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Decoding the Dilemma: New Study Unravels Challenges Fueling U.S. Home Care Workforce Shortages

By MissionCare Collective | Jul 18, 2023

Decoding the Dilemma: New Study Unravels Challenges Fueling U.S. Home Care Workforce Shortages

Washington, D.C. – Today, MissionCare Collective (MCC) released a new study that addresses our nation’s most pressing caregiving workforce-related issues. Titled "Through the Provider’s Lens: A Study on Workforce Dynamics from the Perspective of an Agency", this research study was completed in May 2023. With a robust dataset gathered from over 450 small business home care agencies nationwide, the study offers a crucial snapshot of the challenges faced today by American home care providers. The participant demographics spanned across various roles, with 82% Owners, 15% Directors, and 3% in other positions.

Key findings from the study include:

  • A staggering 89% of home care agencies have had to turn away care due to workforce limitations.
  • The majority, 76%, believe the industry has not fully recovered from the COVID-19 pandemic.
  • More than half, 84%, reported a portion of their clients are reluctant to work with young caregivers.
  • Racial bias is evident with 81% of providers indicating a portion of their clients have race-specific staffing requests.
  • Workforce recruitment and retention issues have worsened in the past six months for 53% of agencies.
  • Nearly half highlighted frequent shift cancellations due to transportation and childcare challenges among caregivers.

"The implications of this study are profound, highlighting the urgent need to transform our care culture," said Brandi Kurtyka, CEO of MissionCare Collective. "Caregivers need strong community support and effective policies to thrive in their roles and continue their invaluable service to those in need."

Although agencies have increased wages over the past year, they are still struggling to compete with other industries. " 53% of caregivers, often from underserved communities, are on some form of public assistance. Their persisting financial struggles can limit their availability," added Kurtyka.

The study also emphasizes the role of client demands in exacerbating workforce strain, including age and race-specific requests. It provides a detailed exploration of "racial refusal" and the unique challenges and opportunities of working with younger caregivers.

Small to mid-sized agencies reported turning away an average of 510 care hours per month, with a median of 100 hours per month. "Turning away people that need care is deeply troubling for home care agencies, many of whom were motivated to join this profession due to personal experiences," adds Kurtyka. “People are in care to deliver care and it’s tough to deliver it without the workforce to support the growing needs of America’s rapidly aging population.”

"It's an honor to lead the nation's largest network of compassionate companions, home health aides, and CNAs through our myCNAjobs brand. Yet, the thought of our seasoned caregivers exiting the industry is a concern that keeps me awake at night," shares Kurtyka. "To tackle the prevailing workforce challenges in caregiving, it's imperative that we rally together. Our approach must integrate focused strategies aimed at retaining our current workforce, preserving the heart of care."

The full report, "Through the Provider’s Lens: A Study on Workforce Dynamics from the Perspective of an Agency", is available for download.

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