Using non-blinded methodology, this study checked the coding of acute leukaemia, non-acute leukaemia and lymphoma episodes assigned to the AR-DRGs R60 A, B, C and R61 A, B during the fiscal year 2000-2001 at a Sydney teaching hospital. The purpose was to investigate whether the assignment of fewer episodes of these diseases to the highest complexity AR-DRGs during that year compared to 1999-200...

The escalating cost of medical care in most industrial countries has given impetus to several different strat egies designed to impose limitations on cost and introduce efficiency into health care systems. In the United States of America, legislation was passed in 1983 to introduce a system of prospective payment for Medicare hospital expenditures. This change was a departure from the previous ...

OBJECTIVES The aim of this study was to evaluate the trend of the incidence and costs of hip fractures in Italy. METHODS The incidence of hip fractures after 45 years of age in both females and males during the years 1999-2002 was obtained by analyzing the Italian Ministry of Health national hospitalization database, according to the diagnosis codes of International Classification of Diseases...

Diagnosis-Related Group (DRG) is a classification system, which groups patients according to their diagnosis and resource consumption. Common hand surgical diagnoses and procedures were processed using national DRG-groupers of six European countries. The upper thresholds of length of stay (LoS) are indicated for every country with the exception of Spain. The mean value in the series was 9.9 day...

On page 153 of this paper, the reference to " Table 7 " in the sixth paragraph of the left column should be corrected to " Table 9. " " Table 7 " at the bottom of this page should also be corrected to " Table 9. " The corrected sixth paragraph of the left column on page 153: " In fact, calculating the daily cost in each group from the total amount divided by the total length of hospital stay (T...

Introduction Over the last 10 years many countries, including Romania, have introduced various models of Casemix financing based on DRGs and, as a result, Romanian specialists became PCSI members over 10 years ago. The first DRG pilot projects in Romania occurred between 1996–1999, and in 2002 Romania officially introduced the DRG system. The PCSI association and its annual conferences represen...

Measuring severity of illness within diagnosis-related groups (DRGs) has become increasingly important because of the growing need to compare outcomes across providers. In response to these needs, the Health Care Financing Administration (HCFA) has developed a DRG-based severity system as a refinement to its current Medicare DRG structure. As a result of this recent HCFA research, all-payer sev...

Introduction Flat rates based on Diagnosis Related Groups (DRGs) are being introduced in a growing number of countries to remunerate acute inpatient treatment. In doing so, it will have to be decided – among other things – whether inpatient emergency services should be remunerated separately from the DRG flat rates or as part of them. Without separate remuneration, there may be a perception, or...

OBJECTIVE To quantify the limitations associated with restricting readmission metrics to same-hospital only readmission. DESIGN Using 2000-2009 California Office of Statewide Health Planning and Development Patient Discharge Data Nonpublic file, we identified the proportion of 7-, 15- and 30-day readmissions occurring to the same hospital as the initial admission using All-cause Readmission (...