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The COVID-19 pandemic exacerbated existing staffing shortages in home care agencies, prompting new federal and state policies and agency practices to address these workforce challenges.

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Area of Science:

  • Public Health
  • Healthcare Management
  • Health Policy

Background:

  • The COVID-19 pandemic significantly impacted healthcare systems globally.
  • Home care agencies, including home health services, faced unprecedented operational and staffing challenges.
  • Pre-existing workforce issues in the home care sector were amplified by the pandemic.

Purpose of the Study:

  • To investigate the staffing challenges encountered by home care agencies during the COVID-19 pandemic.
  • To analyze the effectiveness of policies and practices implemented by governments and agencies to mitigate these challenges.
  • To understand the multifaceted nature of pandemic-related workforce disruptions in home care.

Main Methods:

  • A comprehensive review of federal and state policy modifications enacted between March and December 2020.
  • An analysis of home care agency practices documented in media, academic literature, and gray literature.
  • Qualitative data collection through interviews with diverse stakeholders involved in the home care sector.

Main Results:

  • The pandemic introduced novel staffing problems and intensified pre-existing ones within the home care industry.
  • Governmental bodies (federal and state) introduced policy adjustments, regulations, and guidance to alleviate workforce pressures.
  • Home care agencies adapted their operational policies and practices in response to the evolving pandemic landscape and workforce demands.

Conclusions:

  • The COVID-19 pandemic presented significant and complex staffing challenges for home care agencies.
  • A combination of governmental policy interventions and agency-specific practice adaptations were employed to address these issues.
  • Understanding these responses is crucial for building resilience in the home care workforce for future public health crises.