Rielinger J A
MetroHealth Medical Center, Cleveland, Ohio, USA.
Healthc Financ Manage. 2001 Dec;55(12):52-5.
To assess the financial impact of the inpatient rehabilitation prospective payment system (PPS) on its future revenues, the MetroHealth Center for Rehabilitation (MHCR), Cleveland, Ohio, undertook a three-phase process using data from calendar year 2000 to estimate its potential profit or loss for each case-mix group (CMG) identified in the final rule. This process entailed developing a database to facilitate the combination and comparison of patient-charge and clinical data by CMG, using the combined data to estimate costs by cost center, and using payment information included in the final rule to estimate revenues by CMG. Following the assessment, the MHCR decided to expand the database to assist clinicians in making informed decisions in their patient-assessment and care-delivery processes that would account for cost and revenue considerations under the PPS.
为评估住院康复前瞻性支付系统（PPS）对其未来收入的财务影响，俄亥俄州克利夫兰市的地铁健康康复中心（MHCR）采用了一个三阶段流程，利用2000年日历年的数据来估算最终规则中确定的每个病例组合组（CMG）的潜在利润或损失。这个流程包括开发一个数据库，以促进按CMG对患者费用和临床数据进行合并和比较，使用合并后的数据按成本中心估算成本，并使用最终规则中包含的支付信息按CMG估算收入。评估之后，MHCR决定扩展该数据库，以协助临床医生在患者评估和护理交付过程中做出明智决策，这些决策将考虑PPS下的成本和收入因素。
