Evaluation of Better Jobs Better Care: Clinical Manager Survey, 2004-2007 [Iowa, North Carolina, Oregon, Pennsylvania, and Vermont] (ICPSR 29063)

Published: Oct 18, 2010

Principal Investigator(s):
Peter Kemper, Pennsylvania State University


Version V1

Funded by the Robert Wood Johnson Foundation and The Atlantic Philanthropies, Better Jobs Better Care (BJBC) was a demonstration program that sought to bring about changes in public policy and management practice that would lead to improved recruitment and retention of high-quality paraprofessional direct care workers (DCW) in nursing homes as well as in home- and community-based settings. This was to be accomplished by implementing both policy and management practice goals. Policy goals included developing initiatives related to wages and benefits, incentives for job redesign, curriculum and credentialing, professional associations, and promotion of public awareness and policies. Practice goals involved interventions related to caregiving skill development, peer mentoring, team building, top management training, supervisor training, and provider-specific interventions. The program established demonstration projects in Iowa, North Carolina, Oregon, Pennsylvania, and Vermont which enrolled long-term care establishments across the spectrum of long-term care settings: skilled nursing facilities, assisted living facilities, home care agencies, and adult day service providers.

Conducted as part of the BJBC evaluation, which used a before-after design to assess the implementation of the interventions and their impact, this survey of the top clinical manager at each participating long-term care provider explored the establishments' organizational characteristics and management practices. One version of the survey was administered at the beginning of the demonstration (Time1), and a second version, toward the end of the demonstration (Time 2). Organizational characteristics covered by the survey include nonprofit/for-profit status, whether the establishment was free standing or part of a chain, number of competing establishments, whether the DCWs were unionized, and the type and amount of services provided. Management practices investigated by the survey include participation in care planning, communication about tasks, feedback, DCW training, management communication, organizational readiness for change, professional development, and work design practices. The survey also collected information about the racial and Hispanic origin composition of DCWs and patients/residents/clients.

Kemper, Peter. Evaluation of Better Jobs Better Care: Clinical Manager Survey, 2004-2007 [Iowa, North Carolina, Oregon, Pennsylvania, and Vermont]. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2010-10-18. https://doi.org/10.3886/ICPSR29063.v1

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Robert Wood Johnson Foundation (58408, 49675 )

Atlantic Philanthropies

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2004 -- 2007

The BJBC evaluation collected data from several sources, including an employment information system, site visits, a survey of DCWs, a survey of frontline supervisors, and this survey of clinical managers. The survey of frontline supervisors was released in 2008 as ICPSR 23000: EVALUATION OF BETTER JOBS, BETTER CARE: FRONTLINE SUPERVISOR SURVEY, 2005-2007 [IOWA, NORTH CAROLINA, OREGON, PENNSYLVANIA, VERMONT].

More information about this study can be found on the BJBC Web site.

The survey attempted to interview every person included in the defined universe.

Top clinical managers in the skilled nursing facilities, assisted living facilities, home care agencies, and adult day service providers that participated in the BJBC demonstration projects. The top clinical manager at each provider was defined as the member of the management team in charge of clinical services.

survey data



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This study is maintained and distributed by the Health and Medical Care Archive (HMCA). HMCA is the official data archive of the Robert Wood Johnson Foundation.