Caring in America: A Guide to America’s Home Care Workforce
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Transcript of Caring in America: A Guide to America’s Home Care Workforce
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Key Workforce Facts
December 2011
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More than 2.5 million home care workers
Source: Caring in America, p. 4.
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Performing tasks in 4 realms
• Self-care assistance
• Everyday tasks
• Social supports
• Paramedical tasks
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Among the fastest growing jobs in the country, 2008-2018
Source: PHI, Facts 1: Occupational Projections for Direct-Care Workers, 2008-2018.
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Among the jobs adding the most new positions (due to growth), 2008-2018
Source: PHI, Facts 1: Occupational Projections for Direct-Care Workers, 2008-2018.
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Home care worker demographics
• Mostly female (88% female)
• Older (50% over age 45)
• 60% non-white
• 55% with high school education or less
• A quarter foreign born
Source: Caring in America, p. 10.
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Main employers
• Home care agencies providing non-medical personal care services
• Consumers and families
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Growth in home care business locations (“establishments”)
Source: Caring in America, p. 20.
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Estimated industry revenue (millions of dollars)
Source: Caring in America, p. 22.
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Wages are low and stagnant
Source: Caring in America, p. 53.
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Uncompetitive wages
Source: Bureau of Labor Statistics, Occupational Employment Statistics, 2010.
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Part-time work common
Source: Caring in America, p. 61.
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High rates of uninsurance
Source: Caring in America, p. 55.
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Public subsidies required to meet basic needs
Source: Caring in America, p. 58.
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Turnover endemic
• Small-scale studies show PCA turnover at 44 - 65%
• 2007 National Home Health Aide Survey: 35% of home health aides intend to quit in next year (~56,000 workers)
• Turnover “predictors”– Low wages– Not enough hours– No reimbursement for travel costs
Source: Caring in America, Section 10.
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Incidence of overtime modest
9% percentage of home care workers nationally that report working more than 40 hours/week
Why so low?• Most states are “low-hour” Medicaid states
• Many agencies use staffing and scheduling practices that minimize overtime
Source: Caring in America, Section 8.
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Involuntary part-time work -- a far bigger problem
Source: Caring in America, p. 61.
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Agencies charge nearly twice what caregivers are paid
Source: National Private Duty Association (2009) State of Caregiving Industry Survey.
Type of Service National Average Cost of Services (per hour)
National Average Starting Pay for
Caregivers (per hour)
Companionship $18.75 $8.92
Homemaker Services $18.90 $9.10
Personal Care $19.82 $9.69
Home Health Services $22.37 $11.78
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For more information, contact:
Dorie Seavey, Director of Policy [email protected] ● 617-630-1694
Abby Marquand, Policy Research [email protected] ● 718-928-2062
Visit PHI PolicyWorks at: www.phinational.org/policy