Perspectives on the State-of-the-Science in Rehabilitation Medicine and Its Implications for Medicare Postacute Care Policies

Barbara Gage*, Margaret Stineman, Anne Deutsch, Trudy Mallinson, Allen Heinemann, Shulamit Bernard, Roberta Constantine

*Corresponding author for this work

Research output: Contribution to journalComment/debate

13 Scopus citations

Abstract

Gage B, Stineman M, Deutsch A, Mallinson T, Heinemann A, Bernard S, Constantine R. Perspectives on the state-of-the-science in rehabilitation medicine and its implications for Medicare postacute care policies. Better measurement of the case-mix complexity of patients receiving rehabilitation services is critical to understanding variations in the outcomes achieved by patients treated in different postacute care (PAC) settings. The Medicare program recognized this issue and is undertaking a major initiative to develop a new patient-assessment instrument that would standardize case-mix measurement in inpatient rehabilitation facilities, long-term care hospitals, skilled nursing facilities, and home health agencies. The new instrument, called the Continuity Assessment Record and Evaluation Tool, builds on the scientific advances in measurement to develop standard measures of medical acuity, functional status, cognitive impairment, and social support related to resource need, outcomes, and continuity of care for use in all PAC settings.

Original languageEnglish (US)
Pages (from-to)1737-1739
Number of pages3
JournalArchives of physical medicine and rehabilitation
Volume88
Issue number12
DOIs
StatePublished - Dec 2007

Keywords

  • Health care reform
  • Medicare
  • Prospective payment system
  • Rehabilitation
  • Treatment outcomes

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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