This article describes the methodology used to develop program standardsfor a new periodic medical review/independent professional review (PMR/IPR) in New York State nursing homes. The new program consists of two stages: a first, cursory stage for the purpose of identifying patients to be subjected to a more thorough process review in the second stage. Program standards consist of(1) norms for the percentage of patients failing Stage I before a second stage is undertaken in a nursing home and (2) norms for the percentage of patients failing the second stage before the home is subject to corrective action. The actual standards that were developed are also presented.
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References
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(1977) "AUTOGRP patient classification scheme and diagnosis related groups." Report No. 1. Washington, DC: Health Care Financing Administration, Department of Health, Education and Welfare.
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