Abstract
A clear need currently exists to consider new approaches for classifying nursing home residents. The traditional intermediate care facility/skilled nursing facility (ICF/SNF) dichotomy cannot provide adequate information on the type of care required by any one individual, and it provides only the most limited information required to address the care and quality-of-life needs of the total patient population within a facility, as well as the level of reimbursement appropriate for their care. This article describes an alternative procedure for allocating nursing home residents according to a more comprehensive array of internally homogeneous categories. This system is based on an operational perspective focused on the total nursing and staffing requirements for types of nursing home residents. The tool is titled "Functionally Ranked Explanatory Designations," or FRED.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Feinstein A. R., Josephy B. R., Wells C. K. Scientific and clinical problems in indexes of functional disability. Ann Intern Med. 1986 Sep;105(3):413–420. doi: 10.7326/0003-4819-105-3-413. [DOI] [PubMed] [Google Scholar]
- Fries B. E., Cooney L. M., Jr Resource utilization groups. A patient classification system for long-term care. Med Care. 1985 Feb;23(2):110–122. [PubMed] [Google Scholar]
- Granger C. V., Albrecht G. L., Hamilton B. B. Outcome of comprehensive medical rehabilitation: measurement by PULSES profile and the Barthel Index. Arch Phys Med Rehabil. 1979 Apr;60(4):145–154. [PubMed] [Google Scholar]
- Greene V. L., Monahan D. J. Inconsistency in level of care assignment decisions in skilled nursing facilities. Am J Public Health. 1981 Sep;71(9):1036–1039. doi: 10.2105/ajph.71.9.1036. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Haddad L. B. Utilizing rating instruments for evaluating behavioral characteristics differentiating elderly patients selected for skilled nursing, intermediate, and psychiatric care. J Gerontol. 1981 Sep;36(5):583–585. doi: 10.1093/geronj/36.5.583. [DOI] [PubMed] [Google Scholar]
- KATZ S., FORD A. B., MOSKOWITZ R. W., JACKSON B. A., JAFFE M. W. STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION. JAMA. 1963 Sep 21;185:914–919. doi: 10.1001/jama.1963.03060120024016. [DOI] [PubMed] [Google Scholar]
- Kane R. L., Kane R. A., Arnold S. B. Prevention and the elderly: risk factors. Health Serv Res. 1985 Feb;19(6 Pt 2):945–1006. [PMC free article] [PubMed] [Google Scholar]