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Aging and Adult Services proposes tiered wage pilot for IHSS and Dignity Fund allocations

San Francisco Board of Supervisors Budget Committee · April 20, 2017
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Summary

Shereen McSpadden presented DOS’s IHSS caseload and workforce challenges, proposed a tiered‑wage pilot to retain IHSS caregivers, and outlined initial allocations from the Dignity Fund including caregiver support, access, transportation and legal services.

Shereen McSpadden, executive director of the Department of Aging and Adult Services, told the Budget Committee IHSS serves roughly 25,000 unduplicated people per year (about 22,400 per month), with clients receiving an average of 22 hours of care per week. She said DOS is facing a severe workforce retention problem in contracted IHSS services—HomeBridge, a contract provider, is losing about half of its workers within three months of hire—and the department is proposing a small pilot to test retention incentives.

The proposed IHSS pilot would cover approximately 150…

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