A method to determine case manager caseloads in long-term care.
Case management has come to the forefront of home- and community-based long-term care (LTC) as an attempt to reduce the costs of LTC and the fragmentation of the home- and community-based LTC system. The cost of case management itself, however, must also receive attention. A key variable contributing to the cost of a case management program is the size of the case managers' caseloads; the higher the caseloads, the lower the costs, all other things being equal. However, caseloads that are too high can reduce the quality of care. Thus, a program's recommended caseload is an important factor. This article presents a method for determining a recommended caseload for a home- and community-based LTC program, using a case study. This method can be adapted for use by programs that have a different caseload history from that of the program in the case study.
Massie
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D019090:Case Management / Q000458:organization & administration*; D003153:Community Health Services / Q000458:organization & administration*; D003363:Cost Control; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D010865:Pilot Projects; D011787:Quality of Health Care; D014768:Virginia; D016526:Workload