Maternal Perceptions of Help from Home Visits by Nurse-community Health Worker Teams | AHRQ Archive
All Patient Refined Diagnosis Related Groups (APR-DRGs): Methodology Overview, version 25.0, 2008, all published on AHRQ's HCUP ... citing Comorbidity Software, Version 3.5, 2010), and AHRQ's Elixhauser comorbidity measures (Elixhauser et al., Med Care, 1998 ... American Journal of Kidney Diseases. Diamantidis CJ, Beliger SL, Zhan M, et al. A varying patient safety profile between black ... Uses AHRQ's Elixhauser comorbidity measures (Elixhauser et al., Med Care, 1998) and HCUP Clinical Classifications Software (CCS ...https://archive.ahrq.gov/news/newsroom/articles-of-interest/041312.html
Surgeons' Volume-Outcome Relationship for Lobectomies and Wedge Resections for Cancer Using Video-Assisted Thoracoscopic...
The journal is particularly interested in submissions related to novel techniques and instruments, as well as new or ... and diagnosis. The journal publishes original research articles, review articles, and clinical studies on endoscopy and other ... All Patient Refined-Diagnosis-Related Groups (APR-DRGs) severity index (an index of comorbidity unique to the Premier database ... International Classification of Diseases, 9th Revision (ICD-9) diagnosis codes and procedure codes for identifying lobectomy ...https://www.hindawi.com/journals/mis/2012/760292/
Wiley Reference Works - Encyclopedia of Biostatistics
Cardiology and cardiovascular disease. Case fatality. Case mix. Case mix definition by diagnosis related groups. Case series, ... Communicable diseases. Community intervention trials. Community medicine. Co-morbidity. Compartment models. Competing risks. ... Nutritional Exposure Measures. Nyquist frequency. O. O, o notation. Oblimin rotation. Oblique rotation. O'Brien and Fleming ... Group practice. Group sequential designs. Grouped data. Grouped Survival Times. Group-randomization designs. Growth and ...http://www.wiley.com/legacy/products/subject/reference/armitage_toc.html
Comorbidity - Wikipedia
... and complications and comorbidities in medical non-complications and comorbidity-stratified diagnosis-related groups". The ... Mild course of the disease, "2": Moderate disease, "3": Severe disease. The Kaplan-Feinstein Index evaluates comorbidity by ... "Geriatric Index of Comorbidity: Validation and comparison with other measures of comorbidity". Age and Ageing. 31 (4): 277-85. ... Recognizing this, the diagnosis-related group (DRG) manually splits certain DRGs based on the presence of secondary diagnoses ...https://en.wikipedia.org/wiki/Comorbidity
Penn Medicine Gastrointestinal Bleeding Research Points to Need for Updated Medicare Policies - PR News
... classifying patients using Medicare Severity Diagnosis Related Groups (MS-DRGs), which does not account for the clinical ... The new Penn Medicine research, which will be presented this week at Digestive Disease Week 2018 in Washington D.C. (abstract # ... Readmission rates were higher, length of stay was longer, and mortality was higher in hospitalizations with major comorbidity ... This requires hospitals to publicly report 30-day readmission rates and other quality measures. However, Medicare currently ...https://www.pennmedicine.org/news/news-releases/2018/june/penn-medicine-gastrointestinal-bleeding-research-points-to-need-for-updated-medicare-policies
Epidemiology of Anesthesia-Related Complications in Labor and Delivery, New York State, 2002-2005
One study recently showed that adding these Diagnosis-Related Group delivery codes (370-375) identifies approximately 3% more ... medical condition contributing to an elevated score on the Charlson-Deyo Comorbidity Index was chronic pulmonary disease, ... To ensure data quality, a number of quality control measures have been established. First, 95% of a hospital's discharge data ... codes V27.0-V27.9 for identifying outcome of deliveries and Diagnosis-Related Group delivery codes 370-375. ...http://pubmedcentralcanada.ca/pmcc/articles/PMC3391736/?lang=en-ca
Medicare's Big Changes | Managed Care magazine
MS-DRG has 25 major disease categories, 745 diagnosis-related groups, and three subclasses of complications and comorbidities. ... CMS also announced on April 14 that it proposes to add 43 new quality measures to the 30 measures now listed in its voluntary ... "major complication or comorbidity," an example of which is severe sepsis. ... Hospitals now report 27 quality-related measures to CMS in order to receive the full annual update to Medicare's payment rates. ...http://managedcaremag.com/archives/2008/5/medicare%E2%80%99s-big-changes?page=358
Physician age and outcomes in elderly patients in hospital in the US: observational study | The BMJ
... primary diagnosis (diagnosis related group), 27 comorbidities (Elixhauser comorbidity index22), median household income of zip ... Comorbidity measures for use with administrative data. Med Care1998;357:8-27. doi:10.1097/00005650-199801000-00004 pmid:9431328 ... and chronic obstructive pulmonary disease) (see table A in the appendix for diagnosis codes). Tenth, we used years since ... Within each hospital the part A payment does not vary for patients within the same diagnosis related group (with a few ...http://www.bmj.com/content/357/bmj.j1797?ijkey=01d8c5810d170fe780180185a2c1798fb475094f&keytype2=tf_ipsecsha
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 ... Moreover, to the extent value-based purchasing moves from process measures (e.g., palliative care team present) to disease- ... Mental Disorders and Medical Comorbidity, Research Synthesis Report #21, Robert Wood Johnson Foundation, 2011. ... Lewin Group. 2004. Medicaid Managed Care Cost Savings: A Synthesis of Fourteen Studies, Prepared for America's Health Insurance ...https://www.kff.org/report-section/section-3-delivery-system-reform-and-care-for-high-need-beneficiaries/
The German Quality Network Sepsis: study protocol for the evaluation of a quality collaborative on decreasing sepsis-related...
If this study finds the approach to be useful for improving quality of sepsis care, it may also be applied to other diseases. ... A complex risk-model is used to control for differences in patient-related risk factors. Hospitals are encouraged to implement ... The primary objective of the study is to decrease sepsis-related hospital mortality within a quality collaborative relying on ... A recent German cluster randomized trial was not able to improve guideline adherence and decrease sepsis-related mortality ...https://implementationscience.biomedcentral.com/articles/10.1186/s13012-017-0706-5
Relationship between efficiency and clinical effectiveness indicators in an adjusted model of resource consumption: a cross...
Subjects: 196, 593 patients aged >14 years in 13 PHCs in Catalonia (Spain). Measures: Age, sex, PHC, basic care team (BCT), ... Adjusted clinical groups (ACG®) have been widely used to adjust resource distribution; however, the relationship with ... Aggregated Diagnosis Groups [ADG], Major ADG, ACG-related relative weight), the RI would also establish the disease burden for ... Starfield B, Lemke KW, Bernhardt T, Foldes SS, Forrest CB, Weiner JP: Comorbidity: implications for the importance of primary ...https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-13-421
The German MultiCare-study: Patterns of multimorbidity in primary health care - protocol of a prospective cohort study | BMC...
The practical consequences of the study results for primary care will be analysed in expert focus groups in order to develop ... First, clusters of combinations of diseases/disorders (multimorbidity patterns) with a comparable impact (e.g. on quality of ... the diagnosis-related comorbidity score developed by Charlson et al. (Charlson Index) ; ... Use of the neuropsychological measures developed for the Consortium to Established a Registry for Alzheimer's Disease. Archives ...http://bmchealthservres.biomedcentral.com.preview-live.oscarjournals.springer.com/articles/10.1186/1472-6963-9-145
The association between nurse staffing and hospital outcomes in injured patients | BMC Health Services Research | Full Text
Logistic regression models were used to examine the association between nurse staffing measures and (1) mortality, (2) ... based on diagnosis related group (DRG) relative weights . Licensed nurse HPPD and nurses' aide Hpdd were estimated in a ... Elixhauser A, Steiner C, Harris DR, Coffey RM: Comorbidity measures for use with administrative data. Med Care. 1998, 36 (1): 8 ... Patients with sepsis, pneumonia, Staphylococcus infections, or Clostridium difficile associated disease (CDAD) were classified ...http://bmchealthservres.biomedcentral.com.preview-live.oscarjournals.springer.com/articles/10.1186/1472-6963-12-247
Iatrogenic Gastric Acid Suppression and the Risk of Nosocomial Clostridium difficile Infection | Infectious Diseases | JAMA...
Matching criteria included diagnosis related group, Charlson index with caliper of 1 point, age with caliper of 5 years, and ... Elixhauser ASteiner CHarris DRCoffey RM Comorbidity measures for use with administrative data. Med Care 1998;36 (1) 8- 27PubMed ... heuristic to patients without C difficile infection on the basis of their diagnosis related group, Charlson index with caliper ... Elixhauser ASteiner CHarris DRCoffey RM Comorbidity measures for use with administrative data. Med Care 1998;36 (1) 8- 27PubMed ...https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/415908
Adjunctive use of physostigmine salicylate (Anticholium®) in perioperative sepsis and septic shock: study protocol for a...
Only a few trial-related procedures include the withdrawal of blood samples. These measures represent a minor additional burden ... Participants are randomly assigned to one group that receives physostigmine salicylate (verum group), or to the other group ... Besides causal treatment (focal restoration, and use of antibiotics), there is the symptomatic, i.e., diagnosis-related therapy ... measures, causal treatment is not always successful and the lethality remains high. Early treatment is crucial to disease ...https://new-trialsjournal.biomedcentral.com/articles/10.1186/s13063-017-2231-x
Welcome to CDC stacks | Professional Fee Ratios for US Hospital Discharge Data - 36881 | CDC Public Access
Comorbidity Continental Population Groups Costs And Cost Analysis Diagnosis-Related Groups Economics Emergency Service, ... and primary International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) diagnosis, and for ED ... Measures PFR per visit was assessed as total payments divided by facility-only payments. Research Design Using ordinary least ... Diagnostic Related Group, Healthcare Cost and Utilization Project Clinical Classification Software, ...https://stacks.cdc.gov/view/cdc/36881
Influences of hospital information systems, indicator data collection and computation on reported Dutch hospital performance...
Diagnosis Related Group codes). Dutch hospitals are independent organizations and free to choose information technology systems ... Each step yields a data element, for instance the date of surgery, or a secondary diagnosis (comorbidity). For some steps it is ... For example, a process indicator score of 100% that measures the number of patients that timely received surgically related ... The selection of the indicators was performed by disease specific expert groups of medical doctors, patient organizations, and ...http://bmchealthservres.biomedcentral.com.preview-live.oscarjournals.springer.com/articles/10.1186/1472-6963-13-212
The purpose of this article is to review diagnosis-related group (DRG) systems by introducing the concept of disease groupings ... Exploration of ICD-9-CM Coding of Chronic Disease within the Elixhauser Comorbidity Measure in Patients with Chronic Heart ... Projected Impact of the ICD-10-CM/PCS Conversion on Longitudinal Data and the Joint Commission Core Measures. 2014 Summer ... and comparing country-specific disease classification systems and coding processes related to disease grouping. We discuss our ...http://perspectives.ahima.org/category/articles/icd-9icd-10/
Healthcare Cost and Utilization Project - Wikipedia
The first, Creation of Format Library for the Elixhauser Comorbidity Groups, generates a format library that maps diagnosis ... United States Department of Health and Human Services MONAHRQ International Statistical Classification of Diseases and Related ... The HMS Files contain various measures of hospital market competition. These measures are aggregate and are meant to broadly ... All procedures considered valid operating room procedures by the Diagnosis Related Group (DRG) grouper and that are performed ...https://en.wikipedia.org/wiki/Healthcare_Cost_and_Utilization_Project
GAO-08-673T, Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and...
12] Under Medicare, hospitals generally receive fixed payments for inpatient stays based on diagnosis-related groups (DRG), a ... Why GAO Did This Study: According to the Centers for Disease Control and Prevention (CDC), health-care-associated infections ( ... D] The three practice measures are assessed for certain categories of surgeries: coronary artery bypass graft; other cardiac ... CMS identified certain preventable conditions it would not consider as a comorbidity or complication that would lead to the ...https://www.gao.gov/htext/d08673t.html
Value-Based Design and Prescription Drug Utilization Patterns Among Diabetes Patients
A psychiatric patient classifi cation system: an alternative to diagnosis-related groups. Med Care. 1989;27(5): 543-557.. 20. ... and decreased disease-related costs.4-9. Recently, Gibson and colleagues8 assessed the effects of a value-based pharmacy access ... Measures. The medication possession ratio (MPR), a metric representing fill adherence, was calculated as the percentage of days ... D'Hoore W, Bouckaert A, Tilquin C. Practical considerations on the use of the Charlson comorbidity index with administrative ...http://www.ajpb.com/journals/ajpb/2013/ajpb_mayjun2013/Value-Based-Design-and-Prescription-Drug-Utilization-Patterns-Among-Diabetes-Patients
Dual use of VA and non-VA hospitals by Veterans with multiple hospitalizations | BMC Health Services Research | Full Text
International Classification of Diseases, 9th Revision, Clinical Modification. DRG: Diagnosis related group ... Co-morbidity measures for use with administrative data. Med Care. 1998;36:8-27.View ArticlePubMedGoogle Scholar. ... Among the data elements for each hospitalization were the principal diagnosis, secondary diagnoses, diagnosis-related group ( ... In other words, circulatory diseases, respiratory diseases, injury and poisoning, less common diseases, diseases of the ...https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-1069-8
Hospital costs associated with psychiatric comorbidities: a retrospective study | BMC Health Services Research | Full Text
Charlson Comorbidity Index. DRG: Diagnosis-related Groups. ICD-10-GM: International Statistical Classification Of Diseases And ... Comorbidity measures for use with administrative data. Med Care. 1998;36:8-27.View ArticlePubMedGoogle Scholar. ... Hospital costsComorbidityDiagnosis-related groupsPsychiatry. Background. Mental and substance use disorders were the fifth ... Diagnosis related groups in Europe: moving towards transparency, efficiency, and quality in hospitals? BMJ. 2013;346:f3197.View ...http://bmchealthservres.biomedcentral.com.preview-live.oscarjournals.springer.com/articles/10.1186/s12913-018-2892-5
Statin Use and Post-Operative Atrial Fibrillation after Major Non-Cardiac Surgery
Averill R. All Patient Refined Diagnosis Related Groups v 20.0. 2003. 15. Stukenborg GJ, Wagner DP, Harrell FE, Jr, et al. ... Comorbidity measures for use with administrative data. Med Care. 1998;36(1):8-27. [PubMed] ... Co-morbidities were established using a combination of International Classification of Diseases, Ninth Revision, Clinical ... and were considered major if the mean length of stay for patients in the diagnosis related groups was 3 days or more.14 ...http://pubmedcentralcanada.ca/pmcc/articles/PMC3439804/?lang=en-ca
Burden of non-tuberculous mycobacterial pulmonary disease in Germany | European Respiratory Society
Because the base case value of the German diagnosis-related groups' (DRGs) payment system  and the point values of the ... in terms of their burden of comorbidity. Therefore, patients' comorbid conditions were measured using the Charlson Comorbidity ... Nevertheless, the database used has been shown to be representative of the German population in terms of measures of morbidity ... Disease-related event numbers for non-tuberculous mycobacterial pulmonary disease patients compared with matched controls ...http://erj.ersjournals.com/content/49/4/1602109.long