Table 2.
Three-Level Model of the Effects of Client, Case Manager, and Agency Characteristics on Care Plan Eligibility Level
| Fixed Effects | Coefficient | SE |
|---|---|---|
| Intercept | 1.06**** | .16 |
| Level 1 Predictors: | ||
| (Medicare home health care status) | ||
| Current receipt of home health care services | −.18** | .06 |
| Termination of home health care services due to noncompliance | .24**** | .06 |
| Termination of home health care services due to no skilled need | .16** | .06 |
| (Case mix) | ||
| Cognitive impairment | .28**** | .05 |
| Primary diagnosis of rehabilitation | .12** | .05 |
| Primary diagnosis of terminal illness | .21**** | .05 |
| Cleanliness of client's home | .29**** | .03 |
| Personal hygiene | .15**** | .03 |
| Nutritional status | .26**** | .03 |
| Mobility | .05**** | .02 |
| Level 2 Predictors: | ||
| Model for case manager mean: | ||
| Previously worked as a case manager | −.01 | .07 |
| Job satisfaction | −.04 | .06 |
| Graduate education | −.16 | .11 |
| Length of employment | .07 | .07 |
| Level 3 Predictors: | ||
| Model for agency mean: | ||
| Mean caseload size | .02* | .01 |
| Case management staff turnover rate | .64* | .31 |
| Proportion of case management staff licensed as social workers | .71** | .31 |
| Mean case management work pressure | .07 | .05 |
| Random Effects | Variance Component | SD |
| Level 1 | .64 | .80 |
| Level 2 | .19**** | .44 |
| Level 3 | .008** | .09 |
Model converged at 8 iterations; 22 parameters estimated, deviance=3695.38.
*
Reliability estimates: π0=.64, β00=.29; p<.10
**
p<.05
***
p<.01
****
p<.001