Workforce Shortages Question Title * 1. Please select the services your agency offers. Home Health Hospice Home Care/Private Duty Other Question Title * 2. How severe are the staffing shortages for your agency? Not affected at all Severely affected N/A Not affected at all Severely affected N/A Question Title * 3. Please rate the difficulty you've encountered recruiting/retaining staff. No difficulty at all Extremely difficult N/A RNs RNs No difficulty at all RNs RNs RNs RNs Extremely difficult RNs N/A LPNs/LVNs LPNs/LVNs No difficulty at all LPNs/LVNs LPNs/LVNs LPNs/LVNs LPNs/LVNs Extremely difficult LPNs/LVNs N/A APRNs APRNs No difficulty at all APRNs APRNs APRNs APRNs Extremely difficult APRNs N/A CNAs/HHAs/Personal Care Aides CNAs/HHAs/Personal Care Aides No difficulty at all CNAs/HHAs/Personal Care Aides CNAs/HHAs/Personal Care Aides CNAs/HHAs/Personal Care Aides CNAs/HHAs/Personal Care Aides Extremely difficult CNAs/HHAs/Personal Care Aides N/A Caregivers/Homemakers Caregivers/Homemakers No difficulty at all Caregivers/Homemakers Caregivers/Homemakers Caregivers/Homemakers Caregivers/Homemakers Extremely difficult Caregivers/Homemakers N/A Physical Therapists Physical Therapists No difficulty at all Physical Therapists Physical Therapists Physical Therapists Physical Therapists Extremely difficult Physical Therapists N/A Occupational Therapists Occupational Therapists No difficulty at all Occupational Therapists Occupational Therapists Occupational Therapists Occupational Therapists Extremely difficult Occupational Therapists N/A Speech Language Pathologists Speech Language Pathologists No difficulty at all Speech Language Pathologists Speech Language Pathologists Speech Language Pathologists Speech Language Pathologists Extremely difficult Speech Language Pathologists N/A Other (please specify) Question Title * 4. What is your approximate annual turnover rate for each discipline? (please enter a percentage or NA) RNs LPNs/LVNs APRNs CNAs/HHAs/Personal Care Aides Homemakers/Companions Physical Therapists Occupational Therapists Speech Language Pathologists Question Title * 5. If you've been forced to turn down referrals due to staffing shortages, please indicate approximately what percentage. 0 100 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 6. What factor(s) do you think are contributing most to your workforce challenges right now? Question Title * 7. Please indicate reasons staff give for leaving your agency. Check all that apply. Seeking better pay Seeking additional work hours Leaving the industry Better offer from a facility (hospital, SNF, ALF, etc.) Burned out Leaving the area Dissatisfied with the agency (including management, culture, etc.) Other (please specify) Question Title * 8. Has your agency hired foreign workers through work-based visas? Yes No Comments: Question Title * 9. Do you have specific ideas about how federal (Congress, CMS, HRSA, Dept of Labor, etc.) or state policymakers could help address the workforce challenges care-in-the-home providers are facing? Question Title * 10. Please share any additional comments. Question Title * 11. Please provide your contact information. Your information will not be shared. Name Company City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address Phone Number Done