Final report on assessment instruments for a prospective payment system:  appendices / 
 Assessment instruments for a prospective payment system 
Joan L. Buchanan ... [et al.] 
 - 1 online resource (128 pages). 
<br/><br/> "RAND Health."  Title from title screen (viewed on June 10, 2004). 
<br/><br/>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 
<br/><br/> 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. 
<br/><br/><br/>Mode of access: internet via WWW. 
<br/><br/><label>ISBN: </label>0833032224 
<br/><br/><label>Standard Tech. Report. No.: </label>RAND/MR-1501/1-CMS 
<br/><br/><label>Source: </label> Online only 
<br/><br/><label>LCCN: </label>2002031822 
<br/><br/><label>Subjects--Topical Terms: </label><br/>Hospitals--Rehabilitation services--Prospective payment.<br/>Medicare.<br/>Prospective Payment System--economics.<br/>Rehabilitation Centers--economics.
<br/><br/><label>LC Class. No.: </label>RA971.32  / .F565 2004