Increased admissions from hospitals to nursing homes over six-month period resulted in reduced number of hospital nonacute patients requiring long-term care placement. Nursing homes shifted admissions patterns to accept more persons from non-hospital settings, hospital admissions declined, and number of nonacute patients in hospitals increased.…

This report concerns the Health Care Financing Administration's (HCFA) contracting with Utilization and Quality Control Peer Review Organizations (PROs) as a means of monitoring the medical necessity and quality of in-hospital care provided to Medicare beneficiaries. Findings from a HCFA survey of PROs in California, Florida, and Georgia are used…

The increasing age of the American population and the current emphasis on cost containment in health care make the 1980s an ideal time for building bridges to span the health care needs of elderly persons in acute care and long-term care. While hospitals often discharge patients to nursing homes as an intermediate step between hospitalization and…

Analysis of national medical data identified elderly nursing home residents with an elevated risk of hospitalization and the characteristics of their hospital stays. Findings indicate an elevated risk of hospitalization for residents diagnosed with one of several different primary diagnoses. Infections accounted for over 25% of hospital stays.…

This document updates a recent report by the General Accounting Office (GAO) which compared Medicare catastrophic health insurance proposals. The update includes H.R. 2470, as passed by the House of Representatives and S. 1127, as reported by the Senate Committee on Finance. An introduction explains the roles of Medicare, Medicaid, the Veterans…

As the American population increases, the health problems of older women will be of greater concern to health planners, because it is the elderly woman who most often survives to old age and has greater need of services. Data from the National Health Survey was used to determine characteristics, conditions, management, and outcomes of patients at…

The purpose of this handbook is to provide guidance to data management staff within health planning agencies concerning the assemblage, analysis, and application of data for the purposes of health planning and resources development. Detailed information concerning practical, step-by-step approaches to data acquisition, analysis, and use is…