An assessment tool translation study

Policymakers hoped to substitute a new, multi-purpose, functional assessment instrument, the minimum data set post-acute care (MDS-PAC), into the planned prospective payment system (PPS) for inpatient rehabilitation hospitals. PPS design requires a large database linking treatment costs with measure...

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Bibliographic Details
Published in:Health care financing review 2003-03, Vol.24 (3), p.45-60
Main Authors: Buchanan, Joan L, Andres, Patricia L, Haley, Stephen M, Paddock, Susan M, Zaslavsky, Alan M
Format: Article
Language:English
Subjects:
Activities of daily living
Activities of Daily Living - classification
Aged patients
Care and treatment
Classification
Costs
Data collection
Design
Disability Evaluation
Economic aspects
Home health care
Hospitals
Humans
Inpatient care
Laws, regulations and rules
Long-term care of the sick
Medicare
Medicare - organization & administration
Nursing homes
Patients
Policy Making
Prospective Payment System - organization & administration
Prospective payment systems
Records and correspondence
Rehabilitation
Rehabilitation Centers - economics
Services
Studies
Subacute Care - economics
United States
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Description
Summary:Policymakers hoped to substitute a new, multi-purpose, functional assessment instrument, the minimum data set post-acute care (MDS-PAC), into the planned prospective payment system (PPS) for inpatient rehabilitation hospitals. PPS design requires a large database linking treatment costs with measures of the need for care, so the PPS was designed using the functional independence measure (FIM) database linked to Medicare hospital claims. An accurate translation from the MDS-PAC items to FIM--like items was needed to ensure payment equity under the substitution. This article describes the translation efforts and some of the problems that led policymakers to abandon the effort.
ISSN:0195-8631
1554-9887