Category Archives: Home Health Workers

State Chart Book On Wages For Personal And Home Care Aides, 2000 – 2010

Source: PHI (Paraprofessional Healthcare Institute), August 2011

The State Chart Book On Wages For Personal Care Aides, 2000-2010, prepared by PHI, provides information on the wages received by Personal Care Aides (PCAs) in all 50 states, the District of Columbia and the nation over a decade-long period.

This updated resource provides a state-by-state look at trends in wages for PCAs, the fourth fastest-growing occupation in the country, and a key job title within the direct-care workforce. Prepared as a resource guide on wages for advocates and policymakers concerned with the direct-care workforce, the data underscore the problem of low wages for PCAs, factors which contribute to workforce instability and near-poverty incomes for this high-demand workforce.

Long-Term Care Fundamentals series

Source: SCAN Foundation, 2010-2012

From the summary:
The Long-Term Care Fundamentals series highlights and describes the organization and financing of long-term care in California. Briefs will review different aspects of the organization of long-term care services and providers in California, as well as consider current policy and alternatives that can help to build a strong infrastructure of services and support for individuals and their families.
Articles include:
Long-Term Care Fundamentals No.1: An Overview of Long-Term Care in California, November 9, 2010
Long-Term Care Fundamentals No. 2: Organization of Long-Term Care in the Government, November 9, 2010
Long-Term Care Fundamentals No. 3: The Financing of Long Term Care, November 9, 2010
Long-Term Care Fundamentals No. 4: Who Needs and Uses Long-Term Care?, November 9, 2010
Long-Term Care Fundamentals No. 5: Implementing Olmstead in California, January 13, 2011
Long-Term Care Fundamentals No. 6: The Aging Network, March 22, 2011
Long-Term Care Fundamentals No. 7: Residential Care Facilities for the Elderly, March 22, 2011
Long-Term Care Fundamentals No. 8: What is a Medicaid Waiver?, August 4, 2011
Long-Term Care Fundamentals No. 9: Medicaid-Funded Home- and Community-Based Services, August 4, 2011
Long-Term Care Fundamentals No. 10: Nursing Facilities in California, January 30, 2012

Commentary: Private-Duty Trade Associations Fund Three Flawed Studies Attacking FLSA Revision

Source: Dorie Seavey, PHI (Paraprofessional Healthcare Institute), PolicyWorks Blog,15 March 2012

During the past two months, private-duty trade associations have produced three different studies designed to bolster their position that narrowing the overtime exemption would have serious negative consequences for home care companies, clients, and workers. Yet each of these studies presents serious flaws.

In two surveys of their membership, these associations had the opportunity to acquire solid industry data on the employment patterns of home care workers: how many work overtime, and how often; how many work part-time and would like to work more; and how much they are paid. This kind of information could have usefully complemented the U.S. Department of Labor’s (DOL) analysis, which relied on all the nationally representative, statistically valid data available on these questions. So, what do the new studies tell us?
2012 Companionship Services Exemption Survey
Source: Private Duty Homecare Association (PDHCA) an affiliate of the National Association for Home Care & Hospice (NAHC), and the National Private Duty Association, January 23, 2012
Economic Impact of Eliminating the FLSA Exemption for Companionship Services
Source: IHS Global Insight, February 21, 2012
Estimating the Economic Impact of Repealing the FLSA Companion Care Exemption
Source: Jeffrey A. Eisenach, Kevin W. Caves, Navigant Economics, March 6, 2012

Why They Leave: Turnover Among Washington’s Home Care Workers

Source: Sahar Banijamali, Amy Hagopian, Dan Jacoby, SEIU Healthcare 775NW, February 2012

From the abstract:
Turnover in the long-term care industry is at a crisis point and threatens quality of care and quality of life for vulnerable adults who rely on long-term care services. A 2005 national survey found more than 76 percent of states reported that home care worker recruitment and retention were major policy issues. Even given the economic downturn and rising unemployment rates, the vast majority of states still experience significant difficulty in recruiting and retaining qualified direct care workers. These shortages are likely to worsen over time as demand increases.

This paper, developed with support from Service Employees International Union Healthcare 775NW, provides a broad overview of home care workforce issues in Washington State including findings from a 2011 survey project and interviews designed to further understanding of the needs of Washington’s home care workers and what motivates them to both enter and leave this profession.
See also:
Executive Summary

Fiscal Incidence when both Individual Welfare and Family Structure Matter: The Case of Subsidization of Home-Care for the Elderly

Source: Haizhen Mou, Stanley L. Winer, CES IFO Working Paper No. 3731, Category 1: Public Finance, February 2012

From the abstract:
How should we construct incidence indexes for children and parents in the case of public subsidies for home-care of the elderly? What is the nature of a fiscal incidence index on a budgetary basis versus a theoretically more satisfactory index that is welfare-based? Can we find budgetary based measures that will serve as a proxy for incidence in welfare terms? Does the structure of the family including the altruism of children affect incidence indexes? How should fiscal shifting of the subsidy for home care paid to the parents be defined, in budgetary or in welfare terms, and what does simulation tell us about the distribution of benefits between the generations?

We address these issues analytically and with simulation (using data from the Medical Expenditure Panel Survey) in this contribution to the study of fiscal incidence. The definition of welfare incidence, the comparison of welfare-based incidence with budgetary incidence for non-cooperative and cooperative families, and the calculation of the shifting of program benefits between family members, some of whom may be altruistic, are key issues in the analysis. The integration of individual welfare, family structure and benefit shifting provides a new perspective on the fiscal incidence of home care programs.

The Direct Care Worker: Overcoming Definitions by Negation

Source: Thomas R. Konrad, Research in the Sociology of Health Care, Vol. 29, 2011
(subscription required)

From the abstract:
Over 3 million intermittently employed and socially disadvantaged workers receive low wages and limited benefits in diverse long-term care settings and employment arrangements as they try to become a positively valued unified occupation: “direct care workers.” Before this occurs, these workers must overcome negative definitions imposed by three powerful institutions: professional guilds, employers, and states. Care workers’ legitimacy is challenged as nursing labels them “unlicensed, assistive personnel,” defining them in terms of their task relationship to nurses rather than their social relationship to clients. Care workers’ identity is obscured as corporate rationalization nullifies their unique contributions with task unbundling, part-time work, short staffing, and turnover undermining bonding with colleagues and clients. State regulation impedes care workers’ integration, segmenting similar workers under different regulatory regimes, defining workers negatively rather than by their educational attainments and competencies. Overcoming this triple negation will require not just cultural change, but also real structural changes, and can occur only through concerted actions involving coalitions. Labor market intermediaries, public authorities, labor unions, workforce investment boards, philanthropic organizations, and government interagency groups are among those supporting direct care workers’ advancement by strategically coordinating licensing, purchasing, and developing the workforce. Recent federal policy changes and health reform legislation have enhanced recognition of this occupation and are providing new resources for its development.

Can Home Care Companies Manage Overtime Hours? Three Successful Models

Source: Dorie Seavey, Alexandra Olins, Paraprofessional Healthcare Institute (PHI), 2012

From the summary:
A new PHI report examines how three home care companies have successfully managed to control their overtime costs while maintaining their reputation for high-quality care.

The report, Can Home Care Companies Manage Overtime Hours? Three Successful Models, discredits home care industry claims that the Obama Administration’s proposal to revise the companionship exemption to extend minimum wage and overtime protections to home care workers would dramatically increase agencies’ overtime costs, since any overtime worked by aides would have to be compensated at time and half

Caring for Caregivers: Latinos in the Direct-Care Workforce

Source: National Council of La Raza, Monthly Latino Employment Report, February 3, 2012

Due to the aging baby boomer population, America’s older population is projected to experience significant growth over the next several decades. Already, families responsible for finding appropriate long-term care for elderly relatives find their options severely limited; as a result, many turn to home health or personal care aides to provide care. While direct-care industry revenues have climbed, benefits are not shared by workers who provide care, many of whom work long hours at low wages. This Monthly Latino Employment Report offers an overview of Latinos in the direct-care industry and highlights new U.S. Department of Labor regulations that could help improve employment conditions for these workers.

Home Health Care Industry Growth in Indiana

Source: Srikant Devaraj, Michael J. Hicks and Rohit Ravula, Ball State University, Center for Business and Economic Research, January 2012

There are around 1.1 million employees working in 25,686 establishments in home health care services industry in the United States as of 2009. When compared to the year 2000, this sector experienced an increase of 40.5 percent in terms of number of jobs and 59.6 percent in establishments. Figure 2 shows the structure of the industry in the United States. In 2009, 36.6 percent of S-corporations in this industry have employed 36 percent of employees, followed by 30.3 percent corporations employing 33.3 percent employees.

This report provides the background economic information about health care and social assistance sector (NAICS 62) in Indiana and its counties, followed by information about ambulatory health care services (NAICS 621) and home health care industry (NAICS 6216). The industry/commodity
balance sheet, wages of health care occupations, and economic impact estimates are also discussed in this report.