(a)
Acute care.
[ 3251 ]
(1) 6010
MEDICAL/SURGICAL ACUTE
..........................................................................................................
(i) Function. Medical/Surgical Acute Care Units
provide care to patients on the basis of physicians' orders and approved nursing
care plans. Additional activities include, but are not limited to, the following:
Serving and feeding of patients; collecting sputum, urine
and feces samples; monitoring of vital life signs; operating of specialized
equipment related to this function; preparing equipment and assisting physicians
during patient examination and treatment; changing of dressings and cleansing of
wounds and incisions; observing and recording emotional stability of patients;
assisting in bathing patients and helping into and out of bed; observing patients
for reaction to drugs; administering specified medication; infusing fluids,
including I.V.'s and blood; answering of patients' call signals; keeping
patients' rooms (personal effects) in order.
(ii) Description. This cost center contains the
direct expenses incurred in providing daily bedside care to Medical/Surgical
acute patients. Included as direct expenses are: salaries and wages, employee
benefits, professional fees, supplies, purchased services, other direct expenses,
and transfers.
(iii) Standard Unit of
Measure: number of patient days. Report patient days of care for all patients
admitted to this unit. Include the day of admission, but not the day of discharge
or death. If both admission and discharge or death occur on the same day, the day
is considered a day of admission and counts as one patient day.
(iv) Data source. The number of patient days
shall be taken from daily census counts.
(2) 6170 PEDIATRIC ACUTE
(i) Function. Pediatric Acute Care Units
provide care to Pediatric patients (children less than 14 years) in Pediatric
nursing units on the basis of physicians' orders and approved nursing care plans.
Additional activities include, but are not limited to, the following:
Serving and feeding of patients; collecting of sputum,
urine and feces samples; monitoring of vital life signs; operating of specialized
equipment related to this function; preparing equipment and assisting physicians
during patient examination and treatment; changing of dressings and cleansing of
wounds and incisions; observing and recording emotional stability of patients;
assisting in bathing patients and helping into and out of bed; observing the
patients for reaction to drugs; administering specified medication; infusing
fluids, including I.V.'s and blood; answering of patients' call signals; keeping
patients' rooms (personal effects) in order.
(ii) Description. This cost center contains the
direct expenses incurred in providing daily bedside care to Pediatric patients.
Included in these direct expenses are: salaries and wages, employee benefits,
professional fees, supplies, purchased services, other direct expenses, and
transfers.
(iii) Standard Unit of
Measure: number of patient days. Report patient days of care for all patients
less than 14 years admitted to this unit. Include the day of admission, but not
the day of discharge or death. If both admission and discharge or death occur on
the same day, the day is considered a day of admission and counts as one patient
day.
(iv) Data source. The number of
patient days shall be taken from daily census counts.
(3) 6210 PSYCHIATRIC ACUTE
(i) Function. Psychiatric Acute Care Units
provide care to patients admitted for diagnosis as well as treatment on the basis
of physicians' orders and approved nursing care plans. The units are staffed with
nursing personnel specially trained to care for the mentally ill, mentally
disordered, or other mentally incompetent persons. Additional activities include,
but are not limited to, the following:
Serving and feeding of patients; collecting of sputum,
urine and feces samples; monitoring of vital life signs; operating of specialized
equipment related to this function; preparing equipment and assisting physicians
during patient examination and treatment; observing and recording emotional
stability of patients; assisting in bathing patients and helping into and out of
bed; observing patients for reaction to drugs; administering specified
medication; infusing fluids, including I.V.'s and blood; answering of patients'
call signals; keeping patients' rooms (personal effects) in
order.
(ii) Description. This
cost center contains the direct expenses incurred in providing daily bedside care
to Psychiatric patients. Included as direct expenses are: salaries and wages,
employee benefits, professional fees, supplies, purchased services, other direct
expenses, and transfers.
(iii)
Standard Unit of Measure: number of patient days. Report patient days for all
patients admitted to this unit. Include the day of admission, but not the day of
discharge or death. If both admission and discharge or death occur on the same
day, the day is considered a day of admission and counts as one patient
day.
(iv) Data source. The number of
patient days shall be taken from daily census counts.
(4) 6250 OBSTETRICS ACUTE
(i) Function. The provision of care to the
mother following delivery on the basis of physicians' orders and approved nursing
care plans is provided in the Obstetrics Acute Care Unit. Additional activities
include, but are not limited to, the following:
Instructing of mothers in postnatal care and care of the
newborn; serving and feeding of patients; collecting of sputum, urine and feces
samples; monitoring vital life signs; operating specialized equipment related to
this function; preparing equipment and assisting physicians during patient
examination and treatment; changing of dressings and cleansing of wounds and
incisions; observing and recording emotional stability of patients; assisting in
bathing patients and helping into and out of bed; observing patients for reaction
to drugs; administering specified medication; infusing fluids including, I.V. s
and blood; answering of patients' call signals; keeping patients' rooms (personal
effects) in order.
(ii)
Description. This cost center contains the direct expenses incurred in providing
daily bedside care to Obstetrics patients. Included as direct expenses are:
salaries and wages, employee benefits, professional fees, supplies, purchased
services, other direct expenses, and transfers.
(iii) Standard Unit of Measure: number of
patient days. Report patient days of care for all patients admitted to this unit.
Include the day of admission, but not the day of discharge or death. If both
admission and discharge or death occur on the same day, the day is considered a
day of admission and counts as one patient day.
(iv) Data source. The number of patient days
shall be taken from daily census counts.
(5) DEFINITIVE OBSERVATION.
(i) Function. Definitive Observation is the
delivery of care to patients requiring care more intensive than that provided in
the acute care areas, yet not sufficiently intensive to require admission to an
intensive care area. Patients admitted to this cost center are generally
transferred there from an intensive care unit after their condition has improved.
The unit is staffed with specially trained nursing personnel and contains
monitoring and observation equipment for intensified, comprehensive observation
and care. Additional activities include, but are not limited to, the following:
Serving and feeding of patients; collecting of sputum,
urine and feces samples; monitoring of vital life signs; operating specialized
equipment related to this function; preparing equipment and assisting physicians
during patient examination and treatment; changing dressings and cleansing wounds
and incisions; observing and recording emotional stability or patients; assisting
in bathing patients and helping into and out of bed; observing patients for
reactions to drugs; administering specified medication; infusing fluids,
including I.V.'s and blood; answering of patients' call signals; keeping
patients' rooms (personal effects) in order.
(ii) Description. This cost center contains the
direct expenses incurred in providing daily bedside care to Definitive
Observation patients. Included as direct expenses are: salaries and wages,
employee benefits, professional fees, supplies, purchased services, other direct
expenses, and transfers.
(iii)
Standard Unit of Measure: number of patient days. Report patient days of care for
all patients admitted to this unit. Include the day of admission, but not the day
of discharge or death. If both admission and discharge or death occur on the same
day, the day is considered a day of admission and counts as one patient
day.
(iv) Data source. The number of
patient days shall be taken from daily census counts.
(6) 6290 OTHER ACUTE CARE
(i) Function. Other Acute Care Units provide
acute care to patients on the basis of physicians' orders and approved nursing
care plans. Included are those units not required to be included in other
specific Acute Care cost centers such as detoxification care (chemical
dependency). Additional activities include, but are not limited to, the
following:
Serving and feeding of patients; collecting sputum, urine
and feces samples; monitoring vital life signs; operating specialized equipment
related to this function; preparing equipment and assisting physicians during
patient examination and treatment; changing dressings and cleansing of wounds and
incisions; observing and recording emotional stability of patients; assisting in
bathing patients and helping into and out of bed; observing patients for reaction
to drugs; administering specified medication; infusing fluids, including I.V.'s
and blood; answering of patients' call signals; keeping patients' rooms (personal
effects) in order.
(ii)
Description. This cost center contains the direct expenses incurred in providing
daily bedside care to Other Acute Care patients not required to be included in
other specific Acute Care cost centers. Included as direct expenses are: salaries
and wages, employee benefits, professional fees, supplies, purchased services,
other direct expenses, and transfers.
(iii) Standard Unit of Measure: number of
patient days. Report patient days of care for all patients admitted to this unit.
Include the day of admission, but not the day of discharge or death. If both
admission and discharge or death occur on the same day, the day is considered a
day of admission and counts as one patient day.
(iv) Data source. The number of patient days
shall be taken from daily census counts.
(b)
Intensive care. [ 3252 ]
(1) 6310 MEDICAL/SURGICAL INTENSIVE CARE
(i) Function. A Medical/Surgical Intensive Care
Unit provides patient care of a more intensive nature than that provided to the
Medical and Surgical Acute patients. The unit is staffed with specially trained
nursing personnel and contains monitoring and specialized support equipment for
patients who, because of shock, trauma or threatening conditions, require
intensified comprehensive observation and care. Additional activities include,
but are not limited, to the following:
Serving and feeding of patients; collecting of sputum,
urine and feces samples; monitoring of vital life signs; operating of specialized
equipment related to this function; preparing equipment and assisting physicians
during patient examination and treatment; changing of dressings and cleansing of
wounds and incisions; observing and recording emotional stability of patients;
assisting in bathing patients and helping into and out of bed; observing patients
for reaction to drugs; administering specified medication; infusing fluids,
including I.V s and blood; answering of patients' call signals; keeping patients'
rooms (personal effects) in order.
(ii) Description. This cost center contains the
direct expenses incurred in providing intensive daily bedside care to
Medical/Surgical Intensive Care patients. Included as direct expenses are:
salaries and wages, employee benefits, professional fees, supplies, purchased
services, other direct expenses, and transfers.
(iii) Standard Unit of Measure: number of
patient days. Report patient days of care for all patients admitted to this unit.
Include the day of admission, but not the day of discharge or death. If both
admission and discharge or death occur on the same day, the day is considered a
day of admission and counts as one patient day.
(iv) Data source. The number of patient days
shall be taken from daily census counts.
(2) 6330
..........................................................................................................
CORONARY CARE
6331
..........................................................................................................
Myocardial Infarction
6332
..........................................................................................................
Pulmonary Care
6333
..........................................................................................................
Heart Transplant
6339
..........................................................................................................
Other Coronary Care
..........................................................................................................
(i) Function. The delivery of care of a
more specialized nature than that provided to the usual Medical, Surgical and
Pediatric patient is provided in the Coronary Care Unit. The unit is staffed with
specially trained nursing personnel and contains monitoring and specialized
support or treatment equipment for patients who, because of heart seizure, open
heart surgery or threatening conditions, require intensified, comprehensive
observation and care. Additional activities include, but are not limited to, the
following:
Serving and feeding of patients; collecting of sputum,
urine and feces samples; monitoring of vital life signs; operating of specialized
equipment related to this function; preparing equipment and assisting physicians
during patient examination and treatment; changing of dressings and cleansing of
wounds and incisions; observing and recording emotional stability of patients;
assisting in bathing patients and helping into and out of bed; observing patients
for reaction to drugs; administering specified medication; infusing fluids,
including I.V.'s and blood; answering patients' call signals; keeping patients'
rooms (personal effects) in order.
(ii) Description. These cost centers contain
the direct expenses incurred in providing intensive daily bedside care to
Coronary Care patients. Included as direct expenses are: salaries and wages,
employee benefits, professional fees, supplies, purchased services, other direct
expenses, and transfers.
(iii)
Standard Unit of Measure: number of patient days. Report patient days of care for
all patients admitted to each of these units. Include the day of admission, but
not the day of discharge or death. If both admission and discharge or death occur
on the same day, the day is considered a day of admission and counts as one
patient day.
(iv) Data source. The
number of patient days shall be taken from daily census
counts.
(3) 6350 PEDIATRIC
INTENSIVE CARE
(i) Function. A Pediatric
Intensive Care Unit provides care to children less than 14 years of age of a more
intensive nature than the usual Pediatric Acute level. The units are staffed with
specially trained personnel and contain monitoring and specialized support
equipment for patients who, because of shock, trauma, or threatening conditions,
require intensified, comprehensive observation and care. Additional activities
include, but are not limited to, the following:
Serving and feeding of patients; collecting of sputum,
urine and feces samples; monitoring of vital life signs; operating of specialized
equipment related to this function; preparing of equipment and assisting of
physicians during patient examination and treatment; changing of dressings and
cleansing of wounds and incisions; observing and recording emotional stability of
patients; assisting in bathing patients and helping into and out of bed;
observing patients for reaction to drugs; administering specified medication;
infusing fluids, including I.V.'s and blood; answering patients' call signals;
keeping patients' rooms (personal effects) in order.
(ii) Description. This cost center contains the
direct expenses incurred in providing daily bedside care to Pediatric Intensive
Care patients. Included in these direct expenses are: salaries and wages,
employee benefits, professional fees, supplies, purchased services, other direct
expenses, and transfers.
(iii)
Standard Unit of Measure: number of patient days. Report patient days of care for
all patients admitted to this unit. Include the day of admission, but not the day
of discharge or death. If both admission and discharge or death occur on the same
day, the day is considered a day of admission and counts as one patient
day.
(iv) Data source. The number of
patient days shall be taken from daily census counts.
(4) 6370 NEO-NATAL INTENSIVE CARE
(i) Function. A Neo-Natal Intensive Care Unit
provides care to newborn infants that is of a more intensive nature than care
provided in Newborn Acute Units. Care is provided on the basis of physicians'
orders and approved nursing care plans. The units are staffed with specially
trained nursing personnel and contain specialized support equipment for treatment
of those newborn infants who require intensified, comprehensive observation and
care. Additional activities include, but are not limited to, the following:
Feeding infants; collecting sputum, urine and feces
samples; monitoring vital life signs; operating specialized equipment needed for
this function; preparing equipment and assisting physicians during infant
examination and treatment; changing dressings or assisting physicians in changing
dressings and cleansing wounds and incisions; bathing infants; observing patients
for reactions to drugs; and administering specified medication; infusing fluids,
including I.V.'s and blood.
(ii) Description. This cost center contains the
direct expenses incurred in providing intensive daily bedside care to Neo-Natal
Intensive Care patients. Included as direct expenses are: salaries and wages,
employee benefits, professional fees, supplies, purchased services, other direct
expenses, and transfers.
(iii)
Standard Unit of Measure: number of patient days. Report patient days of care for
all patients admitted to this unit. Include the day of admission, but not the day
of discharge or death. If both admission and discharge or death occur on the same
day, the day is considered a day of admission and counts as one patient
day.
(iv) Data source. The number of
patient days shall be taken from daily census counts.
(5) 6380 BURN CARE
(i) Function. A Burn Care Unit provides care to
severely burned patients that is of a more intensive nature than the usual acute
nursing care provided in medical and surgical units. Burn units are staffed with
specially trained nursing personnel and contain specialized support equipment for
burn patients who require intensified, comprehensive observation and care.
Additional activities include, but are not limited to, the following:
Serving and feeding of patients; collecting sputum, urine
and feces samples; monitoring vital life signs; operating specialized equipment
needed for this function; preparing equipment and assisting physicians during
patient examination and treatment; changing dressings and cleansing wounds and
incisions; observing and recording emotional stability of patients; assisting in
bathing patients and helping them into and out of bed; observing patients for
reactions to drugs; administering specified medication; infusing fluids,
including I.V.'s and blood; answering patients' call signals; and keeping
patients' rooms (personal effects) in order.
(ii) Description. This cost center contains the
direct expenses incurred in providing intensive daily bedside care to Burn Care
patients. Included as direct expenses are: salaries and wages, employee benefits,
professional fees, supplies, purchased services, other direct expenses, and
transfers.
(iii) Standard Unit of
Measure: number of patient days. Report patient days of care for all patients
admitted to this unit. Include the day of admission, but not the day of discharge
or death. If both admission and discharge or death occur on the same day, the day
is considered a day of admission and counts as one patient day.
(iv) Data source. The number of patient days
shall be taken from daily census counts.
(6) 6390 PSYCHIATRIC INTENSIVE CARE
(i) Function. Psychiatric Intensive Care Units
provide care to psychiatric patients which is of a more intensive nature than the
usual nursing care provided in Psychiatric Acute Units. The units are staffed
with specially trained nursing personnel and contain monitoring and specialized
support equipment for patients who, because of shock, trauma, or threatening
conditions, require intensified, comprehensive observation and care. Additional
activities include, but are not limited to, the following:
Serving and feeding of patients; collecting of sputum,
urine and feces samples; monitoring of vital life signs; operating of specialized
equipment related to this function; preparing equipment and assisting physicians
during patient examination and treatment; observing and recording emotional
stability of patients; assisting in bathing patients and helping into and out of
bed; observing patients for reaction to drugs; administering specified
medication; infusing fluids, including I.V.'s and blood; answering patients' call
signals; keeping patients' rooms (personal effects) in order.
(ii) Description. This cost center contains the
direct expenses incurred in providing daily bedside care to Psychiatric Intensive
Care patients. Included as direct expenses are: salaries and wages, employee
benefits, professional fees, supplies, purchased services, other direct expenses,
and transfers.
(iii) Standard Unit of
Measure: number of patient days. Report patient days of care for all patients
admitted to this unit. Include the day of admission, but not the day of discharge
or death. If both admission and discharge or death occur on the same day, the day
is considered a day of admission and counts as one patient day.
(iv) Data source. The number of patient days
shall be taken from daily census counts.
(7) 6410
..........................................................................................................
OTHER INTENSIVE CARE I
6420
..........................................................................................................
OTHER INTENSIVE CARE II
6430
..........................................................................................................
OTHER INTENSIVE CARE III
(i) General. Three zero level accounts have
been established for this function to provide for the reporting of each discrete
Other Intensive Care Unit separately. The designations I, II, and III do not
represent levels of care. The function, description, standard unit of measure,
and data source that follow apply equally to each zero level account.
(ii) Function. Other Intensive Care Units
provide patient care of a more intensive nature than that provided to the Medical
and Surgical Acute patients. The unit is staffed with specially trained nursing
personnel and contains monitoring and specialized support equipment for patients
who require intensified comprehensive observation and care. Included are those
units not required to be included in other specific intensive care cost centers.
Additional activities include, but are not limited to, the following:
Serving and feeding of patients; collecting sputum, urine
and feces samples; monitoring vital life signs; operating specialized equipment
related to this function; preparing equipment and assisting physicians during
patient examination and treatment; changing dressings and cleansing wounds and
incisions; observing and recording emotional stability of patients; assisting in
bathing patients and helping into and out of bed; observing patients for reaction
to drugs; administering specified medication; infusing fluids including I.V.'s
and blood; answering patients' call signals; keeping patients' rooms (personal
effects) in order.
(iii)
Description. This cost center contains the direct expenses incurred in providing
intensive daily bedside care to Other Intensive Care patients in those units not
required to be included in other specific Intensive Care cost centers. Included
as direct expenses are: salaries and wages, employee benefits, professional fees,
supplies, purchased services, other direct expenses and transfers.
(iv) Standard Unit of Measure: number of
patient days. Report patient days of care for all patients admitted to this unit.
Include the day of admission, but not the day of discharge or death. If both
admission and discharge or death occur on the same day, the day is considered a
day of admission and counts as one patient day.
(v) Data source. The number of patient days
shall be taken from daily census counts.
(vi) Effective dates. The reporting of Other
Intensive Care II (account 6420) and Other Intensive Care III (account 6430) is
optional for reporting periods beginning in 1980. For reporting periods beginning
in 1981 and thereafter, the reporting of these accounts is
required.
(d)
Sub-acute care.
[ 3254 ]
(1) 6610
SKILLED NURSING CARE-MEDICARE OR MEDICARE/MEDICAID CERTIFIED
(i) Function. This unit is certified to
participate in the Medicare program or is certified to participate in both the
Medicare and Medicaid programs as a skilled nursing facility that is a distinct
part of a hospital or a separate cost entity in a hospital in accordance with the
regulatory definitions for participation in and provision of services under these
programs. Skilled Nursing Care is provided to patients on the basis of
physicians' orders and approved nursing care plans and consists of care in which
the patients require convalescent and/or restorative services at a level less
intensive than the Medical, Surgical and Pediatric acute care requirements. This
center is sometimes referred to as Extended Care. Additional activities include,
but are not limited to, the following:
Serving and feeding of patients; collecting of sputum,
urine and feces samples; monitoring of vital life signs; operating of specialized
equipment related to this function; preparing equipment and assisting physicians
during patients' examination and treatment; changing of dressings and cleansing
of wounds and incisions; observing and recording emotional stability of patients;
assisting in bathing patients and helping into and out of bed; observing patients
for reaction to drugs; administering specified medication; answering patients'
call signals; keeping patients' rooms (personal effects) in
order.
(ii) Description. This
cost center contains the direct expenses incurred in providing daily bedside care
to patients requiring extended skilled nursing care usually lasting 30 days or
more. Included as direct expenses are: salaries and wages, employee benefits,
professional fees, supplies, purchased services, other direct expenses, and
transfers.
(iii) Standard Unit of
Measure: number of patient days. Report patient days of care for patients
admitted to this unit. Include the day of admission, but not the day of discharge
or death. If both admission and discharge or death occur on the same day, the day
is considered a day of admission and counts as one patient day.
(iv) Data source. The number of patient days
shall be taken from daily census counts.
(v) Effective dates. Reporting periods
beginning in 1980 and thereafter.
(2) 6620
SKILLED NURSING CARE-MEDICAID-CERTIFIED
(i) Function. This unit is certified to
participate in the Medicaid program as a distinct part of a hospital or a
separate cost entity in a hospital in accordance with the regulatory definitions
for participation in Medicaid. It is not certified for participation in Medicare.
Skilled Nursing Care is provided to patients on the basis of physicians' orders
and approved nursing care plans, and consists of care in which the patients
require convalescent and/or restorative services at a level less intensive than
the Medical, Surgical and Pediatric acute care requirements. This center is
sometimes referred to as Extended Care. Additional activities include, but are
not limited to, the following:
Serving and feeding of patients; collecting of sputum,
urine and feces samples; monitoring of vital life signs; operating of specialized
equipment related to this function; preparing equipment and assisting physicians
during patients' examination and treatment; changing of dressings and cleansing
of wounds and incisions; observing and recording emotional stability of patients;
assisting in bathing patients and helping into and out of bed; observing patients
for reaction to drugs; administering specified medication; answering patients'
call signals; keeping patients' rooms (personal effects) in
order.
(ii) Description. This
cost center contains the direct expenses incurred in providing daily bedside care
to patients requiring extended skilled nursing care usually lasting 30 days or
more. Included as direct expenses are: salaries and wages, employee benefits,
professional fees, supplies, purchased services, other direct expenses, and
transfers.
(iii) Standard Unit of
Measure: number of patient days. Report patient days of care for patients
admitted to this unit. Include the day of admission, but not the day of discharge
or death. If both admission and discharge or death occur on the same day, the day
is considered a day of admission and counts as one patient day.
(iv) Data source. The number of patient days
shall be taken from daily census counts.
(v) Effective date. Reporting periods beginning
in 1980, and thereafter.
(3) 6630 PSYCHIATRIC LONG-TERM CARE
(i) Function. Medical care, nursing services,
and intensive supervision of chronically mentally ill, mentally disordered, or
other mentally incompetent persons is rendered in the Psychiatric Long-Term Care
Unit.
(ii) Description. This cost
center contains the direct expenses incurred in providing daily care to
Psychiatric Long-Term patients. Included as direct expenses are: salaries and
wages, employee benefits, professional fees, supplies, purchased services, other
direct expenses, and transfers.
(iii)
Standard Unit of Measure: number of patient days. Report patient days of care for
all patients admitted to this unit. Include the day of admission, but not the day
of discharge or death. If both admission and discharge or death occur on the same
day, the day is considered a day of admission and counts as one patient
day.
(iv) Data source. The number of
patient days shall be taken from daily census counts.
(4) 6640 TUBERCULOSIS LONG-TERM CARE
..........................................................................................................
(i) Function. Tuberculosis Long-Term Care is
provided to tuberculosis patients on the basis of physicians' orders and approved
nursing care plans. The care is provided at a level less intensive than acute
care requirements.
(ii) Description.
This cost center contains the direct expenses incurred in providing daily
services to patients requiring tuberculosis long-term care. Included as direct
expenses are: salaries and wages, employee benefits, professional fees, supplies,
purchased services, other direct expenses, and transfers.
(iii) Standard Unit of Measure: number of
patient days. Report patient days of care for all patients admitted to this unit.
Include the day of admission, but not the day of discharge or death. If both
admission and discharge or death occur on the same day, the day is considered a
day of admission and counts as one patient day.
(iv) Data source. The number of patient days
shall be taken from daily census counts.
(v) Effective date. Reporting periods beginning
in 1980 and thereafter.
(5)
6650 INTERMEDIATE CARE-MENTALLY RETARDED
..........................................................................................................
(i) Function. Intermediate Care-Mentally
Retarded is the provision of supportive, rehabilitative, restorative and
preventive health services in conjunction with a socially oriented program for
patients with psychiatric or developmental impairment, and the maintenance and
operation of 24-hour services including room, personal care, and continuous
nursing service under the direction of a professional nurse.
(ii) Description. This cost center contains the
direct expenses incurred in providing daily services to patients requiring
intermediate nursing care. Included as direct expenses are: salaries and wages,
employee benefits, professional fees, supplies, purchased services, other direct
expenses, and transfers.
(iii)
Standard Unit of Measure: number of patient days. Report patient days of care for
all patients admitted to this unit. Include the day of admission, but not the day
of discharge or death. If both admission and discharge or death occur on the same
day, the day is considered a day of admission and counts as one patient
day.
(iv) Data source. The number of
patient days shall be taken from daily census counts.
(v) Effective date. Reporting periods beginning
in 1982 and thereafter.
(6)
6660 INTERMEDIATE CARE-OTHER
..........................................................................................................
(i) Function. Intermediate Care is the
provision of supportive, restorative and preventive health services in
conjunction with a socially oriented program for patients, and the maintenance
and operation of 24-hour services including room, personal care, and continuous
nursing service under the direction of a professional nurse.
(ii) Description. This cost center contains the
direct expenses incurred in providing daily services to patients requiring
intermediate nursing care. Included as direct expenses are: salaries and wages,
employee benefits, professional fees, supplies, purchased services, other direct
expenses, and transfers.
(iii)
Standard Unit of Measure: number of patient days. Report patient days of care for
all patients admitted to this unit. Include the day of admission, but not the day
of discharge or death. If both admission and discharge or death occur on the same
day, the day is considered a day of admission and counts as one patient
day.
(iv) Data source. The number of
patient days shall be taken from daily census counts.
(v) Effective date. Reporting periods beginning
in 1980 and thereafter.
(7)
6670 RESIDENTIAL CARE
(i) Function. Residential
Care is the provision of safe, hygienic, sheltered living for residents not
capable of fully independent living. Regular and frequent, but not continuous,
medical and nursing services are provided. Also included is self-care. Self-care
units provide supportive, restorative and preventive health care for ambulatory
patients who are capable of caring for themselves under the supervision of a
professional nurse. The unit is used by recovering patients who are making the
transition to discharge or by patients who are undergoing tests and medical
evaluation who require a minimal amount of nursing supervision. These patients
generally eat in a central dining facility and do not require bedside nursing
care.
(ii) Description. This cost
center contains the direct expenses incurred in providing residential care to
patients. Included as direct expenses are: salaries and wages, employee benefits,
professional fees, supplies, purchased services, other direct expenses, and
transfers.
(iii) Standard Unit of
Measure: number of patient days. Report patient days of care for all patients
admitted to this unit. Include the day of admission, but not the day of discharge
or death. If both admission and discharge or death occur on the same day, the day
is considered a day of admission and counts as one patient day.
(iv) Data source. The number of patient days
shall be taken from daily census counts.
(8) 6680 OTHER SUB-ACUTE CARE SERVICES
(i) Description. This cost center contains the
direct expenses incurred in maintaining sub-acute care daily hospital services
units not specifically required to be included in other sub-acute care cost
centers. Included in these direct expenses are: salaries and wages, employee
benefits, professional fees, supplies, purchased services, other direct expenses,
and transfers.
(ii) Standard Unit of
Measure: number of patient days. Report patient days of care for all patients
admitted to this unit. Include the day of admission, but not the day of discharge
or death. If both admission and discharge or death occur on the same day, the day
is considered a day of admission and counts as one patient day.
(iii) Data source. The number of patient days
shall be taken from daily census counts.
(iv) Expiration date. The final year for
reporting this cost center is cost reporting periods beginning in
1981.
(9) 6680
OTHER SUB-ACUTE CARE HOSPITAL
SERVICES..........................................................................................................
(i) Description. Other sub-acute care
units provide hospital level of care that is less intensive than regular acute
care but is more intensive than skilled nursing facility level of care. This unit
may provide long-term hospital care to patients other than psychiatric or
tuberculosis patients. Also, this unit may be certified to participate in
Medicare as a "subprovider" other than a subprovider furnishing care to
psychiatric or tuberculosis patients. Care in this unit is furnished on the basis
of physicians' orders and approved nursing care plans.
(ii) Standard Unit of Measure: number of
patient days. Report patient days of care for all patients admitted to this unit.
Include the day of admission, but not the day of discharge or death. If both
admission and discharge or death occur on the same day, the day is considered a
day of admission and counts as one patient day.
(iii) Data source. The number of patient days
shall be taken from daily census counts.
(iv) Effective date. Reporting periods
beginning in 1982 and thereafter.
(10) 6690
OTHER SUB-ACUTE CARE NON-HOSPITAL
SERVICES..........................................................................................................
(i) Description. This cost center
contains the direct expenses incurred in maintaining sub-acute care daily
hospital non-hospital services units not specifically required to be included in
other sub-acute care cost centers. Included in these direct expenses are:
salaries and wages, employee benefits, professional fees, supplies, purchased
services, other direct expenses, and transfers.
(ii) Standard Unit of Measure: number of
patient days. Report patient days of care for all patients admitted to this unit.
Include the day of admission, but not the day of discharge or death. If both
admission and discharge or death occur on the same day, the day is considered a
day of admission and counts as one patient day.
(iii) Data source. The number of patient days
shall be taken from daily census counts.
(iv) Effective date. Reporting periods
beginning in 1982 and thereafter.
