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Implementing a pay-per-visit program while ensuring quality care.

B M O'Brien1

  • 1Beth Israel Hospital, Passaic, NJ.

Caring : National Association for Home Care Magazine
|March 10, 1991
PubMed
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Home care providers face staffing challenges. A pay-per-visit program increased home health visits cost-effectively, meeting quality standards despite reimbursement systems.

Area of Science:

  • Healthcare Management
  • Home Health Services
  • Quality Assurance

Background:

  • Home care providers face challenges in creative staffing to meet quality standards and market trends.
  • The existing reimbursement systems, such as Diagnosis-Related Group (DRG), can pose financial constraints.

Purpose of the Study:

  • To evaluate the effectiveness and cost-efficiency of an alternative staffing model in home care.
  • To assess the impact of a pay-per-visit program on service delivery and quality.

Main Methods:

  • Implementation of a pay-per-visit staffing program by the Tri-Hospital Home Health Program.
  • Analysis of visit volume and cost-effectiveness data from 1989.

Main Results:

  • The program generated nearly 4,000 additional home care visits in 1989.

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  • The pay-per-visit model demonstrated significant cost-effectiveness.

    • Conclusions:

    • Creative staffing solutions like pay-per-visit programs can enhance service delivery in home care.
    • This model offers a viable strategy for home care providers to increase visits and manage costs effectively within existing reimbursement structures.