Yes – for all travel for some direct service workers
Sometimes - under certain circumstances
No, we do not compensate direct service staff for mileage or travel costs between consumers’ homes or work sites
I am not sure/don’t know
Organizational Cultural Competence
Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professions to work effectively in cross-cultural situations.1
Does your organization have a written plan for recruiting, retaining, and promoting staff who are representative of populations served?
Yes
No
I am not sure/don’t know
Are interpreters available, if needed, who are knowledgeable about healthcare terminology and can translate and/or interpret information to diverse populations?
Yes
No
I am not sure/don’t know
Does your organization have a written policy concerning cultural competence?
Yes
No
I am not sure/don’t know
If yes, which of the following populations are included in cultural competency training, plan, or policy at your organization? (check all that apply)
Racial/ethnic minorities
Language minorities
Lesbian/gay/bisexual/transgender population
Specific religious groups or faith-based affiliations
AIDS/HIV status
Disability status
I am not sure/don’t know
Do staff at your organization receive training in cultural competence?
Yes
No
I am not sure/don’t know
Does your training address key cultural related knowledge, skills, and attitudes of the populations served by your organization?
Yes
No
I am not sure/don’t know
Direct Service Workforce Challenges
How would you describe your organization’s ability to recruit and hire qualified direct service workers? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant recruitment challenges for your organization?
(check up to three challenges)
Recruitment is not a problem for this organization
Finding people to work in part-time or intermittent positions
Finding people who are willing to work for the wage we offer
Finding people who are willing to work in a position that does not offer health insurance
Finding people who can communicate effectively with the people they will support
Finding people who meet minimum education or experience requirements
Finding people who will work evenings, weekends or holidays
Finding people who can give up their unemployment benefits
Finding people with a clean driving record
Finding people with a clear criminal background check
Finding people who meet minimum requirements to be a direct service worker
Finding workers with reliable child-care
Finding workers with reliable transportation
Finding workers with the skills needed to serve the people we support
Other types of jobs are more attractive
None of the above
I am not sure/don’t know
How would you describe your organization’s ability to retain qualified direct service workers once they are hired? (check only one answer)
Easy/no problem
Moderately easy
Somewhat difficult
Difficult
Almost impossible
It depends on the time of year
I am not sure/don’t know
What are the three most significant retention challenges for your organization?
(check up to three challenges)
Wages are not high enough
Full-time positions or sufficient hour are not available
Gas prices or public transit fares are too high
Paid health insurance is not offered
Conflict amongst direct service workers, supervisors, and/or managers
Workers are unable to do the essential job duties
Workers do not have reliable child-care
Workers do not have reliable transportation
Other personal stressors faced by workers
None of the above
I am not sure/don’t know
Direct Service Workforce Qualifications and Training
Which of the following are required to begin work as a direct service worker in your organization? (check all that apply)
A criminal background check
A current driver’s license
A high school diploma or its equivalent
Ability to speak and write in English
An abuse/neglect registry check
Certification or licensure
Education beyond a high school diploma
Passing a drug test
I am not sure/don’t know
Does your organization offer (or contract with another entity to provide) periodic ongoing skill development trainings or formal in-service programs to all direct service workers (that is not just for new hires)?
Yes
No
I am not sure/do not know
For each topic listed below, please check the boxes next to the topics that your organization requires in-service or on-the-job training on (check at least three and all that apply).
-
Yes, we require training on this topic.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Check the boxes next to the topics you would identify as a critical training need for direct service workers in your organization (check at least three and all that apply).
-
Yes, this is a critical training need for direct service workers in my organization.
Advocacy
Administering medications
Assessing consumer needs
Assisting with wound care, dialysis, catheter and/or ostomy care
Behavior management
Cariopulminary resuscitation (CPR)
Communication
Consumer confidentiality
Conflict resolution
Consumer empowerment
Consumer rights
Crisis prevention and intervention
Cultural competence
Direct service professionalism
Documentation
Ethics
Facilitation of services (e.g., finding and getting services for the individual)
Health and wellness
Household management
Infection control
Interpersonal relationship skills
Nutritional support
Organizational participation
Participant-directed service planning and implementation
Personal care
Problem solving
Providing services based on needs of individual
Safety and emergency training
Stress management/personal safety and wellness
Teamwork
Transferring or lifting
Vocational, educational and career support
I am not sure/don’t know
Thank you for completing this survey.
For paper surveys:
Please return it to PHI Michigan,, P.O. Box 505, Linden, MI 48451—9912 in the postage paid envelope provided.
PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-NEW. The time required to complete this information collection is estimated to average 1 hr per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
1 Five essential elements contribute to a system's institution's, or agency's ability to become more culturally competent, which include: 1) Valuing diversity, 2) Having the capacity for cultural self-assessment, 3) Being conscious of the dynamics inherent when cultures interact, 4) Having institutionalized culture knowledge, and 5) Having developed adaptations to service delivery reflecting an understanding of cultural diversity. For more information, visit the National Center for Cultural Competence at: http://www.nccccurricula.info/culturalcompetence.html
1 Five essential elements contribute to a system's institution's, or agency's ability to become more culturally competent, which include: 1) Valuing diversity, 2) Having the capacity for cultural self-assessment, 3) Being conscious of the dynamics inherent when cultures interact, 4) Having institutionalized culture knowledge, and 5) Having developed adaptations to service delivery reflecting an understanding of cultural diversity. For more information, visit the National Center for Cultural Competence at: http://www.nccccurricula.info/culturalcompetence.html
1 Five essential elements contribute to a system's institution's, or agency's ability to become more culturally competent, which include: 1) Valuing diversity, 2) Having the capacity for cultural self-assessment, 3) Being conscious of the dynamics inherent when cultures interact, 4) Having institutionalized culture knowledge, and 5) Having developed adaptations to service delivery reflecting an understanding of cultural diversity. For more information, visit the National Center for Cultural Competence at: http://www.nccccurricula.info/culturalcompetence.html
1 Five essential elements contribute to a system's institution's, or agency's ability to become more culturally competent, which include: 1) Valuing diversity, 2) Having the capacity for cultural self-assessment, 3) Being conscious of the dynamics inherent when cultures interact, 4) Having institutionalized culture knowledge, and 5) Having developed adaptations to service delivery reflecting an understanding of cultural diversity. For more information, visit the National Center for Cultural Competence at: http://www.nccccurricula.info/culturalcompetence.html
1 Five essential elements contribute to a system's institution's, or agency's ability to become more culturally competent, which include: 1) Valuing diversity, 2) Having the capacity for cultural self-assessment, 3) Being conscious of the dynamics inherent when cultures interact, 4) Having institutionalized culture knowledge, and 5) Having developed adaptations to service delivery reflecting an understanding of cultural diversity. For more information, visit the National Center for Cultural Competence at: http://www.nccccurricula.info/culturalcompetence.html
1 Five essential elements contribute to a system's institution's, or agency's ability to become more culturally competent, which include: 1) Valuing diversity, 2) Having the capacity for cultural self-assessment, 3) Being conscious of the dynamics inherent when cultures interact, 4) Having institutionalized culture knowledge, and 5) Having developed adaptations to service delivery reflecting an understanding of cultural diversity. For more information, visit the National Center for Cultural Competence at: http://www.nccccurricula.info/culturalcompetence.html
1 Five essential elements contribute to a system's institution's, or agency's ability to become more culturally competent, which include: 1) Valuing diversity, 2) Having the capacity for cultural self-assessment, 3) Being conscious of the dynamics inherent when cultures interact, 4) Having institutionalized culture knowledge, and 5) Having developed adaptations to service delivery reflecting an understanding of cultural diversity. For more information, visit the National Center for Cultural Competence at: http://www.nccccurricula.info/culturalcompetence.html
1 Five essential elements contribute to a system's institution's, or agency's ability to become more culturally competent, which include: 1) Valuing diversity, 2) Having the capacity for cultural self-assessment, 3) Being conscious of the dynamics inherent when cultures interact, 4) Having institutionalized culture knowledge, and 5) Having developed adaptations to service delivery reflecting an understanding of cultural diversity. For more information, visit the National Center for Cultural Competence at: http://www.nccccurricula.info/culturalcompetence.html
1 Five essential elements contribute to a system's institution's, or agency's ability to become more culturally competent, which include: 1) Valuing diversity, 2) Having the capacity for cultural self-assessment, 3) Being conscious of the dynamics inherent when cultures interact, 4) Having institutionalized culture knowledge, and 5) Having developed adaptations to service delivery reflecting an understanding of cultural diversity. For more information, visit the National Center for Cultural Competence at: http://www.nccccurricula.info/culturalcompetence.html
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