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Title Final report on assessment instruments for a prospective payment system : appendices / Joan L. Buchanan [and others].

Imprint Santa Monica, CA : RAND, 2004.

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Location Call No. OPAC Message Status
 Axe JSTOR Open Ebooks  Electronic Book    ---  Available
Description 1 online resource (130 pages) : illustrations
text txt rdacontent
computer c rdamedia
online resource cr rdacarrier
Note Title from title screen (viewed on June 10, 2004).
Document formatted into pages; contains 128 pages.
"RAND Health."
Contents A: Functional independence measure -- B: Minimum data set-post acute care -- C: Recruitment and study participation letters -- D: Characteristics of participating facilities -- E: Study forms and instructions -- F: FAQs -- G: Sample study newsletters -- H: Calibration team practice sites -- I: Calibration team sampling protocol -- J: Factor analysis -- K: Morris crosswalk.
Summary These appendices accompany a report that evaluates alternative assessment tools for use in a prospective payment system (PPS) for inpatient rehabilitation facilities. They include samples of study forms and instructions; descriptions of measures; recruitment and participation letters; characteristics of participating facilities; sample study newsletters; and sampling protocols. The PPS was designed for use with the Functional Independence Measure. Policymakers hoped to substitute a new, more comprehensive, multipurpose assessment instrument, the Minimum Data Set-Post-Acute Care (MDS-PAC). This study compares the potential effects of this substitution. The MDS-PAC is a comprehensive data collection tool, with over 300 items, including sociodemographic information, pre-admission history, advance directives, cognitive and communication patterns, mood and behavior patterns, functional status, bladder/bowel management, diagnoses, medical complexities, pain status, oral/nutritional status, procedures/services, functional prognosis, and resources for discharge. To use the MDS-PAC in the new payment system, researchers needed a way to create a FIM-like motor score and a FIM-like cognitive score. A proposed translation was refined and evaluated. The goal of the report was to determine whether the planned substitution of the MDS-PAC for the FIM in the proposed inpatient rehabilitation hospital prospective payment system would adversely affect system performance, patients, or hospitals.
Subject Hospitals -- Rehabilitation services -- Prospective payment.
Medicare.
Prospective Payment System -- economics
Rehabilitation Centers -- economics
Medicare
Hôpitaux -- Services de réadaptation -- Paiement prospectif des soins.
Medicare.
MEDICAL -- Health Policy.
Hospitals -- Rehabilitation services -- Prospective payment
Medicare
Added Author Buchanan, Joan, 1947-
Andres, Patricia.
Haley, Stephen M.
Paddock, Susan M.
Young, David C.
Zaslavsky, Alan M.
RAND Health.
Rand Corporation.
Centers for Medicare & Medicaid Services (U.S.)
Added Title Assessment instruments for a prospective payment system
Other Form: Print version: Final report on assessment instruments for prospective payment system. 0833032224 (DLC) 2002031822 (OCoLC)50518640
ISBN 0833032224
9780833032225
9780833059949 (electronic bk.)
0833059947 (electronic bk.)
Report No. RAND/MR-1501/1-CMS
Standard No. GBVCP 1008657344

 
    
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