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Quantifying client need for care in the community: a strategy for managed care.
B J Hays1, L Sather, D A Peters
1University of Nebraska Medical Center, College of Nursing, Omaha, USA.
Public Health Nursing (Boston, Mass.)
|September 28, 1999
Summary
The Community Health Intensity Rate Scale (CHIRS) was refined to better assess patient care needs. Further indicator-level adjustments are needed for optimal validity and reliability in community health settings.
Area of Science:
- Community health
- Healthcare management
- Psychosocial assessment
Background:
- Healthcare focus shifted to managed care and covered lives.
- The Community Health Intensity Rate Scale (CHIRS) assesses client care needs holistically.
- CHIRS has been applied across diverse community health populations.
Purpose of the Study:
- To test the validity and reliability of a refined version of the CHIRS.
- To evaluate the CHIRS tool for determining client care intensity in community settings.
Main Methods:
- Iterative refinement of the CHIRS based on application feedback.
- Validity and reliability testing of the revised CHIRS tool.
Main Results:
- The refined CHIRS demonstrated utility but required further refinement at the indicator level.
- The study identified areas for improving the scale's precision.
Conclusions:
- The revised CHIRS is a more practical tool for assessing community client needs.
- Further development is recommended to enhance the scale's psychometric properties.
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