Margaret G. Stineman
Description
Lack of case mix adjust. is reinforcing inequities in the selection and treat. of patients in inpatient medical rehabilitation (MR). This study develo
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ped and tested a series of patient classification systems for MR based on the Functional Independence Measure (FIM) of disability. The definitive system, referred to as FIM-Function Related Groups (FIM-FRGs), was developed using 85,447 discharges and explains more than 30% of variation in length of stay. The FIM-FRG system would encourage the timely discharge of patients and thus provide incentives for cost containment. The system, however, would not necessarily reinforce high quality care.
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