Consulting firm publishes subacute guidelines

Following its guidelines for acute care and home health, Seattle-based Milliman and Robertson, an actuarial and consulting firm, recently introduced its newest publication: Case Management: Recovery Facility Care. The recovery care volume is the sixth publication in the Healthcare Management Guidelines series. The guidelines provide case management for patients requiring rehabilitation, subacute, or skilled nursing care.

Targeted to professionals in systems seeking to provide the most appropriate care for patients, Milliman and Robertson point out that Medicare expenditures for skilled nursing care tripled between 1991 and 1995. Estimates for people in the general population over age 65 in the next 25 years will increase from 34 million to 50 million, according to the organization. Estimates are that over the next 25 years, the annual cost of providing skilled nursing care for people over age 65 will increase from $34 million to $50 million.

Volume six of the Healthcare Management Guidelines emphasizes transition to the home setting whenever possible and the use of recovery facilities for direct admissions for all levels of subacute care. Included in Case Management: Recovery Facility Care is information on:

• indicators for admissions to varying levels of care;

• desired patient outcomes;

• descriptions of treatment plans for care;

• estimated length of stay goals;

• discharge criteria.

Publication of volume six coincides with Milliman and Robertson’s recent revisions to volume one, Inpatient and Surgical Care, and volume four, Case Management: Home Care.

[Editor’s note: For information about Milliman and Robertson’s Healthcare Management Guidelines Volume Six and other health care services, visit the organization’s page on the World Wide Web: To order a copy of the guidelines, which cost $375, plus $10 shipping and handling for each volume, write Milliman & Robertson, 1301 Fifth Ave., Suite 3800, Seattle, WA 98101-2605. Telephone: (206) 624-7940. Fax: (206) 340-1380.]