Fact Sheets & Information for Employers


"The 5 Pillars of Direct Care Job Quality" 
   by PHI National

The 5 Pillars include quality training, fair compensation, quality supervision and support, respect and recognition, and real opportunity.
Direct Care Worker Training Reduces Turnover Costs and Can Increase Wages:
  • In 2018, the median turnover rate among Home Care Aides and Personal Care Aides was 82%; a 15% increase from 2017.(1)
  • Turnover costs about $2,600 per caregiver; an average of $171,600 per agency per year.(2)
  • Training increases job satisfaction which decreases turnover.(3) Training also decreases costly client outcomes like falls and emergency department visits.(4)
Building Training...Building Quality(TM) (BTBQTM) is a comprehensive, person-centered training program that provides Direct Care Workers (DCWs) with the skills needed to deliver in-home, high quality supports & services. 
  • Investing in BTBQ(TM) training for 8 DCWs at approximately $4,000 with an  in-house trainer can lead to a 5% reduction in turnover rate for a turnover savings of $8,580 (a $4,520 net savings).
1Holly, R. (2019). Home care industry turnover reaches all-time high of 82%. Home Health Care News. Retrieved from https://homehealthcarenews.com/2019/05/home-care-industry-turnover-reaches-all-time-high-of-82/ 2Kempton, M. (2018) How much is caregiver turnover really costing our business? Home Care Pulse. Retrieved from https://www.homecarepulse.com/articles/much-caregiver-turnover-really-costing-business/
3 Leon J, Marainen J, Marcotte J. (2001) Pennsylvania’s Frontline Workers in Long Term Care: The Provider Organization Perspective. Pennsylvania Intra-Governmental Council Long Term Care. Retrieved from  https://www.aging.pa.gov/organization/PennsylvaniaLongTermCareCouncil/Documents/Reports/PennsylvaniaIntraGovernmentalCouncilOnLTC/ PennsylvaniaFrontlineWorkersinLongTermCareTheProviderOrganizationPerspectiveFeb2001.pdf
4 Luz, C. C., Hanson, K. V., Hao, Y., & Spurgeon, E. (2018). Improving Patient Experiences and Outcomes Through Personal Care Aide Training. Journal of patient experience, 5(1), 56–62. doi:10.1177/2374373517724349