医疗保险过渡期护理管理服务与再入院和死亡率的关联
Rachel O Reid1,2,3, Neeraj Sood4,5,6, Ruolin Lu7
1RAND, Boston, MA 02116, United States.
Health affairs scholar
|November 21, 2024
概括
过渡期护理管理 (TCM) 补偿减少了患者的再入院,但没有显著影响死亡率. 小规模的独立实践可能会从这种医疗保险政策中获益更多.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 医学经济学 医学经济学
背景情况:
- 医疗保险和医疗补助服务中心 (CMS) 在2013年引入过渡期护理管理 (TCM) 退款.
- 了解TCM对患者结果的影响对于政策评估至关重要.
研究的目的:
- 分析医生组织 (PO) TCM代码使用与出院后再入院和死亡率之间的关联.
- 评估TCM补偿对医疗保健结果的有效性.
主要方法:
- 使用了100%的服务费用医疗保险索赔数据.
- 采用差异差异方法比较高TCM和低TCM的PO在TCM代码实施之前和之后.
- 对PO和受益人属性以及再接收风险进行控制.
主要成果:
- 使用TCM代码与30日和90日再接收减少有关 (分别为-0.31%和-0.42%).
- 没有观察到死亡率的显著差异.
- 再录取减少在独立实践中最大,在初级保健医生较少的实践中最小.
结论:
- 服务费用TCM退款显示,在释放后的广泛改善结果的潜力有限.
- 小型独立实践可能会从TCM支持退院后护理中获得更大的好处.
更多相关视频
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.4K
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
9.7K
相关概念视频
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
Discharge Summary Forms
744
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
744
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
