Providing Appropriate Services to Individuals in the Community: A Preliminary Case-Mix Model for Allocating Personal Care Services
CHARLES D. PHILLIPS, JAMES DYER, VIT JANOUSEK, LISA HALPERIN, and CATHERINE HAWES
JHHSA, Vol. 30 No. 4, (2008)
Personal care services are often provided to clients in
community settings through highly discretionary processes. Such
processes provide little guidance for caseworkers concerning how
public resources should be allocated. The results of such processes
almost guarantee that individuals with very similar needs will receive
very different levels of care resources. Such disparities in treatment
open the door to inequity and ineffectiveness. One way to address this
problem is through case-mix classification systems that allocate hours
of care according to client needs. This paper outlines the preliminary
steps taken by one state in its movement toward such a system.
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