Provider-Level Risk-Adjusted Quality Measurement for Inpatient Rehabilitation Facilities – RAND – 2012

Posted on August 2, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Rehabilitation | Tags: |

Provider-Level Risk-Adjusted Quality Measurement for Inpatient Rehabilitation Facilities – RAND – 2012

by  Andrew W. Dick,  Peter J. Huckfeldt,  Hangsheng Liu,  Hao Yu,  Ateev Mehrotra,  Susan L. Lovejoy,  J. Scott Ashwood

“Quality metrics play an increasingly important role in the evaluation and reimbursement of post-acute providers. Currently, it is difficult to ascertain whether changes in inpatient rehabilitation facility (IRF) patient outcomes are due to changes in treatment or the case mix of patients seen in IRFs. Risk adjustment, however, has the potential to improve the comparability of quality metrics both across providers and over time. This report (1) develops risk-adjusted quality metrics at the provider level for IRFs, (2) develops methods to address low case volume, and (3) uses these metrics to estimate national trends in IRF quality from 2004 to 2009. It presents the results for five IRF outcomes: (1) functional gain, (2) discharge to the community, (3) 30-day readmission to acute care given discharge to the community, (4) 30-day readmission to skilled nursing facility (SNF), given discharge to the community, and (5) discharge directly to acute care.”

Advertisements

Liked it here?
Why not try sites on the blogroll...

%d bloggers like this: