EuroDRG diagnosis-related groups in Europe: towards efficiency and quality | Health Services Research Europe
... into account measurable patient characteristics such as diagnosis or comorbidity but to a varying degree also interventions ... Using a representative sample of inpatient data on 10-12 care episodes (representing different medical specialties, diagnostic ... therapeutic procedures, usage of innovative devices & drugs) from hospitals in 10 EU countries (AUT, ENG, EST, FIN, FRA, GER, ... procedures or using new and emerging technologies) to explain variation in costs within and between European countries. This ...http://healthservicesresearch.eu/materials/eurodrg_diagnosis_related_groups_in_europe_towards_efficiency_and_quality
Reducing unnecessary hospital days to improve quality of care through physician accountability: a cluster randomised trial |...
Relatively simple interventions, like the one assessed in this study, should be implemented in all hospitals with excessive ... During the 12 months of data collection, over 50% of patient-days were judged to be compatible with discharge. Delays were ... in the intervention vs control group, (OR=0.841; 95% CI, 0.735 to 0.963; P=0.012). Follow-up at 1 year did not yield a ... All ward staff was blinded to the index days, while staff in the control arm and data analysts were blinded to the trial's ...https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-13-14
Medical Spending Differences in the United States and Canada: The Role of Prices, Procedures, and Administrative Expenses
The diagnosis-related group (DRG) weight for each patient was included in these data sets, and was used to calculate the ... Medical Interventions: Volume and Intensity. The average DRG weight per capita was .1612 in the United States and .1429 in ... We cannot quantify either of these possibilities because we do not have data on the volume and intensity of procedures ... For Canada, we obtained the number of different types of procedures by diagnosis using the Discharge Abstract Database (DAD) ( ...http://pubmedcentralcanada.ca/pmcc/articles/PMC3024588/?lang=en-ca
Validating the use of Hospital Episode Statistics data and comparison of costing methodologies for economic evaluation: an end...
... based on the diagnosis-related groups (DRGs) used in the USA). However, data such as HES are primarily recorded for the ... Problems with using HES data include its limited geographical coverage, lack of sensitivity to details of procedures, uncertain ... having issued additional guidance for considering interventions that might increase the length of life for patients close to ... Data sets. HES and medical record review data were available for 292 men, representing seven centres participating in CAP in ...https://bmjopen.bmj.com/content/6/4/e011063
Medical classification - Wikipedia
The assigned codes and other patient data are processed by grouper software to determine a diagnosis-related group (DRG) for ... OPCS Classification of Interventions and Procedures (OPCS-4) Drugs are often grouped into drug classes. Such classifications ... and ICD-10-PCS group together similar diseases and procedures and organise related entities for easy retrieval. They are ... to process claims in medical billing based on diagnosis-related groups) knowledge-based and decision support systems direct ...https://en.wikipedia.org/wiki/Medical_classification
Mental health literacy about schizophrenia and depression: a survey among Chinese caregivers of patients with mental disorder |...
Following the vignette, the caregivers were asked to select one "most likely" diagnosis related to the vignette from a series ... Beliefs about treatments and other interventions. A descriptive analysis about people, medications and other interventions that ... Availability of data and materials. The datasets during and/or analysed during the current study are available from the ... Details regarding the procedures used to translate and modify the questionnaire to simplified Chinese, establish its ...https://rd.springer.com/article/10.1186/s12888-017-1245-y
Implications of DRG Classification in a Bundled Payment Initiative for COPD
Diagnosis-related group coding determines eligibility for many Medicare bundled payment initiatives. This approach excluded ... Diagnosis-related group coding determines eligibility for many Medicare bundled payment initiatives. This approach excluded ... Data. Data were extracted from our hospital's clinical data warehouse (Cerner PowerInsight; Cerner Corporation World ... procedures, sex, gender) into the grouper, which connects clinical attributes to resource utilization in order to assign a ...http://www.ajmc.com/journals/ajac/2017/2017-vol5-n4/implications-of-drg-classification-in-a-bundled-payment-initiative-for-copd
The German Quality Network Sepsis: study protocol for the evaluation of a quality collaborative on decreasing sepsis-related...
... objective of the study is to decrease sepsis-related hospital mortality within a quality collaborative relying on claims data. ... Hospitals are encouraged to implement a bundle of interventions, e.g., interdisciplinary case analyses, external peer-reviews, ... The GQNS is a large-scale quality collaborative using a pragmatic approach based on claims data. A complex risk-adjustment ... Quarterly quality reports focusing on risk-adjusted hospital mortality in cases with sepsis based on claims data are provided. ...https://implementationscience.biomedcentral.com/articles/10.1186/s13012-017-0706-5
Economic Outcomes of Bioresorbable Vascular Scaffolds Versus Everolimus-Eluting Stents in Patients Undergoing Percutaneous...
2013) 100% MEDPAR inpatient hospital national data for fiscal year 2013: short stay inpatient diagnosis groups (Centers for ... Because repeat revascularization procedures as well as post-procedural complications can lead to increased health care-related ... JACC: Cardiovascular Interventions. Volume 10, Issue 8, April 2017 DOI: 10.1016/j.jcin.2017.01.022 PDF Article ... Each follow-up hospitalization was mapped to the most appropriate Medicare severity diagnosis-related group, and costs were ...http://interventions.onlinejacc.org/content/10/8/774
The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals-a retrospective...
Supplementary Data. This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the ... whether it was related to diagnosis or other clinical management, an operation or non-surgical procedure, a fracture, an ... Demographic and administrative data on the index admissions (age, sex, discharge diagnoses and procedures, consultant specialty ... Thus, interventions to reduce adverse events need to be targeted at specific adverse event categories, and studies monitoring ...http://qualitysafety.bmj.com/content/26/2/111
A CLINICAL PREDICTION RULE FOR CLASSIFYING PATIENTS WITH LOW BACK PAIN WHO DEMONSTRATE SHORT-TERM IMPROVEMENT WITH SPINAL...
Patients were between the ages of 18 and 60 years, referred to physical therapy with a diagnosis related to the lumbosacral ... SUMMARY OF BACKGROUND DATA: Development of clinical prediction rules for classifying patients with low back pain who are likely ... As a group, the provocation tests were more reliable with values ranging from fair to substantial agreement. The Gillet test ... 16, 22, 36, 63] However, other studies have not shown any benefits for manipulation versus other interventions. [10, 26 28] The ...http://www.chiro.org/LINKS/ABSTRACTS/A_Clinical_Prediction_Rule_2.shtml
Trends in Hospital Volume and Operative Mortality for High-Risk Surgery - American College of Cardiology
Keywords: Outcome Assessment (Health Care), Neoplasms, Endarterectomy, Carotid, Diagnosis-Related Groups, Pancreatectomy, ... but there was considerably weaker association for cardiovascular procedures. It appears that for a small number of procedures ... This analysis of national Medicare data shows that the contribution of increasing hospital volume to declining mortality varied ... Interventions and Vascular Medicine ... Annual Scientific Session and Related Events. *Chapter Meetings ...http://www.acc.org/latest-in-cardiology/journal-scans/2011/06/07/10/26/trends-in-hospital-volume-and-operative-mortality-for-surgery
Bloodstream infections - Renal and Urology News
... in cases being assigned to a diagnosis-related group that receives a higher payment when presented as a secondary diagnosis, ... because safety data in this particular patient group is lacking. However, limited data from clinical trials or meta-analyses ... Interventions for preventing infectious complications in haemodialysis patients with central venous catheters. Cochrane ... Although legal systems in different countries have their own perspective, adequate infection control practices and procedures ...https://www.renalandurologynews.com/hospital-infection-control/bloodstream-infections/article/598101/
Women's communication self-efficacy and expectations of primary male partners' cooperation in sexually transmitted infection...
All data were obtained from women's self-report. The proportions of participants who were ... Our study assessed high-risk-STI women's confidence in STI-diagnosis-related communications with their primary male partners in ... Our results showed that women's self-efficacy in STI-diagnosis-related communications was fairly high, with at least 60.0 % of ... Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for ...https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-2690-0
Can Early Rehabilitation after Total Hip Arthroplasty Reduce Its Major Complications and Medical Expenses? Report from a...
... around the world emphasize the cost efficiency of each therapy and have implemented policies such as diagnosis-related groups ( ... Data Source. Our data were obtained from Taiwan's National Health Insurance Research Database (NHIRD), which is maintained by ... DRGs) . In Taiwan, the Bureau of National Health Insurance (BNHI) pays for THA procedures under DRG but also offers a ... a recent meta-analysis of randomized controlled trials emphasized that exercise-based interventions before THA can reduce pain ...https://www.hindawi.com/journals/bmri/2015/641958/
Impact of Heart Failure on Patients Undergoing Major Noncardiac Surgery | Anesthesiology | ASA Publications
In a previous analysis of Medicare data, we used diagnosis related group codes to identify broad classes of procedures for ... In addition, there is a significant need for interventions that can improve the outcomes of these patients in the perioperative ... analysis and may also have resulted in a different procedure mix within each diagnosis related group for each disease group. ... Table 1shows the frequency of all procedures and their distributions within disease groups. Overall, 18.4% of the procedures ...http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1932326
Long term effects of dietary sodium reduction on cardiovascular disease outcomes: observational follow-up of the trials of...
... effects of the sodium reduction intervention were analysed by grouping data for the two sodium reduction interventions (alone ... Because of potential changes after a diagnosis related to a cardiovascular disease we included in these analyses only those who ... table 3)⇓.When we excluded revascularisation procedures from the composite outcome, 124 participants experienced cardiovascular ... The final data were collected in 1989 to early 1990. In the intervention group, the net decrease in sodium excretion from ...http://www.bmj.com/content/334/7599/885?view=long&pmid=17449506
... effects of the sodium reduction intervention were analysed by grouping data for the two sodium reduction interventions (alone ... Because of potential changes after a diagnosis related to a cardiovascular disease we included in these analyses only those who ... table 3)⇓.When we excluded revascularisation procedures from the composite outcome, 124 participants experienced cardiovascular ... The final data were collected in 1989 to early 1990. In the intervention group, the net decrease in sodium excretion from ...https://www.bmj.com/content/334/7599/885
Effect of diagnosis related groups implementation on the intensive care unit of a Swiss tertiary hospital: a cohort study | BMC...
... low profit cases after interventions or procedures increased in our tertiary hospital. ... Data collection. Demographic data on patients admitted to ICUs are routinely recorded for quality control and mandatory data ... Diagnosis related groupsDRGICU admissionsEpidemiologySwitzerland. Background. The Swiss health care system was rated second ... Effect of diagnosis related groups implementation on the intensive care unit of a Swiss tertiary hospital: a cohort study. ...http://bmchealthservres.biomedcentral.com.preview-live.oscarjournals.springer.com/articles/10.1186/s12913-018-2869-4
Dare to have anal sex book.
Australia's universal public health scheme and the Australian refined diagnosis-related groups data [ 19 , 20 ] which provided ... We had access to detailed country level administrative information on the costs and procedures undertaken in detecting and ... of the model were i quality-adjusted life years QALY to facilitate comparison with several previous studies of interventions ... Data inputs This study employed Australian costs because a detailed costing of anal cancer management could be conducted. Model ...http://comevisitboston.com/dare-to-have-anal-sex-book.php
Using clinical variables and drug prescription data to control for confounding in outcome comparisons between hospitals | BMC...
... risk-adjusted outcome rates using two risk-adjustment procedures. Observational, retrospective study based on hospital data ... The addition of clinical data and drug prescription information improved the capability of the models to predict the study ... The discriminatory power of the AMI model increases when the clinical data and drug prescription information are included (c- ... However, the estimated hospital outcome rates were weakly affected by the introduction of clinical data and drug prescription ...https://0-bmchealthservres-biomedcentral-com.brum.beds.ac.uk/articles/10.1186/s12913-014-0495-3
Health Care-Associated Infections
Diagnosis-related reimbursement has led hospital administrators to place increased emphasis on infection control. Federal ... that increase host susceptibility include underlying conditions and the many medical-surgical interventions and procedures that ... Group A Streptococcal Infections The potential for an outbreak of group A streptococcal infection (Chap. 36) should be ... that collected data from more than 350 hospitals that use standardized definitions of nosocomial infections.] Interhospital ...http://www.gkhub.info/health-care-associated-infections.html
Careers.org | Medical Records and Health Information Technicians - Occupational Profile and
Technicians then use classification systems software to assign the patient to one of several hundred diagnosis-related groups, ... Supplemental - Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and ... Every time a patient receives health care, a record is maintained of the observations, medical or surgical interventions, and ... Clinical Data Manager Clinical Data Specialist Clinical Office Technician Clinical Secretary Coder Compliance Coordinator ...http://careers.org/occupations/29-2071.00/medical-records-and-health-information-technicians
The costs of inequality: whole-population modelling study of lifetime inpatient hospital costs in the English National Health...
... which collates hospital stays that use similar levels of resources-this is the English version of diagnosis related groups used ... The HES FCE records data about the patient (age, sex, place of residence) and their hospital stay (diagnoses, procedures, ... Interventions to reduce inequality and improve health in more deprived neighbourhoods have the potential to save money for ... We grouped HES inpatient data into age, sex and IMD quintile categories. Of the 18 808 903 episodes in our 2011/2012 HES data ...http://jech.bmj.com/content/early/2016/05/06/jech-2016-207447
Control of Endemic Methicillin-Resistant Staphylococcus aureus | Critical Care Medicine | JAMA | The JAMA Network
The newly implemented diagnosis related groups cost system allows estimation of global cost per admission but not a valid ... Isolation procedures were familiar to ICU personnel, which causes more efficient organization of nursing interventions, ... Data are reported as median with interquartile range, unless indicated otherwise. Data were analyzed using statistical software ... data not shown), which may occur only in highly selected groups. From an economic viewpoint, the strategy of targeted screening ...https://jamanetwork.com/journals/jama/fullarticle/192070