Extended Care Career Ladder Initiative (ECCLI) Round 2: Evaluation Report

The Commonwealth of Massachusetts initiated the Extended Care Career Ladders Initiative (ECCLI) as part of a broader Nursing Home Quality Initiative, adopted by the Massachusetts Legislature in 2000. Both acts were a response to high turnover and vacancies among paraprofessionals in long-term care,...

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Bibliographic Details
Published in:Policy File 2003
Main Authors: Wilson, Randall, Eaton, Susan C, Kamanu, Amara
Format: Report
Language:English
Subjects:
Business
John F Kennedy School of Government, Harvard University
Welfare
Online Access:Request full text
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Summary:The Commonwealth of Massachusetts initiated the Extended Care Career Ladders Initiative (ECCLI) as part of a broader Nursing Home Quality Initiative, adopted by the Massachusetts Legislature in 2000. Both acts were a response to high turnover and vacancies among paraprofessionals in long-term care, creating instability that threatens quality and access to health care. Basic to these initiatives is the equation of good care for consumers with good jobs and opportunities for frontline caregivers. This working paper is an 18-month evaluation of ECCLI Round 2, designed to use workforce development strategies to improve both worker and resident outcomes. This report covers Round 2, building on a prior baseline report (and KSG Working Paper RWP01-035) dated September 2001. This paper evaluates activity, lessons, barriers, and achievements of seven consortia that included 27 nursing homes, two home health agencies, and about 20 workforce partners during the period July 2001 through May 2002. It uses a case study and interview approach as its main evaluation method, as well as reporting project-wide data where available. In total, we conducted more than 80 interviews with the seven project coordinators, 25 nursing home and home health managers, 10 community or workforce expert representatives and 41 workers. Survey data were collected from 161 training participants as well.