Mission, Objectives, History

Mission

The Center for Community Based Care (CCBC) is an affiliate of the Ohio Council for Home Care & Hospice. CCBC supports the delivery of community based care through promotion of research-based practice, public awareness, and consumer education. 

History of the Center for Community Based Care

The Center for Community Based Care (CCBC) was founded in 1989 in response to new federal requirements in the Medicare Home Health Benefit (42 CFR) requiring home health aides to complete a competency evaluation program, which included training and testing. OCHCH created the CCBC as a 501(c)(3) tax exempt corporation charged with the responsibility of creating a method for home health aide testing. The CCBC partnered with an independent firm for creation of the test, which met Medicare requirements. CCBC then offered the test to the home health community. 

About the Home Care Aide Written Examination

Thousands of aides throughout Ohio took the CCBC’s Home Care Aide Written Examination between 1990 and 2000. In the early years of testing, there was always one test per month in Columbus, one test if 4 or 5 areas of the state per quarter, and independent tests were offered as needed. The number of attendees per year ranged from 800 to a little over 1,000.

To pass the written examination, participants must have correctly answered at least 35 of the 50 test questions and pass 11 of the 12 test sections. Attendees had two hours to complete the test. Most finished the test within 40 minutes. To become a Certified Home Care Aide, participants had to complete the Skills Demonstration Checklist from the Foundation of Hospice and Home Care before taking the written exam. The Skills Demonstration Checklist was administered by an RN in a home or lab setting. To maintain their certification, aides had to complete 12 hours of in-service a year.

With the advent of the Interim Payment System (IPS) in 1997, most agencies brought their testing function in house in order to reduce their operational costs. With significantly declining testing numbers, CCBC discontinued the Home Aide Written Examination on December 31, 2000. 

Aide Pins

CCBC created Aide pins which were offered for sale. Many agency leaders purchased pins for their aides upon successful completion of the written mastery test. For several years, the testing and sale of pins provided a significant revenue stream for CCBC. 

A New Role for CCBC

After the discontinuation of home health aide testing, CCBC adopted a new role as the research arm of the Ohio Council for Home Care & Hospice. Today, CCBC continues to support the delivery of quality community based care through promotion of research-based practice.

CCBC accepts research proposals and approves requests for grant funding for the conduct of home care and hospice research by agencies and individuals. The deadline for research funding grant Letter of Intent is early February. The CCBC Research Committee reviews the submissions and requests a full proposal if the research project falls within the guidelines. The full proposal is due in early May, with the final notification announcement from CCBC in early June. The grant awardees present their completed research and findings through an OCHCH educational program. A few of the home care research studies previously funded by CCBC include:

  • Decreasing Hospitalization of Home Care Patients, Through a Web-based Dementia Caregiver Intervention by Victoria Steiner, PhD, University of Toledo (2013)
  • A Work Force Study-Attitudes, Skills and Knowledge Attributes of the Home Health & Hospice Nurse by Ann Statler, PhD, RN, Wright State University (2012)
  • Relationships Between Degree of Rurality, Home Healthcare Service Use and Patient Outcomes by Catherine Prouty Vanderboom (2007)
  • Infection Control Practices and Wound Care Supplies in the Home Healthcare Environment by Irena B. Kennely, RN, PhD (2006)
  • Exploring the Home Healthcare Nursing Practice Environment by Susan Tullai-McGuiness, RN, MPH, PhD (2003)
  • Effects of Front Loaded Visits by Joanne Rogers, RN, BSN, MS; Elizabeth Madigan, PhD, RN; and Mary Perlic, RN, ND (2003)
  • APN Transitional Home Health Care of COPD Patients by Donna Felber Neff (2002)

As the health care industry transforms and evolves, opportunities present themselves daily to study and provide advancements in patient care in home care and hospice.