STAFF STABILITY SURVEY 2016

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STAFF STABILITY SURVEY 2016 November 2016 THIS PAPER VERSION OF THE SURVEY IS FOR REFERENCE. PLEASE NOTE THAT RESPONSES TO THIS SURVEY MUST BE ENTERED IN THE ONLINE PORTAL.

1 STAFF STABILITY SURVEY 2016 November 2016 THIS PAPER VERSION OF THE SURVEY IS FOR REFERENCE. PLEASE NOTE THAT RESPONSES TO THIS SURVEY MUST BE ENTERED IN THE ONLINE PORTAL. PAPER OR SCANNED COPIES WILL NOT BE ACCEPTED OR COUNTED. Survey must be completed in the online data entry system by June 30, 2017 BEFORE YOU START Your agency has been asked to complete this survey because you provide supports to adults (18 and over) with intellectual/developmental disabilities. We are interested in learning about your state s Direct Support Professional (DSP) workforce individuals who provide direct hands-on services and support. This survey is part of the National Core Indicators (NCI) project, and the information you provide on staffing levels, job stability, wages, and compensation will be used by policymakers and advocates to: Inform policy and program development regarding DSP workforce improvement initiatives Monitor and evaluate the impact of workforce initiatives Compare state workforce outcomes with those of other states Provide context for consumer and family outcomes Build systems to more effectively collect, analyze, and use DSP workforce data Notice of Privacy: Filling out this survey is voluntary. Your answers to these questions will be kept private and will not affect your status as a [state] provider. Results of this survey will be reported only in the aggregate; your agency will not be identified in any way. TYPES OF AGENCIES THAT SHOULD NOT PARTICIPATE If your agency works EXCLUSIVELY with children (under age 18), please do not reply to this survey. However, if your agency provides services and supports to adults and children, please refer to staff whose primary job is to provide supports to adults with ID/DD age 18 and over. If your agency provides the following supports EXCLUSIVELY, please do not reply to this survey: transportation services home modifications meal delivery social work fiscal intermediary/employer of record services therapy services, such as occupational therapy Instead, please [your state contact] and let him/her know. PLEASE NOTE: For host/foster/family home arrangements: Please respond only about DSPs who are working in addition to the primary shared living/foster care provider.

2 DIRECTIONS OVERVIEW This survey is best completed by employees from your Human Resources or Payroll departments. The survey will ask about the following information for all DSPs who were on payroll for any length of time during the period of January 1, 2016 to December 31, 2016: Date of hire Whether they are current staff or separated staff Date of termination (if applicable) Whether they work full-time or part-time (current staff only) Hours and wages Benefits, such as paid time off, health insurance, etc. IMPORTANT DEFINITIONS TYPES OF WORKERS TO CONSIDER This survey is about people who are employed as Direct Support Professionals. This includes all paid workers whose primary job responsibility is direct support work. Please consider all DSPs, not only those with a credential or jobspecific training. For example, the DSP workforce includes the following job titles and those in similar roles (this list is NOT exhaustive): Personal Support Specialists (PSSs) Home Health Aides (HHAs) Certified Nursing Assistants (CNAs) Homemakers Residential Support Workers (RSWs) Community Habilitation Specialists Personal Attendants/Personal Care Aides DSPs working in job or vocational services DSPs working at day programs or community support programs Please respond about the following workers: All people whose primary job responsibility is to provide support, training, supervision, and personal assistance to adults with intellectual/developmental disabilities. All full-time and part-time DSPs. All paid staff members who spend at least 50% of their hours doing direct service tasks. These people may do some supervisory tasks, but their primary job responsibility and more than 50% of their hours are spent doing direct support work. Only include supervisors if more than 50% of their hours are spent doing direct support tasks.

3 Do not include these workers in your responses: PRN workers Temporary workers Licensed health care staff (nurses, social workers, psychologists, etc.) Administrative staff, or full-time managers or directors, unless they spend 50% or more of their hours providing direct hands-on support and personal assistance or supervision to individuals with disabilities Regarding host/foster/family home arrangements: Please respond only about DSPs who are working in addition to the primary shared living/foster care provider. WORKPLACE SETTINGS/SERVICES Please include in your responses DSPs for whom your agency has control over setting wages and determining benefits. Please include DSPs working in the following settings: a) Residential supports Supports provided to a person who is living outside of the family home. This can include 24-hour supports such as a group home or ICF/IID. It can also include people living in supported housing or supported living getting less than 24 hours of support (if your agency owns the residential setting or operates the lease). If a person is in a shared living, host home or foster home, please include only those DSPs who are working in addition to the shared living/foster provider. b) In-home supports Supports provided to a person in their home (only if their home is not owned or leased by your agency. If the mortgage or lease of the home is the financial responsibility of your agency, the services you provide in the home would be considered residential supports). c) Non-residential supports such as: Day programs and community support programs Supports provided outside an individual s home such as adult day program services, developmental training, and community supports. Job or vocational services Supports to help individuals who are looking for work or on the job for which they are paid (e.g., work supports). Do not include employees in the following settings: People working on services such as home modifications, transportation, meal delivery, social work or others who are not providing direct hands-on support and personal assistance or supervision to individuals with disabilities. People who are hired directly by the person or the person s family for whom your agency s role is limited to being a fiscal intermediary/employer of record. People only working in school settings for children through 12 th grade. People providing therapy services, such as occupational therapists. People providing seasonal services, such as summer camp counselors. LENGTH OF EMPLOYMENT For the purposes of this survey, please use the following definitions: Current staff: Direct support staff (both full-time and part-time) on your payroll as of December 31, Separated staff: Direct support staff who left your agency for any reason during the period of [January 1, 2016 to December 31, 2016]. Do not include workers who were promoted or transferred within the agency.

4 THE 2016 NATIONAL CORE INDICATORS STAFF STABILITY SURVEY Agency Profile Write-in answer 1. Agency name or code number (optional): 2. Does your agency ONLY support adults with intellectual/developmental disabilities (ID/DD)? Yes Go to question 4 No Go to question 3 3. If you replied No to question 2, can you isolate and report separately on the wage information, vacancy rates, benefits of DSPs who work exclusively with adults with ID/DD? Yes (please refer only to the DSPs who work exclusively with adults with ID/DD when answering this survey) No (please refer to all DSPs when answering this survey) 4. What kind of funding does your agency receive? (Check all that apply) ICF/IID Funding 1115 Medicaid Waiver Funding HCBS Waiver Funding (1915b, 1915b/c, 1915c) HCBS State Plan Funding (1915i or 1915j or Personal Care) HCBS Community First Choice Funding (1915k) Other 5. Does your agency provide residential supports to adults with ID/DD? Supports provided to a person who is living outside of the family home. This can include 24-hour supports such as a group home or ICF/IID. It can also include people living in supported housing or supported living getting less than 24 hours of support (if your agency owns the residential setting or operates the lease). Shared living, host home or foster home should only be counted in this category if your agency owns the home or operates the lease. Yes No 6. If YES to Question 5, please check all residential supports your agency provides: 24-hour residential supports and services in a nursing home, ICF, state operated institution, private institution, ICF-IID: 4-6 residents with disabilities 7-15 residents with disabilities 16 or more residents with disabilities Community-based 24-hour residential supports and services (e.g., group home, supported living arrangement, supervised living facility) not including nursing home, ICF or state-operated residences: 1-3 residents with disabilities or agency-operated apartment 4-6 residents with disabilities 7-15 residents with disabilities Less than 24 hour residential supports and services for example, semi-independent living services, supported living (Your agency owns home or operates lease) Foster Care/Host Home/Life Sharing/Shared living (Your agency owns home or operates lease) Other residential supports (Please explain: )

5 7. If YES to Question 5, how many adults with ID/DD were you providing residential supports to as of December 31, 2016? 8. Does your agency provide in-home supports to individuals in their family home? Supports provided to a person in their home (only if their home is not owned or leased by your agency). Yes No 9. If YES to Question 8, please check all in-home supports your agency provides: Homemaker Services Personal Care Services In-Home Habilitation/Supported Living (Home or setting is not owned or leased by your agency) Family Support Foster Care/Host Home/Life Sharing/Shared living (Home or setting is not owned or leased by your agency) Other in-home supports (Please explain: ) 10. If YES to Question 8, how many adults with ID/DD were you providing in-home supports to as of December 31, 2016? 11. Does your agency provide non-residential supports and services outside of the home? Non-residential supports can include: Day programs and community support programs (supports provided outside an individual s home such as adult day program services and community supports) Job or vocational services (supports to help individuals who are looking for work or on the job for which they are paid, e.g., work supports) Yes No IF YOU ANSWERED NO TO QUESTIONS 5, 8, and 11, PLEASE DO NOT CONTINUE WITH THIS SURVEY. 12. If YES to Question 11, please check all non-residential or day supports and services outside the home that your agency provides: A community-based setting is a place where most people do not have disabilities, and a facility-based setting is a place where most people do have disabilities. Community-based supported employment (individual or group/enclave) Community-based non-work, such as community integration or community participation Community-based job training (individual is unpaid) Facility-based employment, such as a sheltered workshop in which the person with ID/DD gets paid Facility-based non work, such as a day program or day training Other non-residential supports (Please explain: ) 13. If YES to Question 11, how many adults with ID/DD were you providing non-residential supports and services to outside of the home as of December 31, 2016?

6 14. Does your agency provide respite services? Yes No 15. Is your agency (check one): Public or government (City, County or State Government, or Local Government Boards) County/Local Government State Government Other public or government entity (please explain) Private for-profit Private non-profit 16. Do you require that potential employees undergo criminal background checks prior to being hired? Yes No

7 Payroll data Write answer in this column 17. How many total staff were on your payroll as of December 31, 2016? (not limited to staff providing direct support to adults with ID/DD) The following questions refer to DSPs providing support for adults with ID/DD. 18. How many direct support staff were on your payroll as of December 31, 2016? This figure represents your total number of current direct support staff providing supports to adults with ID/DD. Please include all full and part time DSPs. (Do not include PRN, on-call, temporary and relief staff) IF YOU HAVE NO DIRECT SUPPORT PROFESSIONALS ON YOUR PAYROLL, PLEASE DO NOT CONTINUE WITH THIS SURVEY 19. As of December 31, 2016, how many of your current direct support staff had been continuously employed in a direct support capacity for: Less than 6 months Between 6 and 12 months More than 12 months Note: The responses in Question 19 must add up to the response in Question How many direct support staff left your agency within the last 12 months (January 1, 2016 to December 31, 2016)? This figure represents your total number of separated staff. 21. At the time they left your agency, how many of the separated staff had been continuously employed in a direct support capacity for: Less than 6 months Between 6 and 12 months More than 12 months Note: The responses in Question 21 must add up to the response in Question Does your agency distinguish between full-time and part-time positions? Yes No if no, skip to question If yes, how is a full-time position defined? (the minimum number of hours per week required to qualify as full-time) 24. As of December 31, 2016, how many of your direct support staff members were considered full-time employees? 25. As of December 31, 2016, how many full-time positions were vacant?

8 26. Add your responses to Question 24 and Question 25 and enter the total here. This figure represents your total number of full-time direct support positions as of December 31, As of December 31, 2016, how many of your direct support staff members were considered part-time employees? 28. As of December 31, 2016, how many direct support part-time positions were vacant? 29. Add your responses to Question 27 and Question 28. Enter the total here. This figure represents your total number of part-time direct support positions as of December 31, Note: The responses in Question 24 plus the response in Question 27 must equal the response in Question 18 Compensation and Benefits 30. What was the average starting hourly wage and average hourly wage paid to all DSPs in each of the following types of services or settings? Please exclude overtime rates from your calculations. Do not include PRN, on-call, temporary and relief staff wages. Please refer to the period between January 1, 2016 and December 31, 2016 Service Type a) DSPs providing Residential supports and services Supports provided to a person who is living outside of the family home. This can include 24-hour supports such as a group home or ICF/IID. It can also include people living in supported housing or supported living getting less than 24 hours of support (if your agency owns the residential setting or operates the lease). Shared living, host home or foster home should only be counted in this category if your agency owns the home or operates the lease b) DSPs providing In-Home supports and services Supports provided to a person in their home (only if their home is not owned or leased by your agency). c) DSPs providing Non-Residential supports and services Non-residential supports can include: Average Starting Hourly Wage Average Hourly Wage for DSPs regardless of length of employment

9 Day programs and community support programs (supports provided outside an individual s home such as adult day program services and community supports) Job or vocational services (supports to help individuals who are looking for work or on the job for which they are paid, e.g., work supports) d) Average wages for DSPs across all services and settings Bonuses and Overtime 31. Did your agency give bonuses between January 1, 2016 and December 31, 2016? Yes No 32. With what frequency did your agency give bonuses between January 1, 2016 and December 31, 2016? For the purposes of this question, we are only interested in bonuses paid through payroll. Quarterly Twice a year Once a year Other 33. How many staff received at least one bonus between January 1, 2016 and December 31, 2016? 34. Average dollar amount of bonus given between January 1, 2016 and December 31, 2016? 35. Please record the total number of hours you paid as REGULAR hours between January 1, 2016 and December 31, 2016: 36. Please record the total number of hours you paid as OVERTIME hours between January 1, 2016 and December 31, 2016: 37. Adding Question , what is the total number of hours paid to DSP staff between January 1, 2016 and December 31, 2016? Please answer Questions using your agency s definition of full-time and part-time. Please refer to the period between January 1, 2016 and December 31, Do not include PRN, on-call, temporary and relief staff. 38. Which of the following DSPs are eligible to earn and use paid time off at your agency? Paid time off is defined as a bank of hours in which the employer pools sick days, vacation days and personal days together. All DSPs > Skip to Q42 Only Full-time DSPs Only Part-time DSPs No DSPs are eligible for paid time off

10 I am not sure/don t know If your agency provides paid time off to all DSPs, you do not need to respond to Questions Which of the following DSPs are eligible to earn and use paid sick time? (If your agency provides paid time off see Question 38 skip this question.) All DSPs Only Full-Time DSPs Only Part-Time DSPs No DSPs are eligible for paid sick time Not sure/don t know 40. Which of the following DSPs are eligible to earn and use paid vacation time? (If your agency provides paid time off see Question 38 - skip this question.) All DSPs Only Full-Time DSPs Only Part-Time DSPs No DSPs are eligible for paid vacation time Not sure/don t know 41. Which of the following DSPs are eligible to earn and use paid personal time? (If your agency provides paid time off see Question 38 - skip this question.) All DSPs Only Full-Time DSPs Only Part-Time DSPs No DSPs are eligible for paid personal time Not sure/don t know 42. Which of the following DSPs are eligible for health insurance coverage through your agency? All DSPs Only Full-Time DSPs Only Part-Time DSPs No DSPs are eligible for health insurance coverage Not sure/don t know 43. Can dependents be covered by the health insurance coverage offered by your agency? Yes No 44. Which of the following DSPs are eligible for dental coverage through your agency? All DSPs Only Full-Time DSPs Only Part-Time DSPs No DSPs are eligible for dental coverage Not sure/don t know 45. Which of the following DSPs are eligible for vision coverage through your agency? All DSPs Only Full-Time DSPs Only Part-Time DSPs

11 No DSPs are eligible for vision coverage Not sure/don t know 46. What other types of benefits are DSPs (including full-time and part-time) eligible to receive from your agency? (Check all that apply) Paid time off, reimbursement or other support for post-secondary education Unpaid time off Employer paid job-related training Employer-sponsored retirement plan (401K or other plan) Employer-sponsored disability insurance Flexible Spending Accounts Health incentive programs (gyms, yoga, smoking cessation incentives ) Life insurance I am not sure/don t know Other (please describe) Recruitment and Retention 47. Do you have a pay incentive program or referral bonus program for current staff to bring in new recruits? Yes No 48. If Yes to Question 47, what is the incentive amount? (Check all that apply) $1-$50 $51-$150 $151-$200 $200+ Don t Know 49. Does your agency offer a realistic job preview? A realistic job preview provides the applicant with accurate information about the job duties (both positive and negative) from the perspective of people who do the work; it is provided to the applicant prior to making a job offer and its purpose is to help a job applicant decide if they would like to pursue the job. Yes No 50. If Yes to Question 49, what is the format of the realistic job preview? (check all that apply) Video Picture book Structured visit to the site where the applicant meets people to whom they will provide support Written script Website Other computer-based application (e.g., PowerPoint slides, etc.) 51. Do your DSPs get trained on and sign a Code of Ethics? Yes No 52. Does your agency use a DSP ladder to retain highly skilled workers in DSP roles (continuing to provide direct service to individuals with ID/DD)?

12 Yes No 53. Does your agency support staff to get credentialed through a state or nationally recognized professional organization? Yes No 54. If your agency supports staff to get credentialed through a state or nationally recognized professional organization, what form does that support take? (check all that apply) Agency pays for training/credentialing Agency pays DSP s wages during training/credentialing Agency offers a pay increase to DSPs who receive credentialing Other

13 Front Line Supervisors The next questions refer EXCLUSIVELY to Front Line Supervisors the first line of management in human service organizations. These are staff who provide supervision for DSPs and often engage in direct support as part of their duties. For these questions, please consider Front Line Supervisors who spend more than 50% of their time on supervisory tasks and earn less than $47,476 yearly (less than $913 per week) not including bonuses. 55. Between January 1, 2016 and December 31, 2016, did you pay overtime for Front line Supervisors beyond 40hrs/week? Yes No (If no, please skip Question 56) 56. How many hours of overtime did you pay to Front line Supervisors (Overtime defined as more than 40 hours per work week) between January 1, 2016 and December 31, 2016? 57. Please record the total number of Front Line Supervisor positions that were paid overtime in your agency between January 1, 2016 and December 31, 2016 Comments 58. OPTIONAL: Thank you for your careful attention and effort in completing this survey. Occasionally, data fall greatly outside the average range of all reporting agencies. In those cases, are you willing for HSRI to contact you to verify the data entered? Provider level data is not shared with the States. All data reported will be aggregated to state level for reporting. If you are willing to be contacted, please provide your address here: 59. Please enter any comments you have about this survey

2016 Staff Stability Survey Report

2016 Staff Stability Survey Report January 2018 A COLLABORATION OF The National Association of State Directors of Developmental Disabilities Services and Human Services Research Institute www.nationalcoreindicators.org