The following is a list of PAS Workforce resources related to Missouri.
The list is provided and maintained by the National
Clearinghouse on the Direct Care Workforce. Each citation contains
an abstract and information about how to obtain the entire version.
Paraprofessional Healthcare Institute and the North Carolina Department of Health and Human Services. (March 2004). Chart of direct-care workforce activities in Missouri.
Abstract:
This chart describes existing or enacted direct-care workforce initiatives in this state as of March 2004. The information was collected as part of a national survey of state initiatives on the long-term care direct-care workforce. Additional details about this state may be found in the full report.
Tilley, Jane, Kristen Black, Barbara Ormond and Jennie Harvell. (November 2003). State experiences with minimum nursing staff ratios for nursing facilities: Findings from case studies of eight states. U.S. Department of Health and Human Services.
Abstract:
Conducted by the Urban Institute for the U.S. Department of Health and Human Services' Office of the Assistant Secretary for Planning and Evaluation, this study was commissioned as a follow-up to the Phase I and Phase II nursing home staffing studies conducted for the Centers for Medicare and Medicaid Services by Abt Associates. The researchers surveyed all state laws mandating minimum staffing ratios and conducted case studies of eight states (Arkansas, California, Delaware, Minnesota, Missouri, Ohio, Vermont, and Wisconsin) that either instituted, modified or eliminated nursing staff ratios in recent years. The report concludes that minimum staffing ratios can help impose a standard on facilities that have inadequate staffing, but staffing ratios are not the only factor affecting the quality of care residents receive.
Castle, Nicholas G. (April 2006). Measuring staff turnover in nursing homes. The Gerontologist.
Abstract:
This study reviews the levels of staff turnover as reported in nursing home literature. The author evaluates the inconsistent definitions of turnover and the resulting variability in its measurement. Using 354 surveys mailed to administrators, the author develops a more accurate method of measuring staff turnover. This includes indicating whether or not the turnover is voluntary and what time period is covered, including part-time workers, and examining the situation in which turnover occurs.
Rantz, Marilyn J., et al. (January 2004). Nursing Home Quality, Cost, Staffing, and Staff Mix. The Gerontologist, Vol. 44, No. 1.
Abstract:
This study compares 92 Missouri facilities with good, average, and poor resident outcomes, and identifies exemplar care processes and organizational attributes in facilities achieving the best outcomes. The report notes that consistent nursing and administrative leadership, the use of team processes, and a quality improvement program are necessary organizational attributes for achieving basic care. It notes better outcomes in smaller facilities, but finds no significant differences in cost, staffing, or staff mix across outcome groups.
