Archives of Physical Medicine and Rehabilitation
Volume 86, Issue 12, Supplement , Pages 93-100 , December 2005

The Early Impact of the Inpatient Rehabilitation Facility Prospective Payment System on Stroke Rehabilitation Case Mix, Practice Patterns, and Outcomes

  • Gerben DeJong, PhD

      Affiliations

    • National Rehabilitation Hospital, Washington, DC
    • Department of Rehabilitation Medicine, Georgetown University, Washington, DC
    • Corresponding Author InformationReprint requests to Gerben DeJong, PhD, National Rehabilitation Hospital, 102 Irving St NW, Washington, DC 20010
    • ,
  • Susan D. Horn, PhD

      Affiliations

    • Institute for Clinical Outcomes Research, International Severity Information Systems Inc, Salt Lake City, UT
    • ,
  • Randall J. Smout, MS

      Affiliations

    • Institute for Clinical Outcomes Research, International Severity Information Systems Inc, Salt Lake City, UT
    • ,
  • David K. Ryser, MD

      Affiliations

    • Neurospecialty Rehabilitation Unit, LDS Hospital, Salt Lake City, UT

References 

  1. Carter GM , Beeuwkes-Buntin M , Hayden O , et al.   Analysis for the initial implementation of the inpatient rehabilitation facility prospective payment system . Santa Monica: Rand, Centers for Medicare and Medicaid Services; 2002;
  2. Stineman MG , Escarce JJ , Goin JE , Hamilton BB , Granger CV , Williams S . A case-mix classification system for medical rehabilitation . Med Care . 1994;32:366–379
  3. Stineman MG , Tassoni CJ , Escarce JJ , et al.   Development of FRGs 2.0 (a classification system for medical rehabilitation) . Health Serv Res . 1997;32:529–548
  4. Carter G , Relles D , Buchanan J , Donyo T , Inkelas M , Spritzer K . A prospective payment system for inpatient rehabilitation. Project memorandum prepared for the Health Care Financing Administration . Santa Monica: Rand/UCLA/Harvard Center for Health Care Financing Policy Research; 1997; Publication no. PM-683-HCFA.
  5. Carter GM , Relles DA , Wynn BO . Interim report on an inpatient rehabilitation facility prospective payment system . Santa Monica: Rand; 2000; Publication no. DRU-2309.
  6. Centers for Medicare and Medicaid Services. Medicare program; prospective payment system for inpatient rehabilitation facilities; final rule. 66 Federal Register 2001 (41315).
  7. Centers for Medicare and Medicaid Services. Medicare program; prospective payment system for inpatient rehabilitation facilities; final rule. 68 Federal Register 2001 (45704).
  8. Sutton JP , DeJong G , Song H , Wilkerson D . The impact of a function-based payment model on the financial performance of acute inpatient medical rehabilitation providers (a simulation analysis) . Arch Phys Med Rehabil . 1997;78:1290–1297
  9. Gassaway J , Horn SD , DeJong G , Smout RJ , Clark C , James R . Applying the clinical practice improvement approach to stroke rehabilitation (methods used and baseline results) . Arch Phys Med Rehabil . 2005;86(12 Suppl 2):S16–S33
  10. Maulden SA , Gassaway J , Horn SD , Smout RJ , DeJong G . Timing of initiation of rehabilitation after stroke . Arch Phys Med Rehabil . 2005;86(12 Suppl 2):S34–S40

 Supported by the National Institute on Disability and Rehabilitation Research (grant no. H133B990005) and the U.S. Army and Materiel Command (cooperative agreement award no. DAMD17-02-2-0032). The views, opinions, and/or findings contained in this article are those of the author(s) and should not be construed as an official Department of the Army position, policy, or decision unless so designated by other documentation.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(05)01141-X

doi: 10.1016/j.apmr.2005.07.313

Archives of Physical Medicine and Rehabilitation
Volume 86, Issue 12, Supplement , Pages 93-100 , December 2005

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