Case #218

Task #10: Delivery of major update proposals for NordDRG 2015

Merge / change DRG C15N, C15O with C29N, C29O

Added by Anonymous over 5 years ago. Updated over 4 years ago.

Status:AcceptedStart date:2014-01-27
Priority:MajorSpent time:-
Assignee:Ralph Dahlgren
Category:-
Target version:Expert Group 2014
Initiator:Sweden Target year:2015
Case type: Owner / responsible:Nordic Casemix Centre
MDC:MDC03 Old forum status:
Target Grouper:SWE

Description

National ID: 391
Initiated: 2014-02-27
Initiator: Mats Ferström, Ralph Dahlgren
Responsible at National organization: Ralph Dahlgren
Sent to NordDRG Forum: 2014-02-27


Problem

There are very small difference in the resources used in the following DRG:

DRG C15N Diverse operationer på öron, näsa, mun och hals (Former DRG 055 Miscellaneous operations on the ears, nose, mouth and throat), C15O Diverse operationer på öron, näsa, mun och hals, öppenvård (Former DRG 055O Miscellaneous operations on the ears, nose, mouth and throat, outpatient), and C29N Andra operationer i öron, näsa, mun och hals (Former DRG 063Other operations in the ears, nose, mouth and throat), C29O Andra operationer i öron, näsa, mun och hals, öppenvård (Former DRG 063O Other operations in the ears, nose, mouth and throat, outpatient).

At a quick check in connection with the review of CC-grouper arose the idea of being able to change / merge these different DRG when the weight is fairly close to each other.

Analysis

Prospective Weights 2013. Cost per DRG point 41,501 SEK

C15N Diverse operationer på öron, näsa, mun och hals. Vikt 0.9280
C29N Andra operationer i öron, näsa, mun och hals. Vikt 1.0296

Cost difference about 4 200 SEK. This is about a 10% difference.

C15O Diverse operationer på öron, näsa, mun och hals, öppenvård. Vikt 0.2536
C29O Andra operationer i öron, näsa, mun och hals, öppenvård. Vikt 0.2256

Cost Difference about 1 200 SEK. This is about a 10% difference.

Suggestion

The Swedish National Board of Health and Welfare and collaboration partners 2014-01-27

The suggestion is to merge DRG C15N + C29N and to merge C15O + C29O. This should be done by the cases in C15N are grouped to C29N and C15O cases are grouped to C29O.
This is done in DRGlogic where the rows for C15N and C15O are deleted and a copy of the same row but with a different ord and the DRG are change from C15N to C29N and C15O to C29O.

Decided changes

The Swedish National Board of Health and Welfare 2014-01-27

These changes should be done to the definitionstables for 2015

DRG change

The cases in C15N are moved to C29N and C15O cases are moved to C29O.

Technical change

This is done in DRGlogic where the rows for C15N and C15O are deleted and a copy of the same row but with a different ord and the DRG column are change from C15N to C29N and C15O to C29O.
In the file DRGNAMNES C15N Diverse operationer på öron, näsa, mun och hals and C15O Diverse operationer på öron, näsa, mun och hals, öppenvård are erased.

Introduction:

NordDRG [2015] [SWE]

CPK ID 391 decision to Forum.xlsx (18 KB) Anonymous, 2014-01-29 13:38

History

#1 Updated by Anonymous over 5 years ago

  • Priority changed from Normal to Major
  • Start date changed from 2014-01-29 to 2014-01-27
  • Old forum status deleted (ACTITEM - Active item)

#2 Updated by Anonymous over 5 years ago

  • Assignee set to Ralph Dahlgren

#3 Updated by Anonymous over 5 years ago

  • Case type deleted (Major)

#4 Updated by Anonymous over 5 years ago

  • Description updated (diff)
  • Parent task set to #10

#5 Updated by Martti Virtanen over 5 years ago

2014-03-19 Martti Virtanen

The finnish data has following weights:

  • DRG******Weight***N
  • 55*******3,73*****467
  • 55O******1,69*****1 785
  • 55P******1,75*****1 797
  • 63*******7,15*****1 263
  • 63O´*****2,01*****1 135

As can be seen, the differences are quit substantial and there are quite many cases in all groups.

#6 Updated by Anonymous over 5 years ago

Comment Expert Group 2014-03-24

Results are very different in Finland and Sweden.
Case will be postponed for further analyses. Case level analysis on differences in cost structure are needed.
Analysis will be performed both in Finland and Sweden.

#7 Updated by Anonymous over 4 years ago

  • Status changed from Active to Accepted

#8 Updated by Ralph Dahlgren over 4 years ago

case #218 Merge / change DRG C15N, C15O with C29N, C29O”.
Sweden suggest that the case is closed on Forum due to the fact that the costs differences are so big between Sweden and Finland. It is better to leave the involved DRG the way they are for the moment.

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