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SampleResidRateCalcul08172010a

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									Preliminary Case Mix Index Factors
        DRAFT COPY - FOR DISCUSSION ONLY        CMI       % of Residents with Item (2007->3Q2009)                Case 1            Case 2
                   LTC-FS Variable             Factor    AFH-OO   AFH-Corp   CBRF 1-20   CBRF 20+   RCAC    Value    Factor   Value    Factor
Bathing - Some Help Needed                      1.0141      36%       33%        31%         24%      30%                       x       1.0141
Bathing - Ongoing Help Needed                   1.0331      51%       50%        60%         68%      49%     x      1.0331
  Uses Shower Chair, Etc.                       1.0105      43%       44%        70%         84%      91%
Dressing - Some Help Needed                                 48%       39%        41%         33%      29%                       x      1.0000
Dressing - Ongoing Help Needed                              28%       31%        34%         36%      19%     x      1.0000
Eating - Some Help Needed                      1.0298       31%       26%        26%         23%      12%
Eating - Ongoing Help Needed                   1.0840       21%       23%        15%          8%       2%     x      1.0840
Mobility - Some Help Needed                    1.0178       15%       14%        22%         24%      25%     x      1.0178     x      1.0178
Mobility - Ongoing Help Needed                 1.0178       11%       13%        16%         18%       8%
  Uses Walker, Cane, Etc.                                   14%       14%        39%         58%      72%                       x      1.0000
  Uses Wheelchair or Scooter                                11%       16%        17%         27%      20%
  Has Prosthesis                               1.0582        0%        1%         1%          0%       1%
Toileting - Some Help Needed                   1.0209       30%       26%        28%         24%      16%     x      1.0209
Toileting - Ongoing Help Needed                1.0209       21%       25%        25%         26%       8%                       x      1.0209
  Uses Commode                                 1.0045       16%       16%        34%         55%      61%
  Has Ostomy                                   1.0011        1%        1%         1%          1%       1%
  Uses Urinary Catheter                        1.0106        3%        3%         2%          2%       3%
  Regular Bowel Program                                      4%        5%         2%          2%       1%
Incontinence - Daily                           1.0028       15%       13%        14%         13%      14%
Incontinence - Less Than Daily                              24%       22%        37%         47%      40%     x      1.0000     x      1.0000
Transferring - Some Help Needed                             10%        7%        14%         16%      15%     x      1.0000     x      1.0000
Transferring - Ongoing Help Needed             1.0128       12%       18%        18%         21%       8%
  Uses Mechanical Lift                         1.0440        3%        6%         3%          2%       2%
  Uses Transfer Board, Etc.                                  4%        3%         5%          7%       9%
Meal Prep - Weekly or Less Often                             2%        1%         1%          0%       1%
Meal Prep - 2-7 Times per Week                 1.0054       17%       17%         9%          8%      28%                       x      1.0054
Meal Prep - Every Meal                         1.0110       80%       81%        90%         91%      70%     x      1.0110
Medication - Independent                       1.2431        1%        1%         1%          2%       7%
Medication - 1-2 Days per Week                 1.2485        7%        3%         2%          4%      12%
Medication - 3-7 Days per Week (Understands)   1.2833       18%       18%        15%         18%      30%                       x      1.2833
Medication - 3-7 Days per Week                 1.3057       66%       73%        80%         76%      51%     x      1.3057
Money Mgmt - Help Weekly or Less                            26%       22%        30%         39%      54%                       x      1.0000
Money Mgmt - Help Daily                        1.0073       72%       77%        68%         58%      34%     x      1.0073
                                                                  1                                                                   2/25/2012
Preliminary Case Mix Index Factors
        DRAFT COPY - FOR DISCUSSION ONLY    CMI      % of Residents with Item (2007->3Q2009)              Case 1             Case 2
                   LTC-FS Variable         Factor   AFH-OO   AFH-Corp   CBRF 1-20   CBRF 20+   RCAC  Value    Factor    Value    Factor
Laundry - Help Weekly or Less                          17%       18%        26%         23%      33%   x       1.0000     x       1.0000
Laundry - Help More Often Than Weekly      1.0075      80%       78%        72%         76%      65%
Phone - Unable to Use                                  61%       54%        54%         38%      14%   x       1.0000
Drives Regular Vehicle                                  1%        1%         0%          0%       2%
Drives Adapted Vehicle                                  0%        0%         0%          0%       0%
Drives Regular Vehicle - Safety Concern    1.0418       0%        0%         0%          0%       1%
Drives Adapted Vehicle - Safety Concern    1.0418       0%        0%         0%          0%       0%
Cannot Drive - Physical/Cognitive          1.0188      94%       96%        93%         91%      85%   x       1.0188     x      1.0188
Does Not Drive - Other Reasons                          4%        2%         6%          8%      12%
Overnight Care - 6+ Hours Sleep                        69%       62%        52%         47%      33%   x       1.0000     x      1.0000
Overnight Care - Less Than 6 Hours Sleep   1.0100      17%       26%        34%         30%      13%
Retired                                                14%        8%        45%         76%      84%                      x      1.0000
Not working                                1.0183      31%       40%        37%         22%      14%   x       1.0183
Full time                                              17%       18%         5%          0%       0%
Part time                                  1.0161      38%       34%        12%          1%       1%
MENTAL_RETARDATION                         1.1036      74%       74%        42%          4%       2%   x       1.1036
AUTISM                                     1.0551       7%        9%         2%          0%       0%
BI_BEFORE_22                               1.0627       3%        4%         2%          1%       0%
CEREBRAL_PALSY                             1.0222      11%       12%         6%          1%       0%
PRADER_WILLI                               1.4551       0%        0%         0%          0%       0%
SEIZURE_BEFORE_22                          1.0483      20%       24%        13%          2%       1%
MEETS_DD                                                8%        9%         5%          1%       1%   x       1.0000
DIABETES                                   1.0048      13%       12%        20%         29%      31%                      x      1.0048
HYPER_HYPO_THYROID                                     15%       13%        18%         21%      28%
DEHYD                                                   2%        2%         4%          5%       5%
LIVER_DISEASE                              1.1187       2%        2%         2%          2%       1%
DIGEST_DISORDER                                        25%       24%        37%         48%      54%
NUTRITION_IMB                              1.0045      20%       14%        33%         42%      48%
METABOLIC_DISORDER                         1.0065       2%        2%         3%          2%       2%
ANEMIA                                                  7%        5%        14%         21%      25%
ANGINA                                                  4%        4%        14%         26%      31%
HEART_RATE                                 1.0029       5%        4%        10%         19%      24%
CHF                                                     4%        3%        10%         21%      27%                      x      1.0000
                                                             2                                                                  2/25/2012
Preliminary Case Mix Index Factors
       DRAFT COPY - FOR DISCUSSION ONLY    CMI      % of Residents with Item (2007->3Q2009)                Case 1            Case 2
                LTC-FS Variable           Factor   AFH-OO   AFH-Corp   CBRF 1-20   CBRF 20+   RCAC    Value    Factor   Value    Factor
BLOOD_LYMPH_DIS                                        4%        4%        11%         17%      23%
HIGH_BP                                               24%       20%        50%         73%      79%
LOW_BP                                                 0%        0%         1%          2%       2%
OTHER_HEART                                            6%        7%        10%         12%      17%
AMPUTATION                                             1%        1%         1%          2%       3%
ARTHRITIS                                             16%       13%        39%         56%      70%                       x      1.0000
HIP_FRACTURE                                           3%        3%         7%         10%      13%
OTHER_FRAC                                             9%       10%        20%         20%      29%
OSTEO                                                  7%        7%        16%         21%      30%
CONTRACTURE                                            3%        4%         2%          1%       3%
MS_ALS                                                 1%        1%         1%          1%       1%
MUSC_DYST                                 1.0067       1%        0%         0%          0%       0%
SPINAL_CORD_INJ                                        1%        1%         0%          0%       1%
OTHER_PARALYSIS                                        3%        4%         4%          3%       3%
SPINA_BIFIDA                              1.1015       1%        1%         0%          0%       0%
CHRON_PAIN                                             9%        7%        17%         28%      41%
NERVE_DIS                                 1.0048      11%       10%        16%         19%      27%
ALZHEIMER                                              2%        1%         8%         18%       8%
OTHER_DEMENTIA                                         6%        8%        25%         39%      25%                       x      1.0000
CVA                                                    5%        4%        12%         19%      19%
BI_AFTER_22                               1.1009       1%        3%         2%          1%       1%
SEIZURE_AFTER_22                                       4%        5%        10%          5%       3%
BRAIN_DIS                                              6%        8%         8%          7%       6%
ASTHMA                                                11%        8%        19%         23%      24%
PNEU_BRONCH                                            2%        2%         5%          6%       6%
TRACHEOSTOMY                              1.0320       1%        0%         0%          0%       0%
VENT_DEP                                               0%        0%         0%          0%       0%
OTHER_RESP                                             6%        4%         6%          8%      10%
RENAL_FAIL                                             3%        4%         8%         12%      16%
UTI                                                    3%        4%         8%         13%      12%
GU_DIS                                                11%        9%        21%         25%      27%
REPRO_DIS                                 1.0077       1%        1%         4%          3%       5%
ANXIETY_DIS                                           19%       20%        20%         22%      21%
                                                            3                                                                   2/25/2012
Preliminary Case Mix Index Factors
        DRAFT COPY - FOR DISCUSSION ONLY             CMI       % of Residents with Item (2007->3Q2009)                 Case 1            Case 2
                  LTC-FS Variable                   Factor    AFH-OO   AFH-Corp   CBRF 1-20   CBRF 20+   RCAC     Value    Factor   Value    Factor
BIPOLAR                                              1.0223       5%         4%        6%           5%       2%
DEPRESSION                                                       18%        21%       31%         42%      37%
SCHIZOPHRENIA                                       1.0125        9%        11%       19%         11%        2%
OTHER_PSYCH_DIS                                                  15%        20%       18%         10%        3%
BLIND                                               1.0154        3%         4%        3%           3%       4%
VISUAL_IMPAIRMENT                                                16%        13%       30%         40%      52%
DEAF                                                              4%         3%        3%           5%       7%
SENSORY_DIS                                         1.0083        9%         7%       13%         18%      23%
ALLERGIES                                           1.0093       15%        16%       14%         15%      25%
CANCER                                                            4%         3%        9%         13%      14%
SKIN_DISEASE                                                      7%         8%        9%           7%       9%
HIV_POS                                             1.1425        0%         0%        0%           0%       0%
AIDS                                                1.2659        0%         0%        0%           0%       0%
OTHER_INFECT_DIS                                                  3%         2%        3%           3%       3%
AI_DISEASE                                          1.0778        1%         1%        1%           0%       0%
ALCOHOL_DRUG                                        1.0349        3%         5%        7%           7%       3%
BEHAV                                               1.0785       12%        12%        6%           1%       0%
TERMINAL_ILL                                                      0%         0%        1%           2%       1%
WOUND_BURN                                                        1%         2%        3%           3%       5%
OTHER                                               1.0157       14%        15%       16%         22%      21%
Hrs Per Week (0.5,1,4.5,10.5,24.5,35) - BEHAVIORS                3.5        4.9       2.9         2.0      0.5     10.5    1.0000
     NURSING                                                     0.6        1.1       1.5         3.2      2.5                        4.5    1.0000
     EXERCISES                                      1.0017       1.4        1.4       1.5         1.1      0.6      4.5    1.0076     4.5    1.0076
     IV                                             1.0046       0.1        0.2       0.2         0.1      0.1
     MED_ADMIN                                      1.0009      12.5       15.9      16.4        17.2     13.4     10.5    1.0096    10.5    1.0096
     MED_MANAGE                                     1.0000       8.0        8.7      10.7        11.6     10.3      1.0    1.0000
     OSTOMY                                         1.0018       0.0        0.1       0.1         0.1      0.1
     REPOSITION                                                  1.2        2.0       1.3         1.3      0.5
     RESPIRATE                                                   0.6        0.6       0.8         1.1      0.6
     DIALYSIS                                                    0.0        0.0       0.0         0.0      0.0
     TPN                                                         0.0        0.0       0.0         -        -
     TRANSFUSIONS                                                0.0        0.0       0.0         0.0      0.0
     TRACHEOSTOMY                                                0.1        0.1       0.0         0.0      -
                                                                       4                                                                    2/25/2012
Preliminary Case Mix Index Factors
         DRAFT COPY - FOR DISCUSSION ONLY     CMI      % of Residents with Item (2007->3Q2009)                 Case 1            Case 2
                     LTC-FS Variable         Factor   AFH-OO   AFH-Corp   CBRF 1-20   CBRF 20+   RCAC     Value    Factor   Value    Factor
      TUBE_FEEDINGS                                      0.6       0.6        0.3         0.0      0.0
      ULCER_STAGE2                           1.0021      0.1       0.0        0.0         0.1      0.1
      ULCER_STAGE34                          1.0021      0.0       0.0        0.0         0.0      0.0
      URINARY                                            0.2       0.2        0.1         0.1      0.1
      WOUND                                  1.0003      0.1       0.1        0.2         0.2      0.2
      VENTILATOR                                         0.1       0.0        0.0         0.0      -
Skilled Therapy - 5+ Days per Week                        1%        2%         2%          3%        3%
Skilled Therapy - 1-4 Days per Week                       2%        4%         3%          4%        6%                       x      1.0000
Communication - With assistive device        1.0241       1%        2%         2%          3%        3%
      Only basic needs                       1.0404      23%       22%        22%         13%        4%     x      1.0404
      No effective communication             1.0654      11%       13%         7%          4%        1%
Memory - LT Memory Loss                                  11%       12%        19%         27%      10%      x      1.0000
      ST Memory Loss                                     27%       26%        44%         67%      54%                        x      1.0000
      Unable to Remember Over Several Days               29%       24%        44%         62%      47%
Cognition - Help w/ new tasks                            29%       28%        30%         35%      55%                        x      1.0000
      Supervision needed all tasks           1.0005      34%       34%        36%         36%      23%
      Direct assistance all tasks            1.0074      34%       36%        31%         22%        5%     x      1.0074
Physically Resists Care                                  12%       13%        10%          7%        1%
      Unknown                                             0%        1%         1%          1%        1%
Wanders - Daytime                            1.0244       4%        5%         5%          4%        1%
      Night & Day                            1.0357       3%        4%         4%          5%        1%
Self-Injurious - Less once per week          1.0779      11%       13%         7%          2%        1%
      2-6 per week or 1-2 per day            1.0779       6%        8%         3%          1%        0%
      3+ times per day                       1.0779       1%        2%         1%          0%        0%
Offensive Behav - Less once per week         1.0740      22%       26%        18%         10%        2%     x      1.0740
      2-6 per week or 1-2 per day            1.0740      11%       15%         7%          4%        1%
      3+ times per day                       1.1206       4%        4%         2%          1%        0%
Mental Health - At risk                      1.0035      10%        8%         9%          9%        8%
      Stable w/ oversight                    1.0035      39%       43%        49%         46%      34%                        x      1.0035
      Not stable                             1.0353       3%        5%         3%          2%        1%
Subst. Abuse - Current problem likely                     3%        4%         5%          4%        2%
      Significant problem within last year   1.0065       1%        2%         2%          2%        1%
Adult Protective Service client                          25%       34%         8%          4%        1%
                                                               5                                                                    2/25/2012
Preliminary Case Mix Index Factors
         DRAFT COPY - FOR DISCUSSION ONLY    CMI       % of Residents with Item (2007->3Q2009)                 Case 1            Case 2
                     LTC-FS Variable        Factor    AFH-OO   AFH-Corp   CBRF 1-20   CBRF 20+    RCAC    Value    Factor   Value    Factor
Elder Abuse & Neglect client                 1.0106       0%        0%         1%          1%        0%
At risk of sign. health outcomes             1.0076       8%       11%         8%          9%       10%
At risk of intitutionalization               1.0701      88%       91%        94%         98%       97%                       x      1.0701
Possible abuse                               1.0027       0%        1%         1%          1%        0%
Support at risk in next 4 months             1.0350       4%        3%         7%          8%        8%
(DD or TBI) & Mental Illness                 1.0349      39%       45%        33%          8%        3%
TBI & AODA                                                1%        1%         1%          0%        0%
Arthritis & Other MI & Age<=60              1.0895        3%        3%         1%          0%        0%
Spinal Cord & AODA                          1.0486        0%        0%         0%          0%        0%
DD & AODA                                   1.0185        1%        2%         1%          0%        0%
Mental Illness & AODA                                     1%        3%         3%          1%        0%
Violent male aged <= 60                     1.0615        5%        9%         3%          0%        0%
Average CMI                                           1.8941   1.9802     1.8453      1.6891     1.5755            2.0289            1.5202




                                                               6                                                                    2/25/2012
Preliminary Residential Care Rate Calculation                                                                                                 DRAFT COPY - FOR DISCUSSION ONLY
Base Table                                                      Resident/Facility Information                Case 1        Case 2       Labor Factor Table (Bureau of Labor Statistics)

   Type/Age      AFH-O      AFH-C CBRF 1-20 CBRF 21+   RCAC     Facility Type                                AFH-C        CBRF 21+          County        Factor                County     Factor
DD 0-20            1.24       2.54    2.39     2.11      0.98                                                                             Adams             0.995          Marathon          0.980
DD 21-64           1.24       2.54    2.33     1.98      1.24   Resident Target Group                         DD             FE           Ashland           0.963          Marinette         0.949
DD 65+             1.24       2.54    2.27     1.85      1.57                                                                             Barron            0.975          Marquette         0.995
FE                 0.80       2.75    2.55     2.07      1.69   Resident Age                                   30            82           Bayfield          0.963          Menominee         0.963
PD                 1.36       2.89    2.54     2.03      1.69                                                                             Brown             1.006          Milwaukee         1.022
                                                                Resident Case Mix Index           LTC/FS     2.029         1.520          Buffalo           1.007          Monroe            1.007
Adjustment for Offsetting Services                                                                                                        Burnett           0.975          Oconto            1.006
                                                                Offsetting Service %                          75%            0%           Calumet           1.023          Oneida            0.963
 Other SPC%      Factor                                                                                                                   Chippewa          1.022          Outagamie         1.023
     0%            1.000                                        Facility County                             Portage       La Crosse       Clark             0.975          Ozaukee           1.022
     25%           0.990                                                                                                                  Columbia          1.109          Pepin             1.007
     50%           0.961                                        Rate Calculation                                                          Crawford          1.007          Pierce            1.177
     75%           0.914                                                                                                                  Dane              1.109          Polk              0.975
    100%           0.818                                        a) Base Value                                   2.54          2.07        Dodge             0.949          Portage           0.975
                                                                                                                                          Door              0.963          Price             0.975
Wage and Other Cost Factors                                     b) CMI                                         2.029         1.520        Douglas           1.022          Racine            1.074
                                                                                                                                          Dunn              1.007          Richland          0.995
Base Wage Rate             $ 11.81                              c) Adj. for Offsetting Serv.                   0.914         1.000        Eau Claire        1.022          Rock              0.999
                                                                                                                                          Florence          0.963          Rusk              0.975
FB Ratio                      1.301                             d) Resident Risk Loading                       1.166         1.024        Fond du Lac       0.983          Sauk              0.995
                                                                                                                                          Forest            0.963          Sawyer            0.963
Transportation                1.031                             e) Direct Care Hours            axbxcxd             5.5           3.2     Grant             0.995          Shawano           0.995
                                                                                                                                          Green             0.995          Sheboygan         0.990
A&G                           1.249                             f) Base Wage                                $ 11.81       $ 11.81         Green Lake        0.995          St. Croix         1.177
                                                                                                                                          Iowa              1.109          Taylor            0.975
Risk Loading Factors                                            g) Labor Factor                                0.975         1.058        Iron              0.963          Trempealeau       0.975
                                                                                                                                          Jackson           1.007          Vernon            1.007
    Source       AFH-O      AFH-C CBRF 1-20 CBRF 21+   RCAC     h) Adjusted Wage                   fxg      $ 11.52       $ 12.49         Jefferson         0.949          Vilas             0.963
Resident          1.191      1.166   1.024    1.024     1.023                                                                             Juneau            0.995          Walworth          0.949
Provider          1.027      1.027   1.027    1.057     1.080   i) Fringe Benefit Ratio                        1.301         1.301        Kenosha           1.041          Washburn          0.975
                                                                                                                                          Kewaunee          1.006          Washington        1.022
                                                                j) Transportation Loading                      1.031         1.031        La Crosse         1.058          Waukesha          1.022
                                                                                                                                          Lafayette         0.995          Waupaca           0.995
                                                                k) A&G Loading                                 1.249         1.249        Langlade          0.963          Waushara          0.995
                                                                                                                                          Lincoln           0.975          Winnebago         1.024
                                                                l) Provider Risk Loading                       1.027         1.057        Manitowoc         0.949          Wood              0.975

                                                                m) Cost per Hour                hxixjxkxl   $ 19.81       $ 22.13

                                                                n) Rate per Day                   exm       $ 108.87      $ 71.14




                                                                                                                                                                                          2/25/2012

								
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