Author: Publisher:
ISBN:
Category : Medical care
Languages : en
Pages : 16
Book Description
Information Requirements for Evaluating the Impacts of Medicare Prospective Payment on Post-hospital Long-term-care Services
Author: Post-hospital Care
Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Ambulatory surgery
Languages : en
Pages : 184
Book Description
Improving the Quality of Long-Term Care
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309132746
Category : Medical
Languages : en
Pages : 344
Book Description
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients
Author: Rand CorporationPublisher:
ISBN:
Category : Diagnosis related groups
Languages : en
Pages : 32
Book Description
To control rising health care costs, the federal government, in 1983, established a prospective payment system (PPS) to reimburse hospitals for inhospital care of Medicare patients. PPS changed the way Medicare reimbursed hospitals from a cost or charge basis to a prospectively determined fixed-price system in which hospitals are paid according to the diagnosis-related group (DRG) into which a patient is classified. This report constitutes the executive summary of an evaluation of the impact of the DRG-based PPS system. Six conditions were selected for the evaluation: congestive heart failure, acute myocardial infarction, hip fracture, pneumonia, cerebrovascular accident, and depression. The authors used both explicit and implicit measures to assess quality of care. Two key policy conclusions emerge from the findings: (1) at least through the middle of 1986, PPS did not interrupt a long-term trend toward better hospital care; and (2) PPS has had a detrimental effect on patients' stability at discharge. The authors recommend that physicians, hospitals, and professional review organizations undertake a more systematic assessment of a patient's readiness to leave the hospital, and that clinically detailed data on sickness at admission, processes, discharge status, and outcomes continue to be collected regularly as long as PPS is in place.
Quality of Care Under Medicare's Prospective Payment System: Appendix
Author: United States. Congress. Senate. Special Committee on AgingPublisher:
ISBN:
Category : Diagnosis related groups
Languages : en
Pages : 794
Book Description
Medicare Prospective Payment and the American Health Care System
Author: Medicare Post-acute Care
Author: William ScanlonPublisher:
ISBN:
Category : Home care services
Languages : en
Pages : 24
Book Description
Health Care
Author: U S Government Accountability Office (GPublisher: BiblioGov
ISBN: 9781289077013
Category :
Languages : en
Pages : 24
Book Description
The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed to a 15-year term by the U.S. President. The GAO wants to support Congress, while at the same time doing right by the citizens of the United States. They audit, investigate, perform analyses, issue legal decisions and report anything that the government is doing. This is one of their reports.
Medicare Payment Policies for Post-acute Care
Author: United States. Congress. Senate. Committee on FinancePublisher:
ISBN:
Category : Family & Relationships
Languages : en
Pages : 176
Book Description
Quality of Care Under Medicare's Prospective Payment System
Author: United States. Congress. Senate. Special Committee on AgingPublisher:
ISBN:
Category : Aged
Languages : en
Pages : 394
Book Description