Table 2. RUG-III and MEDPAR Proxy Weights for Nursing and Nursing/Therapy.
RUG-III Category and Intensity1 | Number in NHCMQ Sample | Nursing Weight | Nursing/Therapy Weight | MEDPAR Proxy Nursing Weight | MEDPAR Proxy Nursing/Therapy Weight | |
---|---|---|---|---|---|---|
Rehabilitation | ||||||
Total | 552 | 1.37 | 2.28 | — | — | |
Very High 14-18 | 37 | 1.79 | 3.68 | 1.29 | 3.14 | |
Very High 8-13 | 77 | 1.18 | 3.01 | |||
Very High 4-7 | 21 | 0.82 | 2.65 | |||
High 15-18 | 23 | 1.93 | 2.83 | 1.43 | 2.41 | |
High 12-14 | 51 | 1.50 | 2.47 | |||
High 8-11 | 53 | 1.31 | 2.29 | |||
High 4-7 | 24 | 1.06 | 2.14 | |||
Medium 16-18 | 17 | 2.09 | 2.52 | 1.44 | 1.99 | |
Medium 8-15 | 134 | 1.38 | 1.95 | |||
Medium 4-7 | 16 | 1.25 | 1.74 | |||
Low 12-18 | 61 | 1.36 | 1.52 | 1.28 | 1.44 | |
Low 4-11 | 38 | 1.14 | 1.31 | |||
Extensive Services | ||||||
Total | 161 | 2.16 | 1.97 | 2.16 | 1.97 | |
3 | 13 | 3.97 | 3.61 | |||
2 | 38 | 2.65 | 2.44 | |||
1 | 110 | 1.78 | 1.62 | |||
Special Care | ||||||
Total | 767 | 1.50 | 1.36 | 1.50 | 1.36 | |
17-18 | 303 | 1.61 | 1.45 | |||
14-16 | 372 | 1.47 | 1.33 | |||
7-13 | 92 | 1.28 | 1.18 | |||
Clinically Complex | ||||||
Total | 2,398 | 1.05 | 0.98 | 1.05 | 0.98 | |
17-18 D | 55 | 1.46 | 1.34 | |||
17-18 | 282 | 1.37 | 1.24 | |||
11-16 D | 204 | 1.19 | 1.11 | |||
11-16 | 875 | 1.16 | 1.08 | |||
6-10 D | 89 | 1.08 | 1.02 | |||
6-10 | 389 | 0.94 | 0.89 | |||
4-5 D | 72 | 0.76 | 0.73 | |||
4-5 | 432 | 0.67 | 0.65 | |||
Impaired Cognition | ||||||
Total | 769 | 0.67 | 0.62 | 0.67 | 0.62 | |
6-10 N | 127 | 0.88 | 0.80 | |||
6-10 | 278 | 0.80 | 0.73 | |||
4-5 N | 54 | 0.60 | 0.56 | |||
4-5 | 310 | 0.49 | 0.46 | |||
Behavior Problems | ||||||
Total | 125 | 0.57 | 0.54 | NOC | NOC | |
6-10 N | 14 | 0.87 | 0.79 | 0.79 | 0.73 | |
6-10 | 31 | 0.78 | 0.72 | |||
4-5 N | 11 | 0.58 | 0.53 | |||
4-5 | 69 | 0.41 | 0.41 | |||
Reduced Physical Function | ||||||
Total | 2,876 | 0.79 | 0.73 | NOC | NOC | |
16-18 N | 217 | 1.19 | 1.07 | 0.79 | 0.73 | |
16-18 | 356 | 1.13 | 1.02 | |||
11-15 N | 333 | 1.01 | 0.92 | |||
11-15 | 609 | 1.00 | 0.91 | |||
9-10 N | 53 | 0.86 | 0.78 | |||
9-10 | 124 | 0.77 | 0.71 | |||
6-8 N | 45 | 0.68 | 0.65 | |||
6-8 | 147 | 0.66 | 0.62 | |||
4-5 N | 108 | 0.52 | 0.52 | |||
4-5 | 884 | 0.39 | 0.39 |
Numbers represent ADL levels; D indicates depressed state of mind; N indicates nursing rehabilitation services given.
NOTES: RUG-III is Resource Utilization Group, Version III. MEDPAR is Medicare provider analysis and review file. NHCMQ is Nursing Home Case Mix Quality demonstration. NOC is not otherwise classified.
SOURCE: Fries, B.E.: Multistate Nursing Home Case Mix and Quality Demonstration: Description of the Resource Utilization Group, Version III (RUG-III) System. Unpublished. March 20, 1992.