Working 4 You: Computer Program Determines Critical Care

Controversy surrounds a program that Arkansans with profound disabilities, and those affected by aging, rely on to receive their life-sustaining care in their homes instead of in an institution.
Investigative, Video (Arkansas)

Marci Manley
KARK4 (local NBC, Little Rock)
November 14, 2017

Tags: Disability Rights, Medicaid, Technology

Organizations mentioned/involved: Center for Arkansas Legal Services (CALS) (Little Rock), Legal Aid of Arkansas (LAA) (Jonesboro, AR)


A mathematical formula now interprets nurses’ assessments, giving patients the paid hours of care they receive. Some say the cuts to their hours are eliminating their ability to stay independent. Many of those add the program is the only thing that allows them to stay in their homes as it is.

Shannon Brumley’s wheelchair rolls to a stop in front of a head-high pile of chopped wood. A homemade mechanical contraption, fitted with a handle and compressor is situated slightly to the side.

“I never would have imagined myself like this,” Brumley said.