Examining Post Acute Care Relationships in an Integrated Hospital System. 3.6 Post-Acute Care Episode Analysis

02/01/2009

In this next section we present analyses of the patterns of PAC episode utilization and payment. We focus on the patterns of use for post-acute users overall, and on the patterns of use for one medical DRG, DRG 089 Simple Pneumonia & Pleurisy Age > 17 w CC; and for one rehabilitative DRG, DRG 544 Major Joint Replacement or Reattachment Procedures of Lower Extremity. These two DRGs were chosen given their frequency in the post-acute population and to illustrate how patterns of use differ for different types of conditions. Utilization and payment analyses are also stratified by severity levels using both the APR-DRGs and the MS-DRGs.

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