This project assesses the feasibility of developing a programmed instruction management guide on the shared aide system for managing delivery of home health services. It is being carried out by analyzing the current management of four shared aide packages in Monroe County, New York. If the study shows that it is feasible to replicate the experience with the shared aide system, then it will be possible to develop a programmed instruction management guide that can be sold to home health agencies and local governments. The guide will teach them how to implement the system to serve their clients. Preliminary operation of the shared aide system showed that it substantially reduced the cost of home health services while maintaining or improving the quality of care provided. Health Care Financing Administration
