PMID: 8473939Apr 1, 1993Paper

Determinants of hospital length of stay

The Journal of Nursing Administration
L R Lutjens

Abstract

An example of the inefficiency of cost-based reimbursement is that wide variations were observed between hospitals and between regions in the cost of treating similar diagnoses, with no apparent differences in quality. To correct these variations, the Tax Equity and Fiscal Responsibility Act and its concomitant prospective payment system based on DRGs was implemented. However, wide variations continued to exist among hospitals and regions in the United States. The attempt by the medical profession to refine the prospective payment system by severity adjustments has received lukewarm support. The work by Halloran et al on the relationship between nursing diagnosis and length of stay shows some promise. Studies on nursing intensity have produced mixed results. Recently, the Prospective Payment Assessment Commission decided to discontinue efforts to develop nursing intensity adjustments for DRG weights. Additionally, institutional characteristics, except for discharge planning programs, and patient characteristics have exhibited mixed results in attempts to explain hospital length of stay. Concern over continuing variations that DRGs and their proposed adjustments have been unable to correct led to the formation of the Agency for ...Continue Reading

Citations

May 21, 2008·Cancer Nursing·Leticia San Martin-RodriguezNicole Leduc
Apr 16, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Chih-Cheng LuHon-Yi Shi
Aug 6, 1994·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·E Chisari, J A Mele
Sep 28, 2007·Journal of Nursing Management·Lisbeth Fagerström, Auvo Rauhala
May 1, 1997·Heart & Lung : the Journal of Critical Care·E F PhilbinT A Rocco
Jan 1, 1994·Nursing Science Quarterly·L R Lutjens
Oct 1, 2003·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Margaret D DomanskiCindy Jeffrey
May 18, 2018·The International Journal of Health Planning and Management·Guillermo A SandovalGeoffrey M Anderson
Jan 25, 2012·Clinical Medicine : Journal of the Royal College of Physicians of London·Aftab AhmadPhilip J Weston
Oct 7, 1998·Journal of Neurosurgery·J C McQuireT J Coats
Jul 6, 1996·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·K GautamB Arrington

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