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Resources 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)


Contact us at to learn more about IMPART Alliance training programs for DCWs, Trainers, and Supervisors


  1. Holly, R. (2019). Home care industry turnover reaches all-time high of 82%. Home Health Care News. Retrieved from 2Kempton, M. (2018) How much is caregiver turnover really costing our business? Home Care Pulse. Retrieved from
  2. 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