Diagnosis-related group refinement with diagnosis- and procedure-specific comorbidities and complications.

J. L. Freeman, R. B. Fetter, H. Park, K. C. Schneider, J. L. Lichtenstein, J. S. Hughes, W. A. Bauman, C. C. Duncan, D. H. Freeman, G. R. Palmer

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

Diagnosis-related groups have been revised through more refined uses of secondary diagnoses. Under the refined diagnosis-related groups, patients are distinguished with respect to classes of secondary diagnoses that are disease- and procedure-specific. Each class represents a different level of utilization for a given principal diagnosis or surgical procedure. The refined system was evaluated with national data from the Medicare program. Estimates of hospital costs and utilization based on refined diagnosis-related groups were more precise than those based on unrefined diagnosis-related groups. This approach to diagnosis-related group refinement does not represent a radical departure from the current diagnosis-related group framework and does not require new data collection efforts. Moreover, a payment system based on the refined model is less affected by the ordering of the diagnoses than under the existing diagnosis-related group system. How the refined diagnosis-related group framework can accommodate future refinements at all levels of the classification scheme is also discussed.

Original languageEnglish (US)
Pages (from-to)806-827
Number of pages22
JournalMedical Care
Volume33
Issue number8
StatePublished - Aug 1995

Fingerprint

Diagnosis-Related Groups
comorbidity
Comorbidity
Group
Hospital Costs
Medicare
utilization

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Freeman, J. L., Fetter, R. B., Park, H., Schneider, K. C., Lichtenstein, J. L., Hughes, J. S., ... Palmer, G. R. (1995). Diagnosis-related group refinement with diagnosis- and procedure-specific comorbidities and complications. Medical Care, 33(8), 806-827.

Diagnosis-related group refinement with diagnosis- and procedure-specific comorbidities and complications. / Freeman, J. L.; Fetter, R. B.; Park, H.; Schneider, K. C.; Lichtenstein, J. L.; Hughes, J. S.; Bauman, W. A.; Duncan, C. C.; Freeman, D. H.; Palmer, G. R.

In: Medical Care, Vol. 33, No. 8, 08.1995, p. 806-827.

Research output: Contribution to journalArticle

Freeman, JL, Fetter, RB, Park, H, Schneider, KC, Lichtenstein, JL, Hughes, JS, Bauman, WA, Duncan, CC, Freeman, DH & Palmer, GR 1995, 'Diagnosis-related group refinement with diagnosis- and procedure-specific comorbidities and complications.', Medical Care, vol. 33, no. 8, pp. 806-827.
Freeman JL, Fetter RB, Park H, Schneider KC, Lichtenstein JL, Hughes JS et al. Diagnosis-related group refinement with diagnosis- and procedure-specific comorbidities and complications. Medical Care. 1995 Aug;33(8):806-827.
Freeman, J. L. ; Fetter, R. B. ; Park, H. ; Schneider, K. C. ; Lichtenstein, J. L. ; Hughes, J. S. ; Bauman, W. A. ; Duncan, C. C. ; Freeman, D. H. ; Palmer, G. R. / Diagnosis-related group refinement with diagnosis- and procedure-specific comorbidities and complications. In: Medical Care. 1995 ; Vol. 33, No. 8. pp. 806-827.
@article{20df268e797c48f8881a72dbfbf5dc68,
title = "Diagnosis-related group refinement with diagnosis- and procedure-specific comorbidities and complications.",
abstract = "Diagnosis-related groups have been revised through more refined uses of secondary diagnoses. Under the refined diagnosis-related groups, patients are distinguished with respect to classes of secondary diagnoses that are disease- and procedure-specific. Each class represents a different level of utilization for a given principal diagnosis or surgical procedure. The refined system was evaluated with national data from the Medicare program. Estimates of hospital costs and utilization based on refined diagnosis-related groups were more precise than those based on unrefined diagnosis-related groups. This approach to diagnosis-related group refinement does not represent a radical departure from the current diagnosis-related group framework and does not require new data collection efforts. Moreover, a payment system based on the refined model is less affected by the ordering of the diagnoses than under the existing diagnosis-related group system. How the refined diagnosis-related group framework can accommodate future refinements at all levels of the classification scheme is also discussed.",
author = "Freeman, {J. L.} and Fetter, {R. B.} and H. Park and Schneider, {K. C.} and Lichtenstein, {J. L.} and Hughes, {J. S.} and Bauman, {W. A.} and Duncan, {C. C.} and Freeman, {D. H.} and Palmer, {G. R.}",
year = "1995",
month = "8",
language = "English (US)",
volume = "33",
pages = "806--827",
journal = "Medical Care",
issn = "0025-7079",
publisher = "Lippincott Williams and Wilkins",
number = "8",

}

TY - JOUR

T1 - Diagnosis-related group refinement with diagnosis- and procedure-specific comorbidities and complications.

AU - Freeman, J. L.

AU - Fetter, R. B.

AU - Park, H.

AU - Schneider, K. C.

AU - Lichtenstein, J. L.

AU - Hughes, J. S.

AU - Bauman, W. A.

AU - Duncan, C. C.

AU - Freeman, D. H.

AU - Palmer, G. R.

PY - 1995/8

Y1 - 1995/8

N2 - Diagnosis-related groups have been revised through more refined uses of secondary diagnoses. Under the refined diagnosis-related groups, patients are distinguished with respect to classes of secondary diagnoses that are disease- and procedure-specific. Each class represents a different level of utilization for a given principal diagnosis or surgical procedure. The refined system was evaluated with national data from the Medicare program. Estimates of hospital costs and utilization based on refined diagnosis-related groups were more precise than those based on unrefined diagnosis-related groups. This approach to diagnosis-related group refinement does not represent a radical departure from the current diagnosis-related group framework and does not require new data collection efforts. Moreover, a payment system based on the refined model is less affected by the ordering of the diagnoses than under the existing diagnosis-related group system. How the refined diagnosis-related group framework can accommodate future refinements at all levels of the classification scheme is also discussed.

AB - Diagnosis-related groups have been revised through more refined uses of secondary diagnoses. Under the refined diagnosis-related groups, patients are distinguished with respect to classes of secondary diagnoses that are disease- and procedure-specific. Each class represents a different level of utilization for a given principal diagnosis or surgical procedure. The refined system was evaluated with national data from the Medicare program. Estimates of hospital costs and utilization based on refined diagnosis-related groups were more precise than those based on unrefined diagnosis-related groups. This approach to diagnosis-related group refinement does not represent a radical departure from the current diagnosis-related group framework and does not require new data collection efforts. Moreover, a payment system based on the refined model is less affected by the ordering of the diagnoses than under the existing diagnosis-related group system. How the refined diagnosis-related group framework can accommodate future refinements at all levels of the classification scheme is also discussed.

UR - http://www.scopus.com/inward/record.url?scp=0029355173&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029355173&partnerID=8YFLogxK

M3 - Article

C2 - 7637403

AN - SCOPUS:0029355173

VL - 33

SP - 806

EP - 827

JO - Medical Care

JF - Medical Care

SN - 0025-7079

IS - 8

ER -