Case #458

Merge of DRGs 301B and 910C

Added by Kristiina Kahur almost 4 years ago. Updated about 3 years ago.

Status:AcceptedStart date:2016-01-27
Priority:MinorSpent time:-
Assignee:Kristiina Kahur
Category:-
Target version:Expert Group 2016
Initiator:Finland Target year:2017
Case type: Owner / responsible:National organisations
MDC:MDC10 Old forum status:
Target Grouper:FIN

Description

There have been no cases in DRG 910C (Malignancy of endocrine, nutritional and metabolic system, demanding isotope therapy, short therapy; Endokrin malignitet, krävande isotopbehandling, kort vård) in 2013 in five Finnish University hospital. Unlikely there will be any (or if there will be any then very few) mainly due to the clinical characteristics of the patients in need demanding isotope therapy.
We suggest merging the DRGs 910C and 301B (Endocrine cancer disease, demanding isotope therapy; Endokrin malignitet, krävande isotopbehandling) so that the length of stay has no effect on grouping.
There have been 8 cases in DRG 301B in 2013, mean cost 2 090 EUR, stdev 813 EUR and V% 39%.

Technical changes case #458.xls (44.5 KB) Martti Virtanen, 2016-03-29 23:34

History

#1 Updated by Anonymous almost 4 years ago

  • Target version set to Expert Group 2016

#2 Updated by Mats Fernström almost 4 years ago

Mats Fernström, NPK, Sweden 2016-02-04
As far as we can see, we don’t have any Swedish DRGs corresponding to 301B and 910C. But if there are, we don’t want to merge them. As a basic principle we don’t want to have the same DRG codes (on four digit level) for inpatients and outpatients.

#3 Updated by Kristiina Kahur over 3 years ago

Finnish National DRG-Centre 2016-2-25

Thank you for your comments and feedback.
We agree on and respect the principle of not merging the outpatient and inpatient DRGs. Therefore we suggest to remove the rule of DRG 910C (110D102030) instead of merging it with one of DRG 301B.
As there have been no cases in DRG 910C so far, this change should not cause any changes in DRG grouping. Nevertheless, in unlikely event the cases which may group to DRG 910C will be grouped to other outpatient DRGs according to diagnosis and procedure codes of given cases.

#4 Updated by Kristin Dahlen over 3 years ago

Norwegian Directorate of Health - 09.03.2016

We don't have any DRG corresponding to 910C and 301B. We do have a DRG 910C in the Norwegian version, but this DRG have a different meaning. In Norway we have split DRG 910 into the following Groups:

910A Poliklinisk konsultasjon vedrørende diabetes mellitus
910B Poliklinisk konsultasjon vedrørende sykdom i skjoldbruskkjertelen
910C Poliklinisk konsultasjon vedrørende fedme og overvekt
910O Poliklinisk konsultasjon vedr andre endokrine/ ernærings-/ stoffskiftesykdommer

#5 Updated by Martti Virtanen over 3 years ago

2016-03-09 Nordcase - Martti Virtanen
Another option would be to combine the cases to 910B in the Finnish grouping.

#6 Updated by Kristiina Kahur over 3 years ago

Finnish National DRG-Centre 2016-3-11

To combine 910C with 910B would be an option indeed. In that case the name of 910B should be corrected since it would involve not olny the case with stereotactic radiotherapy but also the ones with demanding isotope therapy. Thus, it could be e.g. “Malignancy of endocrine, nutritional and metabolic system, stereotactic radiotherapy or demanding isotope therapy, short therapy”. Very long name.

#7 Updated by Martti Virtanen over 3 years ago

2016-03-15 Expert group (MV)
The combining of DRG 910C to 910B in the Finish version was accepted. This is done by a simple change in logic. See technical changes.

#8 Updated by Anonymous about 3 years ago

  • Status changed from Active to Accepted

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