Paraprofessional Healthcare Institute

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Paraprofessional Healthcare Institute, Inc.
Abbreviation PHI
Motto Quality Care through Quality Jobs
Formation 1991
Headquarters Bronx, NY
Jodi M. Sturgeon

Paraprofessional Healthcare Institute, Inc. (PHI) is a non-profit organization based in New York City that works to improve long-term services and supports for elders and individuals with disabilities, as well as improve the job quality of the direct-care workers who provide those services whether in people's homes or in nursing homes and other institutional facilities.[1][2][3]


Founded in 1991 and headquartered in the Bronx, PHI has 32 staff members, and implements policy and practice initiatives in 20 states and nationally.

PHI has received state and national grants to run pilot training programs, which teach staff at long-term care organizations how to implement a "Coaching Approach" to communication, supervision, and problem-solving.[4] As part of its “Health Care for Health Care Workers” campaign, PHI initiated a Come Care With Me program that paired policymakers with direct-care workers for a day on the job, so that they could learn firsthand about the day-to-day struggles associated with this workforce.[5][6] PHI also runs the National Clearinghouse on the Direct Care Workforce, an online library of over a thousand materials related to the direct-care workforce.

PHI supports[7] revising the companionship exemption so that home care aides are no longer excluded from federal minimum wage and overtime protections. They have been opposed by many organizations which support the rights of people with disabilities such as ADAPT and Disabled In Action of Metropolitan New York [1] which argue that revising the companionship exemption to require the payment of overtime rates for work performed beyond 40 hours a week will lead to reduced hours and take-home pay for home care workers and force many people with disabilities into nursing homes.


PHI has a close association with three affiliates:

  • Cooperative Home Care Associates (CHCA), a Bronx-based home care agency that employs 2,000 home health aides. CHCA is the largest worker cooperative in the country, managing an employer-based training program that enrolls 420 inner-city women annually.
  • Home Care Associates (HCA), a worker-owned home care agency and training program with 170 staff, based in Philadelphia.
  • Independence Care System (ICS), a nonprofit managed care program that coordinates services for more than 2,300 low-income adults living in their homes with physical disabilities.

PHI is also a member of the Eldercare Workforce Alliance, a group of 28 national organizations, joined together to address the immediate and future workforce crisis in caring for an aging America.


  1. ^ Leland, John (April 24, 2010). “A Graying Population, A Graying Workforce.” New York Times. Retrieved October 7, 2010.
  2. ^ The New York Times New Old Age blog July 27, 2010. Dale Russakoff. “One Way to Judge a Nursing Home.”
  3. ^ Span, Paula (May 10, 2009). “Marilyn Daniel’s Reward.” Washington Post. Retrieved October 7, 2010.
  4. ^ Jones, Diana Nelson (May 23, 2010). “National Movement Focuses on Choice, Independence for elderly.” Pittsburgh Post-Gazette.
  5. ^ Scott, Jason (December 28, 2009). “Reporter’s Notebook: Legislator Participates in Come Care with Me Day.” The Sentinel.
  6. ^ Higgins, Kaileigh (September 30, 2010). “Jehlen Rolls Up Her Sleeves at 102-Year-Old’s House.”
  7. ^ "Home Care Workers Deserve Minimum Wage & Overtime". 

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