In homecare this can be a major issue! We have looked into this and have found that can get very complicated and to time consuming. But on the other hand we need to show Management that some cases take longer then others! The best method I have heard of as of today is the 1 2 scale. This is all Admissions's and complicated revisits are considered a 1 and all other revisits are considered a 2. This way you may have 2 number 1's and 4 number 2's for a total of 6 visit per day. But never would you have more then 2 number 1's! At our agency we must meet productivity so that is why we limit each nurse to two number 2's. Please share with us any other methods you have heard about! I would be very interested!