Shore it Up: Strengthening the Long Term Services and Supports Workforce

Thursday, August 16th
3:30pm – 5:00pm

The aging of baby boomers, along with steady growth in Medicaid populations with complex health care needs, has created tremendous demand for Medicaid long-term services and supports (LTSS). Today, states face major shortages of LTSS workers due to low wages, high turnover, and limited career opportunities. This session highlights creative states’ approaches to strengthen their LTSS workforces. A speaker from the Paraprofessional Healthcare Institute discusses key elements of effective state programs, and two state health policy leaders describe their states’ LTSS workforce initiatives.


Patti Killingsworth, Assistant Commissioner and Chief of LTSS, Tenncare





Kezia Scales, Director of Policy Research, PHI (Paraprofessional Healthcare Institute)

Kezia Scales, PhD, is the Director of Policy Research for PHI (Paraprofessional Healthcare Institute). In her role, Dr. Scales oversees PHI’s national research strategy and activities, developing the evidence base to inform public policies and programs that support the direct care workforce. In her career, Dr. Scales has conducted interdisciplinary research on direct care in long-term care services across settings in both the USA and England. She holds a PhD in Sociology from Nottingham University and MS in Comparative Social Policy from the University of Oxford, and is based in Durham, NC.


Grace Kiboneka, Training Unit Manager, Department of Social and Health Services Aging and Long-Term Support Administration Home and Community

Grace Kiboneka is the Training Unit Manager for the Aging and Long-Term Support Administration (ALTSA), Home and Community Services Division (HCS). As part of delivery of long-term services and supports, the HCS Training Unit Manager and her team are responsible for developing statewide training policy in home and community based settings statewide, curriculum, and instructor approval as well as quality assurance.

Prior to becoming the manager to the HCS Training Unit, Grace worked for more than 10 years in ALTSAs Office of The Assistant Secretary; and was responsible for the Administrations strategic planning efforts, collective bargaining, and labor management impacting more than 50,000 long-term care workers in the State of Washington.

Washington State’s long-term services and supports system, serves more than 74,000 citizens. The 2017 AARP Long-Term Services and Supports Scorecard ranked Washington State 1st in the nation, up from its 2nd ranked position in 2014, this is a result of continued hard work and focused effort of ALTSA staffs commitment to the mission of ensuring “choice” for Washingtonian’s regarding where and how they will receive long-term services and supports.

Grace holds a Master’s Degree in Business Administration and Project Management from City University of Seattle.