title: Using the RUG-III classification system for understanding the resource intensity of persons with intellectual disability residing in nursing homes.
abstract: Since 1991, the Minimum Data Set 2.0 (MDS 2.0) has been the mandated assessment in US nursing homes. The Resource Utilization Groups III (RUG-III) case-mix system provides person-specific means of allocating resources based on the variable costs of caring for persons with different needs. Retrospective analyses of data collected on a sample of 9707 nursing home residents (2.4% had an intellectual disability) were used to examine the fit of the RUG-III case-mix system for determining the cost of supporting persons with intellectual disability (intellectual disability). The RUG-III system explained 33.3% of the variance in age-weighted nursing time among persons with intellectual disability compared to 29.6% among other residents, making it a good fit among persons with intellectual disability in nursing homes. The RUG-III may also serve as the basis for the development of a classification system that describes the resource intensity of persons with intellectual disability in other settings that provide similar types of support.
authors.affiliation: Lakehead University, 955 Oliver Road, Thunder Bay, ON P7A 1P4, Canada. lynn.martin@lakeheadu.ca
authors.forename: Lynn
authors.initials: L
authors.lastname: Martin
authors.forename: Brant E
authors.initials: BE
authors.lastname: Fries
authors.forename: John P
authors.initials: JP
authors.lastname: Hirdes
authors.forename: Mary
authors.initials: M
authors.lastname: James
mesh_terms: D000368:Aged; D003953:Diagnosis-Related Groups / Q000145:classification / Q000191:economics*; D005260:Female; D006295:Health Resources / Q000145:classification / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000145:classification / Q000191:economics* / Q000706:statistics & numerical data; D010561:Personnel Staffing and Scheduling / Q000191:economics; D019989:Persons with Intellectual Disabilities / Q000145:classification; D012189:Retrospective Studies