A new bill called the “Improving Care for Vulnerable Older Citizens through Workforce Advancement Act of 2014” would create advanced aide positions in nursing homes to improve transitions and dementia care. The bill would establish six, three-year demonstration projects to train direct-care workers to focus on several areas, including training workers to take on deeper clinical responsibilities related to dementia, diabetes and congestive heart failure. Long term care facilities, home health agencies, managed care entities and hospitals would all be eligible to participate in the demonstration projects. Participants would receive the funding to plan, carry out and report on the outcomes of the projects. Experts believe that with adequate training and support, these new advanced aide positions could support health promotion, better chronic care management, and care transitions, leading to less institutionalization and re-hospitalizations.
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