scholarly journals Implementing a provincial case mix adjusted funding model for inpatient rehabilitation activity: the impact on bed designations

2007 ◽  
Vol 7 (S1) ◽  
Author(s):  
Jan Walker ◽  
Jason Sutherland
Keyword(s):  
Inpatient Rehabilitation ◽  
Case Mix ◽  
Funding Model ◽  
The Impact ◽  
Rehabilitation Activity

The Impact of Inpatient Rehabilitation on Function and Survival of Newly Diagnosed Patients With Glioblastoma

PM&R ◽  
2013 ◽  
Vol 6 (6) ◽  
pp. 514-521 ◽  
Author(s):  
Pamela S. Roberts ◽  
Miriam Nuño ◽  
Dale Sherman ◽  
Arash Asher ◽  
Jeffrey Wertheimer ◽  
...  
Keyword(s):  
Inpatient Rehabilitation ◽  
Newly Diagnosed ◽  
The Impact

The Impact of ISTCS – A Clinician's Perspective (Questionnaire Study)

2010 ◽  
Vol 92 (9) ◽  
pp. 1-3
Author(s):  
D Mendis ◽  
A Hawrani
Keyword(s):  
Healthcare Delivery ◽  
Postal Questionnaire ◽  
Questionnaire Study ◽  
Case Mix ◽  
Day Case ◽  
General Attitude ◽  
Inpatient Services ◽  
The Impact ◽  
Training Opportunities ◽  
Controversial Aspect

Independent sector treatment centres and their effect on the NHS remain a controversial aspect of healthcare delivery. This postal questionnaire study aims to identify the general attitude among surgical consultants about their effects, specifically on NHS workload, departmental/trust finances, training opportunities and case mix. NHS hospitals within five miles of an ISTC offering day case/inpatient services were targeted.

scholarly journals Saving Lives One Bite at a Time: The King Hussein Cancer Foundation´s Restaurant Care Program

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 185s-185s
Author(s):  
M. Nababteh ◽  
N. Al Abed Al Mahdi
Keyword(s):  
Care Program ◽  
Cost Effective ◽  
Program Cost ◽  
Funding Model ◽  
Billing System ◽  
Opt Out ◽  
Public Behavior ◽  
Fixed Line ◽  
The Impact ◽  
Financial Process

Amount raised: Since 2007, the program has raised USD 5.25 million. Background and context: In 2007, the King Hussein Cancer Foundation (KHCF) established the Restaurant Care Program (RCP); an innovative sustainable fundraising program targeting the general public. The RCP invites restaurants to incorporate a fixed contribution to KHCF as a line item on their diner bills, enabling restaurant guests to join the fight against cancer. At the time when cancer was still considered a taboo, the idea of bringing cancer onto restaurant tables and associating it with food was a huge undertaking which was frowned upon by most. It took one champion to join the program to for the rest to follow suit; gradually overcoming the taboo and changing public behavior. Within 10 years, the program was able to partner with over 70 restaurants with an annual growth of 8.4%. Aim: Establishing an innovative, sustainable fundraising program that creates behavior change and serves as an accessible, effortless donation channel while they dine Strategy/Tactics: Generating funds in a systematic and sustainable method by including the contribution as a line item on diners' bills within partner restaurants' financial/billing systems. Customizing the contributions according to restaurant's tier; JD 1 (USD 1.4), JD 0.50 (USD 0.70) and JD 0.25 (USD 0.35). Implementation of a donation opt-out method rather than making it opt-in. This means that the contribution is automatically added by the restaurant to the bill, yet allows the diner to optionally remove the donation if they request to do so. Shifting from the opt-in to opt-out method significantly more than doubled the donations received allowing the program to raise USD 512,711 in 2017 alone. Training and educating restaurant employees and raising their awareness about cancer, the program and the impact of raising funds to support patients- deeming them on-the ground KHCF advocates. Program process: Official agreements are signed with partner restaurants indicating the fixed donation amount and the financial process. Restaurants add the contribution as a fixed line item within their financial/billing system-KHCF provides restaurant partners with jointly branded marketing materials which are placed on dining tables and which explain the program and its process. Training of restaurant financial staff and waiters on program process in addition to educating them on cancer, KHCF mission and impact of the donations. Monthly financial reconciliation with each partner restaurant based on provided and audited receipts/bills. Costs and returns: The expenditure of the program is 2-4% of the programs' returns making the program cost-effective and sustainable. What was learned: Despite KHCF being in a resource-poor developing country, the program´s success is proof that it´s possible to conquer taboos and create an innovative funding model that is both cost-effective and sustainable and can be replicated across sectors and countries.

Poster 105 The Impact of Comorbidities and Complications on Burn Injury Inpatient Rehabilitation Outcomes

PM&R ◽  
2012 ◽  
Vol 4 ◽  
pp. S225-S226
Author(s):  
Paul Gerrard ◽  
Margaret A. DiVita ◽  
Richard Goldstein ◽  
Karen J. Kowalske ◽  
Paulette Niewczyk ◽  
...  
Keyword(s):  
Burn Injury ◽  
Inpatient Rehabilitation ◽  
Rehabilitation Outcomes ◽  
The Impact

Abstract WP356: Unbundling Care Transitions and Cost After Stroke: Results From the BPCI-Advanced Program

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Geri Sanfillippo ◽  
Brian Olkowski ◽  
Hermann Christian Schumacher ◽  
David Dafilou ◽  
Colleen Bowski ◽  
...  
Keyword(s):  
Acute Care ◽  
Resource Utilization ◽  
Care Coordination ◽  
Program Implementation ◽  
Care Transitions ◽  
Inpatient Rehabilitation ◽  
Hospital Length Of Stay ◽  
Early Supported Discharge ◽  
The Impact ◽  
Post Acute Care

Introduction: The Centers for Medicare and Medicaid Services bundled payment for care improvement advanced (BPCI-A) program incentivizes providers to better coordinate care, reduce expenses, and improve quality. The purpose of this study was to determine the impact of improving post-acute care coordination after stroke on quality and resource utilization in the BPCI-A program. Methods: Capital Health collaborated with post-acute providers to improve communication, identify criteria for early supported discharge to the community, expedite home health and outpatient services, reduce readmissions, and initiate advanced care planning. The redesigned post-acute care coordination program was implemented at Capital Health’s primary and comprehensive stroke center. Quality outcomes and resource utilization measures for patients enrolled in the BCPI-A program were compared to BPCI-A eligible patients prior to program implementation. Results: Forty-three patients enrolled in the BCPI-A program were compared to 77 patients eligible for enrollment. Clinical and demographic characteristics were similar (p>.05). After program implementation, 21.5% fewer patients were discharged to an inpatient rehabilitation facility (p=.024) and 14% more patients were discharged to inpatient hospice (p<.001). On average, post-acute cost decreased $16,608 per patient (p=.007) resulting in a $16,820 reduction in the 90-day cost per episode (p=.011). The 90-day hospital readmission rate decreased insignificantly by 14.1% from 23.4% to 9.3% (p=.056). Hospital cost, hospital length of stay and the 90-day mortality rate were unchanged (p>.05). Conclusion: The coordination of post-acute services facilitates care transitions after stroke. The identification of patients meeting criteria for early supported discharge to the community or admission to inpatient hospice helped reduce post-acute cost without increasing 90-day readmission or mortality.

scholarly journals Learning from the transfer of a fellowship programme to support primary care workforce needs in the UK: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023384 ◽  
Author(s):  
Carol Bryce ◽  
Rachel Russell ◽  
Jeremy Dale
Keyword(s):  
Health Service ◽  
Qualitative Study ◽  
Workforce Development ◽  
Urgent Care ◽  
The South ◽  
The West ◽  
Clinical Placements ◽  
Funding Model ◽  
West Midlands ◽  
The Impact

ObjectivesService redesign, including workforce development, is being championed by UK health service policy. It is allowing new opportunities to enhance the roles of staff and encourage multiprofessional portfolio working. New models of working are emerging, but there has been little research into how innovative programmes are transferred to and taken up by different areas. This study investigates the transferability of a 1-year post-Certification of Completion of Training fellowship in urgent and acute care from a pilot in the West Midlands region of England to London and the South East.DesignA qualitative study using semistructured interviews supplemented by observational data of fellows’ clinical and academic activities. Data were analysed using a thematic framework approach.Setting and participantsTwo cohorts of fellows (15 in total) along with key stakeholders, mentors, tutors and host organisations in London and the South East (LaSE). Fellows had placements in primary and secondary care settings (general practice, emergency department, ambulatory care, urgent care and rapid response teams), together with academic training.ResultsSeventy-six interviews were completed with 50 participants, with observations in eight clinical placements and two academic sessions. The overall structure of the West Midlands programme was retained and the core learning outcomes adopted in LaSE. Three fundamental adaptations were evident: broadening the programme to include multiprofessional fellows, changes to the funding model and the impact that had on clinical placements. These were felt to be key to its adoption and longer-term sustainability.ConclusionThe evaluation demonstrates a model of training that is adaptable and transferable between National Health Service regions, taking account of changing national and regional circumstances, and has the potential to be rolled out widely.

The Impact of Comorbidities and Complications on Burn Injury Inpatient Rehabilitation Outcomes

PM&R ◽  
2012 ◽  
Vol 5 (2) ◽  
pp. 114-121 ◽  
Author(s):  
Jeffrey C. Schneider ◽  
Paul Gerrard ◽  
Richard Goldstein ◽  
Margaret A. DiVita ◽  
Paulette Niewczyk ◽  
...  
Keyword(s):  
Burn Injury ◽  
Inpatient Rehabilitation ◽  
Rehabilitation Outcomes ◽  
The Impact

Observations of Activity Levels in a Purpose-Built, Inpatient, Rehabilitation Facility

2019 ◽  
Vol 12 (4) ◽  
pp. 26-38 ◽  
Author(s):  
Katharine Scrivener ◽  
Natasha Pocovi ◽  
Taryn Jones ◽  
Bridget Dean ◽  
Shaun Gallagher ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Position ◽  
Social Activity ◽  
Cognitive Activity ◽  
Inpatient Rehabilitation ◽  
Multidisciplinary Care ◽  
Activity Levels ◽  
Rehabilitation Facility ◽  
Mapping Techniques ◽  
The Impact

Background: Effective rehabilitation should include high levels of physical activity. The impact of the environmental design on activity levels has had minimal consideration. Purpose: This study investigates activity levels of inpatients undergoing rehabilitation in a new rehabilitation facility with innovative design and multidisciplinary care, comparing weekday and weekend activity levels, as well as changes over a 12-month period. Method: An observational study reporting participants’ location, people present, body position, and activity type on 2 weekdays and 1 weekend day using behavior mapping techniques. Fifteen participants were observed in a mixed rehabilitation unit with neurological, orthopedic, and other health conditions. Results: Results were calculated as the proportion of observations participants spent in each location, position, and performing activities (physical, cognitive, social), and time spent alone and inactive. On average, participants were engaged in activity for 86% (standard deviation [ SD] = 9) of the day, with physical activity accounting for 51% ( SD = 11), cognitive activity 28% ( SD = 10), and social activity 42% ( SD = 16). There was more physical activity (mean difference [ MD] 8% absolute, confidence interval [CI] = [4, 12], p < .01) and less social activity ( MD −6% absolute, CI [−11, −1], p = .02) on weekdays compared to weekends. Overall, participants were alone and inactive for 12% ( SD = 9) of the day. Participants observed in 2016 displayed similar results to those observed in 2015. Conclusion: High levels of activity were achieved in this facility that underwent environmental redesign, construction of new facilities, and implementation of evidence-based strategies.

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