Medicare Payment Reform Demonstration and CARE Tool Development Initiatives
Project Director: Trudy Mallinson
Jan 2010 – Dec 2013
The demonstration will provide standardized information on patient health and functional status, independent of site of care, and will examine resources and outcomes associated with treatment in each type of setting. This will allow Centers for Medicare & Medicaid Services (CMS) to determine the extent to which similar patients are treated in different settings. Similarly, good information on resource use within each setting is needed to understand differences in patient treatment, outcomes, and current costs of care in order to create appropriate payment reform recommendations. As a part of the Post Acute Care Payment Payment Reform Demonstration (PAC-PRD), a standardized patient assessment tool was developed for use at acute hospital discharge and at PAC admission and discharge. This tool was named the Continuity Assessment Record and Evaluation (CARE) tool. Data collected using the CARE tool will serve as a major source of information in the demonstration. CARE will measure the health and functional status of Medicare acute discharges and measure changes in severity and other outcomes for Medicare PAC patients. CMS has contracted with RTI International to carry out the demonstration and instrument development projects. RTI International has subcontracted work to multiple clinical and research experts to contribute to the completion of the projects. Previously at the Rehabilitation Institute of Chicago, and currently at USC, Dr. Mallinson collaborates on these initiatives in the areas of instrument development, training, and measurement psychometrics.
|Private||RTI International||21-312-0209853 Task Orders 4 and 5||$44,352|