title: Medicare prospective payment before and after implementation: a review of visits and physical performance among Medicare home health patients after total knee replacements.
abstract: This retrospective case study examined whether the Medicare Prospective Payment System affected the number of visits and physical performance among Medicare home health patients after total knee replacements. Post-Prospective Payment System significant results included fewer visits, less improvement in knee extension range of motion, and increased ambulation distances at discharge.
authors.affiliation: Department of Physical Therapy, University of Scranton, Scranton, Pennsylvania, USA. collinst2@scranton.edu
authors.forename: Tracey
authors.initials: T
authors.lastname: Collins
authors.forename: Jessica
authors.initials: J
authors.lastname: Herness
authors.forename: Jennifer
authors.initials: J
authors.lastname: Martenas
authors.forename: Amanda
authors.initials: A
authors.lastname: Roberson
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000191:economics / Q000451:nursing / Q000534:rehabilitation*; D002183:Canes / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D003152:Community Health Nursing / Q000458:organization & administration*; D015577:Geriatric Assessment; D006699:Home Care Services / Q000458:organization & administration*; D006792:House Calls / Q000191:economics; D006801:Humans; D006278:Medicare / Q000458:organization & administration*; D009730:Nursing Assessment; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D010414:Pennsylvania; D026761:Physical Therapy Specialty / Q000458:organization & administration; D011445:Prospective Payment System / Q000458:organization & administration*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D014853:Walkers / Q000706:statistics & numerical data