Association of Canadian Community Colleges February 13, 2004 Ottawa Presented by:

1. Association of Canadian Community Colleges February 13, 2004 Ottawa Presented by: Dr. Taylor Alexander, Co- Chair

2. Rationale Context Study Leaders Goals Scope Consumers Methodology Phases I, II and III Highlights of Phase I Results Aboriginal Literature Review & Information Gap Analysis Next Steps Getting Involved The Study

3. Study Rationale • Major trends affecting home care • New technologies = more acuity at home • Expansion of community services • Growth of informal caregivers & volunteers • More complex at home care needs • Regionalization & integration of services • Greater consumer involvement • Growing pressures on providers & consumers

4. Study Context • Critical labour market information gap exists • Need to identify, consolidate and evaluate existing information • Limited knowledge about skill and training needs, recruitment, retention, human resource practices • Lack of data about informal providers • Lack of data about role of volunteers • Lack of data in First Nations and Inuit communities

5. Study Context • Series of consultations between sector stakeholders, HRDC & Health Canada • Information gap analysis in 1998 • Supported the need for a national human resource study

6. Study Leaders • Study part of HRDC’s Sectoral Partnership Initiative • Key partnership with HRDC & Health Canada • Home Care Sector Study Corporation • 40 member Steering Committee • 5 member Management Committee • Secretariat for Study

7. Canada’s Sectoral Partnership Initiative • Funding support to research human resource issues and solutions • Partnership between the government and sector / occupational group • Employee - employer sector / occupational group representation essential • Goal: seek strategies to address issues

8. Steering Committee • 40 member Pan - Canadian Steering Committee representing: • Profit/not-for-profit providers – Unions • Professional associations – Researchers • Educational community – Consumer groups • Provincial/federal government – First Nations • Inuit

9. Study Goals • Analyze the short- and long-term human resource challenges in the home care sector • Provide insight on how to improve home care for all Canadians • Serve as the basis for coordinated action by the sector

10. Study Scope

11. Consumer Driven

12. Consumer Driven Consumers are concerned about: • Access • Quality • Cost • Control over care plan

13. Study Framework • Three Phases each building on the results of the previous phases • Use of multiple data collection instruments • Focus on building cross-sector consensus

14. Phase I: Objectives • assess current and future state of home care environment in Canada • refine methodologies of Phase II • build awareness of, and support for, the study

15. Phase I: Methodology • extensive literature review including review and gap analysis of HR in home care of Aboriginal communities • 66 interviews with key informants across Canada and internationally • consultations with study’s Steering Committee

16. Phase II: Objectives • develop HR profile of the home care sector • examine HR trends and changes and implications to the home care sector • assess education, training and development of the work force

17. Phase II: Methodology • 61 key informant interviews • 36 focus groups across Canada • Survey of formal caregivers • Survey of informal caregivers • Survey of colleges and universities in Canada • Literature and data review

18. Phase III: Objectives • Identify and validate HR issues and challenges • Determine recommendations and strategies

19. Phase III: Methodology • E-delphi panel of experts • Consultations with Steering Committee

20. Key Conclusions Sector-level and Individual-level Human Resource Issues Identified Around 8 Themes

21. Key Conclusions 1. Changing context • increased demand for home care services for all age groups 2. Supply of Workers • perceived shortages of home care workers particularly in rural and isolated areas • significant recruitment and retention issues of workers to the sector

22. Key Conclusions 3. Recognition and Image • lack of recognition and inaccurate image of home care • lack of recognition of the role of both formal and informal caregivers 4. Education and Training • challenges to match consumer needs and work skills • challenges to provide education and training opportunities to formal and informal care providers

23. Key Conclusions 5. Funding Availability • increased demand for services has not been met with increased funding for services resulting in increased demand for informal and volunteer caregivers • this in turn has affected employment stability, compensation and nature of service provided, supports available to formal caregivers, and supports for informal and volunteer caregivers

24. Key Conclusions 6. Changing Nature of Work • nature of work is challenging and continuously changing • concerns about working conditions and lack of supports 7. Wages and Benefits • lack of parity in wages and benefits • disincentives for workers entering and remaining in home care • lack of additional support for informal caregivers

25. Key Conclusions 8. Nature of Home Care Services • the home is a unique work environment • diverse and overlapping care providers • Professionals • Paraprofessionals • Family Caregivers • Volunteers • Friends • Neighbours

26. Recommendations and Strategies Ten recommendations with accompanying strategies call the sector to action: Overall Strategy • Promote the provision of an appropriate supply, distribution and mix of adequately prepared formal care providers, informal caregivers, and volunteers to meet population health and social needs for care at home.

27. Recommendations and Strategies • Define and promote the profile of the home care sector. • Re-examine the organization and funding of the home care sector. • Promote the provision of appropriate compensation for people providing home care. • Improve working conditions for formal and informal caregivers. • Enhance management practices and supports. • Develop strategies for educational preparation, formal continuing education and employer-provided training.

28. Recommendations and Strategies • Address the opportunities and challenges in using technologies to enhance the delivery and quality of home care services, including the impact on caregivers. • Develop information systems to collect appropriate data, and conduct timely, policy-relevant research to support health human resources management and planning activities. • Recognize the central and integral role of informal caregivers and volunteers and the benefits they provide to people’s lives and well-being.

29. Moving Forward Consultations with: • Provincial / Territorial and Federal governments • Home Care sector stakeholders With a focus to: • Develop an action plan

30. Conclusion First Pan-Canadian HR study of its kind Partnership of all players in the home care sector The Time to Act is NOW!

31. Thank You To Download Study Reports: www.cacc-acssc.com/english/newsroom/links.cfm www.cacc-acssc.com/francais/newsroom/links.cfm

32. Discussion Questions • What are your overall comments on the study’s recommendations and strategies? • What are the challenges to the educational community in implementing the recommendations? • Are the proposed next steps the best approach to receiving input and buy-in from the educational community across Canada?

33. Association of Canadian Community Colleges February 13, 2004 Ottawa Presented by: Dr. Taylor Alexander, Co- Chair