The aim was to investigate the accuracy of clinical information coding and the financial consequence for trauma patients at a tertiary trauma centre using the resources of trauma nursing case managers. Clinical data for admitted trauma patients in August and September 2000 were compared with data routinely obtained by trauma case managers on their daily rounds. We audited patient injuries, in-h...

Diagnosis-Related Group (DRG) systems across Europe are very heterogeneous, in particular because of different classification variables and algorithms as well as costing methodologies. But, given the challenge of increasing patient mobility within Europe, health systems are forced to incorporate a common patient classification language in order to compare and identify similar patients e.g. for ...

PURPOSE Previous studies have examined the effects of hospitalists in urban academic hospitals. We compared the outcomes of patients treated by hospitalists with those of patients treated by internists at a 647-bed rural community hospital. SUBJECTS AND METHODS The 443 patients in the hospitalists' 10 most common diagnosis-related groups (DRGs) were compared with 1,681 patients in the same DR...

Medicare's prospective payment system (PPS) for hospital cases is based on diagnosis-related groups (DRGs). A wide variety of other third-party payers for hospital care have adapted elements of this system for their own use. The extent of DRG use varies considerably both by type of payer and by geographical area. Users include: 21 State Medicaid programs, 3 workers' compensation systems, the Ci...

Prospective payments systems (diagnosis-related groups, DRG) to reimburse hospital inpatient care became very popular two decades ago (Ellis and McGuire, 1993). DRGs, however, may incentivize dishonest provider behavior, like inappropriately early discharge of patients, withholding of (necessary) diagnostics and therapies, cream-skimming of low-cost patients or coding of patients into groups wi...

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 ...

BACKGROUND Investigate into the medical expenditures of chronic kidney disease (CKD) patients through path analysis method of three consecutive years within a Grade-A tertiary hospital in Beijing to conduct the main influencing factors in diagnosis-related groups (DRGs) grouping of the diagnosis, and reassess the present grouping process to provide information and reference on cost control for ...

with increasing technology in providing health care services and specialization, health care organization requires application of costing methods for calculating income and expenses to improve the health care services and compensate the costs. for this purpose, most hospitals in the developed countries, estimated system costs based on affiliated diagnostic related groups. according to this new ...

With the deepening of national medical and health system reform, various supporting reform measures are being promoted. The insurance payment methods is an important part process, through diagnosis-related groups (DRGs) will gradually become main way for to pay institutions. According analysis impact DRG on hospital performance management, this research examines construction implementation inte...