1. Caregivers and Quality in Long Term Care Robyn Stone, Dr.P.H. Executive Director Institute for Future of Aging Services American Association of Homes and Services for the Aging

2. Practice Profile Database Collaboration between the Institute for the Future of Aging Services and the Paraprofessional Healthcare Institute, funded by U.S. Department of Health and Human Services Objectives To identify successful recruitment and retention practices Promote cross-learning Profiles available on www.futureofaging.org or www.directcareclearinghouse.org/practices/index.jsp

3. Practice Categories Recruitment and entry-level training Peer support and mentoring Career Advancement Management and supervisory training Comprehensive culture change interventions Wages, benefits and worker-supports

4. Linking Employment Abilities and Potential (LEAP) of Cuyahoga County, Ohio Trains people with disabilities to become PCAs, home health aides and CNAs 4-week basic attendant training class Consumer consultants provide hands-on training Placement and follow-up

5. Cooperative Home Care Associates Employment Counseling and Mentoring Program 3 full time employment counselors Transition assistance for trainees Long-term peer mentoring for new employees Assistance in accessing public benefits

6. Leap for a 21 st Century Mather Life Ways Mather Institute on Aging, IL RN and LPN Development Module Leadership Clinical gerontological expertise Team building skills Person centered care CNA Development Module Clinical assessment Team building How to mentor new CNAs Communication Person centered care

7. Wellspring Innovative Solutions in Wisconsin Alliance super structure Clinical training modules Shared advanced practice nurse Nursing coordinator to link components at facility level Care resource teams Systematic collection and use of outcome data Non-hierarchical management philosophy

8. San Francisco In-Home Supportive Services Central worker registry and on-call services for independent personal care workers Advocate for higher wages (hourly wage increased from $5.29 in 1997 to $9.70 in 2001) Offers health insurance plan (workers pay $3 monthly premium, rest averaging $150 paid by IHSS)