Long-Term Care Workforce Crisis in Wisconsin

The Long-Term Care
Workforce Crisis
:
A 2016 Report
 
The Need for Caregivers
More than 
87,000
 Wisconsin residents live in
long-term and residential care facilities
That number has 
increased
 
18%
 since 2003
In the next 25 years, the number of 
Wisconsin
residents age 65+
 to the state’s population 
will
grow
 from 1 in 7 
to
 
1 in 4
Percentage of Population Age 65+
Workforce Report Documents
Depth of the Crisis
 
Key Findings
1.
High levels of 
caregiver vacancy rates
2.
Major problems 
finding applicants
3.
Significant 
wage disparity
4.
Widespread use of 
overtime
, 
double shifts
 &
other strategies
5.
Caregivers leaving
 for jobs outside healthcare
6.
Lost admissions
Scope of the Problem
Average caregiver 
vacancy rate
 of 
14.5%
1 in 4 providers
 are experiencing 
vacancy rates
of 
20% and higher
Estimated 
11,500
 
vacant caregiver positions
 in
long-term & residential care facilities
In less than 10 years, the 
need
 for personal
care workers is 
projected to increase
 
26.4%
 
Scope of the Problem
70%
 reported 
no qualified applicants 
for
vacant caregiver positions
50%
 of providers had 
NO
 
applicants
1 in 7
 
caregiver 
positions
 are 
unfilled
Real People Really Care
Why is There a Growing Crisis?
Personal caregiver 
starting wage
 is 
$1.25
 
per
hour less
 than unskilled, non-health care, entry
level workers
In the 
past 12 months
, an estimated 
10,600
personal caregivers 
left for jobs outside of health
care
Between 2012 & 2015, 
24%
 
fewer people 
applied
for certification
 as nursing assistants
5,431
 
fewer nursing assistants 
renewed
 their
certification between 2012 & 2015
9,696
7,957
7,849
Why Not Pay Caregivers More?
Medicaid & Family Care pay for a significant
amount of the care provided in nursing homes and
assisted living facilities
2/3
rds
 of nursing home residents 
rely on Medicaid 
to pay
for their care
Wisconsin’s Medicaid nursing home
reimbursement system is 
the worst in the country
93%
 of respondents to a 2015 survey had 
not
received an increase in Family Care rates in 5 years
Pay and benefits
 for nursing homes & assisted living
facilities 
are directly linked
 to 
Medicaid and Family
Care reimbursement
Providers Are Trying to Cope
84%
 of the time, providers are 
relying on
overtime, double shifts, temporary pool help 
and
other strategies to fill open shifts
50%
 
do not offer health insurance
 benefits for
part-time staff
1 in 4
 
have at least 
10 employees
 on BadgerCare Plus
18%
 
limited admissions
 to their nursing homes or
assisted living facilities
Implemented creative solutions: in-house training
programs, flexible shifts, job sharing, etc.
Summary
The 
need
 for caregivers 
is growing dramatically
Caregiver 
vacancy rates 
are reaching 
crisis
proportions
Median 
starting wages
 are 
not competitive
 with
unskilled entry level non-health care jobs
People
 simply 
are not applying
 for caregiver jobs
Providers
 are 
relying on overtime, double shifts
 and
other strategies to fill openings
Inadequate Medicaid reimbursement and Family
Care rates are preventing providers from paying
competitive wages
What Can  You Do?
Support local and State initiatives to 
address
workforce issues related to serving older adults
and persons with a disability
. Be a part of these
conversations.
Ask your State Legislators and the Governor to
help 
address the long-term care workforce crisis
in the upcoming 2017-19 State Budget
.
Ask them to help work with you on 
workforce
funding, training and program issues
 as part of
the Medicaid and Family Care programs.
Questions?
 
Slide Note

Talking Points

-The 2016 Workforce Report presents data from a March, 2016 survey of long-term and residential care providers in Wisconsin conducted by LeadingAge Wisconsin and three other associations

representing long-term and residential care providers.

-LeadingAge Wisconsin is an association of not-for-profit long-term and residential care providers

-The LeadingAge Wisconsin membership includes 195 religious, fraternal, private and governmental organizations which collectively serve more than 48,000 people every day

-(Name of your organization) is a member of LeadingAge Wisconsin

Remember, you are the expert. You know more than anyone in your audience about long-term care. Share your knowledge. Tell your story!

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More than 87,000 Wisconsin residents are in long-term care facilities, with a projected increase in the elderly population. The workforce report highlights high caregiver vacancy rates, wage disparities, and challenges in recruitment and retention. The need for caregivers is growing rapidly, signaling a looming crisis in the healthcare sector.

  • Wisconsin
  • Long-Term Care
  • Workforce Crisis
  • Elderly Population
  • Healthcare

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  1. The Long-Term Care Workforce Crisis: A 2016 Report

  2. The Need for Caregivers More than 87,000 Wisconsin residents live in long-term and residential care facilities That number has increased 18% since 2003 In the next 25 years, the number of Wisconsin residents age 65+ to the state s population will grow from 1 in 7 to 1 in 4

  3. Percentage of Population Age 65+

  4. Workforce Report Documents Depth of the Crisis

  5. Key Findings 1. High levels of caregiver vacancy rates 2. Major problems finding applicants 3. Significant wage disparity 4. Widespread use of overtime, double shifts & other strategies 5. Caregivers leaving for jobs outside healthcare 6. Lost admissions

  6. Scope of the Problem Average caregiver vacancy rate of 14.5% 1 in 4 providers are experiencing vacancy rates of 20% and higher Estimated 11,500 vacant caregiver positions in long-term & residential care facilities In less than 10 years, the need for personal care workers is projected to increase 26.4%

  7. Scope of the Problem 70% reported no qualified applicants for vacant caregiver positions 50% of providers had NO applicants 1 in 7 caregiver positions are unfilled

  8. Real People Really Care Real People Really Care

  9. Why is There a Growing Crisis? Personal caregiver starting wage is $1.25 per hour less than unskilled, non-health care, entry level workers In the past 12 months, an estimated 10,600 personal caregivers left for jobs outside of health care Between 2012 & 2015, 24% fewer people applied for certification as nursing assistants 5,431 fewer nursing assistants renewed their certification between 2012 & 2015

  10. New Additions to the WI Nurse Aide Registry 10000 9,696 9500 9000 8,542 8500 7,957 7,849 8000 7500 7000 2012 2013 2014 2015

  11. Why Not Pay Caregivers More? Medicaid & Family Care pay for a significant amount of the care provided in nursing homes and assisted living facilities 2/3rds of nursing home residents rely on Medicaid to pay for their care Wisconsin s Medicaid nursing home reimbursement system is the worst in the country 93% of respondents to a 2015 survey had not received an increase in Family Care rates in 5 years Pay and benefits for nursing homes & assisted living facilities are directly linked to Medicaid and Family Care reimbursement

  12. Providers Are Trying to Cope 84% of the time, providers are relying on overtime, double shifts, temporary pool help and other strategies to fill open shifts 50% do not offer health insurance benefits for part-time staff 1 in 4 have at least 10 employees on BadgerCare Plus 18% limited admissions to their nursing homes or assisted living facilities Implemented creative solutions: in-house training programs, flexible shifts, job sharing, etc.

  13. Summary The need for caregivers is growing dramatically Caregiver vacancy rates are reaching crisis proportions Median starting wages are not competitive with unskilled entry level non-health care jobs People simply are not applying for caregiver jobs Providers are relying on overtime, double shifts and other strategies to fill openings Inadequate Medicaid reimbursement and Family Care rates are preventing providers from paying competitive wages

  14. What Can You Do? Support local and State initiatives to address workforce issues related to serving older adults and persons with a disability. Be a part of these conversations. Ask your State Legislators and the Governor to help address the long-term care workforce crisis in the upcoming 2017-19 State Budget. Ask them to help work with you on workforce funding, training and program issues as part of the Medicaid and Family Care programs.

  15. Questions?

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