Case-Mix Groups for VA Hospital-Based Home Care
Datos Bibliográficos
The purpose of this study is to group hospital-based home care (HBHC) patients homogeneously by their characteristics with respect to cost of care to develop alternative case mix methods for management and reimbursement (allocation) purposes. Six Veterans Affairs (VA) HBHC programs in Fiscal Year (FY) 1986 that maximized patient, program, and regional variation were selected, all of which agreed to participate. All HBHC patients active in each program on October 1, 1987, in addition to all new admissions through September 30, 1988 (FY88), comprised the sample of 874 unique patients. Statistical methods include the use of classification and regression trees (CART software: Statistical Software; Lafayette, CA), analysis of variance, and multiple linear regression techniques. The resulting algorithm is a three-factor model that explains 20% of the cost variance (R2 = 20%, with a cross validation R2 of 12%). Similar classifications such as the RUG-II, which is utilized for VA nursing home and intermediate care, the VA outpatient resource allocation model, and the RUG-HHC, utilized in some states for reimbursing home health care in the private sector, explained less of the cost variance and, therefore, are less adequate for VA home care resource allocation
Business · Case mix index · Economics · Fiscal year · Health care · Home health · Operations management · Reimbursement · Sample (material) · Variance (accounting) · Veterans Affairs · Chronic Disease Management Strategies · Finance · Geriatric Care and Nursing Homes · Healthcare Policy and Management · Medicine · Nursing
Techniques For Developing Health Quality of Life Scales for Point of Service Use
Research Issues Related To Oral Health Expenditures and Financing Oral Health Care for the Aging Veteran
Measuring Quality of Life in Routine Oncology Practice Improves Communication and Patient Well-Being
A comparison of responsiveness indices in multiple sclerosis patients
Patient-based health status measurement in clinical practice
Quality of life assessment by community pharmacists
Using patient reports to assess health-related quality of life after total hip replacement
Determinants of Home Health Visit Length
A prospective study of long-term care institutionalization among the aged
A Randomized Trial of Veterans Administration Home Care for Severely Disabled Veterans
Evaluating Inpatient Costs
Validation and Use of Resource Utilization Groups as a Case-mix Measure for Long-term Care
Progress in Development of the Index of ADL
| Obras citantes distintas | 8 |
|---|---|
| Citas por año | 0,24 |
| Intervalo de citas | 1993 - 2006 (14) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 6 |