Boston Herald Op-Ed: The CORI Problem

The Boston Herald published an Op-Ed titled “CORI’s Been Corrupted” written by Dr. Bruce Bender of Home Instead Senior Care, based in Northborough, MA.

The way CORI is administered has changed over the years and Dr. Bender argues that it has put vulnerable people at risk.  See Dr. Bender’s Op-Ed below.

Without these changes to the way Massachusetts applies the CORI law, the state is putting some of its most vulnerable citizens at risk.

Although the CORI law has not changed, the way it is administered has. Over the past decade, the board and various state agencies have imposed changes that put vulnerable people at risk.

Organizations that rely on the Criminal Offender Records Information (CORI) reports they get on volunteers or job candidates are getting something they didn’t expect: A false sense of security.

The CORI law, creating the Criminal History Systems Board (CHSB), passed in 1972 and was intended to improve an unreliable system for obtaining public information and to provide access to those deemed to need it. Schools, youth organizations and specified employers working with vulnerable populations could get timely and accurate information about a volunteer or job candidate.

Although the CORI law has not changed, the way it is administered has. Over the past decade, the board and various state agencies have imposed changes that put vulnerable people at risk. We do not get “all the information available” as required by the law.

Our company provides in-home senior care. We get a CORI, six references, proof of car insurance, etc. In 2006 the police arrested an employee at a client’s home for stealing and using the client’s credit cards. The CORI report stated there was no criminal record for the caregiver. After the arrest, the police told us she had been dismissed from two previous jobs for theft. The record was under a different name, one she had not provided us. This is not unique.

But the CHSB only checks first name, last name and date of birth – not known aliases, maiden names or Social Security number. If an individual got married last month and we submitted her current name, the CORI report would check only under her current name. If there is more than one person with the same name and date of birth, the CHSB checks only one.

The Patrick administration has eviscerated CORI by executive order. Employers are now told they cannot initiate a CORI check until the applicant is considered otherwise acceptable and they cannot use the CORI check as the sole criterion for rejection. Proposed legislation would make it illegal for employers to violate these edicts with penalties of up to one year in jail as well as fines as high as $50,000 if the offense is related to an adult record.

This is all being done in the guise of helping ex-convicts get jobs. There is no evidence that CORI keeps convicts from doing so. The recidivism rate in Massachusetts is no higher than anywhere else. Two-thirds of convicts will be rearrested within three years (with an average of 17 arrests over their careers, according to the Justice Department). Yet employers cannot use this information while hiring employees to take care of seniors?

Every fall, reporting delays of several weeks occur. Today we have a dozen people who need jobs that we cannot fill because we cannot get the legally required report.

To protect Massachusetts’ rapidly expanding population of seniors living in their homes, the state must comply with CORI:

  • We need complete criminal records of caregivers including arrests and dismissals.
  • Reports should be available within two working days. People can’t wait six weeks to get a job.
  • Do not restrict access to publicly available information through other channels.
  • Develop and maintain a current and accurate CORI database.
  • The newly implemented regulations and proposed legislation must be altered to comply with the clear purpose of the CORI law and the obvious necessity for it.

Without these changes to the way Massachusetts applies the CORI law, the state is putting some of its most vulnerable citizens at risk.

One positive piece of news related to CORI was reported in the Alliance’s Update newsletter. Processing delays took a step in the right direction recently when the Criminal History Systems Board (CHSB) reported that, as of September 1, processing times are down to one or two business days. A poll of Alliance members confirms that CORI requests have been returned in that time. Agencies formerly reported delays of up to two or three weeks, but the Alliance learned during a conference call with Health and Human Services that CHSB reallocated staff and authorized overtime in order to deal with the processing backlog. As Dr. Bender points out in his Op-Ed, however, flaws in CORI remain.

The Alliance is continuing to advocate on and monitor the situation, but anyone can check on up-to-date CORI processing times, according to CHSB, by clicking here.

Return to www.thinkhomecare.org.

Petition to Save Home Health

The Home Care Alliance is joining a national initiative to send a petition to Congress in order to stop proposed cuts to home health within the national health care reform debate.

You can help us speak up for the patients who rely on home health as well as the workers who administer the much-needed care by clicking here and printing our petition. Whether you are circulating the petition among coworkers, patients, family or friends, you can also print our petition cover sheet to provide more information.

Please see the cover sheet and pass the petition around. The National Association for Home Care & Hospice (NAHC) is hoping to have one million signatures by September 15 for their March on Washington, so we appreciate any and all signatures that we can gather by then. The petition drive will continue on after that date for anyone interested in carrying on the effort.

Please fax us back your petition with signatures BY SEPTEMBER 14 at 617-426-0509, if you want the signatures to count for the NAHC March on Washington. If you’re interested in getting more signatures after that, please let us know. One copy will be sent to NAHC and the a second copy will be sent to your congressional representative.

If you have any questions, contact the Alliance at 617-482-8830.

Return to www.thinkhomecare.org.

Patriot Ledger: Town Hall Meeting on Health Care Draws 800

Congressman Stephen Lynch hosted a town hall-style meeting with 800 attendees at Curry College in Milton to speak and hear his constituents’ concerns regarding health care reform.

Lynch revealed that he is undecided on health care reform and wants to see a final bill before making any decision on whether to support it. That information did not stop meeting attendees from pressing the Congressman for his opinion.

Click here, to read the Patriot Ledger’s report on the town hall meeting, which also includes a “You Tube” clip.

Return to www.thinkhomecare.org.

Federal Legislators Hold Town Hall Meetings

US Senator John Kerry will host a town hall-style meeting tonight (Sept. 2) from 7:30 to 9:00 pm in the Somerville High School Auditorium. Click here to see Kerry’s announcement from his website, which states that the issues discussed will not be limited to health care.

“With so much interest in the health care debate, we’re sure there will be many questions on that, but you are welcome to ask about any issue you would like,” the announcement explains.

Also this week, Congressman Stephen Lynch will hold his own town hall meeting exclusively on health care. That event will take place on Thursday Sept. 3 from 6:00 to 8:00 pm at Curry College. Click here for more information on the Congressman’s forum.

If you are planning to attend and would like talking points from the stance of the home health industry, click here. Anyone interested in going to either town hall event are strongly encouraged to show up early as seating for both is first come, first served.

Return to www.thinkhomecare.org.

NY Times: Daschle Advises on Reform, Supports Home Health

A New York Times article from August 22 highlights how former Senator and Health Secretary nominee Tom Daschle is still sought after for advice on health reform.

The story mentions Daschle’s support of the home health industry as a cost-effective service where funding should be increased and not cut.

Click here to read the NY Times article, which also briefly notes Daschle’s advice to NAHC (National Association for Home Care & Hospice) on how home health should be part of the solution of health reform.

Return to www.thinkhomecare.org.

CORI Information Q and A: September 2nd

For Home Care Alliance members with questions or concerns regarding CORI processing delays, the state’s Executive Office of Health an Human Services will be holding a conference call with a question and answer session from 3:00 – 4:30pm on Wednesday, September 2.

To register for the session, email “EOHHSCORIquestions@state.ma.us” and a response will ensue with instructions on how to join the call. EOHHS posted a flier with more information on the session, which can be viewed by clicking here. The flier also has a link to the Health and Human Services website where CORI policies and other useful documents are posted.

Return to www.thinkhomecare.org.

Alliance, MassAging Send Letter to Health IT Council

The Home Care Alliance of MA and MassAging sent a joint letter to the Health IT Council and State Senator Richard Moore in an effort to ensure that the benefits of a “health information exchange extend to patients receiving home health and other long-term care services.”

The letter, which can be viewed by clicking here, notes that patients in home health and long-term care settings tend to have multiple health issues and frequently transition between providers.  The letter states that for this reason, among others, home health and long term care patients would benefit greatly from an electronic health information exchange.

To learn more about the state’s efforts on electronic medical records and other e-health initiatives, visit the Massachusetts Technology Collaborative’s website by clicking here.

Return to www.thinkhomecare.org.

Boston Globe Op-Ed: Latest Myth on Health Reform

The Boston Globe published an Op-Ed on what columnist Renee Loth writes is the latest myth of health care reform. Loth explains that the latest target for critics is shaping up to be an idea that reform will force taxpayers to subsidize abortion.

Loth writes:

The bills filed in various congressional committees are officially neutral on the question, neither requiring nor forbidding private insurance plans to offer abortion services. Isn’t that what the noisy critics of a “government takeover’’ of health care supposedly want: A free-market system that lets the consumer decide?

To read the full Op-Ed, click here.

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A Guide to Comparing Three Health Care Bills

With so many pieces of legislation to keep track of and so many interests giving their thoughts and opinions on each, health care reform can get very confusing.

The Boston Globe has constructed a helpful table that helps people compare three health care reform proposals from the House Energy & Commerce Committee, the Senate Finance Committee, and the Senate Health Committee.

Click here to view this table, which is available on the Boston Globe’s website, Boston.com.

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With Recent Hot Weather, Residents Urged to Check on Elderly

With temperatures reaching the 90’s, residents across Massachusetts are urged to check on elderly relatives, friends, and neighbors.

The state’s Department of Health and Human Services has posted a website on Summer Heat Precautions, which can be viewed by clicking here. Seniors in the city of Boston, where Mayor Tom Menino has declared a “heat emergency,” can call the Elderly Commission at 617-635-4366 or the city’s 24-hour hotline at 617-635-4500 for assistance.

Return to www.thinkhomecare.org.