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Interest among occupational therapy managers in measuring workload for case costing
R Cockerill1, E Scott, M Wright
1Department of Health Administration, University of Toronto, Ontario, Canada.
Summary
Senior occupational therapy managers desire better workload measurement systems for case costing. Current methods are unsatisfactory, highlighting a need for prospective workload prediction and improved diagnostic grouping for occupational therapy services.
Area of Science:
- Health Services Research
- Occupational Therapy Management
- Healthcare Economics
Background:
- Growing interest in individual case costing for healthcare delivery.
- Limited integration of allied health activities, like occupational therapy, into costing models.
- Need for improved workload measurement in occupational therapy.
Purpose of the Study:
- To investigate senior occupational therapy managers' views on workload measurement based on case mix.
- To understand current practices and satisfaction levels with existing workload systems.
- To identify needs and expectations for future workload measurement systems.
Main Methods:
- A survey was distributed to 198 senior occupational therapy managers in Canadian facilities.
- 182 responses were collected, yielding a 92% response rate.
- The survey assessed current workload measurement systems, satisfaction, and general needs.
Main Results:
- Most respondents used time-recording systems with low satisfaction.
- Current systems failed to provide essential costing data.
- Respondents favored costing occupational therapy services by diagnostic grouping and establishing standard protocols and times.
Conclusions:
- There is significant support for enhancing current workload measurement methods.
- Occupational therapy managers seek prospective workload prediction capabilities.
- These advancements are crucial for adopting case costing and effective program management.