Challenges in APD Could Result in Labor Legislative Action in 2018
The Oregon Secretary of State released the attached audit on the APD workforce. Key findings make it very likely that organized labor will use this to make a strong push for both legislative action and resources in the next legislative session.
It is also relevant to pay attention to what happens in APD as ODDS and APD are in the K Plan together and it is often a challenge to explain to legislators the difference between I/DD supports and supports for the aging population.
From the report (attached):
The effectiveness of the Consumer‐Employed Provider program is dependent on the consumer, the case manager, and the homecare worker. If each is capable, competent, and supported in their role, the current model can be successful. Our audit found:
a. Some consumers are not receiving the support necessary to ensure required employer duties are being performed, which adds to case managers’ and homecare workers’ responsibilities.
b. Case managers are not consistently contacting consumers, or monitoring services consumers receive due to excessive workloads.
c. Agency requirements do not ensure that homecare workers are prepared to provide the care and assistance consumers need.
d. Due to current data collection and utilization practices, it is difficult for APD to determine if consumers are safe and receiving the care and services they need.
e. Current deficiencies in the program may put consumers’ health and well‐being at risk and keep the program from operating as intended.
Audit on the APD workforce today