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...

Introduction Over the past four to five years, the focus in casemix-based payment systems in the United States has shifted more and more towards "value-based-purchasing" and "payfor-performance" measures. The reporting of pre-set quality indicators is now fundamentally in place for both the inpatient prospective-payment system, based on Medicare-Severity Diagnosis Related Groups (MS-DRGs), and,...

BACKGROUND To test the hypothesis that complications increase the use of resources in managing patients in hospitals, we examined the costs of managing patients with the same disease with and without complications. METHODS We used a database developed by the University HealthSystems Consortium that contains the costs of managing more than 1 million patients in 60 University hospitals. We crea...

This report presents statistics on the utilization of non-Federal short-stay hospitals by diagnosis-related groups (DRG’s) based on data collected through the National Hospital Discharge Survey. Estimates are provided for patients under 65 years of age and for patients 65 years of age and older on the frequency and average length of stay for each DRG from 1980 through 1984. These statistics are...

Slovenia is embarking on an ambitious health sector reform program, a small part of which involves implementing the categorization of acute inpatients by DRG for payment purposes. I summarise the leading DRG variants, and describe the process of selecting one of them. I argue that the Slovenian decision to use the Australian DRG variant as a starting point was sensible in terms of cost, speed o...

There were and largely continue to be no descriptions of hospital outputs other than the number of inpatients and their average length of stay. Before 1995, the product of both figures determined the daily fee of a hospital. For example, a hospital with 20,000 inpatients having an average LOS of 7 days would be funded for 140,000 patient days. Assuming a total budget of DM70 million, the daily ...

One matter on which we were agreed is that, with respect to areas of potential improvement in Australian DRGs, Hindle (2001) agrees with us! Most of the ideas that he presents have been the subject of informal discussions among interested parties across the Tasman. Hindle does not claim otherwise, but adds to our understanding by presenting the ideas in a clear and relatively comprehensive way....

Introduction Within many diagnosis related group (DRG) systems, there is recognition that a single cost weight per DRG is not suitable, and that cost weights should take into account extremely lengthy hospital stays. Long lengths of stay are considered to be due to factors largely beyond the control of the hospital, and a single weight per DRG would potentially place hospitals under financial r...