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
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
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
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
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
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
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
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
EU Projects | Erasmus School of Health Policy & Management | Erasmus University Rotterdam
EuroDRG: Diagnosis-Related Groups in Europe: towards Efficiency and Quality. Payment mechanisms represent one of the ... A mixed methods approach will combine analysis of routinely collected data and primary data generated through interviews and ... A taxonomy of most promising ICC models for patients with multi-morbidity; this taxonomy includes a "toolkit" of interventions ... For questions about EU projects or procedures you may contact Sonja Meeuwsen (firstname.lastname@example.org, 010-4081169). ...https://www.eur.nl/en/eshpm/research/eu-projects
Endovascular Today - The Dawn of AAA Stenting in Japan (March 2007)
Unlike in the US, where the costs of stents and balloons are included as part of the diagnosis-related group (DRG) hospital fee ... RECENT EVAR DATA. The shonin of the Zenith and the Excluder came more than a year after the EVAR 1 and EVAR 2 results were ... This was the case with laparoscopic procedures and coronary stenting; 80% of cases are currently done with a drug-eluting stent ... Japanese Society for Endovascular Interventions, Japanese Society of Phlebology, and the Japanese College of Angiology. ...http://evtoday.com/2007/03/EVT0307_04.php/
Clinical and Economic Implications of the Multicenter Automatic Defibrillator Implantation Trial-II | Annals of Internal...
... were estimated by using cost data from Duke University Medical Center for patients with diagnosis-related groups (DRGs) of 514 ... Interventions:. ICD therapy versus conventional medical therapy.. Outcomes Measures:. Cost per life-year gained and incremental ... Patient information available through the system includes symptoms at time of cardiac procedures, diagnoses, ... For the ICD group, the combined undiscounted estimation of ICD-related and in-hospital (non-ICD) costs was $152 893 ($84 680 ...http://annals.org/aim/fullarticle/718329/clinical-economic-implications-multicenter-automatic-defibrillator-implantation-trial-ii
Section 3: Delivery System Reform and Care for High-Need Beneficiaries
Many hospitals provide palliative care as part of a package of services under the diagnosis-related group payment approach. The ... There is limited data on the spending effects of a broad palliative care benefit co-existing with ongoing curative therapy. ... It is possible that a shift in payment policy could reduce incentives to order or recommend tests and procedures, thus ... CMMI would invite providers and plans to implement well-defined interventions targeted at specific subgroups of the high-need ...https://www.kff.org/report-section/section-3-delivery-system-reform-and-care-for-high-need-beneficiaries/
Comparative Hospital Economics and Patient Presentation: Vertebroplasty and Kyphoplasty for the Treatment of Vertebral...
diagnosis related group. ICD-9-CM. International Classification of Diseases, ninth revision, Clinical Modification. NA. not ... Unlike individual insurance data bases, data within the Premier Perspective data base are not limited by payer status. ... National trends in vertebral augmentation procedures for the treatment of vertebral compression fractures. Surg Neurol 2009;71: ... payers and health care providers is to maximize the net clinical benefit that patients receive from health care interventions, ...http://www.ajnr.org/content/32/7/1290.full
Lower Limb Amputation in Germany: An Analysis of Data From the German Federal Statistical Office Between 2005 and 2014 (24.02...
Methods: On the basis of DRG (diagnosis-related group) data, we received a list from the German Federal Statistical Office of ... and procedures, to the Institut f r das Entgeltsystem im Krankenhaus (InEK; Institute for Hospital Fees). InEK uses the data ... endovascular interventions, and major amputations. J Vasc Surg 2009; 50: 54 60 CrossRef MEDLINE ... The national diagnosis-related groups (DRG) statistics from the German Federal Statistical Office include data from all ...https://www.aerzteblatt.de/int/archive/article?id=186434