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Examining Temporary Agency Staff Use in Assisted Living
Sarah Dys1, Ozcan Tunalilar1,2
1Institute on Aging.
Assisted living communities (ALCs) increasingly used temporary agency staff (TAS) post-pandemic. This shift impacts staffing models, highlighting a need for updated long-term care regulations.
Area of Science:
- Gerontology
- Healthcare Management
- Public Health Policy
Background:
- Temporary agency staff (TAS) utilization in assisted living communities (ALCs) remains understudied, influenced by varying state regulations.
- The coronavirus disease 2019 (COVID-19) pandemic significantly impacted healthcare staffing models globally.
Purpose of the Study:
- To compare the utilization of TAS in ALCs before and after the COVID-19 pandemic.
- To analyze trends in TAS employment within the long-term care sector.
Main Methods:
- Data were drawn from the Oregon Community-Based Care study, comparing 2016 (n=239) and 2023 (n=298) survey waves.
- Analysis focused on the prevalence and characteristics of TAS use in ALCs.
Main Results:
- The proportion of ALCs employing any TAS rose significantly from 13.4% in 2016 to 21.8% in 2023 (p=.012).
- Part-time TAS hiring increased from 55% to 66% between 2016 and 2023.
- RN and unlicensed direct care worker use decreased, while licensed practical nurse and certified nursing assistant/medication aide use increased in 2023 compared to 2016.
Conclusions:
- Increased TAS use in ALCs suggests evolving staffing strategies in long-term care.
- Findings can inform policy discussions regarding enhanced regulations for long-term care staffing.
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