Case #665

Merge of DRGs 286O Adrenal & pituitary procedures, short therapy and 289O Parathyroid procedures, short therapy

Added by Elina Hermiö 5 months ago. Updated 3 months ago.

Status:AcceptedStart date:2020-01-27
Priority:MinorSpent time:0.60 hour
Assignee:-
Category:-
Target version:Target version 2021
Initiator:Finland Target year:2021
Case type: Owner / responsible:
MDC: Old forum status:
Target Grouper:EST, FIN, ICE, LAT, NOR

Description

Problem
DRG 286O has very few cases (seven in 2017 and 10 in 2018) which makes this group also economically heterogenous. To solve the issue, it might be reasonable to merge DRG 286O with another clinically and economically meaningful short therapy DRG. The most suitable DRG for merging seems to be DRG 289O. More thorough analysis was conducted.

Analysis
For analysis, the data of five Finnish university was used from years 2018 and 2017.
The mean cost of DRG 286O in 2017 was 2990 EUR which is almost matching the mean cost of DRG 289O (3047 EUR). In 2018, the difference of mean cost between two DRGs was higher, however, given the low number of cases in DRG 286O, this difference can be ignored.
The V% of merge cases in new group is 30% and the mean cost is 2906 EUR.

Suggestion
Based on the analysis, we suggest merging DRGs 286O and 289O into one. The suitable DRG code for the new DRG could be 287O. The name of the DRG is Other procedures of endocrine organ, short therapy.

DRG change
After the suggested changes new DRG 287O will be created. The cases previously grouped into DRGs 286O and 289O will be grouped into new DRG. In definition table current rules for DRGs 286O and 289O will remain, DRG will be changed to 287O. Respective changes are made in drg names table.

Cost analysis
Appendix 1. Cost analysis is based on five university hospitals’ data of year 2018, grouped with FIN 2020PR1 grouper.

Technical changes
Appendix 2.

FIN_2.2-Appendix2.Merge_of_289O_286O.xlsx (163 KB) Elina Hermiö, 2020-01-27 14:02

FIN_2.1-Appendix1.Merge_of_289O_286O.xlsx (34.8 KB) Elina Hermiö, 2020-01-27 14:02

Technical_changes_665_Merge_of_289O_286O_EST_FIN.xlsx (19.3 KB) Kristiina Kahur, 2020-03-20 14:28

Technical_changes_665_2.xlsx (19.5 KB) Kristiina Kahur, 2020-03-24 14:49

Technical_changes_665_3.xlsx (19.7 KB) Kristiina Kahur, 2020-04-07 11:41

Technical_changes_665_3.xlsx (19.8 KB) Kristiina Kahur, 2020-04-14 11:00

History

#1 Updated by Malle Avarsoo 4 months ago

As discussed in March meeting, Estonia has checked the case and come to conclusion, that we support this change in EST version. In reality only few cases have been reposted in both groups, so the change does not affect much.

#2 Updated by Martti Virtanen 4 months ago

  • Status changed from Active to Further active

2020-03-09 Expert group
Expert group accepted the proposal for Fin version. Other countries are free to join the change.
To remind of this possibility we retain the case as further active.

#3 Updated by Kristiina Kahur 4 months ago

Nordic Casemix Centre/Kristiina Kahur 20-3-2020

Given that Estonia is interested in this change too, the technical changes were revised and added to the ticket.

#4 Updated by Kristin Dahlen 4 months ago

Norway support this change, and want it implemented in the Norwegian version. We have very few cases in both of this DRGs.

#5 Updated by Kristiina Kahur 3 months ago

Nordic Casemix Centre/Kristiina Kahur 24-3-2020

The technical changes have updated and changes into Norwegian version have added.
Could you please also provide the Norwegian name for new DRG 287O Other procedures of endocrine organ, short therapy.

#6 Updated by Kristin Dahlen 3 months ago

The Norwegian name will be "Andre prosedyrer på endokrine organer, dagkirurgisk behandling".

#7 Updated by Birna Björg Másdóttir 3 months ago

Iceland would like to have this change in the Icelandic version.
The Icelandic name for the new group 287O is:

Aðrar aðgerðir á innkirtlum, stutt meðferð

#8 Updated by Kristiina Kahur 3 months ago

Nordic Casemix Centre/Kristiina Kahur 7-4-2020

The 2021 tables have been updated in NDMS based on ICE request. This changes is made now in ICE, FIN, EST and NOR 2021 tables.
Updated TC are attached to the ticket.

#9 Updated by Kristīne Putniņa 3 months ago

In Latvia there were no cases in Year 2019 grouped into the DRGs 286O and 289O. We agree to the changes, but it will not affect the grouping at all.

#10 Updated by Kristiina Kahur 3 months ago

Nordic Casemix Centre/Kristiina Kahur, 14-4-2020

Based on the feedback after the expert group meeting, this change is implemented ICE, FIN, EST, LAT and NOR 2021 tables.
TC have been updated and attached.

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