Rap Backs: Continuous Workforce Monitoring to Improve Patient Safety in Long-Term Care

Abujarad, Fuad; Swierenga, Sarah J.; Dennis, Toni A.; Post, Lori A.

doi:10.1007/978-3-642-39238-2_1

Cited by 7 publications

(2 citation statements)

References 7 publications

(7 reference statements)

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“…The new CCBC system will help make this low ratio more attainable due to its streamlined nature. An additional benefit of the system is the state police Rap-back service, which is a process whereby applicant fingerprints are maintained in a database and compared to arrest fingerprints to track criminal activity (Abujarad et al, 2013). This service continuously monitors employees and notifies an employer if a current employee has a change in their criminal history status during their time of employment or is under investigation for a crime (Criminal Justice Information Services, 2017).…”

Section: Motivation For a New Background Check System In Michiganmentioning

confidence: 99%

Implementation of a new childcare Workforce Background Check system

Abujarad

Desloge

Carlson

et al. 2021

JSIT

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Purpose As child abuse and neglect in childcare settings continue to occur, a quality childcare workforce is imperative. This paper aims to describe how an efficient and effective childcare Workforce Background Check system was developed and implemented to protect both children and childcare staff in the state of Michigan. Design/methodology/approach The user-centered design (UCD) approach was used in the creation and statewide implementation of a new acceptable and usable system, the Michigan childcare background check (CCBC) system. The authors conducted focus groups to obtain user feedback and performed several usability evaluations. This approach was used as guidance for the development process and to evaluate the concept designs for the web application that was created. Findings This paper discusses the overall process of implementing the CCBC program, focusing on successes, barriers and lessons learned in the planning, designing and execution phases. By May 2019, more than 92,069 background checks were conducted on personnel in 8,740 licensed childcare facilities across Michigan. Collaboration across stakeholders in different sectors facilitated the implementation of the new system, while structural barriers and stigma provided barriers to implementation. Practical implications Having individuals with various roles, abilities and technical expertise assist with the development and implementation of the system ensured the usability and acceptability of the new system by all types of users. Social implications The general public expects childcare providers to ensure that their employees meet the highest professional standards. Developing effective, easy-to-use fingerprint-based criminal history background check systems to identify ineligible applicants and monitor current employees is one component of an overall strategy to promote child safety and minimize child abuse and neglect in the childcare environments. Originality/value This paper provides a practical example of how a CCBC system can be developed, implemented and scaled to be used statewide. This approach can be used by other states or other disciplines with a similar context. Plain language summary As child abuse and neglect in childcare settings continue to occur, a quality childcare workforce is imperative. This paper shows how this study uses the UCD approach to create an acceptable and usable system and complete statewide implementation of a new Michigan CCBC program. This resulted in an efficient and effective Workforce Background Check system that is essential to protect both children and childcare staff.

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Section: Motivation For a New Background Check System In Michiganmentioning

confidence: 99%

Implementation of a new childcare Workforce Background Check system

Abujarad

Desloge

Carlson

et al. 2021

JSIT

Self Cite

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“…States generally exceed the national requirements for DCW background checks. required for all paid staff and volunteers that work directly with participants receiving supports 3 The system includes a state "rapback" function that notifies employers immediately if an employee is later arrested, arraigned, or convicted (Abujarad, Swierenga, Dennis, & Post, 2013). 4 Approximately 90% of the more than 65,000 participants receiving supports and services via Home Help Services in Michigan are "self-determined" or "self-directed," meaning they do not hire PCWs through care provider agencies.…”

Section: Background Informationmentioning

confidence: 99%

Fingerprint-based background checks for personal care workers: Stakeholder views of policy criteria

Raile

Swierenga

Dennis³

et al. 2017

Journal of Elder Abuse & Neglect

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Decision makers face difficult choices when tasked with identifying and implementing appropriate mechanisms for protecting the elderly and other vulnerable adults from abuse. A pilot project involving fingerprint-based criminal history background checks for personal care workers in Michigan has supplied an opportunity to examine one such mechanism. In conjunction with the pilot project, we have conducted a stakeholder analysis with the aim of informing decision makers about stakeholder perceptions of standard policy criteria like effectiveness, efficiency, and equity. We employed focus groups and a Web-based survey to collect data from stakeholders. While stakeholders generally see fingerprint-based background checks for personal care workers as potentially effective and as a net benefit, they also point to a variety of contingencies. They also recognize difficulties and constraints for government involvement. This preliminary analysis provides solid foundational information for decision makers and for more extensive benefit-cost analysis.

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