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Preadmission Screening and Resident Review (PASRR) regulation and its implications for patients, hospitals, nursing homes, and the taxpayers

Subramonian Madhusoodanan, MD

Department of Psychiatry, St. John’s Episcopal Hospital, Far Rockaway, New York, USA, SUNY, Brooklyn, New York, USA

Sylvester A. Nwedo, MD

Department of Psychiatry, St. John’s Episcopal Hospital, Far Rockaway, New York, USA

Ronald Brenner, MD

Department of Psychiatry, Mercy Medical Center, Rockville Center, New York, USA, SUNY, Brooklyn, New York, USA

Omar Mirza, DO

Department of Psychiatry, SUNY Downstate Medical Center, Brooklyn, New York, USA

Background: This study assessed the impact of the revision of the Preadmission Screening and Resident Review (PASRR) regulation changes in September 2011, which increased the turnaround time for PASRR evaluations from 3 to 5 days to 2 to 3 weeks.

Methods: From January 2013 to March 2013, we tracked all patients’ charts in a 25-bed inpatient geriatric psychiatric unit in New York where PASRR evaluations were requested. The turnaround time and related issues were analyzed.

Results: There were 27 patients who had PASRR requests during the study period; 9 patients were not included in the study because of incomplete data. The average turnaround time for the 18 patients was 14.89 days and the additional hospital bed cost per patient was $11,911.11.

Conclusions: Although PASRR has played a positive role in identifying persons with serious mental illness and the need to provide the services they need, the recent revision of the PASRR regulation in 2011 has significantly increased the hospital bed costs.

Keywords: PASRR, implications, hospital, nursing homes

ANNALS OF CLINICAL PSYCHIATRY 2014;26(2):83-87

CORRESPONDENCE: Subramonian Madhusoodanan, MD, St. John’s Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 USA E-MAIL: sdanan@ehs.org
Annals of Clinical Psychiatry ©2014 Quadrant HealthCom Inc.

 
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