AN-SNAP Class allocation. There are two steps to allocating a SNAP class for each patient

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1 AN-SNAP Class allocation There are two steps to allocating a SNAP class for each patient

2 SNAP class allocation Step 1 1. The impairment code must be allocated. There are two over-riding rules that need to be considered when allocating an impairment code: a. The episode should be classified according to the primary reason for the current episode of rehabilitation care b. Rehabilitation program names related to funding are not necessarily the same as the impairment group names

3 Impairment Code Guidelines The impairment code should be allocated by an experienced clinician AROC recommends use of the Impairment Code Guidelines which include examples of aetiologic diagnoses that could underpin each impairment. The list is not exhaustive.

4 Case study for impairment code eg. a patient in a debility/reconditioning funding program may be having rehabilitation due to deconditioning related to a cardiac disorder this episode should be classified to Chronic cardiac insufficiency not to 16 - Reconditioning/restorative

5 AN-SNAP class allocation - Step 2 2. Once the impairment code has been allocated the AN-SNAP class is determined in conjunction with: FIM motor score OR FIM motor and cognition scores OR FIM motor score and age The additional information required is determined by individual impairment group NOTE: Assessment only as a treatment goal (AN-SNAP class 201 for all impairments)

6 AN-SNAP class example STROKE Stroke, FIM motor 63-91, FIM cognition Stroke, FIM motor 63-91, FIM cognition Stroke, FIM motor 47-62, FIM cognition Stroke, FIM motor 47-62, FIM cognition Stroke, FIM motor 14-46, age>= Stroke, FIM motor 14-46, age<=74

7 AN-SNAP class allocation For Example: A patient that has had a stroke with right middle cerebral artery involvement and ischemia on the right side of the brain and has left side involvement. The patient will be allocated impairment code 1.1. The patients admission FIM motor score is 51 and FIM cognitive score is 22. The AN- SNAP class is therefore 206.)

8 AN-SNAP classes in benchmarking Every 6 months AROC provides rehabilitation benchmarks by impairment and by AN-SNAP class for: - Australia (Public and Private benchmarks) AND - New Zealand (under 65 and over 65 benchmarks) See AROC website for up to date benchmarks

9 Example of benchmarks provided by AN-SNAP class

10 AN-SNAP Classes v3 Class Description Rehabilitation, admit for assessment only Brain, Neurological, Spinal & Major Multiple Trauma, FIM All other impairments, FIM Stroke, FIM motor 63-91, FIM cognition Stroke, FIM motor 63-91, FIM cognition Stroke, FIM motor 47-62, FIM cognition Stroke, FIM motor 47-62, FIM cognition Stroke, FIM motor 14-46, age>= Stroke, FIM motor 14-46, age<= Brain Dysfunction, FIM motor 56-91, FIM cognition Brain Dysfunction, FIM motor 56-91, FIM cognition Brain Dysfunction, FIM motor 56-91, FIM cognition Brain Dysfunction, FIM motor 56-91, FIM cognition Brain Dysfunction, FIM motor Brain Dysfunction, FIM motor Neurological, FIM motor Neurological, FIM motor Neurological, FIM motor Neurological, FIM motor Spinal Cord Dysfunction, FIM motor Spinal Cord Dysfunction, FIM motor Spinal Cord Dysfunction, FIM motor 14-46, age>= Spinal Cord Dysfunction, FIM motor 14-46, age<= Amputation of limb, FIM motor Amputation of limb, FIM motor Pain Syndromes Orthopaedic conditions, fractures, FIM motor Orthopaedic conditions, fractures, FIM motor Orthopaedic conditions, fractures, FIM motor 14-47, FIM cognition Orthopaedic conditions, fractures, FIM motor 14-47, FIM cognition Orthopaedic conditions, replacement, FIM motor Orthopaedic conditions, replacement, FIM motor Orthopaedic conditions, replacement, FIM motor Orthopaedic conditions, all other, FIM motor Orthopaedic conditions, all other, FIM motor Orthopaedic conditions, all other, FIM motor Cardiac Major Multiple Trauma, FIM total Major Multiple Trauma, FIM total or Burns Major Multiple Trauma, FIM total Major Multiple Trauma, FIM total All other impairments, FIM motor All other impairments, FIM motor All other impairments, FIM motor All other impairments, FIM motor 14-24

11 AN-SNAP Development Reference Eagar K. et al (1997): The Australian National Sub-Acute and Non- Acute Patient Classification (AN-SNAP): report of the National Sub-Acute and Non- Acute Casemix Classification Study. Centre for Health Service Development, University of Wollongong

The State of Orthopaedic Rehabilitation in Australia, 2005

The State of Orthopaedic Rehabilitation in Australia, 2005 APHA Congress, 2006 Frances Simmonds, Manager, Australasian Rehabilitation Outcomes Centre 11 October 2006 Introduction Rehabilitation is concerned