Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Case-mix adjustments require tighter documentation.

P L Grimaldi, T J Shlala

    Health Progress (Saint Louis, Mo.)
    |March 11, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Submento-submandibular intubation: is the subperiosteal passage essential? Experience in 107 consecutive cases.

    The British journal of oral & maxillofacial surgery·2005
    Same author

    Medicare's new home health prospective payment system explained.

    Healthcare financial management : journal of the Healthcare Financial Management Association·2001
    Same author

    Unraveling Medicare's prospective payment system for hospital outpatient care.

    Journal of health care finance·2001
    Same author

    Can Medicare beneficiaries pay outpatient drug bills?

    Nursing management·2000
    Same author

    New managed-care glossary.

    Nursing management·2000
    Same author

    New risk adjustment may cut Medicare payments.

    Nursing management·1999
    Same journal

    Addressing the Social Determinants of Health: The Role of Health Care Organizations.

    Health progress (Saint Louis, Mo.)·2018
    Same journal

    Mission and Leadership: Developing a Catholic Ministry Assessment.

    Health progress (Saint Louis, Mo.)·2018
    Same journal

    Priests Who Minister to Patients Regarding Physician-Assisted Suicide.

    Health progress (Saint Louis, Mo.)·2018
    Same journal

    Ministerial Juridic Persons And Their Communion With Diocesan Bishops.

    Health progress (Saint Louis, Mo.)·2018
    Same journal

    Preparing the Next Corps of Ethicists.

    Health progress (Saint Louis, Mo.)·2018
    Same journal

    Realizing Our Common Goodness: One Sacred Encounter at a Time.

    Health progress (Saint Louis, Mo.)·2018
    See all related articles

    Long-term care facilities must adapt to new case-mix systems for Medicare and Medicaid certification. Implementing updated record-keeping and care planning is crucial for compliance and quality assurance.

    Area of Science:

    • Healthcare Administration
    • Long-Term Care Management
    • Quality Improvement

    Background:

    • Six states utilize case-mix adjustments in long-term care payment formulas.
    • Medicare is expected to adopt case-mix adjustments soon.
    • The Patient Care and Services (PaCS) survey will collect similar data for certification.

    Purpose of the Study:

    • To outline necessary changes for long-term care facilities to meet upcoming case-mix requirements.
    • To guide facilities in adapting their documentation and care planning processes.

    Main Methods:

    • Redesigning medical record forms for comprehensive patient data.
    • Developing care plans that detail patient disabilities, goals, interventions, and responsible caregivers.
    • Shifting progress notes to focus on problem resolution.

    Related Experiment Videos

  • Replacing medical care evaluation with a quality assurance program.

    • Main Results:

    • Facilities need to update medical records to document functional limitations and medical conditions.
    • Care plans must be structured to identify disabilities, set goals, define interventions, and assign responsibilities.
    • Progress notes should emphasize problem resolution.
    • Quality assurance programs are recommended to monitor care plan adherence and goal achievement.

    Conclusions:

    • Long-term care facilities must proactively revise policies and procedures for new case-mix systems.
    • Adapting documentation and care planning is essential for compliance with Medicare and Medicaid certification.
    • Focusing on problem resolution and quality assurance will improve patient care outcomes.