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Resource utilization groups. A patient classification system for long-term care.

B E Fries, L M Cooney

    Medical Care
    |February 1, 1985
    PubMed
    Summary
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    A new patient classification system for nursing homes identifies similar resource needs, particularly nursing time. This system, based on functional status, aids in managing long-term care effectively.

    Area of Science:

    • Gerontology
    • Health Services Research
    • Nursing Home Administration

    Background:

    • Effective management of nursing home care, including reimbursement and regulation, is hindered by the lack of a patient classification system.
    • Existing systems do not adequately capture the diverse needs of long-term care residents.

    Purpose of the Study:

    • To develop a patient classification system for long-term care residents in nursing homes.
    • To create a tool for profiling relative resource needs, especially nursing time.
    • To inform better management and reimbursement strategies for nursing home care.

    Main Methods:

    • A study involving 1,469 patients across Connecticut nursing homes.
    • Development of a classification system by clustering patients with similar resource requirements.

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  • Utilizing measures of patient functional status as the primary classification criteria.

    • Main Results:

    • A nine-group classification system for nursing home patients was successfully developed.
    • The system effectively clusters patients based on their relative needs for resources, particularly nursing time.
    • Few measures of functional status were sufficient to create a robust classification system.

    Conclusions:

    • The developed classification system provides a valuable tool for understanding and managing nursing home patient needs.
    • Functional status measures are more effective than diagnoses or behavioral problems for patient classification in this context.
    • This system can improve the ability to control, manage, regulate, and reimburse nursing home care.