Affordable Care Act: California Personal and Home Care Aide State Training

1. Affordable Care Act:California Personal and Home Care Aide State Training California Community College, Board of Governors Health Workforce Initiative Advisory Committee May 17, 2013 Mary Adney, Project Coordinator

2. California Partnership California PHCAST

3. CA PHCAST – Importance of Program • Estimated 1 million people in CA will be over age 85 by 2030 and the need for Personal Care Aides in CA will increase by 29% as early as 2016 • Health care dollars go nearly 3 times farther when the elderly and disabled are cared for at home or in community based settings • The CA PHCAST program is designed to meet the needs of an aging population and provide job training and skills for an in-demand occupation to an underemployed segment of our population. California PHCAST

4. CA PHCAST – Key Elements • Objective: Creation of standardized competency based curriculum for personal care aides • Classroom training offered in 3 community colleges and 1 personal care assistant training facility • Classroom training – 100 hours, 25 modules • On-Line training offered by a leading home care association • Target audience: Train previously impoverished, unemployed or underemployed workers California PHCAST

5. Participating Training Locations • Mission College, Santa Clara, CA • Mount San Antonio College, Walnut, CA • North Orange County Community College District, Anaheim , CA • Training Academy for Personal Caregivers and Assistants, San Francisco, CA ( a program of In-Home Supportive Services Consortium, San Francisco) • California Association for Health Services at Home, Sacramento, CA California PHCAST

6. CA PHCAST Grant Year One • Adopted Curriculum – PHI’s Providing Personal Care Services to Elders and People with Disabilities: A Model Curriculum for Direct Care Workers • Based on DOL competencies, developed two additional modules – Client Services Excellence Job Readiness Skills • Formed Advisory Council consisting of government, community and industry partners to review and evaluate program’s objectives and direction • Evaluation- Adopted pre/post training data collection California PHCAST

7. CA PHCAST Grant Year Two • Between September 2011 and March 2013, conducted 40 trainings in four sites and trained over 750 participants • Assessments – participants must pass 10 written assessments and demonstrate 10 pre-selected skills • Training Verification – recognized by employers • Pre/Post training data collection including 6 month follow up survey California PHCAST

8. CA PHCAST Grant Year 3 • Continue to conduct classroom training in 4 sites – estimate will train 950 total participants in grant period • Pilot of on-line curriculum for distance learning option – preliminary results • Continue Pre/Post training data collection including 6 month follow up survey • Creating stackable credentials – work with state on mechanism for giving credit for training received when applying to other programs California PHCAST

9. CA PHCAST Learnings Training – need to over recruit for this target group; trainees need help with language, transportation, child care, life skills to succeed in training Ongoing contact needed with trainees to follow up on training and connect with employers PCA training serves as entry point into healthcare – *confidence for other certificate programs *coupled with other trainings enhance employment opportunity California PHCAST

10. Description of Our Trainees • Our typical personal care aide trainee: • Female • Late 40s to early 50s in age • Latino or Asian • Single • Unemployed • High School graduate with some college • $0-$21,000 yearly income range • Seeking to advance career in health related field California PHCAST

11. Why I took this training….. To learn, enhance, or develop new skills/knowledge To change/get new or get better job/career Like caring for/working with elderly/people with disabilities Like caring for or helping people (exclusive of above) To work in medical/healthcare field (e.g., nurse, CNA) To care for family and/or friends Certification/credentials (e.g., for job; CPR) Affordable/free training California PHCAST

12. Post Training Satisfaction Survey • Most respondents “strongly agree” or “agree” • Course length, location, accessibility • Instructors were knowledgeable and well prepared • Instructors explained materials and answered questions • Course materials were easy to understand • Quizzes and tests were helpful to learning process California PHCAST

13. Post Training Assessment of Preparedness • Most respondents “strongly agree” or “agree” that the course: • Increased their knowledge • Prepared them to work • Provided hands-on knowledge and skills • Will make it easier to get a job in personal or home care California PHCAST

14. Post Training Assessment: Career Intentions • As a result of the course, the majority of respondents: • Plan to continue their education in home care or health care • Intend to get a job in personal or home care • Would like to advance in their job as personal or home care aide • View profession as a stepping stone to better paying jobs California PHCAST

15. 6 Month Follow Up Survey Results Very preliminary results not yet analyzed: based on 111 surveys 36% of respondents worked as home care giver prior to training – 6 months later 51% working as care giver Of working PCAs 47% making higher hourly rate post training, 40% making the same rate 88% refer back to things learned in training 95% felt the training left them well prepared for home care aide job California PHCAST

16. CA PHCAST Success Stories • A young single mother pursued this training after caring for her terminally ill mother • She was hired by an in-home support services (IHSS) employer • She spoke at the graduation ceremony • “Don’t stop dreaming…10 years ago, I would not have dreamt that I would end up doing something I love and now have the resources to even think about buying a home.” Provided by TAPCA California PHCAST

17. CA PHCAST Success Stories A PCA student in the summer 2012 Mt. SAC class relocated to another state. An excerpt from her email: The purpose of this message is to thank you …. My CPR Certification and basic health-care training gave me quite the advantage in the selection of my hiring. I must also mention that  my resume and interviewing skills also acquired during this course were extremely beneficial. Everything I learned was of extreme value to me and has helped me advance in my career. I am happy to share with you, that my starting wage was $15.87 per hour with benefits! Since my training began, I have demonstrated knowledge of the following; Universal Precautions, Preventing the Spread of Germs, Disposing of Hazardous Materials and Sharps, the 6 Patient Rights, and much more. I must emphasize the knowledge I acquired (in PCA training) provided the firm foundation I needed and I sincerely appreciate your faith Provided by Mount San Antonio Community College California PHCAST

18. CA PHCAST Success Stories Thank you! So far, the PCA class has been the most comprehensive and rigorous course in my healthcare training. I benefited greatly from the skills and information given during the class. Your course helped me in both my skills and written tests for CNA licensing. I would also like to say that I was one of the long-term unemployed, over 60 years old, and trying to find a new career. This class, offered free at the time, was a godsend for me and provided a pathway to that new career in the medical field. Thank you note from participant in North Orange Community College District in Anaheim. California PHCAST

19. CA PHCAST Success Stories “We are giving an opportunity to some of the neediest students because when they take the PCA course, they have the opportunity to get on a community college campus, and be successful sometime for the FIRST time in their life in an educational program. The student is then armed with basic health care skills, new knowledge and increased self-esteem, this allows the student to take the next step, and sign up for the Nurse Assistant course and clinical.” Ann Cowels, Department Chair, Health Occupations, Mission College California PHCAST

20. CA PHCAST- Future Goals Better link trainees to job opportunities Work with state or national entities to establish standards for training Expand geographic reach of the training programs Assess impact of training on client outcomes California PHCAST

21. CA PHCAST Contact Information Barbara Freund, PhD, RN – Project Director Pasadena City College bmfreund@pasadena.edu (626) 585-7326 Mary Adney – Project Coordinator Pasadena City College mradney@pasadena.edu (626) 585-7469 Susan A. Chapman, PhD, RN - Project Evaluator University of California, San Francisco, School of Nursing susan.chapman@ucsf.edu (415) 502-4419 California PHCAST