Case mix for nursing home payment: resource utilization groups, version II.
A study of 3,427 nursing home residents in New York State, measuring both resources used and resident characteristics, was used to develop a resident classification system for payment purposes. The system balances clinical, statistical, and administrative criteria, making it useful both for the New York State Medicaid payment system and for quality of care and facility management.
D000203:Activities of Daily Living; D003953:Diagnosis-Related Groups / Q000379:methods*; D005245:Fee Schedules; D008134:Long-Term Care / Q000145:classification*; D008484:Medicaid / Q000191:economics*; D008962:Models, Theoretical; D009518:New York; D009735:Nursing Homes / Q000191:economics*; D011907:Rate Setting and Review