Show simple item record

dc.contributor.authorWendel-Hummell, Carrie L.
dc.contributor.authorLaPierre, Tracey
dc.contributor.authorSullivan, Darcy
dc.contributor.authorBabitzke, Jennifer
dc.contributor.authorSwartzendruber, Lora
dc.contributor.authorOlds, Danielle
dc.date.accessioned2023-02-06T17:16:19Z
dc.date.available2023-02-06T17:16:19Z
dc.date.issued2022-12-20
dc.identifier.citationCarrie Wendel-Hummell, Tracey LaPierre, Darcy Sullivan, Jennifer Babitzke, Lora Swartzendruber, Danielle Olds, SELF-DIRECTED CARE IN HOME-BASED LONG-TERM CARE DURING THE PANDEMIC: POLICY AND PRACTICE IMPLICATIONS, Innovation in Aging, Volume 6, Issue Supplement_1, November 2022, Pages 159–160, https://doi.org/10.1093/geroni/igac059.634en_US
dc.identifier.urihttp://hdl.handle.net/1808/33736
dc.description.abstractThe COVID-19 pandemic highlighted strengths and challenges of the self-directed care model for home-based long-term care. We discuss policy and practice implications drawing on interviews with over 50 home-and-community-based-services consumers, caregivers, workers, and providers in Kansas. Low-pay, lack of benefits, rising wages in competing sectors, enhanced unemployment and COVID-19 concerns exacerbated workforce shortages that compromised consumer safety and well-being. The lack of budget authority for self-directed consumers in Kansas limited their ability to address these issues. Furthermore, the self-directed model was excluded from emergency funding sources that would have enhanced pay and benefits for workers, including sick pay for quarantine, pointing to the need for targeted funding. Emergency flexibility allowing paid family caregivers addressed care needs for some but is temporary and should be expanded. In the managed care model, MCOs still kept their capitated payment despite significant unfilled care hours, and thus pay-for-performance incentives need to be revisited.en_US
dc.publisherOxford University Pressen_US
dc.rights© The Author(s) 2022. Published by Oxford University Press on behalf of The Gerontological Society of America. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.en_US
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.titleSelf-Directed Care in Home-Based Long-Term Care During the Pandemic: Policy and Practice Implicationsen_US
dc.typeArticleen_US
kusw.kuauthorWendel-Hummell, Carrie L.
kusw.kuauthorLaPierre, Tracey
kusw.kuauthorSullivan, Darcy
kusw.kuauthorBabitzke, Jennifer
kusw.kuauthorSwartzendruber, Lora
kusw.kudepartmentSocial Welfareen_US
dc.identifier.doi10.1093/geroni/igac059.634en_US
kusw.oaversionScholarly/refereed, publisher versionen_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US
dc.identifier.pmidPMC9770479en_US
dc.rights.accessrightsopenAccessen_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

© The Author(s) 2022. Published by Oxford University Press on behalf of The Gerontological Society of America. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's license is described as: © The Author(s) 2022. Published by Oxford University Press on behalf of The Gerontological Society of America. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.