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Characteristics of High Staff Intensive Medicare Psychiatric Inpatients
Previous analyses of the costs of Medicare psychiatric inpatients have been limited by the use of claims and provider cost reports that fail to quantify differences in patient characteristics and routine costs. This article uses new primary data from 66 psychiatric inpatient units in 40 facilities n...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
CENTERS for MEDICARE & MEDICAID SERVICES
2004
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194884/ https://www.ncbi.nlm.nih.gov/pubmed/15776703 |
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author | Cromwell, Jerry Maier, Jan Gage, Barbara Drozd, Edward Osber, Deborah Richter, Erin Greenwald, Leslie Goldman, Howard |
author_facet | Cromwell, Jerry Maier, Jan Gage, Barbara Drozd, Edward Osber, Deborah Richter, Erin Greenwald, Leslie Goldman, Howard |
author_sort | Cromwell, Jerry |
collection | PubMed |
description | Previous analyses of the costs of Medicare psychiatric inpatients have been limited by the use of claims and provider cost reports that fail to quantify differences in patient characteristics and routine costs. This article uses new primary data from 66 psychiatric inpatient units in 40 facilities nationwide to measure the times staff spend in therapeutic and other activities caring for Medicare patients. Patient days are divided into two groups of very high and low staff intensity and patient characteristics compared in each group. Results identify key patient characteristics associated with high staffing days, including old age, dementia and cognitive impairment, severe psychiatric diagnosis, deficits in activities of daily living (ADLs), and assaultive or agitated behaviors. Policy implications and suggested enhancements are made with regard to the proposed CMS case-mix classification system based on claims data alone. |
format | Online Article Text |
id | pubmed-4194884 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2004 |
publisher | CENTERS for MEDICARE & MEDICAID SERVICES |
record_format | MEDLINE/PubMed |
spelling | pubmed-41948842014-11-04 Characteristics of High Staff Intensive Medicare Psychiatric Inpatients Cromwell, Jerry Maier, Jan Gage, Barbara Drozd, Edward Osber, Deborah Richter, Erin Greenwald, Leslie Goldman, Howard Health Care Financ Rev Research Article Previous analyses of the costs of Medicare psychiatric inpatients have been limited by the use of claims and provider cost reports that fail to quantify differences in patient characteristics and routine costs. This article uses new primary data from 66 psychiatric inpatient units in 40 facilities nationwide to measure the times staff spend in therapeutic and other activities caring for Medicare patients. Patient days are divided into two groups of very high and low staff intensity and patient characteristics compared in each group. Results identify key patient characteristics associated with high staffing days, including old age, dementia and cognitive impairment, severe psychiatric diagnosis, deficits in activities of daily living (ADLs), and assaultive or agitated behaviors. Policy implications and suggested enhancements are made with regard to the proposed CMS case-mix classification system based on claims data alone. CENTERS for MEDICARE & MEDICAID SERVICES 2004 /pmc/articles/PMC4194884/ /pubmed/15776703 Text en |
spellingShingle | Research Article Cromwell, Jerry Maier, Jan Gage, Barbara Drozd, Edward Osber, Deborah Richter, Erin Greenwald, Leslie Goldman, Howard Characteristics of High Staff Intensive Medicare Psychiatric Inpatients |
title | Characteristics of High Staff Intensive Medicare Psychiatric Inpatients |
title_full | Characteristics of High Staff Intensive Medicare Psychiatric Inpatients |
title_fullStr | Characteristics of High Staff Intensive Medicare Psychiatric Inpatients |
title_full_unstemmed | Characteristics of High Staff Intensive Medicare Psychiatric Inpatients |
title_short | Characteristics of High Staff Intensive Medicare Psychiatric Inpatients |
title_sort | characteristics of high staff intensive medicare psychiatric inpatients |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194884/ https://www.ncbi.nlm.nih.gov/pubmed/15776703 |
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