Case #349

Unplanned hospitalisation

Added by Martti Virtanen over 4 years ago. Updated about 3 years ago.

Status:AcceptedStart date:2014-10-20
Priority:Error correctionSpent time:-
Assignee:-
Category:-
Target version:Expert Group 2015
Initiator:Nordic Casemix Centre Target year:2015
Case type: Owner / responsible:Nordic Casemix Centre
MDC:GEN Old forum status:
Target Grouper:SWE

Description

Background
This matter was discussed at NordDRG expert group meeting 2014-08. It was missed from the reporting.

Cases with unplanned hospitalisation may be assigned to different DRG’s depending what has been registered on the visit where the code ZZZX00 ‘Inpatient observation’ (Swedish code XS100 ‘Unplanned hospitalisation’) is used. In the Swedish system, this code is used when patient is admitted to hospital from a visit. To avoid double reimbursement, these cases need a separate group.

Solution
The cases with ZZZX00 shall in NordDRG SWE allways be assigned to a specific DRG Z82O (470L) ‘Unplanned hospitalisation from planned visit’ (‘Besök med oplanerad inskrivning’).

Technical change:
A new DRG is added to the SWE version of DRGnames: DRG 470L, LOC_DRG Z820, Drgname ‘Besök med oplanerad inskrivning’ - and to the COM version of DRGnames: DRG 470L, LOC_DRG 470L and drgname ‘Unplanned hospiitalisation from planned visit’

A new diagnosis property 00X90 ‘Unplannded hospitalisation’ is added to diagnosis property table.

The procedure code ZZZX00 (and all linked codes) shall have the new property 00X90

The Drgl_2015_SWE shall have a new line immediately beforeccurrent row 00D0000 (that must be corrected to for example 00D00004). This line shall have DRG 470L, DGPROP1 ‘00X90’, DISC ‘N’ and DUR ‘<1’.

DRG change
Cases unplanned admitted from a planned visit will be assigned to the new DRG in the NordDRG SWE

History

#1 Updated by Martti Virtanen over 4 years ago

  • Description updated (diff)

#2 Updated by Liselotte Säll over 4 years ago

Ok, I almost corrected according to your suggestion. Ordnummren was 000D0000 = 470O and 000D000000 = 470L. Should this line also have new ordnr 000D000005, 470O procpro1 99V22, disch N

  • Author: Martti Virtanen
  • Status: Active
  • Priority: Normal
  • Assignee:
  • Category:
  • Target version:
  • Initiator: Nordic Casemix Centre
  • Case type:
  • MDC: GEN
  • Target Grouper: SWE
  • Target year: 2015
  • Owner / responsible: Nordic Casemix Centre
  • Old forum status:

Background
This matter was discussed at NordDRG expert group meeting 2014-08. It was missed from the reporting.

Cases with unplanned hospitalisation may be assigned to different DRG’s depending what has been registered on the visit where the code ZZZX00 ‘Inpatient observation’ (Swedish code XS100 ‘Unplanned hospitalisation’) is used. In the Swedish system, this code is used when patient is admitted to hospital from a visit. To avoid double reimbursement, these cases need a separate group.

Solution
The cases with ZZZX00 shall in NordDRG SWE allways be assigned to a specific DRG Z82O (470L) ‘Unplanned hospitalisation from planned visit’ (‘Besök med oplanerad inskrivning’).

Technical change:
A new DRG is added to the SWE version of DRGnames: DRG 470L, LOC_DRG Z820, Drgname ‘Besök med oplanerad inskrivning’ - and to the COM version of DRGnames: DRG 470L, LOC_DRG 470L and drgname ‘Unplanned hospiitalisation from planned visit’

A new diagnosis property 00X90 ‘Unplannded hospitalisation’ is added to diagnosis property table.

The procedure code ZZZX00 (and all linked codes) shall have the new property 00X90

The Drgl_2015_SWE shall have a new line immediately after current row 00D0000 (that must be corrected to 00D00000). This line shall have DRG 470L, DGPROP1 ‘00X90’, DISC ‘N’ and DUR ‘<1’.

DRG change
Cases unplanned admitted from a planned visit will be assigned to the new DRG in the NordDRG SWE if they are not doctor visits without valid dx.


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#3 Updated by Martti Virtanen over 4 years ago

  • Description updated (diff)

2013-10-21 Martti Virtanen
I did a misspelling when I corrected the text and forgot to change the after to before.
I have corrected it to the original text above.

#4 Updated by Mats Fernström over 4 years ago

Mats Fernström 2014-11-19
The text "Cases unplanned admitted from a planned visit will be assigned to the new DRG in the NordDRG SWE" is not totally correct. The text should be "Cases unplanned admitted from a planned or unplanned visit will be assigned to the new DRG in the NordDRG SWE".

#5 Updated by Anonymous about 4 years ago

  • Priority changed from Normal to Error correction

#6 Updated by Anonymous about 3 years ago

  • Target version set to Expert Group 2015

#7 Updated by Martti Virtanen about 3 years ago

  • Status changed from Active to Accepted

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