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Related Experiment Videos

Doing well by doing good. The case for objective feedback in case management.

M Bellucci1, M C Tonges, R Kopelman

  • 1Richmond Home Need Services, Staten Island, NY, USA.

Journal of Case Management
|March 7, 2000
PubMed
Summary

Objective feedback significantly boosted social workers' billable hours in an HIV/AIDS case management program. This financial improvement helped reverse deficits and increase staff pay within a Fee-For-Service model.

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Area of Science:

  • Social Work
  • Public Health Administration
  • Healthcare Management

Background:

  • Social service programs face financial sustainability challenges within Fee-For-Service (FFS) models.
  • A client-centered focus in social work can sometimes conflict with financial performance concerns.
  • HIV/AIDS case management programs operate under FFS constraints, requiring revenue generation for survival.

Purpose of the Study:

  • To evaluate the impact of an objective feedback intervention on social worker productivity.
  • To assess the financial implications of improved productivity in an FFS HIV/AIDS case management program.

Main Methods:

  • An objective feedback intervention was implemented for social workers.
  • Productivity was measured by billable hours before and after the intervention.

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  • Financial outcomes, including operating deficits and staff salaries, were analyzed.
  • Main Results:

    • A substantial increase in billable hours was observed (13.4% year-to-year and 6.4% pre- to-post intervention).
    • The program successfully reversed its operating deficit following the intervention.
    • Staff salaries were increased as a result of improved financial performance.

    Conclusions:

    • Objective feedback interventions can enhance social worker productivity in FFS systems.
    • Improved productivity can lead to financial sustainability for social service programs.
    • Financial viability is crucial for the continued operation and staff support of HIV/AIDS case management services.