Bruck: How did the practice of reverse staging come about?
From a clinical standpoint, reverse staging came about as an attempt to find a tool to describe pressure ulcer healing - a tool that simply is not out there.
Reverse staging is simply another attempt to define such a tool, and while we now know this isn't the best way to go, credit should at least be given for making this kind of effort in the absence of research to develop a sound system.
In other words, by using the MDS as the data gathering tool that may drive Medicare and Medicaid payment, as well as quality indicators, providers are essentially required to use reverse staging for reimbursement purposes.
There probably isn't a great deal of difference between the four-part staging systems developed by HCFA and NPUAP, other than the NPUAP system being more clinically descriptive.
The AJCC-TNM(TM), as the handheld version is titled, brings together all currently available information on staging of cancer at various anatomic sites and incorporates newly acquired knowledge on the etiology and pathology of cancer.
Staging Calculator--The Staging Calculator is a vital tool for
This classification system is found in the AJCC Cancer Staging Handbook, Sixth Edition.
The ability to do staging calculations within the context of a reference is a significant extension of Skyscape's technology.
Without MEDSTAT Disease Staging IV, the State of Wisconsin's quarterly report could not have included the high-quality, severity-adjusted information that enables readers to draw important conclusions about quality of care and resource utilization.
MEDSTAT'S proprietary Disease Staging IV methodology is incorporated into its Outcomes Analyst products for hospitals and can help state agencies and healthcare providers better understand patient outcomes, best practices, quality improvement programs, utilization of services, and market comparisons.
For information on Disease Staging IV, Outcomes Analyst, or the JCAHO ORYX project, call a MEDSTAT clinical consultant at (800) 829-0600.