Case #398

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

Case #287: The DRGs for vaginal delivery contains also non-delivery cases

Still non-delivery cases in inpatient vaginal delivery DRGs

Added by Anonymous almost 5 years ago. Updated over 3 years ago.

Status:AcceptedStart date:2015-02-11
Priority:MinorSpent time:-
Assignee:Mats Fernström
Category:-
Target version:Expert Group 2015
Initiator:Sweden Target year:2016
Case type:Minor Owner / responsible:National organisations
MDC:MDC14 Old forum status:
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE

Description

National ID: C394
Initiated: 2011-10-24
Initiator: Mats Fernström, NPK, Sweden

----------------------------------------------------------------------------------------------------------------
Problem
The problem was presented already in NCC case #287 but it was not discussed during the spring meeting 2014. Only the problem with outpatients was discussed. After the meeting we had an E-mail conversation with Martti that ended with his comment: “We should agree next year about the correction of 14X03 when all countries have checked the Swedish proposal as a new case”.
The diagnosis property 14X03 ‘Delivery this admission’ leads the grouping of inpatient cases to vaginal delivery DRGs but there are some diagnosis and procedure codes with 14X03 although they not necessarily mean that a birth actually occurred during this particular admission. 14X03 should be removed from these codes listed in the table below:

Analysis
NPK. Sweden – 2015-01-29
The codes O620, O621, O622 and O660 stand for labor weakness or obstacle which can be so pronounced that the patient is sent home until the next day. The rest of the diagnosis codes in the table stand for different complications which may be used also in a new admission for treatment, short after the delivery admission.
Also the procedures in the table may be used in a new admission for treatment, perhaps in a surgical clinic, short after the delivery admission.
There are so many other diagnosis and procedure codes with 14X03 that really means “delivery this admission” so there is no risk that we will miss any delivery cases in the delivery DRGs by removing 14X03 from the codes in the table.

Suggestion
NPK. Sweden – 2015-01-29
The procedure property 14X03 should be removed from the codes listed in the table above.
See the Excel file Suggestion C394 new.

National organizations may decide to introduce the change in their own version.
Otherwise the organization is NCC.

DRG change
Approximately 1 % of the inpatients that incorrectly was grouped to a delivery DRG will instead be grouped to another DRG.

Technical change
Property 14X03 is removed from all codes listed above.

C394 Suggestion C394 new.xlsx (18.4 KB) Anonymous, 2015-02-11 13:13

C394 new to Forum.docx (18.4 KB) Anonymous, 2015-02-11 13:13

14X03proc to be removed.xlsx (8.48 KB) Martti Virtanen, 2015-02-23 12:52

14S03_proc_to_be_removed.jpg (61.1 KB) Martti Virtanen, 2015-02-23 12:52

14S03_dx_to_be_removed.jpg (532 KB) Martti Virtanen, 2015-02-23 12:52

14X03dx to be removed.xlsx (11 KB) Martti Virtanen, 2015-02-23 12:52

Case #398 Technical changes.xlsx (16 KB) Martti Virtanen, 2015-03-18 12:03

History

#1 Updated by Martti Virtanen over 4 years ago

  • Description updated (diff)

#3 Updated by Martti Virtanen over 4 years ago

  • Description updated (diff)

#4 Updated by Martti Virtanen over 4 years ago

  • Description updated (diff)

2015-02-23 Martti Virtanen
I have modified the proposal to adjust for common version, since it is obvious that the proposal is valid for all versions.
I support this proposal

#5 Updated by Martti Virtanen over 4 years ago

  • Description updated (diff)

#6 Updated by Martti Virtanen over 4 years ago

  • Description updated (diff)

#7 Updated by Martti Virtanen over 4 years ago

2015-03-13 Expert group/MV
Accepted according to the proposal. New technical changes description with common codes. All linked national codes shall have same changes!

#8 Updated by Anonymous almost 4 years ago

  • Target version changed from Minor-Proposals-for-2016 to Expert Group 2015

#9 Updated by Martti Virtanen over 3 years ago

  • Status changed from Active to Accepted

Also available in: Atom PDF