HCR proposes a study to assess the feasibility of developing a programmed instruction guide on the shared aide system for managing delivery of home health services. The project will be conducted by analyzing HCR's current management of four shared aide packages in Monroe County, New York. If the study shows that it is feasible to replicate HCR's experience with the shared aide system, a programmed instruction management guide will be developed 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. HCR's 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. It is therefore anticipated that the guide will be a highly marketable product.Health Care Financing Administration