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Data-Driven Advocacy to Address Home Care Aide Policy

With funding from the Tufts Health Plan Foundation, the Home Care Aide Foundation conducted an assessment of the Massachusetts home care aide workforce throughout 2016 and 2017. This project included both a survey of home care agencies that contract with the ASAPs which took place in the Fall of 2016 and a survey of home care aides employed by these agencies which occurred in the Fall of 2017. 

Here are links to two our reports from this assessment:

Click here to view a webinar presentation of the findings from this comprehensive report.

Here are some of the key findings of our agency and home care aide assessments: 

Turnover Information:

  • Nearly 40% of the aides that responded to our survey indicated that they are likely to leave their home care aide job within the next year
  • Home care agencies who completed our study reported a quarterly home care aide turnover rate of 16%
  • Agencies on average hired 18 workers over a three month period and lost 15 workers over that same period – for an average net gain of just 3 workers every three months

Workforce Supply Issues:

  • In the Fall of 2016, over 45% of agencies who responded to our survey were already reporting that they were having difficulty filling cases on both weekdays and weekends
  • Nearly 90% of the agencies indicated that recruiting qualified home care aides was their top workforce challenge

Workforce Demographics:

  • Over 47% of the home care aides who responded to our survey have at least one other job
  • Nearly 50% of our aide respondents were born outside of the US
  • The most commonly reported immigrant population was Haitian at 27%
  • 40% live in households with an annual income of less than $20,000
  • 48.4% were MassHealth recipients
To request a copy of our Full Data Report from this comprehensive report, please send an email to our Assistant Director, Hayley Gleason, at