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Service Use and Financial Performance in a Replication Program on Adult Day Centers

Received September 17, 1997; revised March 15, 1998; accepted May 5, 1998. From the Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, Winston-Salem, NC. Address correspondence to Dr. Reifler, Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, Winston-Salem NC 27157-1087. e-mail: breifler{at}wfubmc.edu

The authors describe results from Partners in Caregiving: The Dementia Services Program, and present information on service utilization and financial performance among a group of 48 adult day centers across the United States from 1992 to 1996. Centers, with nonrandom assignment, received either grant support (average value: $93,000) or intensive technical assistance (average value: $39,000). Sites reported baseline data and submitted utilization information (enrollment and census) and financial data (revenue and expenses) quarterly. Overall, there were significant increases in enrollment, census, and financial performance (percent of cash expenses met through operating revenue) over the 4-year period. The grant-supported and technical-assistance sites had similar rates of improvement. Results provide data on service utilization and financial performance and demonstrate gains that can be achieved in these areas through improved marketing and financial management.

Key Words: Long-Term Care • Alzheimer's Disease • Economics

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