Diagnosis-Related Groups, Healthcare Common Procedure Coding System
Conditions
Keywords
DRG, Diagnosis-Related Groups, ICD, reimbursement
Brief summary
The hypothesis of present study is that the daily monitoring and optimization of DRG coding is associated with higher reimbursement. Therefore, the primary objective is to determine if the daily monitoring and optimization of DRG coding of individual cases leads to better proceeds per day.
Interventions
OTHERStandard procedure
Coding of cases follows the standard procedures established at the hospital
OTHERprecoding
Standard coding will be reviewed by dedicated physicians and corrected or extended if necessary. Coding will compared to the written OP report for consistency. Dedicated physician visits patients daily (in addition to routine visits). Dedicated physicians review discharge report and will make changes and additions. DRG coding will be adapted to results from visits and discharge report.
Sponsors
Thomas Steffen
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients undergoing surgery as inpatients (at least one night stay) * treated at the Kantonsspital St. Gallen, St. Gallen site
Exclusion criteria
* surgery as outpatients * surgery at the Rorschach and Flawil sites * patients operated on by the Department of Surgery, but hospitalized at another department of the hospital
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| reimbursement per day at hospital | 8 months | total reimbursement per arm divided by the total stay of the patients in the arm in days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of hospital stay | 8 months | length of hopital stay in full days including entry and discharge day |
| Total reimbursement per case | 8 months | reimbursement in Swiss Francs per case |
| case mix index per case | 8 months | Financial department will provide the cost weight/case mix index per case |
| Severity of perioperative complications | 8 months | complications during hospitalisation will be graded according to the Clavian-Dindo scale. In case of multiple complications the highest grade will be taken. |
| readmission rate | 8 months | Rate of case related readmissions |
Countries
Switzerland
Outcome results
None listed