A clinically based service limitation option for alternative model rural hospitals.
Moscovice, Ira S
Date of Pub
Chen, Mei M; Christianson, Jon B; Sales, Anne; Wellever, Anthony L
Alternative model rural hospitals are designed to address problems faced by small, isolated rural hospitals. Typically, hospital
regulations are reduced in exchange for a limit on the services that alternative models may offer. The most common service
limitation is a limit on length of stay (LOS), a method with little empirical or conceptual support. The purpose of this article
is to present a clinically based service limitation for alternative model rural hospitals, such as the rural primary care
hospital. The proposal is based on an analysis of Medicare discharges from rural hospitals most likely to convert and the
judgments of a technical advisory panel of rural clinicians.
Aged : Data Collection : Diagnosis-Related Groups/legislation & jurisprudence/statistics & numerical data : Health Services
Research : Hospital Planning/legislation & jurisprudence : Hospitals, Rural/economics/legislation & jurisprudence/utilization
: Human : Length of Stay/economics/legislation & jurisprudence : Medicare Part A/legislation & jurisprudence : Models, Organizational
: Patient Transfer/statistics & numerical data : Professional Review Organizations : Support, U.S. Gov't, Non-P.H.S. : United
States : Utilization Review