A Comprehensive Payment Model for Short- and Long-Stay Psychiatric Patients
نویسندگان
چکیده
In this article, a payment model is developed for a hospital system with both acute- and chronic-stay psychiatric patients. "Transition pricing" provides a balance between the incentives of an episode-based system and the necessity of per diem long-term payments. Payment is dependent on two new psychiatric resident classification systems for short- and long-term stays. Data on per diem cost of inpatient care, by day of stay, was computed from a sample of 2,968 patients from 100 psychiatric units in 51 Department of Veterans Affairs (VA) Medical Centers. Using a 9-month cohort of all VA psychiatric discharges nationwide (79,337 with non-chronic stays), profits and losses were simulated.
منابع مشابه
Influence of patient characteristics on care time in patients hospitalized with schizophrenia
BACKGROUND In the current Japanese payment system for the treatment of psychiatric inpatients, the length of hospital stay and nurse staffing levels are key determinants of the amount of payment. These factors do not fully reflect the costs of care for each patient. The objective of this study was to clarify the relationship between patient characteristics and their care costs as measured by "c...
متن کاملDuration of Hospital Stay in Alcohol/Substance Addictions and Psychiatric Disorders: A 12-Year Retrospective Analysis
Background: Mental disorders are generally a significant reason for increased morbidity. They constitute a serious disease burden. One of the main reasons for this disease burden is long hospitalization periods. Objective: The current study investigated the length of hospital stay and the variables affecting it in patients treated in the Gazi University H...
متن کاملHealth care facilities participating in Medicare and Medicaid programs, 1987
This article presents current and recent historical data on the number of providers and suppliers of services certified to participate in the Medicare and/or Medicaid programs. Presented in Table 1 is a historical perspective for the years 1981-87. Presented in Tables 2 and 3 are regional and State data on the number of certified health facilities at the beginning of 1987. Selected highlights a...
متن کاملUnnecessary hospital admissions in Iran: a systematic review and meta-analysis
Background: Unnecessary patient admission to a hospital refers to the hospitalization of a patient without clinical indications and criteria. Various factors related to the patient (e.g., age, disease severity, payment method, and admission route and time), the physician and the hospital and its facilities and diagnostic technologies affect a patient unnecessary admission in a hospital. Unneces...
متن کاملHow can a change in the operating system of the mental health review board promote the discharge of long-term hospitalized psychiatric patients? A case study of Seoul city
BACKGROUND One of the most typical and chronic problem in Korean mental health system is the prolonged length of hospital stay. In contrast to there are many components which leads to long length of stay of psychiatric patients in Korean situation such as low and fixed medical fee for psychiatric inpatient treatment, shortage of community resources, lack of care-givers' awareness and so on, the...
متن کامل