You are not currently logged in.
Access JSTOR through your library or other institution:
Case-Mix Groups for VA Hospital-Based Home Care
Mary E. Smith, C. Rodney Baker, Laurence G. Branch, Robert C. Walls, Richard M. Grimes, Judith M. Karklins, Michael Kashner, Rebecca Burrage, Ann Parks, Paul Rogers, Ann Saczuk and Marilyn Wagster-Weare
Vol. 30, No. 1 (Jan., 1992), pp. 1-16
Published by: Lippincott Williams & Wilkins
Stable URL: http://www.jstor.org/stable/3766118
Page Count: 16
You can always find the topics here!Topics: Caregivers, Hospital based home care services, Cost allocation, Home care services, Hospital admissions, Economic costs, Direct service costs, Travel expenses, Cognitive models, Multilevel models
Were these topics helpful?See somethings inaccurate? Let us know!
Select the topics that are inaccurate.
Preview not available
The purpose of this study is to group hospital-based home care (HBHC) patients homogeneously by their characteristics with respect to cost of care to develop alternative case mix methods for management and reimbursement (allocation) purposes. Six Veterans Affairs (VA) HBHC programs in Fiscal Year (FY) 1986 that maximized patient, program, and regional variation were selected, all of which agreed to participate. All HBHC patients active in each program on October 1, 1987, in addition to all new admissions through September 30, 1988 (FY88), comprised the sample of 874 unique patients. Statistical methods include the use of classification and regression trees (CART software: Statistical Software; Lafayette, CA), analysis of variance, and multiple linear regression techniques. The resulting algorithm is a three-factor model that explains 20% of the cost variance ( R2, with a cross validation R2 of 12%). Similar classifications such as the RUG-II, which is utilized for VA nursing home and intermediate care, the VA outpatient resource allocation model, and the RUG-HHC, utilized in some states for reimbursing home health care in the private sector, explained less of the cost variance and, therefore, are less adequate for VA home care resource allocation.
Medical Care © 1992 Lippincott Williams & Wilkins