PMID: 2510516Nov 1, 1989Paper

Coping with DRGs--a nursing home's experience

The American Journal of the Medical Sciences
D D TreschH W Gruchow

Abstract

The introduction of prospective payment system (PPS) based on diagnostic related groups (DRGs) has had a significant impact on hospitals. To determine the impact of PPS on nursing homes, the authors studied the activity of a Veterans Administration teaching nursing home (admissions, acute hospital transfers, and discharges) during 1 year preceding implementation of DRGs and for 3 consecutive years following implementation of DRGs. In 1983, pre-DRGs, a total of 36 patients, were admitted to the nursing home. Following implementation of DRGs, a sevenfold increase was noted in the number of patients admitted when comparing 1983 and 1986, with the monthly average of patients admitted increasing from 3 in 1983 to 9.7, 22, and 23.8 in 1984, 1985, and 1986, respectively. Associated with the increase in patients admitted following DRGs was an increase in patients requiring transfer to the acute hospital, within 30 days of admission to the nursing home. In 1986, approximately 27% of patients admitted to the nursing home required transfer to the acute hospital within 30 days of their admission. The number of patients discharged from the nursing home also increased following DRGs. None of the patients admitted to the nursing home in 1983 ...Continue Reading

References

Aug 1, 1988·Journal of the American Geriatrics Society·M A SagerE A Leventhal
Jan 1, 1986·Geriatric Nursing·J Harron, J Schaeffer
May 29, 1986·The New England Journal of Medicine·J K Iglehart
Jun 23, 1988·The New England Journal of Medicine·C M McCarthy
Apr 3, 1987·JAMA : the Journal of the American Medical Association·M A SagerD V Easterling
Jul 10, 1987·JAMA : the Journal of the American Medical Association·J F FitzgeraldR S Dittus
Apr 1, 1984·Annals of Internal Medicine·B C Vladeck

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Citations

Dec 4, 2004·Aging Clinical and Experimental Research·Arthur LeibovitzRafael Segal
Sep 1, 2000·Journal of the American Geriatrics Society·C M HughesA Sgadari
Jul 1, 1994·Journal of the American Geriatrics Society·J R Burton

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