RUG-III baserade ersättningssystem för äldrevården : en beskrivning av system i USA, Kanada, Schweiz, Island och Italien

Aktivoi-hanke : projektijulkaisu

The association between quality of care and technical efficiency in long-term care

To analyse the association between quality of care and technical (productive) efficiency in institutional long-term care wards for the elderly.One hundred and fourteen public health centre hospitals and residential homes in Finland.Wards were divided into two categories according to their rank in the quality distribution, considering 41 quality variables separately. The technical efficiency scores of the good- and poor-quality groups were compared using cross-sectional data.Data envelopment analysis was used for calculating technical efficiency. The Mann-Whitney test and correlation coefficients were used to explore the association between quality and efficiency.The wards where quality indi…

409 Using rai-hc assessment instrument to classify home care clients in Finland based on fire emergency evacuation capacity

Background When an uncontrollable fire is detected in a building there may be a 2–3 minutes window for the occupants to move to safety. Poor physical function and cognition may become critical factors in an evacuation situation. In this study a novel functional scale measuring emergency evacuation capacity of home care clients is presented. Methods A fire security expert visited about 250 home care clients assessing their evacuation capacities. For the evacuation capacity three categories were used: 1) is able to evacuate; 2) may be able; 3) unable to evacuate. This data was linked to comprehensive assessments of clients functional and health status performed by home care nurses using the i…

Applying RUG-III for reimbursement of nursing facility care

The Resource Utilization Groups (RUG-III) case-mix classification is becoming an internationally accepted methodology for determining payment for nursing facility and care. In this paper we discuss the key concepts of case-mix reimbursement and several different payment approaches based on RUG-III. In discussing the empirical evidence of case-mix reimbursement, we draw especially on the US experience. Clearly, the success of case-mix reimbursement depends not only on the payment design, but also on the ability to foresee market conditions and the regulatory environment in which the payment system is being implemented. Moreover, we demonstrate the need to develop a case-mix based reimburseme…

Kokkolan yliopistokeskuksen rooli terveydenhuollon tutkimus- ja kehittämistoiminnassa Keski-Pohjanmaan alueella : selvitystyö

Validity and reliability of Resource Utilization Groups (RUG-III) in Finnish long-term care facilities

Resource Utilization Groups, Version III (RUG-III) is a case-mix system developed in the USA for classification of long-term care residents. This paper examines the validity and reliability of an adapted 22-group version of RUG-III (RUG-III/22) for use in long-term care facilities in Finland. Finnish cost weights for RUG-III/22 groups are calculated and different methods for their computation are evaluated. The study sample (1,964 residents) was collected in 1995 - 96 from ten long-term care facilities in Finland. RUG-III/22 alone explained 38.2% of the variance of total patient-specific (nursing + auxiliary staff) per diem cost. Resource use within RUG groups was relatively homogeneous. O…