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Kansas analysis finds EVV can reveal workforce patterns; 77% of home-based workers are self-directed
Summary
University of Kansas analysts reported that 2024 EVV records covered over 27,000 service participants and ~25,000 direct support workers; analysis showed more than 77% of the home-based workforce is self-directed and a preliminary annual turnover rate of 38%.
Researchers who analyzed Kansas EVV data described the dataset as a promising labor-market source but noted important limitations.
"This is the electronic visit verification system that is required by CMS..." said Carrie Windle Hummel, noting EVV covers HCBS-funded home-based workers and excludes many residential or day-service staff. She reported the 2024 Authentic Care dataset included records for "over 27,000 service participants" and about "25,000 DSWs."
Hummel said their analysis estimated that "over 77% of our home based workforce is self directed" and, based on one year of data, they "calculated a 38% annual turnover rate, with higher turnover in agency based compared to self directed." She cautioned that data anomalies — for example multiple approved care hours in EVV records — limited the team's ability to calculate unfilled care hours reliably and that longitudinal tracking will require addressing those anomalies.
Implication: EVV can support heat-mapping, turnover analysis and other labor-market measures if states address definitional and data-quality issues and ensure the dataset's coverage matches the questions being asked.
