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Improving the clinical ability and quality of endocrinology department with diagnosis-related groups tool
BACKGROUND: To evaluate the use of the diagnosis-related groups (DRGs) tool to promote the diagnosis/treatment ability and quality of the endocrinology department under the new policy of grouping payment-related to disease diagnosis. METHODS: We compared the income structure of the endocrinology dep...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8908154/ https://www.ncbi.nlm.nih.gov/pubmed/35280375 http://dx.doi.org/10.21037/atm-22-147 |
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author | Ding, Sheng Jiang, Xiaowan Zheng, Yuming Feng, Tao Mao, Hong Chen, Zhi Cai, Wei Wang, Zhongjing |
author_facet | Ding, Sheng Jiang, Xiaowan Zheng, Yuming Feng, Tao Mao, Hong Chen, Zhi Cai, Wei Wang, Zhongjing |
author_sort | Ding, Sheng |
collection | PubMed |
description | BACKGROUND: To evaluate the use of the diagnosis-related groups (DRGs) tool to promote the diagnosis/treatment ability and quality of the endocrinology department under the new policy of grouping payment-related to disease diagnosis. METHODS: We compared the income structure of the endocrinology department in a 3a general hospital between the first half of 2019 and the same period in 2021. We also observed the changes in cost efficiency indexes (CEIs), time efficiency indexes (TEIs), case-mix index (CMI), number of DRGs, risk weight (RW) proportion, and surgery number in the inpatient department. Furthermore, the distribution of inpatients with diabetes of the whole hospital and the improvement of treatment efficiency indexes of the sub-specialty department were analyzed. RESULTS: In the first half of 2021, compared with the same period of 2019, the total revenue of the endocrinology department decreased by 20.05%, the average hospitalization cost decreased by 11.72%, the CEI decreased from 1.31 to 1.06, and the TEI decreased from 0.74 to 0.64. Additionally, the number of DRGs increased from 162 to 176, the average CMI value increased from 0.80 to 0.84, and the proportion of RW 1–5 cases increased. Moreover, the number of surgical cases increased by 60.50%, minimally invasive surgery increased by 53.54%, grade 4 surgery increased by 66.67%, and the proportion of entering the clinical pathway increased from 77.76% to 86.64%. From May to August, 2021, the admission rate of endocrinology sub-specialty increased significantly, the number of DRGs showed an increasing trend, and the CEI and TEI decreased significantly. In the first half of 2021, inpatients with diabetes in the departments of rehabilitation, neurology, nephropathy, ophthalmology, and general administration accounted for 21.99–38.54%. CONCLUSIONS: The DRGs tool can be used to improve the clinical diagnosis and treatment ability of the endocrinology department, as well as optimize the CEI, TEI, CMI, and RW values. It is an effective way to promote the development of the endocrinology department under the new DRGs payment policy, carry out blood glucose management in the hospital, build endocrinology sub-specialties, and improve surgical and operation capacity. |
format | Online Article Text |
id | pubmed-8908154 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-89081542022-03-11 Improving the clinical ability and quality of endocrinology department with diagnosis-related groups tool Ding, Sheng Jiang, Xiaowan Zheng, Yuming Feng, Tao Mao, Hong Chen, Zhi Cai, Wei Wang, Zhongjing Ann Transl Med Original Article BACKGROUND: To evaluate the use of the diagnosis-related groups (DRGs) tool to promote the diagnosis/treatment ability and quality of the endocrinology department under the new policy of grouping payment-related to disease diagnosis. METHODS: We compared the income structure of the endocrinology department in a 3a general hospital between the first half of 2019 and the same period in 2021. We also observed the changes in cost efficiency indexes (CEIs), time efficiency indexes (TEIs), case-mix index (CMI), number of DRGs, risk weight (RW) proportion, and surgery number in the inpatient department. Furthermore, the distribution of inpatients with diabetes of the whole hospital and the improvement of treatment efficiency indexes of the sub-specialty department were analyzed. RESULTS: In the first half of 2021, compared with the same period of 2019, the total revenue of the endocrinology department decreased by 20.05%, the average hospitalization cost decreased by 11.72%, the CEI decreased from 1.31 to 1.06, and the TEI decreased from 0.74 to 0.64. Additionally, the number of DRGs increased from 162 to 176, the average CMI value increased from 0.80 to 0.84, and the proportion of RW 1–5 cases increased. Moreover, the number of surgical cases increased by 60.50%, minimally invasive surgery increased by 53.54%, grade 4 surgery increased by 66.67%, and the proportion of entering the clinical pathway increased from 77.76% to 86.64%. From May to August, 2021, the admission rate of endocrinology sub-specialty increased significantly, the number of DRGs showed an increasing trend, and the CEI and TEI decreased significantly. In the first half of 2021, inpatients with diabetes in the departments of rehabilitation, neurology, nephropathy, ophthalmology, and general administration accounted for 21.99–38.54%. CONCLUSIONS: The DRGs tool can be used to improve the clinical diagnosis and treatment ability of the endocrinology department, as well as optimize the CEI, TEI, CMI, and RW values. It is an effective way to promote the development of the endocrinology department under the new DRGs payment policy, carry out blood glucose management in the hospital, build endocrinology sub-specialties, and improve surgical and operation capacity. AME Publishing Company 2022-02 /pmc/articles/PMC8908154/ /pubmed/35280375 http://dx.doi.org/10.21037/atm-22-147 Text en 2022 Annals of Translational Medicine. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Original Article Ding, Sheng Jiang, Xiaowan Zheng, Yuming Feng, Tao Mao, Hong Chen, Zhi Cai, Wei Wang, Zhongjing Improving the clinical ability and quality of endocrinology department with diagnosis-related groups tool |
title | Improving the clinical ability and quality of endocrinology department with diagnosis-related groups tool |
title_full | Improving the clinical ability and quality of endocrinology department with diagnosis-related groups tool |
title_fullStr | Improving the clinical ability and quality of endocrinology department with diagnosis-related groups tool |
title_full_unstemmed | Improving the clinical ability and quality of endocrinology department with diagnosis-related groups tool |
title_short | Improving the clinical ability and quality of endocrinology department with diagnosis-related groups tool |
title_sort | improving the clinical ability and quality of endocrinology department with diagnosis-related groups tool |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8908154/ https://www.ncbi.nlm.nih.gov/pubmed/35280375 http://dx.doi.org/10.21037/atm-22-147 |
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