Case #531

Case #468: Conference about patient is not a team visit

XS008 (Conference about patient) to DRG for Team-visit

Added by Veronika Stemme over 4 years ago. Updated over 3 years ago.

Status:AcceptedStart date:2017-02-08
Priority:NormalSpent time:-
Assignee:Veronika Stemme
Category:-
Target version:Expert Group 2017
Initiator:Sweden Target year:2018
MDC:GEN Owner / responsible:National organisations
Target Grouper:SWE Old forum status:

Description

Problem
In NordDRG 2017 (NCC#468, CPK ID 621) the Swedish procedure code XS008 Konferens om patient (Conference about patient) got a change of procprop because it was thought to be wrong that this procedure, without patient contact, led to DRG:s for team-visit. The procpro 99V22 (Team of care providors) was taken away and instead XS008 got the procpro 40V39 (Administration of care). XS008 was then grouped to DRG Z63O Vårdadministrativa åtgärder utan patientkontakt (Health care administrative procedures without patient contact).
However, the county of Stockholm has raised the objection that XS007 Conference with patient and XS008 Conference without patient has the same medical content and takes the same amount of resources, and that XS008 does not fit among the other procedures in DRG Z63O.

The procedure codes in Z63O:
DV093 Upprättande av rehabiliteringsplan (i)
GD001 Anmälan enligt lag (i)
GD003 Intyg, omfattande (i)
GD004 Övriga anmälningar (i)
GD005 Vårdintyg (i)
GD007 Anmälan för utredning enligt LVM (i)
GD008 Anmälan enligt SoL angående barn med möjligt skyddsbehov (i)
GD009 Registrering i kvalitetsregister
XS004 Distanskonsultation (i)
XS008 Konferens om patient (i)
XS013 Avstämningsmöte med försäkringskassan

After discussion in SWEX, Swedish Expert group on patient classification, we propose that the XS008 gets the procpro 99V22 back again and that procpro 40V39 is taken away from XS008.

Analysis
The National Board of Health and Welfare, Sweden – 2017-02-07
This a matter of medical description, no economical analysis is needed.

Suggestion
The National Board of Health and Welfare, Sweden – 2017-02-07
We suggest that procprop 40V39 (Administration of care) is removed from the procedure code XS008 Konferens om patient (conference about patient) and that XS008 instead gets the procprop 99V22 (Team of care providors) which leads to DRG-groups for teamvisits.

Decided changes
The National Board of Health and Welfare, Sweden – 2017-02-07
Sweden wants this change to be introduced in the Swedish NordDRG 2018.

DRG change
The procedure code XS008 ‘Conference about patient’ is now grouped to DRG Z63O Vårdadministrativa åtgärder utan patientkontakt (Health care administrative procedures without patient contact). After the change XS008 will be grouped to DRG-groups for teamvisit in respective MDC.

Technical change
Procpro 40V39 is removed from the procedure code XS008.
Procpro 99V22 is added to the procedure code XS008.

Se attached file: ‘Technical changes CPK-ID 673 .xlsx’

Technical changes CPK-ID 673 .xlsx (15.8 KB) Veronika Stemme, 2017-02-08 14:20

Technical changes case #531.xlsx (21.4 KB) Martti Virtanen, 2017-04-18 14:44

History

#2 Updated by Veronika Stemme over 4 years ago

  • Description updated (diff)

#3 Updated by Martti Virtanen over 4 years ago

2017-03-08 Martti Virtanen
This is a mapping problem that probably has been discussed earlier.
Howver, the change demands a small change in NCSP+ mapping.

#4 Updated by Martti Virtanen over 4 years ago

2017-03-13 Expert group
Expert group accepted the proposal. The change is only in NCSP+ mapping.

#5 Updated by Martti Virtanen over 3 years ago

  • Status changed from Active to Accepted

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