Cover: Development of a Resource-Based Patient Classification Scheme for Rehabilitation

Development of a Resource-Based Patient Classification Scheme for Rehabilitation

Published In: Inquiry, v. 30, no. 1, Spring 1993, p. 54-63

by Nancy Harada, Gerald Kominski, Soshanna Sofaer

View related products

Read More

Access further information on this document at www.jstor.org

This article was published outside of RAND. The full text of the article can be found at the link above.

Abstract

Efforts are currently underway to develop a prospective payment system for inpatient medical rehabilitation. In this study, a clinically based, condition-specific patient classification scheme was developed that includes 33 patient groupings, referred to as Functional Related Groups (FRGs). Each FRG is comprised of patients with similar clinical characteristics and resource use, as measured by length of stay. From a policy perspective, the FRGs minimize the adverse incentives that may develop in the selection of patients for admission to the rehabilitation facility. The FRGs, therefore, may be used as a basis in the development of a prospective reimbursement system for rehabilitation services.

Related Products

Research conducted by

This report is part of the RAND Corporation external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.