title: Preadmission Screening and Resident Review (PASRR) regulation and its implications for patients, hospitals, nursing homes, and the taxpayers.
abstract: BACKGROUND
  This study assessed the impact of the revision of the Preadmission Screening and Resident Review (PASRR) regulation changes in September 2011, which increased the turnaround time for PASRR evaluations from 3 to 5 days to 2 to 3 weeks.
  
  
  METHODS
  From January 2013 to March 2013, we tracked all patients' charts in a 25-bed inpatient geriatric psychiatric unit in New York where PASRR evaluations were requested. The turnaround time and related issues were analyzed.
  
  
  RESULTS
  There were 27 patients who had PASRR requests during the study period; 9 patients were not included in the study because of incomplete data. The average turnaround time for the 18 patients was 14.89 days and the additional hospital bed cost per patient was $11,911.11.
  
  
  CONCLUSIONS
  Although PASRR has played a positive role in identifying persons with serious mental illness and the need to provide the services they need, the recent revision of the PASRR regulation in 2011 has significantly increased the hospital bed costs.
authors.affiliation: Department of Psychiatry, St. John's Episcopal Hospital, Far Rockaway, New York, USA, SUNY, Brooklyn, New York, USA. E-mail: sdanan@ehs.org.
authors.forename: Subramonian
authors.initials: S
authors.lastname: Madhusoodanan
authors.forename: Sylvester A
authors.initials: SA
authors.lastname: Nwedo
authors.forename: Ronald
authors.initials: R
authors.lastname: Brenner
authors.forename: Omar
authors.initials: O
authors.lastname: Mirza
mesh_terms: D006760:Hospitalization / Q000191:economics / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D006801:Humans; D007878:Legislation as Topic; D028642:Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence; D009735:Nursing Homes / Q000191:economics / Q000331:legislation & jurisprudence; D011567:Psychiatric Department, Hospital / Q000191:economics / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data