Cover: Estimating Posthospital Use for Principal and Secondary Diagnoses

Estimating Posthospital Use for Principal and Secondary Diagnoses

Published 1990

by Joanna Heilbrunn, Neal Thomas


Download eBook for Free

FormatFile SizeNotes
PDF file 2.4 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.


Purchase Print Copy

 Format Price
Add to Cart Paperback62 pages $23.00

This Note documents the relationship between the principal and secondary diagnoses of Medicare hospital patients and the propensity of these patients to use home health agencies, skilled nursing facilities, and rehabilitation facilities after discharge from the hospital. The study demonstrates that knowledge of a patient's secondary diagnoses provides additional information about the patient's use of posthospital care beyond that contained in the principal diagnosis. It provides concrete evidence that knowledgeable administrators can skim desirable patients, not only from the current hospital diagnosis-related group (DRG) categories, but also from categories defined by the principal diagnoses contained in the current DRG categories.

This report is part of the RAND note series. The note was a product of RAND from 1979 to 1993 that reported other outputs of sponsored research for general distribution.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

RAND 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.