Resource Utilization Groups (RUGs): Defining Chronic Care, Rehabilitation and Nursing Home Case Mix in Canada

1993 ◽  
Vol 6 (4) ◽  
pp. 5-11 ◽  
Author(s):  
Chas. K. Botz ◽  
Susan Bestard ◽  
Mary Demaray ◽  
Gail Molloy
Keyword(s):  
Resource Utilization ◽  
Chronic Care ◽  
Long Term Care ◽  
Health Centre ◽  
Classification Systems ◽  
Term Care ◽  
Extended Care ◽  
Rehabilitation Hospitals ◽  
Unified Method

The two major purposes of this study were: (1) to evaluate Resource Utilization Groups (RUGs III) as a unified method for classifying all residential, chronic care and rehabilitation patients at the St. Joseph's Health Centre, London, and (2) to compare the potential funding implications of RUGs and other patient/resident classification systems. RUGs were used to classify a total of 336 patients/residents in residential, extended care, chronic care and rehabilitation beds at the Health Centre. Patients were also concurrently classified according to the Alberta Long Term Care Classification System and the Medicus Long Term Care System. Results show that RUGs provide relatively more credit for higher acuity patients than do the Alberta or Medicus systems. If used as a basis for funding, chronic care and rehabilitation hospitals would be entitled to more funding (relative to residential/nursing homes) under RUGs than under the other two patient classification mechanisms.

Kelly, James R., Jr.

2021 ◽  
Author(s):  
Sadye L. M. Logan
Keyword(s):  
United States ◽  
Long Term Care ◽  
The United States ◽  
Veterans Administration ◽  
Term Care ◽  
Extended Care

James R. Kelly, Jr. (1934–2002) undertook pioneering work in the development and administration of the Veterans Administration (VA) Extended Care programs that has basically shaped the modalities of long-term care now available to veterans across the United States.

Transcending Distance in Long-Term Care: Can Serious Games Increase Resident Resilience?

2021 ◽  
Vol 65 (1) ◽  
pp. 1362-1366
Author(s):  
Trevor Hall ◽  
Monika Kastner ◽  
Susan Woollard ◽  
Christine Ramdeyol ◽  
Julie Makarski ◽  
...  
Keyword(s):  
Human Factors ◽  
Serious Games ◽  
Long Term Care ◽  
Health Centre ◽  
Lessons Learned ◽  
Healthcare Organizations ◽  
Physical Frailty ◽  
Term Care ◽  
Resident Resilience

In Canada, over 15,000 residents of long-term care have died from COVID-19 since the start of the pandemic representing 59 percent of all COVID-19 deaths (National Institute of Ageing, 2021). Urgent research and subsequent applied action are needed to save life and quality of life including the presence of family (CFHI, 2020). Social and physical frailty are major systemic patient safety gaps and are challenges for most healthcare organizations. This practitioner-led panel of experienced human factors, implementation science and healthcare experts used a case study of a project at North York General Hospital’s Seniors’ Health Centre in Toronto to discuss how these challenges can be addressed with serious games. The project discussed used games that aim to reduce social and physical frailty through exercise while interacting with remote families. Lessons learned to-date and challenges observed, in rapidly implementing safety and human factors programs intended to create resilient residents in a real healthcare context were discussed.

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

1999 ◽  
Vol 27 (3) ◽  
pp. 228-234 ◽  
Author(s):  
Magnus A. Björkgren ◽  
Unto Häkkinen ◽  
U. Harriet Finne-Soveri ◽  
Brant E. Fries
Keyword(s):  
Resource Utilization ◽  
Long Term Care ◽  
Validity And Reliability ◽  
Term Care ◽  
Care Facilities

Visual Analytics of Long-Term Care Resource Utilization in Taiwan

2018 ◽  
Vol 9 (2) ◽  
pp. 57-68
Author(s):  
Kuo-Chung Chu ◽  
Hsin-Ke Lu ◽  
Peng-Hua Jiang
Keyword(s):  
Resource Utilization ◽  
Visual Analytics ◽  
Long Term Care ◽  
Care Service ◽  
Institutional Care ◽  
The Elderly ◽  
Term Care ◽  
Open Government Data ◽  
Government Data

This article describes how the phenomenon of an aging population in Taiwan has become increasingly evident in recent years as the elderly population dependency ratio has gradually risen. Therefore, a study on long-term care (LTC) resources has been a key issue that had needed discussion. Currently, Taiwan's government has enacted legislation and policies related to LTC, but most of them involved institutional care. The traditional idea of most elderly is aging in place, so this study has become very necessary. The study analyzed the Open Government Data of LTC to discuss the home care service resource utilization with regard to LTC.

scholarly journals LO65: Frailty and associated outcomes among emergency department patients requiring endotracheal intubation

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S31
Author(s):  
S. Fernando ◽  
D. McIsaac ◽  
B. Rochwerg ◽  
S. Bagshaw ◽  
A. Seely ◽  
...  
Keyword(s):  
Emergency Department ◽  
Mechanical Ventilation ◽  
Hospital Mortality ◽  
Endotracheal Intubation ◽  
Resource Utilization ◽  
Long Term Care ◽  
Clinical State ◽  
Term Care ◽  
The Impact

Introduction: Risk-stratification of patients requiring endotracheal intubation and mechanical ventilation in the Emergency Department (ED) is necessary for informed discussions with patients regarding goals-of-care. Frailty is a clinical state characterized by reduced physiologic reserve, and resulting from accumulation of physiological stresses and comorbid disease. Frailty is increasingly being identified as an important independent predictor of outcome among critically ill patients. Our objective was to identify the impact of clinical frailty (defined by the Clinical Frailty Scale [CFS]) on in-hospital mortality and resource utilization of ED patients requiring endotracheal intubation and mechanical ventilation. Methods: We analyzed a prospectively collected registry (2011-2016) of patients requiring endotracheal intubation in the ED at two academic hospitals and six community hospitals. We included all patients ≥18 years of age, who survived to the point of ICU admission. All patient information, outcomes, and resource utilization were stored in the registry. CFS scores were obtained through chart abstraction by two blinded reviewers. The primary outcome, in-hospital mortality, was analyzed using a multivariable logistic regression model, controlling for confounding variables (including patient sex, comorbidities, and illness severity). We defined “frailty” as a CFS ≥ 5. Results: 4,622 patients were included. Mean age was 61.2 years (SD: 17.5), and 2,614 (56.6%) were male. Frailty was associated with increased risk of in-hospital mortality, as compared to those who were not frail (adjusted odds ratio [OR] 2.21 [1.98-2.51]). Frailty was also associated with higher likelihood of discharge to long-term care (adjusted OR 1.78 [1.56-2.01]) among patients initially from a home setting. Frail patients were more likely to fail extubation during their hospitalization (adjusted OR 1.81 [1.67-1.95]) and were more likely to require tracheostomy (adjusted OR 1.41 [1.34-1.49]). Conclusion: Presence of frailty among ED patients requiring endotracheal intubation and mechanical ventilation was associated with increased in-hospital mortality, discharge to long-term care, extubation failure, and tracheostomy. ED physicians should consider the impact of frailty on patient outcomes, and discuss associated prognosis with patients prior to intubation.

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