An Evaluation of Pediatric-Modified Diagnosis-Related Groups

Pediatric-modified diagnosis-related groups (PM-DRGs) were designed to describe more accurately than DRGs differences in severity of illness and charges across pediatric patients. We report on an evaluation of PM-DRGs for use in prospective payment systems (PPSs). Data on pediatric discharges (i.e.,...

Descripción completa

Detalles Bibliográficos
Autores principales: Payne, Susan M.C., Schwartz, Rachel M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1993
Materias:
Hospital Payment: Beyond the Prospective Payment System
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193419/
https://www.ncbi.nlm.nih.gov/pubmed/10135344
Descripción
Sumario:Pediatric-modified diagnosis-related groups (PM-DRGs) were designed to describe more accurately than DRGs differences in severity of illness and charges across pediatric patients. We report on an evaluation of PM-DRGs for use in prospective payment systems (PPSs). Data on pediatric discharges (i.e., patients 17 years of age or under) from 5 States and a national sample of 43 hospitals were used. PM-DRGs explained substantially more variation in resource use at the discharge level and hospital level. PM-DRGs improved classification of neonatal discharges by concentrating them into fewer categories and measuring birth weight more precisely.

Ejemplares similares