PMID: 16323463Dec 6, 2005Paper

Long-term care in the St. John's region: impact of single entry and prediction of bed need

Healthcare Management Forum
Jacqueline McDonaldP S Parfrey

Abstract

In 1996, the St. John's region had a population of 8,435 > or = 75 years, with 996 nursing home (NH) beds and 550 supervised care (SC) beds. A single entry system to these institutions was implemented in 1995. To determine the impact of the single entry system, the demographic and clinical characteristics of NH residents were assessed in 1997 (N = 1,044) and in 2003 (N = 963). To determine the efficiency of placement and the need for long-term care beds, two incident cohorts requesting placement were studied in 1995/96 (N = 467) and in 1999/2000 (N = 464). Degree of disability was determined using the Residents Utilization Groups III classification (RUG-III) and the Alberta Resident Classification Score (ARCS), and time to placement and to death was measured. In prevalent NH residents, the percentage without RUGS-III disability decreased from 18.5% in 1997 and to 9.9% in 2003. The proportion recommended for NH was 75% in 1995/96 and 72% in 1999/2000, despite the fact that the proportion with RUGS-III disability was 64% in both periods. Using a decision tree, optimal placement for the 1999/2000 cohort was 36% to SC, 20% to SC for the cognitively impaired, and 44% to NH. Predicted need for long-term care beds in 2004 matched poor...Continue Reading

References

Jun 1, 1990·The Gerontologist·J N MorrisA S Friedlob
Jan 1, 1994·Journal of Advanced Nursing·C A Armstrong-Esther
Mar 3, 1999·Healthcare Management Forum·D O'ReillyJ McDonald
May 20, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·M TomiakC A Mustard
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