Poststroke rehabilitation: outcomes and reimbursement of inpatient rehabilitation facilities and subacute rehabilitation programs

Stroke; a Journal of Cerebral Circulation
Anne DeutschMaurizio Trevisan

Abstract

To assess whether poststroke rehabilitation outcomes and reimbursement for Medicare beneficiaries differ across inpatient rehabilitation facilities (IRFs) and skilled nursing facility (SNF) subacute rehabilitation programs. Clinical data were linked with Medicare claims for 58,724 Medicare beneficiaries with a recent stroke who completed treatment in 1996 or 1997 in IRFs and subacute rehabilitation SNFs that subscribed to the Uniform Data System for Medical Rehabilitation. Outcome measures were discharge destination, discharge FIM ratings and Medicare Part A reimbursement during the institutional stay. IRF patients that were more likely to have a community-based discharge, compared with rehabilitation SNF patients, were patients with mild motor disabilities and FIM cognitive ratings of 23 or greater (adjusted odds ratio [AOR]=2.19; 95% CI: 1.52 to 3.14), patients with moderate motor disabilities (AOR=1.98; 95% CI: 1.49 to 2.61), patients with significant motor disabilities (AOR=1.26; 95% CI: 1.01 to 1.57) and patients younger than 82 with severe motor disabilities (AOR=1.43; 95% CI: 1.25 to 1.64). IRF patients with significant and severe motor disabilities achieved greater motor function of 2 or more FIM units compared with reh...Continue Reading

References

Mar 15, 1995·Statistics in Medicine·M A Jaro
May 1, 1996·Journal of the American Geriatrics Society·R L KaneJ Sangl
Nov 25, 1997·JAMA : the Journal of the American Medical Association·R Voelker
Jul 5, 2003·The Milbank Quarterly·Nelda McCallStanley Moore
Apr 15, 2004·Archives of Physical Medicine and Rehabilitation·Gerben DejongMarcel P Dijkers
Apr 22, 2005·The New England Journal of Medicine·Bruce H Dobkin

❮ Previous
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Citations

Jul 3, 2013·Archives of Physical Medicine and Rehabilitation·Erik H HoyerDaniel J Brotman
Aug 8, 2013·Archives of Physical Medicine and Rehabilitation·Timothy A ReistetterKenneth J Ottenbacher
Sep 22, 2011·Journal of Neurologic Physical Therapy : JNPT·Kirsten PotterJane Sullivan
Jul 20, 2012·Continuum : Lifelong Learning in Neurology·Susan M Vogl
Nov 10, 2013·Journal of Rehabilitation Research and Development·Fase BadriahAkihito Hagihara
Dec 2, 2014·Journal of Rehabilitation Research and Development·Margaret G StinemanBarbara E Bates
Aug 14, 2010·Medical Care·Melinda Beeuwkes BuntinJosé J Escarce
Sep 18, 2007·American Journal of Physical Medicine & Rehabilitation·Carl V GrangerKenneth J Ottenbacher
Feb 18, 2010·Disability and Rehabilitation·Koen PutmanChing-Hui Hsieh
Sep 13, 2015·Brain Injury : [BI]·Maria SandhaugAase Mygland
Aug 30, 2011·PM & R : the Journal of Injury, Function, and Rehabilitation·Pesi H KatrakVictoria Peeva
Jul 25, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Gary StillmanPaulette Niewczyk
Jul 25, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·M Elizabeth SandelLeighton Chan
Oct 22, 2008·Archives of Physical Medicine and Rehabilitation·Dan R BerlowitzW Bruce Vogel
Oct 31, 2007·Physical Medicine and Rehabilitation Clinics of North America·Brian M KellyGianna M Rodriguez
Oct 30, 2007·Archives of Physical Medicine and Rehabilitation·Kenneth J Ottenbacher, James E Graham
Oct 30, 2007·Archives of Physical Medicine and Rehabilitation·Dexanne B ClohanGreg Worsowicz
Dec 15, 2015·Journal of the American Medical Directors Association·Grace LeungGary Naglie
Jan 10, 2014·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Michelle CamiciaUNKNOWN Association of Rehabilitation Nurses Task Force
Dec 1, 2007·Archives of Physical Medicine and Rehabilitation·Barbara GageRoberta Constantine
Aug 5, 2009·Archives of Physical Medicine and Rehabilitation·Gerben DejongJulie Gassaway
Aug 3, 2011·Archives of Physical Medicine and Rehabilitation·Janet K FreburgerLloyd J Edwards
Nov 4, 2015·Current Epidemiology Reports·Lesli E Skolarus, James F Burke
Mar 10, 2015·Archives of Physical Medicine and Rehabilitation·Timothy A ReistetterKenneth J Ottenbacher
Apr 9, 2014·Journal of Neurointerventional Surgery·Samir R BelagajeRishi Gupta
Nov 6, 2012·Archives of Physical Medicine and Rehabilitation·Leighton ChanElizabeth K Rasch
Mar 5, 2013·Archives of Physical Medicine and Rehabilitation·Anne Deutsch
Aug 8, 2014·Archives of Physical Medicine and Rehabilitation·Joel SteinLee H Schwamm
Apr 25, 2013·Topics in Stroke Rehabilitation·Alejandro HornikSarkis Morales-Vidal
Mar 23, 2012·Topics in Stroke Rehabilitation·Shelialah PereiraRobert Teasell
Jan 21, 2014·Journal of Neurointerventional Surgery·Samir R BelagajeRishi Gupta
Aug 19, 2016·Medicine·David J CormierJoel Stein
Oct 22, 2016·American Journal of Physical Medicine & Rehabilitation·Suzanne S KuysSteven M McPhail
Feb 6, 2017·Continuum : Lifelong Learning in Neurology·Samir R Belagaje
Oct 13, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Chung-Yuan WangHon-Yi Shi
Mar 30, 2018·American Journal of Physical Medicine & Rehabilitation·Ickpyo HongTimothy A Reistetter
Nov 2, 2017·Stroke; a Journal of Cerebral Circulation·Lesli E SkolarusJames F Burke
May 6, 2016·Stroke; a Journal of Cerebral Circulation·Carolee J WinsteinUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and
Dec 26, 2008·Stroke; a Journal of Cerebral Circulation·Ramon Luengo-FernandezPeter M Rothwell
Aug 27, 2011·Stroke; a Journal of Cerebral Circulation·Mark J AlbertsUNKNOWN Brain Attack Coalition
Jul 14, 2010·Neurologia i neurochirurgia polska·Izabela SkibickaAndrzej Członkowski
Dec 1, 2011·Neurologia i neurochirurgia polska·Paweł KiperPaolo Tonin
Feb 27, 2016·Physical Therapy·Suzanne R O'Brien, Ying Xue

❮ Previous
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