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Many organizations offer accreditation programs for direct support professionals (DSPs), but participation is often optional and pay raises for accredited DSPs are at the discretion of the employer. New initiatives that tie accreditation to guaranteed pay increases may help alleviate the DSP workforce crisis. | |
The Centers for Medicaid and Medicare Services (CMS) released the final Access Rule in April to strengthen Home and Community-Based Services. Alison Barkoff, who leads the Administration for Community Living, explains the new requirements of the rule related to the direct care workforce, access to home and community based services, health and safety protections, quality measures and more. | |
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DePaul University graduate Ross Kaine, 25, started as a CROR intern to provide support for a grey-literature review. He's now a research assistant, helping to develop a training on providing person-centered home and community-based services. | |
Rehabilitation and Research Training Center (RRTC): Update on HCBS Research | |
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In May, RRTC Senior Project Coordinator, Niveda Tennety, and colleagues published a paper in Disability and Health Journal on systemic barriers that hinder person-centered home and community-based services. They found that better compensation and training for direct service providers would improve the delivery of person-centered HCBS.
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In June, CROR researchers together with colleagues from Northwestern University and Brandeis University published a systematic review on self-directed home and community-based services and outcomes for family caregivers in The Gerontologist. They found that self-direction is associated with improved caregivers' personal and social wellbeing.
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In May, colleagues from CROR presented research findings about barriers to the delivery of person-centered HCBS at the NARRTC Annual Meeting in Alexandria, Va. Pictured left to right: Allen Heinemann, PhD, director, CROR, Sara Karon, co-principal investigator on the RRTC on HCBS and a senior health policy analyst at RTI International, Jacqueline Kish, PhD, OTR/L, a CROR post-doc and Bridgette Schram, PhD, Project Manager for CROR's RRTC on HCBS. | |
What is disability data justice? Our guests for this episode of INside the OUTcomes: A Rehabilitation Research Podcast are Bonnie Swenor, PhD, the founder and Director of the Johns Hopkins Disability Health Research Center, and Kate Caldwell, PhD, Director of Research and Policy at the Center for Racial and Disability Justice in the Northwestern Pritzker School of Law. Both Dr. Swenor and Dr. Caldwell have been involved in leading efforts to democratize the collection of data on people with disabilities. | |
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The HCBS Settings Rule: Looking Back and Forging Ahead. Machledt, D. & Pickern, S. (2024). Community Living Policy Center. Brandeis University, Waltham, MA.
Person-Centered Planning: Choosing the Approach That Works for the Person. Bradley, Valerie J. (2024). Cambridge, MA: National Center on Advancing Person-Centered Practices and Systems.
The Design and Methodology for a Pilot Study of Home and Community-Based Services Outcome Measures. Alec Nyce et al. Disability and Health Journal. April, 2024.
Medicaid Home-and-Community-Based Services: Improving Data on the Workforce Delivering HCBS. Joint Issue Brief, U.S. Department of Health and Human Services & U.S. Department of Labor. April, 2024.
Medicaid Waivers: Improving Oral Health for Older Adults and People with Disabilities. Christ, A. & Morales, S. Justice in Aging. May, 2024.
Medicaid Home-and-Community-Based Services (HCBS): Sustainability Summit Report. ADvancing States & ARPA HCBS Technical Assistance Collective. April, 2024.
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HCBS Quality Matters newsletter is produced by the Center for Rehabilitation Outcomes Research RRTC on Home and Community-Based Services and is supported by a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant 90RTGE0004). NIDILRR is a Center within the Administration for Community Living (ACL) in the Department of Health and Human Services (DHSS). The contents of this newsletter do not necessarily represent the policy of NIDILRR, ACL or DHSS.
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