{"id":{"repo_id":"sdstate","oai_identifier":"oai:openprairie.sdstate.edu:etd-1846"},"canonical_url":"https://search.dev.ndltd.org/etd/sdstate/oai:openprairie.sdstate.edu:etd-1846","repository":{"repo_id":"sdstate","name":"South Dakota State University","base_url":"https://openprairie.sdstate.edu/do/oai/"},"display":{"title":"Comparison of Rehabilitation Resources and Outcomes by Functional Measurement","abstract":"The purpose of this study was to determine if increased therapy intensity led to a difference in length of stay and functional outcomes of rehabilitation inpatients at a rural midwestern rehabilitation center. Development of a rational basis for rehabilitation hospital payments has become a critical issue due to legislature and policy-maker efforts to control rising health care costs. Payer focus on financial outcomes challenges rehabilitation clinicians to modify treatment techniques to produce optimal clinical outcomes as efficiently as possible. One way to address optimization and efficiency is to use outcome-based programming. Functional status measures appear to provide a basis for predicting resource use. Two potential indicators of resource use are the length of stay (LOS) and the independence of function at discharge from rehabilitation center. Thus, a retrospective study of Functional Independence Measure (FIM) subjects was conducted by comparing LOS efficiency differences of two naturally occurring groups: rehabilitation patients provided with five days of therapy (control group of 57) and those provided with five and a half days of therapy (comparison group of 88). The length of stay efficiency was calculated by dividing the FIM change by length of stay. A t-test indicated a statistically significant increase in functional outcomes with increased therapy intensity for females, persons over 65 and under 75, and persons with total knee arthroscopies (TKAs).","abstract_html":"The purpose of this study was to determine if increased therapy intensity led to a difference in length of stay and functional outcomes of rehabilitation inpatients at a rural midwestern rehabilitation center. Development of a rational basis for rehabilitation hospital payments has become a critical issue due to legislature and policy-maker efforts to control rising health care costs. Payer focus on financial outcomes challenges rehabilitation clinicians to modify treatment techniques to produce optimal clinical outcomes as efficiently as possible. One way to address optimization and efficiency is to use outcome-based programming. Functional status measures appear to provide a basis for predicting resource use. Two potential indicators of resource use are the length of stay (LOS) and the independence of function at discharge from rehabilitation center. Thus, a retrospective study of Functional Independence Measure (FIM) subjects was conducted by comparing LOS efficiency differences of two naturally occurring groups: rehabilitation patients provided with five days of therapy (control group of 57) and those provided with five and a half days of therapy (comparison group of 88). The length of stay efficiency was calculated by dividing the FIM change by length of stay. A t-test indicated a statistically significant increase in functional outcomes with increased therapy intensity for females, persons over 65 and under 75, and persons with total knee arthroscopies (TKAs).","abstract_has_math":false,"creators":["Haugen, Nancy A."],"institution":null,"degree_name":"Master of Science (MS)","degree_level":"Thesis - University Access Only","degree_discipline":"Graduate Nursing","degree_department":null,"school":null,"contributors":["Barbara Heater"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":1999,"date_issued":"1999-01-01T08:00:00Z","date_published":"1999-01-01T08:00:00Z","updated_at":"2026-07-24T04:28:23Z","subjects":["therapeutics","rehabilitation centers","length of stay hospital utilization","Nursing"],"languages":["en"],"rights":["Copyright © 1999 Nancy Haugen. All rights reserved"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://openprairie.sdstate.edu/etd/846","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Barbara Heater"]},{"key":"dc:creator","label":"Author","values":["Haugen, Nancy A."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Graduate Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Thesis - University Access Only"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science (MS)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["therapeutics","rehabilitation centers","length of stay hospital utilization","Nursing"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright © 1999 Nancy Haugen. 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A t-test indicated a statistically significant increase in functional outcomes with increased therapy intensity for females, persons over 65 and under 75, and persons with total knee arthroscopies (TKAs)."]},{"key":"dc:title","label":"Title","values":["Comparison of Rehabilitation Resources and Outcomes by Functional Measurement"]}]}],"canonical_facts":{"dc:contributor":["Barbara Heater"],"dc:creator":["Haugen, Nancy A."],"dc:description.abstract":["The purpose of this study was to determine if increased therapy intensity led to a difference in length of stay and functional outcomes of rehabilitation inpatients at a rural midwestern rehabilitation center. Development of a rational basis for rehabilitation hospital payments has become a critical issue due to legislature and policy-maker efforts to control rising health care costs. Payer focus on financial outcomes challenges rehabilitation clinicians to modify treatment techniques to produce optimal clinical outcomes as efficiently as possible. One way to address optimization and efficiency is to use outcome-based programming. Functional status measures appear to provide a basis for predicting resource use. Two potential indicators of resource use are the length of stay (LOS) and the independence of function at discharge from rehabilitation center. Thus, a retrospective study of Functional Independence Measure (FIM) subjects was conducted by comparing LOS efficiency differences of two naturally occurring groups: rehabilitation patients provided with five days of therapy (control group of 57) and those provided with five and a half days of therapy (comparison group of 88). The length of stay efficiency was calculated by dividing the FIM change by length of stay. 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