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Relationships among patient acuity, ...

McEachen, Irene Collins.

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Relationships among patient acuity, service intensity weight, and nursing intensity weight for selected non-Medicare diagnosis related groups.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Relationships among patient acuity, service intensity weight, and nursing intensity weight for selected non-Medicare diagnosis related groups./
作者:	McEachen, Irene Collins.
面頁冊數:	103 p.
附註:	Source: Dissertation Abstracts International, Volume: 62-05, Section: B, page: 2240.
Contained By:	Dissertation Abstracts International62-05B.
標題:	Education, Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3014790
ISBN:	0493256768

Relationships among patient acuity, service intensity weight, and nursing intensity weight for selected non-Medicare diagnosis related groups.
McEachen, Irene Collins.

Relationships among patient acuity, service intensity weight, and nursing intensity weight for selected non-Medicare diagnosis related groups. - 103 p.

Source: Dissertation Abstracts International, Volume: 62-05, Section: B, page: 2240.

Thesis (Ed.D.)--Columbia University Teachers College, 2001.

The study design was descriptive and correlational. A post-hoc sample of 200 non-Medicare, medical-surgical patients was studied. Patients were randomly selected from over 3000 patients discharged from the study hospital.

ISBN: 0493256768Subjects--Topical Terms:

1017668
Education, Health.

Relationships among patient acuity, service intensity weight, and nursing intensity weight for selected non-Medicare diagnosis related groups.
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245 1 0 $a Relationships among patient acuity, service intensity weight, and nursing intensity weight for selected non-Medicare diagnosis related groups.
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500 $a Source: Dissertation Abstracts International, Volume: 62-05, Section: B, page: 2240.
500 $a Sponsor: Elaine L. Rigolosi.
502 $a Thesis (Ed.D.)--Columbia University Teachers College, 2001.
520 $a The study design was descriptive and correlational. A post-hoc sample of 200 non-Medicare, medical-surgical patients was studied. Patients were randomly selected from over 3000 patients discharged from the study hospital.
520 $a In response to rising health care costs, the Federal government changed the method of payment for hospital services from a cost-based retrospective reimbursement method to a diagnosis specific prospective method. Private health insurance plans and Health Maintenance Organizations adopted this method as it proved to reduce payments to hospitals for patient care.
520 $a Under this prospective payment method patients with similar resource consumption and clinical patterns are aggregated into Diagnosis Related Groups (DRGs). Patients can be assigned to one group only and this assignment is confirmed, via medical record review, at discharge. The hospital receives the fixed prospective payment for each patient based on the patient's DRG, regardless of the actual cost to the hospital of treating the patient.
520 $a This study investigated the relationships among patient acuity, as measured by the Medicus Patient Classification System, Service Intensity Weight (SIW) and Nursing Intensity Weight (NIW). The Medicus Classification System categorizes patients according to their physical and psychosocial needs, resulting in a daily score representing the patient's nursing care requirements. SIW and NIW are weighted averages derived from the DRG discharge assignment.
520 $a Two data collection instruments were used in the study. The Medicus Systems Patient Classification Instrument and a hospital Data Collection Instrument. The latter instrument integrated, by means of a computer program, the collected patient acuity scores and the DRG discharge data, which included SIW and NIW.
520 $a Analysis of the data showed a significant positive correlation between patient acuity and SIW. This significant positive relationship indicated that the DRGs with relatively high SIWs tended to require more intense and time consuming nursing care, as measured by the Medicus Patient Classification System, than do those DRGs with relatively low SIWs. This finding supports the validity of the DRG reimbursement formula. There was no significant relationship between patient acuity and NIW, which surprised the researcher.
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