Case #455

Merge of DRG 342 and 343

Added by Kristiina Kahur over 5 years ago. Updated about 5 years ago.

Status:AcceptedStart date:2016-01-26
Priority:MinorSpent time:-
Assignee:Kristiina Kahur
Category:-
Target version:Expert Group 2016
Initiator:Finland Target year:2017
MDC:MDC12 Owner / responsible:National organisations
Target Grouper:FIN Old forum status:

Description

In current grouper version there are separate DRGs for circumcision depending on the age of patient. The cost data (see appendix 1) of five Finnish university hospitals show that there is no remarkable difference in mean cost between DRGs 342 (Circumcision, age > 17; Omskärelse, >17 år) and 343 (Circumcision, age 0-17; Omskärelse, 0-17 år). There are also very few cases in DRGs 342 and 343, eight and five, respectively.
Taking those arguments into account we suggest merging those two DRGs into one so that the age of patient has no effect on grouping anymore.

342+343.docx - Appendix 1 (22.9 KB) Kristiina Kahur, 2016-01-26 22:24

Technical changes case #455-2.xls (44 KB) Martti Virtanen, 2016-06-29 15:12

History

#1 Updated by Anonymous over 5 years ago

  • Target version set to Expert Group 2016
  • Case type set to Minor

#2 Updated by Ralph Dahlgren over 5 years ago

Sweden has already done this merge when we created the CC-grouper 2012. So from Swedish side we have no objections to the Finnish suggestion.

#3 Updated by Kristiina Kahur over 5 years ago

Finnish National DRG-Centre 2016-2-25

Thank you for your feedback and support.

#4 Updated by Kristin Dahlen over 5 years ago

Norwegian Directorate of Health, 10.03.2016

We support the suggested change.

#5 Updated by Martti Virtanen over 5 years ago

  • File Technical changes case #455.xls added

2016-03-15 Expert group (MV)
The proposal was accepted. The technical change is described in the attached table. DRG's 342 and 343 are combined to DRG 342N,
This change is already done in SWE, it will done in FIN. All others are free to implement the change in the national versions.

#6 Updated by Martti Virtanen about 5 years ago

  • File Technical changes case #455-2.xls added
  • Status changed from Active to Further active

2016-06-28 Nordic Casemix Centre

The Finnish national DRG cenre (Minna-Liisa Sjöblom)noted that there is one additional rule (ord 499D001000)for DRG 343. That needs also to be modified according to this change. The rule exists for cases with circumcision performed with an unrelated principal dx. It is possible that the rule is in practice unnecessary and should be deleted. To avoid any unnecessary change, we transform it now to DRG 342N.

The corresponding outpatient DRG is now 343O (ord 112D091000). Usually the corresponding outpatient DRG should have the same number in the code (which would be 342). However, this is unlikely to cause any practical problem, and no change is done now.
since the effect is minimal, the change will be done for PR-versions for 2017.

I hope that the need for the current rule 499D001000 will be checked by the national organizations and therefore the case will remain open untill next year.

#7 Updated by Martti Virtanen about 5 years ago

  • File deleted (Technical changes case #455.xls)

#9 Updated by Martti Virtanen about 5 years ago

  • File deleted (Technical changes case #455-2.xls)

#10 Updated by Anonymous about 5 years ago

  • Status changed from Further active to Accepted

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