Healthcare tariffs for specialist inpatient neurorehabilitation services: Rationale and development of a UK casemix and costing methodology

Clinical Rehabilitation

Volumn 26, Issue 3, 2012, Pages 264-279

  Turner Stokes, Lynne ^a,b   Sutch, Stephen ^c   Dredge, Robert ^d  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b NORTHWICK PARK HOSPITAL   (United Kingdom)

^c JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^d KEELE UNIVERSITY   (United Kingdom)

Author keywords

costs and cost analysis; diagnosis related groups; Rehabilitation

Indexed keywords

COMPARATIVE STUDY; COST BENEFIT ANALYSIS; DIAGNOSIS RELATED GROUP; ECONOMICS; FEMALE; HEALTH CARE COST; HOSPITAL PATIENT; HUMAN; MALE; NATIONAL HEALTH SERVICE; NEUROLOGIC DISEASE; REHABILITATION CENTER; REVIEW; SPECIALIZATION; STATISTICAL MODEL; STATISTICS; UNITED KINGDOM; UTILIZATION REVIEW;

COST-BENEFIT ANALYSIS; DIAGNOSIS-RELATED GROUPS; FEMALE; GREAT BRITAIN; HEALTH CARE COSTS; HUMANS; INPATIENTS; MALE; MODELS, ECONOMIC; NERVOUS SYSTEM DISEASES; REHABILITATION CENTERS; SPECIALIZATION; STATE MEDICINE;

EID: 84857334886     PISSN: 02692155     EISSN: 14770873     Source Type: Journal    
DOI: 10.1177/0269215511417467     Document Type: Article

References (31)

1. Reforming NHS financial flows introducing payment by results. London: Department of Health ; 2002 :
2. Turner-Stokes L, Sutch S, Dredge R, Eagar K. International casemix and funding models: lessons for rehabilitation. Clin Rehabil. 2011 ;:
3. Saitto C, Marino C, Fusco D, Arca M, Perucci CA. Toward a new payment system for inpatient rehabilitation. Part II: Reimbursing providers. Med Care. 2005 ; 43: 856-864 (Pubitemid 41323134)
4. Saitto C, Marino C, Fusco D, Arca M, Perucci CA. Toward a new payment system for inpatient rehabilitation. Part I: Predicting resource consumption. Med Care. 2005 ; 43: 844-855 (Pubitemid 41323133)
5. Green J, Gordon R. The development of version 2 of the AN-SNAP casemix classification system. Aust Health Rev. 2007 ; 31 (suppl 1). s68 - s78
6. Sutherland JM, Walker J. Challenges of rehabilitation case mix measurement in Ontario hospitals. Health Policy. 2008 ; 85: 336-348 (Pubitemid 351179540)
7. Lee LA, Eagar KM, Smith MC. Subacute and non-acute casemix in Australia. Med J Aust. 1998 ; 169: 19
8. Heinemann AW, Hamilton B, Linacre JM, Wright BD, Granger C. Functional status and therapeutic intensity during inpatient rehabilitation. Am J Phys Med Rehabil. 1995 ; 74: 315-326
9. Heinemann AW, Kirk P, Hastie BA, et al. Relationships between disability measures and nursing effort during medical rehabilitation for patients with traumatic brain and spinal cord injury. Arch Phys Med Rehabil. 1997 ; 78: 143-149 (Pubitemid 27078673)
10. Disler PB, Roy CW, Smith BP. Predicting hours of care needed. Arch Phys Med Rehabil. 1993 ; 74: 139-143 (Pubitemid 23059297)
11. Turner-Stokes L, Williams H, Siegert RJ. The Rehabilitation Complexity Scale version 2: a clinimetric evaluation in patients with severe complex neurodisability. J Neurol Neurosurg Psychiatry. 2010 ; 81: 146-153
12. Turner-Stokes L. Cost-efficiency of longer-stay rehabilitation programmes: can they provide value for money?. Brain Inj. 2007 ; 21: 1015-1021 (Pubitemid 47487810)
13. Turner-Stokes L, Paul S, Williams H. Efficiency of specialist rehabilitation in reducing dependency and costs of continuing care for adults with complex acquired brain injuries. J Neurol Neurosurg Psychiatry. 2006 ; 77: 634-639 (Pubitemid 43844589)
14. National definition set for specialised services: no. 7 Complex specialised rehabilitation for brain injury and complex disability (adult). London: Department of Health ; 2002 :
15. Turner-Stokes L Northwick Park Hospital. London: National Institute for Health Research Programme Grant for Applied Research ; 2008 :
16. Turner-Stokes L, Tonge P, Nyein K, Hunter M, Nielson S, Robinson I. The Northwick Park Dependency Score (NPDS): a measure of nursing dependency in rehabilitation. Clin Rehabil. 1998 ; 12: 304-318 (Pubitemid 28429959)
17. Siegert RJ, Turner-Stokes L. Psychometric evaluation of the Northwick Park Dependency Scale. J Rehabil Med. 2010 ; 42: 936-943
18. Turner-Stokes L, Nyein K, Halliwell D. The Northwick Park Care Needs Assessment (NPCNA): a directly costable outcome measure in rehabilitation. Clin Rehabil. 1999 ; 13: 253-267 (Pubitemid 29271979)
19. Turner-Stokes L, Shaw A, Law L, Rose H. Development and initial validation of the Northwick Park Therapy Dependency Assessment. Clin Rehabil. 2009 ; 23: 922-937
20. Wade DT, Collin C. The Barthel ADL index: a standard measure of physical disability?. Int Disabil Stud. 1988 ; 10: 64-67
21. Hamilton BB, Granger CV, Sherwin FS, Zielezny M, Tashman JS Rehabilitation outcomes: analysis and measurement. Fuhrer JM, ed. Baltimore: Brookes ; 1987: 137-147.
22. Turner-Stokes L, Nyein K, Turner-Stokes T, Gatehouse C. The UK FIM+FAM: Development and evaluation. Clinical Rehabilitation. 1999 ; 13: 277-287 (Pubitemid 29371557)
23. Turner-Stokes L. Standardised outcome assessment in brain injury rehabilitation for younger adults. Disabil Rehabil. 2002 ; 24 (7). 383-389 (Pubitemid 34520716)
24. Skinner A, Turner-Stokes L. The use of standardized outcome measures in rehabilitation centres in the UK. Clin Rehabil. 2006 ; 20 (7). 609-615 (Pubitemid 44193034)
25. Turner-Stokes L. Goal attainment scaling in rehabilitation; a practical guide. Clin Rehabil. 2009 ; 23: 362-370
26. Turner-Stokes L, Williams H, Johnson J. Goal Attainment Scaling: does it provide added value as a person-centred measure for evaluation outcome in neurorehabilitation following acquired brain injury?. JRehabil Med. 2009 ; 41 (7). 528-535
27. Acute health clinical costing standards. London: Department of Health ; 2009 :
28. Turner-Stokes L, Disler R, Williams H. The Rehabilitation Complexity Scale: a simple, practical tool to identify 'complex specialised' services in neurological rehabilitation. Clin Med. 2007 ; 7 (6). 593-599 (Pubitemid 350260084)
29. Turner-Stokes L, Bill A, Dredge R. A cost analysis of specialist inpatient neurorehabilitation services in the UK. Clin Rehabil. 2011 ;:
30. Fries BE, Schneider DP, Foley WJ, Gavazzi M, Burke R, Cornelius E. Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III). Med Care. 1994 ; 32 (7). 668-685
31. Department of Health. Best practice tariffs. Department of Health, London, 2010. http://www. Dh.gov.uk/en/Managingyourorganisation/ NHSFinancialReforms/DH-105080 (accessed 25 May 2011).