Case #227

Task #11: Delivery of minor update proposals for NordDRG 2015

Procedure QXXB90 'Vacume treatment of wound', should it have CC properties

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

Status:AcceptedStart date:2014-01-31
Priority:MinorSpent time:-
Assignee:Ralph Dahlgren
Category:-
Target version:Expert Group 2014
Initiator:Sweden Target year:2015
Case type: Owner / responsible:Nordic Casemix Centre
MDC: Old forum status:
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE

Description

National ID: 393
Initiated: 2014-02-28
Initiator: Ralph Dahlgren
Responsible at National organization: Ralph Dahlgren
Sent to NordDRG Forum: 2014-02-31
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Problem

QXXB90 'Vacume treatment of wound'is intoduced in NCSP+ year 2006. Mapped codes exist in FIN TQW11, ICE QXXB90, NOR WLGX20 and LAT WLGX20 in addition to SWE DQ023.
The Swedish code DQ023 was introduced in 2012. QXXB90 has the Swedish procedure property 09V05 'Minor dermatologic intervention'.
The question out of a clinicall perspective from Sweden is whether the code should also have CC properties.

Analysis

Cost data weather it concern the inliers or all case shows that the cases with DQ023 is as a whole more expensive than other cases, particularly the cases in non-complicated DRG. See Appendix for more information.

Suggestion

The Swedish National Board of Health and Welfare and it´s Swedish collaboration partners 2014-01-29

The suggestion is that DQ023 due to its higher costs should have CC-grouping properties

Decided changes

The Swedish National Board of Health and Welfare and it´s Swedish collaboration partners 2014-01-29

DQ023 should have CC-grouping properties

DRG change

Some cases will be grouped from non-complicated DRG to complicated DRG.

Technical change

The way to achieve this is to give DQ023 Vartype CC, Varval 1. See Excel-file CPK ID 393 Decision.

Introduction:

NordDRG [2015] [SWE]

CPK ID 393 Decision.xlsx (17.2 KB) Anonymous, 2014-02-06 14:02

History

#1 Updated by Anonymous about 5 years ago

  • Case type deleted (Minor)

#2 Updated by Martti Virtanen about 5 years ago

  • Subject changed from Procedure code DQ023 Vacuum treatment, should it have CC properties to Procedure QXXB90 'Vacume treatment of wound', should it have CC properties
  • Description updated (diff)

2014-03-13 Martti Virtanen
It is obvoius that'Vacume treatment of wound' is an intervention only performed in problematic cases. Thus using the code indicates a resource itensive case.
The model of NordDRG that is not based on the original DRG model where an intervention may have CC-property and thus directly complicate cases where this is possible makes it possible to let this kind of information influence the DRG assignment in a simple way. On the other hand it is 'cheap' - addtion of just one code has a dircect very clear effect on the DRG.
That beeing said, I support the idea. However, the change will affect all countries with corresponding codes and thus all of them must accept the change.

#3 Updated by Martti Virtanen about 5 years ago

  • Target Grouper COMMON, FIN, ICE, LAT, NOR added

#4 Updated by Anonymous about 5 years ago

  • Parent task set to #11

#5 Updated by Anonymous almost 5 years ago

Comment Expert Group 2014-03-24

This is a resource intensive case. Adding CC properties to procedure affects all countries.
The proposal is supported but further analysis is needed to decide.
Decision is done based on analysis (Finland) in a few days.

#6 Updated by Anonymous almost 5 years ago

Comment Expert Group 2014-03-25

Finnish analysis is done and proposal is accepted.

#7 Updated by Martti Virtanen almost 5 years ago

2014-03-27 Martti Virtanen

Technical change

QXXB90 'Vacume treatment of wound' and all linked codes is given CC=1 property

DRG change

Cases with this intervention will be assigned to CC groups when available.

#8 Updated by Anonymous almost 5 years ago

  • Target Grouper DEN, EST added

#9 Updated by Anonymous about 4 years ago

  • Status changed from Active to Accepted

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