title: Predictors of home care readiness for managed care: a multivariate analysis.
abstract: As home care agencies change from cost-based reimbursement to the managed care risk paradigm, many lack experience with organizational resources and functions needed to successfully operate in the managed care environment. This survey assessed the level of "readiness" for managed care reported by 162 randomly selected home care agencies in three mid-western states. Managed care readiness was measured by a 32-item mailed questionnaire addressing clinical, financial, operational, and informational systems within each agency. Higher levels of readiness were significantly related to the perception of being ready, proprietary auspices, and moderate agency size in a multivariate regression model. Agencies with these characteristics appear to be well positioned as home care moves into the managed care environment.
authors.affiliation: Ohio State University College of Nursing, USA.
authors.forename: T W
authors.initials: TW
authors.lastname: Medley
authors.forename: J T
authors.initials: JT
authors.lastname: Nickel
mesh_terms: D000368:Aged; D018574:Home Care Agencies / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data*; D006801:Humans; D008329:Managed Care Programs / Q000191:economics / Q000592:standards / Q000706:statistics & numerical data; D008330:Management Audit / Q000706:statistics & numerical data*; D008331:Management Information Systems; D020398:Medicare Part C / Q000458:organization & administration / Q000706:statistics & numerical data; D015146:Midwestern United States; D015999:Multivariate Analysis; D009936:Organizational Innovation / Q000191:economics; D012044:Regression Analysis; D012051:Reimbursement Mechanisms / Q000639:trends; D011795:Surveys and Questionnaires