Evaluation of Better Jobs, Better Care

A caregiver laughs with elderly patients.

Funded by the Robert Wood Johnson Foundation and The Atlantic Philanthropies, Better Jobs Better Care (BJBC) was a demonstration program 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.

BJBC 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.

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 (see data restriction) of the top clinical manager at each participating long-term care provider explored the establishments' organizational characteristics and management practices.

Policy goals of BJBC 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.

NOTE: The data from this program is restricted and may not be used for any purpose other than statistical reporting and analysis.