Within each CMG, cases are grouped into one of four levels according to the presence of certain comorbidities (conditions that are secondary to the. We define program interruption as a request of three days or less submitted by another inpatient provider that occurs during an inpatient rehabilitation stay. 8 A short-stay transfer was defined as discharge to an institutional setting before the average length of stay for the patient's mixed case group and comorbidities. 4 Patients are classified upon entering rehabilitation into a combined case group based on their primary disability, functional status, and age, as well as their location in relation to Home Care near Nora Springs IA.Patients in the same case group are expected to require similar resource utilization, for example, length of stay. Within each CMG, cases are grouped into one of four levels according to the presence of certain comorbidities (conditions that are secondary to the. We define program interruption as a request of three days or less submitted by another inpatient provider that occurs during an inpatient rehabilitation stay. 8 A short-stay transfer was defined as discharge to an institutional setting before the average length of stay for the patient's mixed case group and comorbidities. 4 Patients are classified upon entering rehabilitation into a combined case group based on their primary disability, functional status, and age, as well as their location in relation to Home Care near Nora Springs IA. Patients in the same case group are expected to require similar resource utilization, for example, length of stay.
Consequently, each combination of case group and level of comorbidity has an associated average length of stay, which CMS update annually and use for payment purposes. For comparison purposes, 4 patients who had not experienced a program interruption or a short-stay transfer were considered to have an “uninterrupted” stay. The Agency identified these diagnoses as “conditions sensitive to outpatient care”; conditions that should not occur under appropriate outpatient care. Program interruptions and short-stay transfers may better reflect the quality of care than readmissions after discharge, as these results occur while the patient is under the care of the facility.
Among patients with traumatic brain injuries, 26.4% of potentially avoidable short-term transfers were due to dehydration and 26.4% were due to bacterial pneumonia. Hospital readmission measures are currently being developed that could be prevented for patients treated in inpatient rehabilitation centers, which have been added to the list of Agency. However, since more than one in ten rehospitalized patients returned to intensive care for a potentially preventable condition, there is still room for improvement. A cause for concern with regard to measures related to hospital readmissions, such as program interruptions and short-term transfers to intensive care, is the decrease in access to care for patients with greater medical complexity.
The population of interest were patients admitted directly from intensive care to receive initial rehabilitation for a stroke, traumatic brain injury, or traumatic brain injury. Reducing program interruptions and short-stay transfers during inpatient rehabilitation care represents a potential goal for care improvement initiatives. For each of the CMGs, CMS have developed relative weighting factors to take into account the patient's clinical characteristics and expected resource needs. However, these results were selected because they represent potential objectives for improving care for Medicare beneficiaries.
Among stroke patients, 30.6% of potentially avoidable short-term transfers were due to dehydration and 26.8% to heart failure. These diagnoses were designed to identify potentially avoidable intensive care admissions among people receiving outpatient care, not among hospitalized patients.
