In an effort to contain health care costs, Medicare initiated a prospective payment system based on diagnosis-related groups (DRGs) in 1983. In 1985, RAND began a study to determine the effect of DRG-based prospective payment on quality of care for hospitalized Medicare patients. Six diseases (congestive heart failure, acute myocardial infarction, hip fracture, pneumonia, cerebrovascular accident, and depression) were selected for study in each of five states (California, Florida, Indiana, Pennsylvania, and Texas). This Note documents the medical record abstraction form and guidelines used to collect data from the medical records of patients hospitalized with pneumonia.If a patient is in ICU or on a neurology unit, this information may be on a flow sheet or aquot;neuro check list.aquot; iii) Note on nutritional intake: Circle code aquot;laquot; if the patient had a nasogastric (NG) tube (or Levine tube, Salem sump) in place for any part ofanbsp;...
|Title||:||Medical Record Abstraction Form and Guidelines for Assessing Quality of Care for Hospitalized Patients with Cerebrovascular Accident|