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Medical Rehabilitation

Rehab length of stay decreasing but mortality after discharge on the rise

Published in Managed Care Weekly Digest, November 1st, 2004

Although medical rehabilitation patients are spending less time as inpatients at facilities, their functional outcomes have not declined.

However, the death rate following discharge has increased nearly 4% from 1994-2001, according to a study in the October 13, 2004, issue of Journal of the American Medical Association.

Changes in reimbursement have reduced length of stay (LOS) for patients receiving inpatient medical rehabilitation. The impact that reduced LOS has had on rehabilitation outcomes including functional status, living setting, and death has not been known.

Kenneth J. Ottenbacher, PhD, OTR, of the University of...

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