State preadmission screening programs for controlling utilization of long-term care.
Polich, Cynthia L
Date of Pub
Iversen, Laura H
This article explores the issue o whether state-administered nursing home preadmission screening (PAS) programs are an effective
means of controlling the utilization of long-term care. It is suggested that, overall, PAS may be increasing rather than decreasing
the use of long-term care. Utilization control through PAS may be ineffective because it occurs too late in the placement
decision process, there are insufficient placement alternatives, assessment tools do not adequately identify who is at risk
of institutionalization, and policymakers and program administrators may have conflicting goals. Recommendations for improving
the screening process include, among others, that States more clearly define program goals and that screening be conducted
within a managed-care system.
Government : State Government : Utilization Review : Cost Control : Long-Term Care/utilization : Medicaid/utilization : Patient
Care Planning/methods : Support, Non-U.S. Gov't : United States