Case #106

Case 2013-MDC14-03 Procedures for ectopic pregnancy, short therapy - few cases and small difference to inpatients

Added by Anonymous over 6 years ago. Updated over 6 years ago.

Status:AcceptedStart date:2013-10-25
Priority:NormalSpent time:-
Assignee:-
Category:-
Target version:Expert Group 2013
Initiator:Finland Target year:2014
Case type:Major Owner / responsible:National organisations, Nordic Casemix Centre
MDC:MDC14 Old forum status:CLOSITEM - Closed item
Target Grouper:COMMON

Description

Last updated: 2013-04-24

Status: CLOSITEM - Closed item

Initiated:2011

Initiator: Helsinki University Hospital

Responsible at NPK: Kristiina Kahur, Minna-Liisa Sjöblom

Sent to NordDRG Forum (date): 27.1.2013

Expert Network 2013-03-12 Change recommended

Board 2013-03-27 Change accepted


Problem

Finnish national DRG-center got several proposals from Helsinki University Hospital with respect that DRGs in MDC 14 should be revised and analyzed. The main problem was related to DRG 373 also other groups were considered problematic.

During several meetings a working-group of clinical and economical experts was revised all DRGs in MDC 14 and came up with 6 proposals.

Analysis

The analysis was performed on cases in MDC 14 in a combined data from year 2011 in all five Finnish university hospitals. For grouping Finnish 2011 Full version was used, in case of DRG 379 CC-grouper was used.

Suggestion:

Assigning DRG 378O cases to DRG 378N

DRG 378O 'Procedures for ectopic pregnancy, short therapy' has few cases (N=28 in 2011 in Finland) and the difference of cost to DRG 378N 'Operation for ectopic pregnancy' is small. The criteria for independent DRG are not fullfilled. Therefore we suggest these groups should be combined to DRG 378N 'Intervention in ectopic pregnancy'.

Comments

Swedish comments 2013-03-07

We do not support this suggestion. There are not many outpatients with DRG P10O/378O in Sweden either (only 8 in the KPP database 2011) but we do not want to mix inpatients and outpatients in the same DRGs. We therefor want to investigate another solution, namely a merging of the DRGs P10O/378O and P11O/377O (Obstetriska problem med andra operationer i öppenvård) and perhaps also O39O/365O (Andra gynekologiska operationer, öppenvård). We have not had time to do such an analysis yet, however.

Expert group – 2013-03-12

The expert group did not recommend any change because there is a resistance to combine short therapy outpatient cases with inpatient cases although in this case the cost difference of outpatients and inpatients is much less at least in Finnish data. The difference is however larger in Swedish data where only outpatient clinic patients are included in the short therapy group.

Board meeting - 2013-03 27

Finland proposed that the Swedish proposal of combining 378O/P10O with 365O/O39O is done for NordDRG 2014. The board accepted this proposal.

Mats Fernström – 2013-03-27

The Swedish data indicate that the proposed change can be accepted also according to Swedish data.

Martti Virtanen - 2013-04-24

Original misunderstanding was corrected (378O is combined with 365O not with 377O as was previously stated above)

DECIDED CHANGES

DRG change

DRG 378O (P10O) is combined to DRG 365O (O39O)

Technical change

In the current rule for DRG 378O (100D700020) DRG is changed to 365O.

The name and code of DRG 365O are not changed.

Introduction

NordDRG 2014

MDC14-03_2.png (6.39 KB) Anonymous, 2013-10-25 12:18

MDC14-03_01.png (9.15 KB) Anonymous, 2013-10-25 12:18

History

#1 Updated by Maisa Lukander over 6 years ago

  • Status changed from Active to Accepted

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