Research Catalog

Details

Additional authors

1. Kane, Robert L., 1940-2017
2. National Center for Health Services Research

Description

1. xiv, 80 p. : ill.; 29 cm.

Summary

1. A system for measuring relevant parameters of nursing-home residents' functioning has been developed and tested. These parameters include physical activities of daily living, pain and symptoms, cognitive and affective activities, social contact, and satisfaction. Data on patients in a nursing home can be used to predict their subsequent status with reasonable accuracy. The data are less powerful in predicting the fate of discharged patients. Because the outcomes used cover a range of functional domains, value preferences have been used to establish the relative importance of these different outcomes. These were gathered from several groups representing both providers and consumers of long-term care. Finally, a method is developed for reimbursement based on the extent to which predicted functional outcomes have been achieved. The system is designed to be flexible and thus to accommodate a variety of payment schemes.

Series statement

1. Rand publication series

Uniform title

1. Rand publication series

Subject

1. Nursing Homes
2. Nursing home care > United States > Evaluation
3. Nursing homes > Rates > United States
4. Nursing homes > United States > Cost control
5. Nursing home residents > United States
6. Cost Control
7. Reimbursement Mechanisms
8. United States

Owning institution

1. Harvard Library

Note

1. "Prepared for the National Center for Health Services Research."
2. "December 1984."
3. "R-3092-NCHSR."
4. Includes index.

Bibliography (note)

1. Bibliography: p. 77-80.

Processing action (note)

1. committed to retain