Recent Publications
- FACTS 3 — America’s Direct-Care Workforce, May 2012 (pdf)
- Can Home Care Companies Manage Overtime Hours? Three Successful Models, February 2012 (pdf)
- Caring in America: A Guide to America’s Home Care Workforce, December 2011
- Home Health Aide Training Requirements by State, December 2011
- Nurse Aide Training Requirements by State, December 2011
- Wisconsin’s Direct-Care Workforce, December 2011 (pdf)
- Self-Determination and the MI Choice Medicaid Waiver Program, October 2011 (pdf)
- Michigan’s Direct-Care Workforce, September 2011 (pdf)
- Medicaid Matters…in Super Committee Deficit Reduction Deliberations, September 2011 (pdf)
- State Chart Book on Wages for Personal Care Aides, 2000-2010, August 2011 (pdf)
- State-by-State Projected Demand for New Direct-Care Workers, 2008-18, August 2011 (pdf)
Wages
- Comparing Cost of Personal Care Services and Caregiver Pay (pdf)
- State Chart Book on Wages for Personal Care Aides, 2000-2010 (pdf)
- State Chart Book on Wages for Personal and Home Care Aides, 1999-2009 (pdf)
- Improving Wages for New York’s Home Care Aides: Options for Payment and Contract Reform (pdf)
- FACTS 3 — America’s Direct-Care Workforce (pdf)
- The Direct-Care Worker at a Glance (pdf)
- PHI National Policy Plank on Wages and Benefits (pdf)
- Testimony of Dr. Dorie Seavey Before House Committee on Fair Home Health Care ACT (video); Written Testimony (pdf)
- Paying for Quality Care: State and Local Strategies for Improving Wages and Benefits for Personal Care Assistants (pdf)
- State Wage Pass-Through Legislation: An Analysis (pdf)
Health Coverage
- Medicaid Matters…in Super Committee Deficit Reduction Deliberations (pdf)
- Medicaid Matters…to the American People (pdf)
- Medicaid Matters…for Long-Term Services and Supports (pdf)
- FACTS 4 — Health Care Coverage for Direct-Care Workers: 2009 Data Update (pdf)
- Health Reform Facts 2: Pre-Existing Condition Insurance Plan (pdf)
- Health Reform Facts 3: Small Business Benefits Available to Eldercare/Disability Services Employers (pdf)
- Health Reform Facts 4: Early Coverage Options for Direct-Care Workers and Their Families (pdf)
- Summary of Direct-Care Worker and Long-Term Care Provisions in Federal Health Reform (pdf)
- Preparing America to Care: Health Care Reform Must Strengthen Eldercare Services (pdf)
- Coverage for Caregivers: Lessons from Massachusetts Health Reform (pdf)
- Is New York Prepared to Care?: A Comprehensive Coverage Solution for Home Care Workers (pdf)
- Health Insurance Coverage of New York State’s Home Care Aides: Findings from a 2008 Survey of Home Care Agencies Outside of New York City (pdf)
- The Invisible Care Gap: Caregivers Without Coverage (pdf)
- Coverage Models from the States: Strategies for Expanding Health Coverage to the Direct-Care Workforce (pdf)
- Health Insurance Vital to Job Retention (pdf)
- The Facts About a Critical Gap in Long-Term Care: Caregivers Without Coverage (pdf)
- Expanding Coverage for Caregivers: A Checklist for State Health Reform (pdf)
Training & Credentialing
- Home Health Aide Training Requirements by State
- Nurse Aide Training Requirements by State
- Comments on the Reauthorization of the Older Americans Act, 2/25/10 (pdf)
- Preparing New York’s Home Care Aides for the 21st Century: Overcoming Fragmentation, Inadequate Training, and Limited Quality Control (pdf)
- Health Reform Facts 1: Workforce Development and Training Opportunities for Direct-Care Workers (pdf)
- Providing Personal Care Services to Elders and People with Disabilities (Curriculum)
- Coaching Supervision: Introductory skills for supervisors in home and residential care (Curriculum)
- Employing, Supporting and Retaining Your Personal Assistant: An Orientation Workshop for People with Disabilities (pdf)
- Long-Term Care Training, Support & Career Development Network: A Blue Print for the Future (pdf)
- The Role of Training in Improving the Recruitment and Retention of Direct-Care Workers in Long-Term Care (pdf)
- Training Quality Home Care Workers: A PHI Technical Series Publication (pdf)
Jobs & the Economy
- Caring in America: A Guide to America’s Home Care Workforce
- Medicaid Matters…in Super Committee Deficit Reduction Deliberations (pdf)
- State-by-State Projected Demand for New Direct-Care Workers, 2008-18 (pdf)
- Medicaid Matters…to the American People (pdf)
- Medicaid Matters…for Long-Term Services and Supports (pdf)
- Comments on the Reauthorization of the Older Americans Act, 2/25/10 (pdf)
- Preparing America to Care: Health Care Reform Must Strengthen Eldercare Services (pdf)
- “Beyond Shovel-Ready Jobs” Flyer & Information Pack (pdf)
- FACTS 2 — Eldercare/Disability Services: Untapped Engine for Job Creation and Economic Growth (pdf)
- FACTS 1 — Occupational Projections for Direct-Care Workers 2008-2018 (pdf)
- The Business Case for Investing in Staff Retention: Can You Afford Not To? (pdf)
- The Cost of Frontline Turnover in Long-Term Care (pdf)
- Engaging the Public Workforce Development System: Strategies for Investing in the Direct Care Workforce (pdf)
Public Payment & Procurement
- Improving Wages for New York’s Home Care Aides: Options for Payment and Contract Reform (pdf)
- Costs and Benefits of In-Home Supportive Services for the Elderly and Persons with Disabilities: A California Case Study (pdf)
- Reimbursement Practices and Issues in Vermont’s Long-Term Care Programs (pdf)
- Paying For Quality Care: State and Local Strategies for Improving Wages and Benefits for Personal Care Assistants (pdf)
- State Wage Pass-Through Legislation: An Analysis (pdf)
Workforce Policy
WORKFORCE MONITORING
WORKFORCE DEVELOPMENT SYSTEMS
- Improving Jobs and Care: A National Sector Strategy (pdf)
- Health Reform Facts 5: Home- and Community-Based Services Expansion Offers Opportunity to Improve Direct-Care Jobs (pdf)
- Caregivers on the Front Line: Building a Better Direct-Care Workforce (pdf)
- Federal and State Policy Strategies for Developing a Quality Eldercare Workforce (pdf)
- Comments on the Reauthorization of the Older Americans Act, 2/25/10 (pdf)
- New York’s Home Care Workforce: A Framing Paper (pdf)
- Health Reform Facts 1: Workforce Development and Training Opportunities for Direct-Care Workers (pdf)
- The 2007 National Survey of State Initiatives on the Direct-Care Workforce: Key Findings (pdf)
- Why Workforce Development Should Be Part of the Long-Term Care Quality Debate (pdf)
- Addressing New York City’s Care Gap: Aligning Workforce Policy to Support Home-and-Community Care (pdf)
- Engaging the Public Workforce Development System: Strategies for Investing in the Direct Care Workforce (pdf)
- PHI Guide to Accessing Federal Recovery Act Funds
Consumer Direction & Family Caregiving
- Self-Determination and the MI Choice Medicaid Waiver Program (pdf)
- Building Infrastructure to Support CLASS: The Potential of Matching Service Registries (pdf)
- Costs and Benefits of In-Home Supportive Services for the Elderly and Persons with Disabilities: A California Case Study (pdf)
- Employing, Supporting and Retaining Your Personal Assistant: An Orientation Workshop for People with Disabilities (pdf)
- Family Care and Paid Care: Separate Worlds or Common Ground? (pdf)
- Consumer Direction of Personal Assistance Services in Medicaid: A Review of Four State Programs (pdf)
- Bridging the Gaps: State and Local Strategies for Ensuring Backup Personal Care Services (pdf)
- Expanding the Registry Concept: Creating Access to Care for Consumers and Employment for Care Workers (pdf)
- Selected State Registry Websites (pdf)
Recruitment & Retention
- Plan, Implement, Study, Act: Using the PHI Learning Cycle in Northern New England (pdf)
- 12 Steps for Creating a Culture of Retention: A Workbook for Home- and Community-Based Long-Term Care Providers (pdf)
- The Guaranteed Hours Program: Ensuring Stable, Full-Time, Direct Care Employment (pdf)
- Recruitment and Retention of Paraprofessionals: An IOM Presentation (pdf)
- Finding and Keeping Direct Care Staff (pdf)
- The Role of Training in Improving the Recruitment and Retention of Direct-Care Workers in Long-Term Care (pdf)
- The Cost of Frontline Turnover in Long-Term Care (pdf)
- Recruiting Quality Health Care Paraprofessionals: A PHI Technical Series Publication (pdf)
Workforce Overviews
NATIONAL
- Caring in America: A Guide to America’s Home Care Workforce
- State Chart Book on Wages for Personal Care Aides, 2000-2010 (pdf)
- State Chart Book on Wages for Personal and Home Care Aides, 1999-2009 (pdf)
- State-by-State Projected Demand for New Direct-Care Workers, 2008-18 (pdf)
- Caregivers on the Front Line: Building a Better Direct-Care Workforce (pdf)
- Preparing America to Care: Health Care Reform Must Strengthen Eldercare Services (pdf)
- FACTS 3 — America’s Direct-Care Workforce (pdf)
- The Direct-Care Worker at a Glance (pdf)
- A Synthesis of Direct Service Workforce Demographics and Challenges Across Intellectual/Developmental Disabilities, Aging, Physical Disabilities, and Behavioral Health (pdf)
- State Initiatives to Strengthen the Direct Support Workforce
- Direct-Care Health Workers: The Unnecessary Crisis in Long-Term Care (pdf)
- The 9 Essential Elements of a Quality Job
- The 9 Essential Elements of Quality Care
STATE
- Wisconsin’s Direct-Care Workforce (pdf)
- California’s Direct-Care Workforce (pdf)
- Illinois’ Direct-Care Workforce (pdf)
- Iowa’s Direct-Care Workforce (pdf)
- Maine’s Direct-Care Workforce (pdf)
- Massachusetts’ Direct-Care Workforce (pdf)
- Michigan’s Direct-Care Workforce (pdf)
- Pennsylvania’s Direct-Care Workforce (pdf)
- Vermont’s Direct-Care Workforce (pdf)
- New York City’s Home Care Workforce (pdf)
- New York’s Home Care Aide Workforce: An Executive Summary (pdf)
- New York’s Home Care Aide Workforce: A Framing Paper (pdf)
- Addressing New York City’s Care Gap: Aligning Workforce Policy To Support Home-And-Community Care (pdf)
- Self-Determination and the MI Choice Medicaid Waiver Program (pdf)
- Michigan’s Care Gap: Our Emerging Direct-Care Workforce Crisis (pdf)
- Pennsylvania’s Care Gap: Finding Solutions to the Direct-Care Workforce Crisis (pdf)
- New Hampshire’s Care Gap: The Health Care Workforce Shortage (pdf)
- Health Care Workforce Issues in Massachusetts (pdf)
Fact Sheets
NATIONAL
- FACTS 1 — Occupational Projections for Direct-Care Workers 2008-2018 (pdf)
- FACTS 2 — Eldercare/Disability Services: Untapped Engine for Job Creation and Economic Growth (pdf)
- FACTS 3 — America’s Direct-Care Workforce (pdf)
- FACTS 4 — Health Care Coverage for Direct-Care Workers: 2009 Data Update (pdf)
- The Direct-Care Worker at a Glance (pdf)
HEALTH REFORM
- Health Reform Facts 1: Workforce Development and Training Opportunities for Direct-Care Workers (pdf)
- Health Reform Facts 2: Pre-Existing Condition Insurance Plan (pdf)
- Health Reform Facts 3: Small Business Benefits Available to Eldercare/Disability Services Employers (pdf)
- Health Reform Facts 4: Early Coverage Options for Direct-Care Workers and Their Families (pdf)
- Health Reform Facts 5: Home- and Community-Based Services Expansion Offers Opportunity to Improve Direct-Care Jobs (pdf)
STATE
- Wisconsin’s Direct-Care Workforce (pdf)
- California’s Direct-Care Workforce (pdf)
- Illinois’ Direct-Care Workforce (pdf)
- Iowa’s Direct-Care Workforce (pdf)
- Maine’s Direct-Care Workforce (pdf)
- Massachusetts’ Direct-Care Workforce (pdf)
- Michigan’s Direct-Care Workforce (pdf)
- New York City’s Home Care Workforce (pdf)
- Pennsylvania’s Direct-Care Workforce (pdf)
- Vermont’s Direct-Care Workforce (pdf)
National Policy Platform
- PHI National Policy Plank on Wages & Benefits (pdf)
- PHI National Policy Plank on Training & Support (pdf)
- PHI National Policy Plank on Workforce Data Collection & Monitoring (pdf)
- PHI National Policy Plank on Consumer Direction & Family Caregiving (pdf)
- PHI National Policy Plank on Quality Assurance (pdf)

