Quantifying client need for care in the community: A strategy for managed care

Bevely J. Hays, Linda Sather, Donna Ambler Peters

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


The Community Health Intensity Rate Scale (CHIRS) is a tool that provides an index of a client's need for care. Emphasis in healthcare has shifted from episodes of illness to covered lives and managed care. CHIRS contains all the elements for holistically determining the intensity of a client's need for care and the environmental, psychosocial, and health behaviors of the client. The CHIRS has been utilized with a variety of community health populations. Each application of CHIRS provided feedback to the researchers for use in revising CHIRS. This article reports the findings of a study which tested the validity and reliability of the refined version of CHIRS. The validity and reliability needed further refinement at the indicator level. The study produced a more practical tool for determining intensity of need for clients in the community.

Original languageEnglish (US)
Pages (from-to)246-253
Number of pages8
JournalPublic Health Nursing
Issue number4
StatePublished - Aug 1999

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health


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