BACKGROUND German diagnosis-related groups (G-DRG) have been introduced in Germany as a reimbursement system for in-patient care. The aim of this study was to report data-based experiences from the introduction process and to evaluate the impact on in-patient dermatology. METHODS A quantitative analysis including clinical data from two large university centres of dermatology over a time perio...

Knowledge about resource consumption and utilisation is vital in modern healthcare environments. In order to manage both human and material resources efficiently, a typical approach is to group the patients based on common characteristics. The most widely used approach is driven by the Case Mix funding formula, namely to classify patients according to diagnostic related groups (DRGs). Although ...

STUDY OBJECTIVES To examine and describe the relationship between age and disposition in patients undergoing mechanical ventilation. DESIGN Retrospective analysis of a statewide database. SETTING All acute-care hospitals in New York State. PATIENTS All patients (n=10,473) aged > or = 18 years discharged from hospital during 1993 with a final diagnosis related group (DRG) coding of 475. ...

Pediatric-modified diagnosis-related groups (PM-DRGs) were designed to describe more accurately than DRGs differences in severity of illness and charges across pediatric patients. We report on an evaluation of PM-DRGs for use in prospective payment systems (PPSs). Data on pediatric discharges (i.e., patients 17 years of age or under) from 5 States and a national sample of 43 hospitals were used...

AIMS Some previous studies have shown that Māori utilise cardiology inpatient services at a much lower rate than would be expected by their health status and mortality. Using more recent data, this study seeks to determine whether this is still the case by examining Māori rates of utilisation of cardiology inpatient services. METHODS Practice enrolment data for 354,383 patients, including age...

BACKGROUND Switzerland introduces a DRG (Diagnosis Related Groups) based system for hospital financing in 2012 in order to increase efficiency and transparency of Swiss health care. DRG-based hospital reimbursement is not simultaneously realized in all Swiss cantons and several cantons already implemented DRG-based financing irrespective of the national agenda, a setting that provides an opport...

On December 21st 2007, the Swiss Federal Parliament passed the new financing of hospital care through a DRGbased performance payment system (SwissDRG). The new financing method is due to come into force on January 1st 2012 and hospitals are now facing the challenge of adapting their cost accounting systems to support both the tariff negotiation process with health insurers and the internal stra...

Probably since the first time one human being sought to improve the health status of another, in return for a material reward, there has been head scratching over how best to compensate the would-be-healer and how much. The fascinating paper by Quentin et al. on drug-related groups (DRGs) for acute myocardial infarctions in 11 European countries continues the quest. The most famous formal expre...

To purchase reprints, contact The InnoVision Group, 101 Columbia, Aliso Viejo, CA 92656. Phone, (800) 809-2273 or (949) 362-2050 (ext 532); fax, (949) 362-2049; e-mail, [email protected]. institution. The resources required by these patients can greatly exceed the reimbursements for their diagnosis-related groups (DRGs). A 1992 study by Bach et al showed that charges associated with LTV patient...

possibly all three. IFIs focus on a client’s needs and difficulties, rather than an esoteric disease process. Although the Allied Health Minimum data set adequately describes the characteristics of the client and of the care provider, it does not provide information on why the allied health professional is intervening. Collecting this data will help in understanding the demand for the service a...