A Better Jobs Better Care Research Study, funded by the Robert Wood Johnson Foundation and the Atlantic Philanthropies.

America’s long-term care system is in a state of crisis. A major cause of this crisis is a
staffing shortage of unprecedented proportions. The decreasing labor pool and
competition from other industries have made staying fully staffed a continual challenge
for long-term care providers across the spectrum of services. Long-term care also
experiences high rates of job dissatisfaction, burnout and employee turnover. This pattern
is occurring at a time when long-term care facilities and agencies are caring for people
with increasingly complex and time-consuming medical needs and additional federal and
state funding cuts are looming. Thus, creative new employee development and retention
programs are needed that truly work and are cost effective.