This study examines the differences in workload estimates of three patient classification systems in nursing, within selected Case Mix Groups (CMGs). The amount of variation explained by selected patient-specific variables within CMGs on average nursing workload by each system is also analyzed. Results show that, when patient classification data are used to explain nursing time within the Diagnosis Related Group (DRG) context, absolute hours of care estimates of the various systems may not be equivalent. This inequality may result in biased budget review practices unless relational statements are developed between systems.
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References
1.
McKibbenR.BrimmerP.ClintonJ. and GalliherJ.1985. DRGs and Nursing Care. Kansas City, Missouri: American Nurses Association.
2.
HalloranE.J.1985. Nursing workload, medical diagnosis related groups and nursing diagnosis. Research in Nursing and Health8: 421–433.
3.
ShaferF., ed. 1988. Costing Out Nursing: Pricing Our Product. New York: The National League for Nursing.
4.
SovieM.D.TarcinaleM.A.VanputeeA.W. and StudenE.1985. Amalgam of nursing acuity and costs. Nursing Management16: 22–28.
5.
Hospital Medical Records Institute. 1982. Case Mix Groupings. Toronto: Hospital Medical Records Institute.
6.
BargagliottiL.A. and SmithH.A.1985. Patterns of nursing costs with capitated reimbursement. Nursing Economics3: 270–285.
7.
WilsonL.PrescottP. and AleksandrowiczL.1988. Nursing: A major hospital cost component. Health Services Research22(6): 773–796.
8.
TilquinC.1978. PRN 76: The Measurement of the Level of Nursing Care Required. Montreal: University of Montreal.
9.
MeyersD.1978. GRASP, a Patient Information and Workload Measurement System. Morganton, North Carolina: M.C.S.
10.
Medicus Canada, ed. 1985. The Medicus experienced-based staffing methodology. Internal document. Toronto.
11.
O'Brien-PallasL.L.1987. Analysis of variation in nursing workload associated with patient medical diagnosis, nursing diagnosis and patient classification method. Doctoral dissertation presented at University of Toronto.
12.
ChagnonM.AudetteL.LebrunL. and TilquinC.1978. Validation of a classification system by level of care required. Nursing Research27: 107.
13.
SAS Institute.1982. SAS User's Guide. Gary, North Carolina: SAS Institute, Inc.
