The report is available in English with a French summary - KCE

252 Musculoskeletal & Neurological Rehabilitation KCE Reports 57
and define an appropriate set of data to collect in Belgium. In this validation exercise,
existing Belgian registration systems like MVG-RIM2 can be taken into account (see
chapter 4). Also, a cross-validation with ICF core-sets can be an option (see chapter 3).
Next, a pilot registration system could be implemented, testing the feasibility of the
proposed data set in the Belgian rehabilitation context.
12.3.3 Third step: Introduction/Development of a patient classification system
and eventually a financing system
Until now, the link between the assessment tools and the financing of rehabilitation has
not been thoroughly examined. Studies on the integration of the rehabilitation tools in
the financing system have been undertaken in some countries (Australia, United States,
Germany, Switzerland and Canada), followed by the introduction of the developed
system in the financial system of the country (see chapter 3).
As mentioned in Step 2 and in previous chapters of this study, an assessment tool will
be important in order to determine the patient’s rehabilitation needs and goals for
organisational and financing purposes as well as to orient him/her to the adequate
clinical rehabilitation services. As outlined in chapter 3, nowadays it is not possible to
find a classification tool that covers organisation as well as clinical purposes (much work
is going on to develop such a system based on ICF). For organisational and financing
purposes, patients characterized by a similar clinical profile and a comparable level of
needed resources have to be classified in homogeneous groups. A pilot study should be
launched focused on the choice of the patient classification system for organisational
and financing purposes (and probably another one for clinical purposes) (see chapter 3).
The ongoing international studies should be kept in mind, and as soon as they are
available, new international developments in this field (based on ICF) should be taken
into account.
Also, a cost model has to be developed, taking into account the findings in chapter 10
and 11 of this study.
12.3.4 Fourth step: Results: Organization and financing of post-acute
rehabilitation care.
The PCS and financing model that will be the result of the study can then be
implemented. This has to go hand in hand with measures assuring quality control.
Thorough registration is needed in order to dispose of the necessary data to further
plan rehabilitation services.