The Alberta Health Services patient/care-based funding model for long term care

Both AHS and the Stakeholders in the system have expressed uncertainty and unease with a number of factors in the PCBF community of providers need model which are perceived to threaten the stability each other—it is in their interests of their clinical operations. [...] Thus, Alberta must weigh the benefits of a more sensitive assessment tool, which is also faster to Minimizing the resource burden was one of the complete and involves the resident in a meaningful motivating factors behind developing and imple- manner, with the costs of implementing a new tool. [...] The PAC-PRD project resulted in the development It is up to each individual region within the province of the Continuity Assessment Record and Evaluation of Quebec to implement the SMAF, or not. [...] The RUG-III is a good predictor of the costliness of In Ontario, implementation of funding reforms care for LTC residents, describing 56% of the varia- for LTC based on the RUG-III groupings is well tion in total per diem costs of SNF residents in the US underway. [...] For each RUG-III group, the number of The CMI is important since it represents the expected minutes of care provided by each caregiver is calcu- relative cost of caring for any resident in the same lated by multiplying the relative average wage rate by RUG-III group and determines the proportional the STM to derive the salary weighted minutes for amount of funding for each day of a resident’s stay