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 costsSource: Caring in America, Section 10.
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 overtimeSource: Caring in America, Section 8.
Agencies charge nearly twice what
caregivers are paid Type of Service National Average Cost National Average of Services (per hour) 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 $11.78Source: National Private Duty Association (2009) State of CaregivingIndustry Survey.
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