1)Allocate the patient to a CRAFT category

2)Determine the patient’s length of stay (LOS)

3)Determine whether the patient is a low outlier, inlier or high outlier and look up the appropriate weights in the weights table in Section C. It may be necessary to multiply a daily weight by the number of days.

Box 1 Clinical Sub Program 10, 31 to 39 Admission Barthel <60 CRAFT category = Stroke/Neuro Low Barthel Admission Barthel >= 60 CRAFT category = Stroke/Neuro High Barthel 81 to 84 Admission Barthel <60 CRAFT category = Ortho Fracture Low Barthel Admission Barthel >= 60 CRAFT category = Ortho Fracture High Barthel 85, 86 Admission Barthel <60 CRAFT category = Ortho Replace Hip/Knee Low Barthel Admission Barthel >59 and <80 CRAFT category = Ortho Replace Hip/Knee Medium Barthel Admission Barthel >= 80 CRAFT category = Ortho Replace Hip/Knee High Barthel 89 Admission Barthel <60 CRAFT category = Other Ortho Low Barthel Admission Barthel >= 60 CRAFT category = Other Ortho High Barthel 90, 101, 109 CRAFT category = Cardio/Pulmonary 61, 62, 69, 71-73, 79, 120, 132-133, 140, 150 Admission Barthel <60 CRAFT category = Other Rehabilitation Low Barthel Admission Barthel >= 60 CRAFT category = Other Rehabilitation High Barthel

Use the LOS field as reported to the VIMD.

Box 2 Calculating stay status and appropriate Rehabilitation Weighted Unit score LOS = 1 and Sameday = ‘Y’ Stay Status = Sameday Rehabilitation score = SD LOS = 1 and Sameday = ‘N’ Stay Status = Short Stay Rehabilitation score = SS LOS = 2 or LOS = 3 Stay Status = Short Stay Rehabilitation score = SS LOS >= 4 and LOS < LIB Stay Status = LOW OUTLIER Rehabilitation score = LO_PD LOS >= LIB and LOS <= HIB Stay Status = INLIER Rehabilitation score = MD_IN LOS > HIB Stay Status = HIGH OUTLIER Rehabilitation score = MD_IN + ((LOS - HIB) x HO_PD)

CRAFT

Short Stay (1 - 3 days) Stroke/Neurological LB < 60 Stroke/Neurological HB >= 60 Orthopaedic Fracture LB < 60 Orthopaedic Fracture HB >= 60 Orthopaedic Replace Hip/Knee LB < 60 Orthopaedic Replace Hip/Knee MB 60 - 79 Orthopaedic Replace Hip/Knee HB >= 80 Other Orthopaedic LB < 60 Other Orthopaedic HB >= 60 Cardio/Pulmonary Other Rehabilitation LB < 60 Other Rehabilitation HB >= 60

For 1999-2000, twelve of the sixteen CRAFT categories will be used to fund Level 2 rehabilitation units with twenty beds or more. A separate category is provided for short stay patients (overnight stays of 1 to 3 days). Separate weights are provided for these thirteen funding categories. (See Section C). LB means a low admission Barthel score of up to 59. HB means a high admission Barthel score of 60 or over (or for Orthopaedic Replace Hip/Knee, 80 or more). MB means a medium admission Barthel score of 60 to 79.

Low Inlier Boundary	Inlier Boundaries Low LIB	The low length of stay boundary for inliers. Patients with a length of stay of more than 3 days and less than the low boundary are classed as low outliers. The low boundary point is set at the Average Length Of Stay for the category less 4 days. Boundaries are truncated to the nearest whole number. The estimated average length of stay is calculated from the 1997-98 VIMD data.
High Inlier Boundary	Inlier Boundaries High HIB	The high length of stay boundary for inliers. Patients with a length of stay greater than the high boundary are classed as high outliers. The high boundary point is set at the Average Length Of Stay for the category plus 4 days. Boundaries are rounded to the nearest whole number. The estimated average length of stay is calculated from the 1997-98 VIMD data.
Same day	Same Day Weight SD	The Rehabilitation Weighted Unit allocated to patients who are admitted and separated on the same day. The weight is derived as: 0.7 * Inlier Weight divided by Low Inlier Boundary The factor of 0.7 is in recognition that sameday stays do not incur overnight resource costs.

Short Stay	Short Stay Weight SS	The Rehabilitation Weighted Unit allocated to patient overnight stays from 1 to 3 days.
Multi-day per diem low outlier weight	Low Outlier Per Diem LO_PD	The per diem Rehabilitation Weighted Unit value allocated to patients who have a length of stay of at least four days and less than the low boundary. The weight is derived as: Inlier Weight divided by Low Boundary The total Rehabilitation Weighted Unit value is calculated by multiplying the low outlier multi-day weight by the patient’s length of stay.
Multi- day Inlier weight	Inlier weight MD_IN	Inliers are patients whose length of stay falls on or between the low and high boundary. This weight is calculated based on the weights derived from the average cost of inliers in the CRAFT category as reported in the 1998 Victorian Cost Weights Study.
Multi-day per diem high outlier weight	High Outlier Per Diem HO_PD	The per diem Rehabilitation Weighted Unit value allocated to patients whose length of stay is in excess of the high boundary. This is derived from: 0.9 * Inlier Weight divided by average length of stay The factor of 0.9 is in recognition that the days at the end of a patients stay are less resource intensive than days at the beginning of a patients stay. The total Rehabilitation Weighted Unit value for high outliers is calculated by multiplying the high outlier multi-day weight by the number of days the patient stays beyond the high boundary and adding to the inlier weight: Inlier weight + (LOS - high boundary)*high outlier per diem