Unlimited number of NCSP for to assign the DRG
|Assignee:||Kristīne Putniņa||Spent time:||-|
|Target version:||Target version 2020|
|Initiator:||Owner / responsible:||Nordic Casemix Centre|
The problem we detected with the new grouper - it does not return the DRG result for the cases with large amount of NCSP manipulations. Such a problem was also with the last grouper, but was solved after our request.
Changes we ask to do in the grouper – to let the grouper return the result by any amount of NCSP manipulation (in the Year 2020 max. 609 NCSP manip. in one medical record, alltogether 53 cases with NCSP amount 101+. Statistics in the Year 2019 - 85 cases, max.amount of NCSP in one case 838, in the Year 2018 - 95 cases, max. 547 NCSP manip.).
The problem arises because in the hospital every doctor enters the manipulations performed in the internal information system in both manipulation systems that are topical in Latvia - the national system and the NCSP system. Even when the doctor enters only the most important, in complex cases and long LOS, this list of NCSPs grows very long.
#1 Updated by Kristiina Kahur about 1 month ago
- Status changed from Active to Accepted
2020-09-04 Expert group
The issue was discussed in the meeting.
As a conclusion, no changes will be done in the Nordic DRG Grouper.
It is rather a matter of coding guidelines and adjustment of IT systems to find a solution on national level. One option is to pre-process the grouper input file before entering the data into the grouper (e.g. removing the duplicates, most resource demanding procedure codes come first etc).