Quality Care In Nursing Homes


Enhancing Long Term Care (LTC) Workforce
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Why We Need Change
  • Existing difficulties in finding staff were exacerbated by COVID.
  • Many facilities offer bonuses and higher pay yet receive little or no inquiries to their job postings.   
  • Quality care and better outcomes are directly linked to staffing.
  • Barriers need to be removed while exploring additional career ladder opportunities for LTC. 
Temporary Nursing Assistant HB2423
  • The Temporary Nursing Assistant (TNA) program was designed to meet the critical staff shortages occurring as a result of COVID-19.  
  • Temporary Nursing Assistant’s scope of practice is much narrower than a CNA’s. TNAs can deliver basic care that would free up a CNAs time to do more.
  • In the height of the pandemic, when facilities were seeing staffing shortages and communities were experiencing unemployment, the TNA program allowed long term care facilities to hire people out of work to help support current staff and provide the needed care to residents within the facility.
  • The program created 1,760 new jobs in the long term care sector within 6 months before IDPH closed the program.
  • The TNA program helps secure the workforce within long term care and create a career ladder into becoming a Certified Nurses Aide in a time that long term care is in desperate need for direct care staff.
Medication Aides HB1806
  • The previous pilot program was developed in order to afford licensed nursing professionals (RNs and LPNs) more time to provide critical resident care, while also heightening job satisfaction levels for nurses and offering a potential career path for CNAs.
  • A certified medication aide (CMA) is a professional with certified nursing assistant qualifications and an additional certificate that lets them dispense medication to patients.
  • This program would be yet another career ladder opportunity to promote CNAs into a higher level of providing care.
  • There are 35 other states that currently use medication aides in long term care facilities.
Nurse Licensure Compact SB2068
  • The General Assembly can enact the Multistate Nurse Licensure Compact in order to maintain a steady workforce with additional oversight on standards.
  • The Compact provides a mechanism for RNs and LPNs to obtain the privilege to practice in their home state and all other NLC states, without having to obtain additional licenses.
  • There are 34 states that have enacted the Nurse Licensure Compact.