Medicare prospective payment before and after implementation: a review of visits and physical performance among Medicare home health patients after total knee replacements.
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.
Collins
Tracey
T
Department of Physical Therapy, University of Scranton, Scranton, Pennsylvania, USA. collinst2@scranton.edu
Herness
Jessica
J
Martenas
Jennifer
J
Roberson
Amanda
A
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