Exit this survey NAPGCM Mid-Atlantic Chapter Member Survey Member Survey Identify range of care management practices related to staffing, service offerings, marketing and administration. Question Title * 1. How long has your organization been providing care management services? 0-5 Years 6-10 Years 11-15 Years 16-20 Years 21+ Years Question Title * 2. What NAPGCM Mid-Atlantic Chapter Unit do you belong to? Baltimore DC Suburbs-Maryland Philadelphia Northern Virginia-Loudoun/Fairfax Virtual Question Title * 3. What services does your organization provide and by whom? MSW MSW-LCSW RN BSW LPN Other (please specify below) General Care Management General Care Management MSW General Care Management MSW-LCSW General Care Management RN General Care Management BSW General Care Management LPN General Care Management Other (please specify below) Bill Payment/Money Management Bill Payment/Money Management MSW Bill Payment/Money Management MSW-LCSW Bill Payment/Money Management RN Bill Payment/Money Management BSW Bill Payment/Money Management LPN Bill Payment/Money Management Other (please specify below) Companion/Friendly Visiting Companion/Friendly Visiting MSW Companion/Friendly Visiting MSW-LCSW Companion/Friendly Visiting RN Companion/Friendly Visiting BSW Companion/Friendly Visiting LPN Companion/Friendly Visiting Other (please specify below) Care Management Consultation Care Management Consultation MSW Care Management Consultation MSW-LCSW Care Management Consultation RN Care Management Consultation BSW Care Management Consultation LPN Care Management Consultation Other (please specify below) Psychotherapy Psychotherapy MSW Psychotherapy MSW-LCSW Psychotherapy RN Psychotherapy BSW Psychotherapy LPN Psychotherapy Other (please specify below) Homecare Homecare MSW Homecare MSW-LCSW Homecare RN Homecare BSW Homecare LPN Homecare Other (please specify below) Capacity Reports Capacity Reports MSW Capacity Reports MSW-LCSW Capacity Reports RN Capacity Reports BSW Capacity Reports LPN Capacity Reports Other (please specify below) Initial Assessments Initial Assessments MSW Initial Assessments MSW-LCSW Initial Assessments RN Initial Assessments BSW Initial Assessments LPN Initial Assessments Other (please specify below) Guardianship Guardianship MSW Guardianship MSW-LCSW Guardianship RN Guardianship BSW Guardianship LPN Guardianship Other (please specify below) Other (please specify below) Other (please specify below) MSW Other (please specify below) MSW-LCSW Other (please specify below) RN Other (please specify below) BSW Other (please specify below) LPN Other (please specify below) Other (please specify below) Question Title * 4. If you checked "Other", please specify the services you provide and by whom: Question Title * 5. Please indicate below the general range your organization charges on an hourly basis for each service. Please check all that apply: < $75 $76 - $100 $101 - $125 $126 - $150 $151 - 175 > $175 Other (please specify below) General Care Management General Care Management < $75 General Care Management $76 - $100 General Care Management $101 - $125 General Care Management $126 - $150 General Care Management $151 - 175 General Care Management > $175 General Care Management Other (please specify below) Bill Payment/Money Management Bill Payment/Money Management < $75 Bill Payment/Money Management $76 - $100 Bill Payment/Money Management $101 - $125 Bill Payment/Money Management $126 - $150 Bill Payment/Money Management $151 - 175 Bill Payment/Money Management > $175 Bill Payment/Money Management Other (please specify below) Companion/Friendly Visiting Companion/Friendly Visiting < $75 Companion/Friendly Visiting $76 - $100 Companion/Friendly Visiting $101 - $125 Companion/Friendly Visiting $126 - $150 Companion/Friendly Visiting $151 - 175 Companion/Friendly Visiting > $175 Companion/Friendly Visiting Other (please specify below) Care Management Consultation Care Management Consultation < $75 Care Management Consultation $76 - $100 Care Management Consultation $101 - $125 Care Management Consultation $126 - $150 Care Management Consultation $151 - 175 Care Management Consultation > $175 Care Management Consultation Other (please specify below) Psychotherapy Psychotherapy < $75 Psychotherapy $76 - $100 Psychotherapy $101 - $125 Psychotherapy $126 - $150 Psychotherapy $151 - 175 Psychotherapy > $175 Psychotherapy Other (please specify below) Homecare Homecare < $75 Homecare $76 - $100 Homecare $101 - $125 Homecare $126 - $150 Homecare $151 - 175 Homecare > $175 Homecare Other (please specify below) Capacity Reports Capacity Reports < $75 Capacity Reports $76 - $100 Capacity Reports $101 - $125 Capacity Reports $126 - $150 Capacity Reports $151 - 175 Capacity Reports > $175 Capacity Reports Other (please specify below) Initial Assessments Initial Assessments < $75 Initial Assessments $76 - $100 Initial Assessments $101 - $125 Initial Assessments $126 - $150 Initial Assessments $151 - 175 Initial Assessments > $175 Initial Assessments Other (please specify below) Guardianship Guardianship < $75 Guardianship $76 - $100 Guardianship $101 - $125 Guardianship $126 - $150 Guardianship $151 - 175 Guardianship > $175 Guardianship Other (please specify below) Other (please specify below) Other (please specify below) < $75 Other (please specify below) $76 - $100 Other (please specify below) $101 - $125 Other (please specify below) $126 - $150 Other (please specify below) $151 - 175 Other (please specify below) > $175 Other (please specify below) Other (please specify below) Question Title * 6. If you checked "Other", please specify the services you provide and the price range: Question Title * 7. How many full-time equivalent employees does your organization employ? MSW MSW-LCSW RN BSW LPN Administrative Marketing Gerontologist Legal Business Allied Health Other (please specify below) Question Title * 8. If you checked "Other", please specify the type of employees: Question Title * 9. How many full-time equivalent contractors does your organization employ? MSW MSW-LCSW RN BSW LPN Administrative Marketing Gerontologist Legal Business Allied Health Other (please specify below) Question Title * 10. If you checked "Other", please specify the type of contractors: Question Title * 11. What type of clientele does your organization typically serve? Please check all that apply: Elderly Medically Fragile Disabled Other Question Title * 12. If you checked "Other", please specify the type of clientele: Question Title * 13. Does your organization charge clients for travel time? Yes No Next