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Final report on assessment instruments for a prospective payment system : appendices /

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; characteristic...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autores Corporativos: RAND Health, Rand Corporation, Centers for Medicare & Medicaid Services (U.S.)
Otros Autores: Buchanan, Joan, 1947-, Andres, Patricia, Haley, Stephen M., Paddock, Susan M., Young, David C., Zaslavsky, Alan M.
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Santa Monica, CA : RAND, 2004.
Temas:
Acceso en línea:Texto completo

MARC

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245 0 0 |a Final report on assessment instruments for a prospective payment system :  |b appendices /  |c Joan L. Buchanan [and others]. 
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505 0 |a 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. 
520 |a 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. 
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650 2 |a Medicare 
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