Data Collection and Monitoring

A lack of reliable data about the direct care workforce is a challenge to the efforts to quantify concerns, identify priorities, implement solutions and evaluate outcomes. More data is needed on workforce volume, stability and compensation.

Several states took initial steps to improve direct care workforce data collection. Policymakers can look to state agencies and various professional organizations that collect workforce data.


  • California’s Data Dashboard on Aging tracks the number of direct care workers by type and tracks licensed workers per 1,000 older adults by county.
  • A 2017 Massachusetts law requires the creation of a public registry for home care workers in its State Home Care Program. The registry verifies the type of training received and credentials earned.
  • Texas requires reports on the size, stability and compensation of the direct care workforce from long-term services and supports providers.
  • Utah’s American Rescue Plan Act spending plan includes $500,000 for a study to evaluate and recommend ways to address the direct services workforce shortage and to support one-time projects based on the study.

2023-24 Updates

Data Collection and Monitoring

Alabama reconstituted the Alzheimer’s Disease Task Force, directing it to develop and prioritize recommendations to prepare the health care workforce to meet the rising need for dementia care.

Arizona’s ARPA spending plan proposed an investment in the Workforce Data Reporting System that will help state agencies monitor trends affecting recruitment and retention in the health care workforce.

Minnesota established the Nursing Home Workforce Standards Board, created to conduct investigations into working conditions in the nursing home industry and adopt rules establishing minimum employment standards reasonably necessary to protect the health and welfare of nursing home workers.

Minnesota required the commissioner of health to publish a report on the current status of the nursing workforce, established rules to reduce violence against health care workers such as: annual incident response action plans, training for health care workers on safety during acts of violence, and official procedures allowing health care workers to request additional staffing to reduce risks of violence in hospitals.

New Jersey established the Alzheimer’s and Dementia Care Long-Term Advisory Commission, which will report about the state’s long-term care facilities capacity and evaluate the sufficiency of the State’s dementia care workforce, including: identifying current and future workforce needs, anticipating future workforce shortages, and developing innovative strategies to encourage and increase the recruitment and retention of health care.

Oregon required health care providers to annually report to OR Health Authority the aggregate amount of compensation paid to frontline workers as wages, benefits, salaries, bonuses and incentive payments.

Pennsylvania directed the Legislative Budget and Finance Committee to conduct a study on the effect of workforce shortages on State-supported Medicaid home and community-based services waiver programs and the Pennsylvania Lottery-funded area agency on aging programs and Act 150 services in this Commonwealth.

Wisconsin On behalf of the state, University of Wisconsin-Green Bay (UW-GB) collects demographic information (including education, age, race, and gender) and tracks the number of individuals who complete the Certified Direct Care Professional (CDCP) program, as well as the number of CDCPs who are employed by a home and community-based (HCBS) entity. Wisconsin Department of Health Services has an interagency agreement with the University of Wisconsin-Milwaukee to conduct an evaluation of WisCaregiver Careers and the Certified Direct Care Professional program. The evaluation will be published in 2025.