Patient Assessment File (PAF)

<p>The Patient Assessment File (PAF) database compiles the results of the Patient Assessment Instrument (PAI) questionnaire filled out for intermediate care Veterans Health Administration (VHA) patients. The PAI is filled out within two weeks of admission. It is also completed semi-annually on April 1st and October 1st for each patient by a registered nurse familiar with the patient. The PAI questions cover medical treatments, conditions, selected diagnoses, activities of daily living, behaviors, some rehabilitation therapies, and chronic respiratory support. The database is managed by the Geriatrics &amp; Extended Care Strategic Health Care Group in the Office of Patient Care Services. It is currently running at the Austin Information Technology Center (AITC) and is stored in flat files. PAF's primary customer is the Allocation Resource Center (ARC) in Braintree MA. The ARC receives the data from AITC and combines it with data from the Patient Treatment File (PTF) which contains more detailed demographic and treatment information. The ARC builds ORACLE tables, assigning RUG II (Resource Utilization Group II) scores and weighted work units reflecting the level and type of care needed. The 16 different weighted work units, ranging from 479 to 1800, are a factor in the resource allocation and budget decisions on long-term care, and are used to measure efficiency. The data is also used in other reports to Central Office, the Veterans Integrated Service Networks, and the facilities. Several other units also use PAF information including the Decision Support System (DSS). Currently, PAF is in the process of being replaced by the Resident Assessment Instrument/Minimum Data Set (RAI/MDS). RAI/MDS uses a much more extensive questionnaire as its source of information. The RAI/MDS provides clinical data and care protocols in addition to the newer RUG III scores, and is required by the Centers for Medicare and Medicaid Service funded hospitals.</p>

患者评估文件（PAF）数据库汇集了为中级护理美国退伍军人健康管理局（VHA）患者填写的患者评估工具（PAI）问卷的结果。PAI问卷在入院后两周内完成。此外，每名患者由熟悉其情况的注册护士在每年的4月1日和10月1日进行半年度评估。PAI问卷涵盖医疗治疗、状况、选定诊断、日常生活活动、行为、某些康复疗法以及慢性呼吸支持。该数据库由患者护理服务办公室的老年病学与扩展护理战略卫生保健小组管理。目前，该数据库运行在奥斯汀信息技术中心（AITC），并存储在平面文件中。PAF的主要客户是位于马萨诸塞州布莱恩特的资源分配中心（ARC）。ARC从AITC接收数据，并将其与包含更详细人口统计和治疗信息的患者治疗文件（PTF）数据相结合。ARC构建ORACLE表，分配RUG II（资源利用率组II）评分和反映所需护理水平和类型的加权工作单元。16种不同的加权工作单元，范围从479到1800，是长期护理资源分配和预算决策的因素，并用于衡量效率。数据还用于其他报告，包括中央办公室、退伍军人综合服务网络和设施。决策支持系统（DSS）等几个其他单位也使用PAF信息。目前，PAF正在被居民评估工具/最小数据集（RAI/MDS）所取代。RAI/MDS使用更为广泛的问卷作为其信息来源。RAI/MDS不仅提供临床数据和护理方案，还包括新的RUG III评分，并且由医疗保险和医疗补助服务中心资助的医院所要求。