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Team Size and Composition in Home Healthcare: Quantitative Insights and Six Model-Based Principles.

Yoram Clapper¹, Witek Ten Hove², René Bekker¹

¹Department of Mathematics, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands.

Healthcare (Basel, Switzerland)

|November 24, 2023

Summary

Model-based principles guide home healthcare team size and composition decisions. Optimal teams balance efficiency gains with manageability, serving hundreds of care hours weekly.

Keywords:

efficiency home care resource allocation work force

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Area of Science:

Operations Research
Healthcare Management
Applied Mathematics

Background:

Home healthcare services face challenges in optimizing team size and composition.
Effective resource allocation is crucial for efficient and high-quality patient care.

Purpose of the Study:

To develop model-based principles for guiding decisions on home healthcare team size and composition.
To provide practical insights for managers and policymakers.

Main Methods:

Extensive data analysis and close collaboration with healthcare practice.
Formalization of principles using elementary mathematical models.
Numerical analysis of real-life scenarios.

Main Results:

Efficiency increases with team size, with diminishing returns for larger teams.
Team manageability and coordination complexity increase with team size.
Principles address capacity planning, travel time, effective capacity, contract types, and team manageability.

Conclusions:

An ideally sized home healthcare team should provide at least a few hundred care hours per week.
Balancing team size is essential to maximize efficiency while minimizing management complexity.
The developed principles offer a quantitative approach to optimizing home healthcare team structures.