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Title Final report on assessment instruments for a prospective payment system : appendices / Joan L. Buchanan [and others]
Published Santa Monica, CA : RAND, 2004

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Description 1 online resource (130 pages) : illustrations
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
Notes Title from title screen (viewed on June 10, 2004)
Document formatted into pages; contains 128 pages
"RAND Health."
Subject Hospitals -- Rehabilitation services -- Prospective payment.
Medicare.
Prospective Payment System -- economics
Rehabilitation Centers -- economics
Medicare
MEDICAL -- Health Policy.
Hospitals -- Rehabilitation services -- Prospective payment
Medicare
Form Electronic book
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.)
ISBN 0833032224
9780833032225
9780833059949
0833059947
Other Titles Assessment instruments for a prospective payment system