New York's resource utilization groups system (RUGs III)

Measures resident characteristics & staff care time for various categories of patients. RUGs based on care needs & utilization, not medical diagnoses or conditions as DRGs. RUGs III demonstrations project: 1) 6 state demonstration project from 1989 through 1998 (New York, Texas, Maine, Mississippi, Kansas, South Dakota) 2) 1st 3 years spent of designing classification groups 3) payment implemented in 1996 4) therapies bundled into PPS payment in 1997 5) only 600 volunteer SNFs involved RUGs III system - 7 major categories - 44 total groups 1) rehabilitation - 14 groups 2) extensive services - 3 groups 3) special care - 3 groups 4) clinically complex - 6 groups 5) impaired cognition - 4 groups 6) behavior only - 4 groups 7) reduced physical function - 10 groups Rugs III group = category + ADL Index + Additional needs RUGs are in the process of being revised.

Related

activities of daily living (ADL) ADL index minimum data set (MDS) for nursing home residents

References

Smith, R. Jewish Home for the Aging, Reseda CA, 2001, unpublished