Case #275

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

Team visits

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

Status:AcceptedStart date:2014-02-25
Priority:MinorSpent time:-
Assignee:Mats Fernström
Category:-
Target version:Expert Group 2014
Initiator:Sweden Target year:2015
Case type: Owner / responsible:Nordic Casemix Centre
MDC: Old forum status:
Target Grouper:SWE

Description

National ID: CPK ID 504
Initiated: 2013-11-13
Initiator: NPK, Sweden

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Problem

This suggestion concerns so far only the Swedish grouping logic but other nations may have the same problem.

In Sweden we have 24 DRGs for team visits by doctors (one per MDC) and 12 DRGs for team visits by other personal categories See table below).

These 12 DRGs for other personal categories give no medical information and the administrative information is not very good either. The grouping result reflects mainly the hierarchy in the Drglogic table and we don’t know who the team leader is and we don’t know how many persons there are in the team. Therefore we have decided to delete these DRGs and let the cases go to the 24 DRGs for team visits (one per MDC) that previously were designed only for doctors (the DRG texts will be changed accordingly). This means that there will be a demand for a diagnosis code even though no doctor is part of the team. Team visits without a diagnosis code will be grouped to DRG Z70O/470O) (Huvuddiagnos fattas, öppenvård).

Decided changes

NPK, Sweden – 2013-09-11

Sweden has decided to introduce the change described above for our version for 2015.

DRG change

Cases that previously were grouped to any DRG in the table above are instead grouped to one of the team visits groups per MDC if a principal diagnosis is registered. Without a diagnosis code the cases are grouped to DRG Z70O/470O.

Technical change

The DRGs in the table above are deleted from the Drgnames table and all rules leading to these DRGs in Drglogic are also deleted. In all the present rules for DRGs for team visits by doctors the demand for “Medical doctor” (PROCPRO 99V35) is removed and in the DRG texts for these DRGs the words “Läkarbesök i team” is changed to “Teambesök”. A new rule for DRG Z70O/470O is inserted, based on lack of ICD (ICD = -) and the presence of “Team of care providors” (PROCPRO 99V22).

Detailed description is in "Decision CPK ID 504.xls".

Introduction

NordDRG [2015] [Sweden]

2014-CPK-ID-504.jpg (23.7 KB) Anonymous, 2014-02-27 14:16

Decision CPK ID 504.xls (103 KB) Anonymous, 2014-02-27 14:20

History

#1 Updated by Martti Virtanen about 5 years ago

2014-03-13 Martti Virtanen
This case is not a problem for any other version of NordDRG.
None of the other versions has had this extended grouping form 'Team therapy'. The proposal makes the grouping more simple and is welcome.

#2 Updated by Anonymous about 5 years ago

  • Parent task set to #11

#3 Updated by Anonymous about 5 years ago

Comment Expert Group 2014-03-25

Proposal is accepted by all but change only in Sweden.

#4 Updated by Martti Virtanen about 5 years ago

2014-03-26 Martti Virtanen

Technical change

The rules leading to DRGs in the table above in Drglogic are inactivated.
In all the present rules for DRGs for team visits by doctors the demand for “Medical doctor” (PROCPRO 99V35) is removed and in the DRG texts for these DRGs the words “Läkarbesök i team” is changed to “Teambesök”.
A new rule for DRG Z70O/470O is inserted immediately after current rule for Z70O/470O (000D00000), based on lack of ICD (ICD = -) and the presence of “Team of care providors” (PROCPRO 99V22) (a copy of current rule 000D00000 but PROCPRO 99V35 is replaced by 99V22)

DRG change

DRG’s for team visits based on profession are removed. All team visits are assigned to DRG’s based on the MDC of the patient case.

#5 Updated by Anonymous about 4 years ago

  • Status changed from Active to Accepted

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