Funded by the Robert Wood Johnson Foundation and The Atlantic Philanthropies, Better Jobs Better Care (BJBC) was a demonstration program that sought to bring about changes in public policy and management practice that would lead to improved recruitment and retention of high-quality paraprofessional direct care workers (DCW) in nursing homes, as well as in home- and community-based settings. This was to be accomplished by implementing both policy and management practice goals.

Policy goals included developing initiatives related to wages and benefits; incentives for job redesign; curriculum and credentialing; professional associations; and promotion of public awareness and policies. Practice goals involved interventions related to caregiving skill development; peer mentoring; team building; top management training; supervisor training; and provider-specific
interventions.

The program established demonstration projects in Iowa, North Carolina, Oregon, Pennsylvania, and Vermont which enrolled long-term care establishments across the spectrum of long-term care settings: skilled nursing facilities, assisted living facilities, home care agencies, and adult day service providers.

Conducted as part of the BJBC evaluation, which used a before-after design to assess the implementation of the interventions and their impact, this survey of the top clinical manager at each participating long-term care provider explored the establishments' organizational characteristics
and management practices.

[This data collection may not be used for any purpose other than statistical reporting and analysis.]