title: Documentation in the long-term care setting.
abstract: The challenge of delivering care in the long-term care setting has been sharpened in recent years by the increasing diversity of the U.S. population, the increase of the oldest elderly, and the percentage of Medicare patients with disabilities and dementia. The result is a heightened need for more gerontologic nurses. However, as nurses enter the long-term care arena to meet the demand, they experience confusion and frustration with the newly mandated Prospective Payment System (PPS) contained in the Balanced Budget Act of 1997. Under the PPS, accurate assessment and documentation is linked directly to the amount of reimbursement. Reimbursement, in turn, influences the quality of care for geriatric patients and the salaries for nurses. The author discusses the long-term care setting and the history and importance of the PPS documentation and offers a guide for PPS implementation in the long-term care setting.
authors.affiliation: University of Pennsylvania School of Nursing, Philadelphia, USA. debbyboroughs@erols.com
authors.forename: D S
authors.initials: DS
authors.lastname: Boroughs
mesh_terms: D000368:Aged; D004282:Documentation / Q000379:methods / Q000592:standards; D005851:Geriatric Nursing / Q000191:economics; D006295:Health Resources / Q000706:statistics & numerical data; D006801:Humans; D006278:Medicare / Q000191:economics / Q000331:legislation & jurisprudence*; D010361:Patients / Q000145:classification; D011445:Prospective Payment System / Q000191:economics / Q000331:legislation & jurisprudence; D012866:Skilled Nursing Facilities / Q000191:economics* / Q000331:legislation & jurisprudence; D019467:Subacute Care / Q000145:classification* / Q000191:economics*; D014481:United States