PMID- 32186615
OWN - NLM
STAT- MEDLINE
DCOM- 20200413
LR  - 20200413
IS  - 0717-6163 (Electronic)
IS  - 0034-9887 (Linking)
VI  - 147
IP  - 12
DP  - 2019 Dec
TI  - [Implementation of diagnosis related groups methodology in a university 
      hospital].
PG  - 1518-1526
LID - S0034-98872019001201518 [pii]
LID - 10.4067/S0034-98872019001201518 [doi]
AB  - Background The Diagnosis Related Groups (DRG) constitute a method of classifying 
      hospital discharges. Aim To report its development and implementation in a 
      Chilean University Hospital and global results of 10 years Material and Methods 
      We included 231,600 discharges from 2007 to 2016. In the development we 
      considered the physical plant, clinical record flow, progressively incorporated 
      human resources and computer equipment for coding and analysis to obtain results. 
      The parameters used were: average stay, average DRG weight, mean of diagnosis and 
      codified procedures, behavior of upper outliers, hospital mortality, distribution 
      by severity and its relationship with other variables. Results The global 
      complexity index was 0.9929. The average of diagnoses coded was 4.35 and of 
      procedures was 7.21. The average stay was 4.56 days, with a downward trend. The 
      top outliers corresponded to 2.25%, with stable hospital days and average DRG 
      weight. The median of hospital mortality was 1.65% with a tendency to decrease 
      and stable DRG mean weight. Seventy two percent had a grade 1 severity, with low 
      median hospital stay. They occupied 40% of bed days. Nine percent had a grade 3 
      severity with high median hospital stay and accounting for 31.5% of bed days. 
      Conclusions DRG methodology is a valuable information tool for decision making 
      and result assessment in hospital management.
FAU - Aguila R, Alfredo
AU  - Aguila R A
AD  - Unidad de GRD, Hospital Clinico, Universidad de Chile, Santiago, Chile.
FAU - Munoz D, Maria Alejandra
AU  - Munoz D MA
FAU - Sepulveda S, Valeria
AU  - Sepulveda S V
LA  - spa
PT  - Journal Article
TT  - Experiencia en el desarrollo e implementacion de la metodologia de grupos 
      relacionados por diagnostico en un hospital universitario chileno. Evaluacion a 
      diez anos de funcionamiento.
PL  - Chile
TA  - Rev Med Chil
JT  - Revista medica de Chile
JID - 0404312
SB  - IM
MH  - Chile
MH  - Diagnosis-Related Groups/*classification/statistics & numerical data
MH  - Female
MH  - *Hospital Mortality
MH  - Hospitals, University
MH  - Humans
MH  - Length of Stay/*statistics & numerical data
MH  - Male
MH  - Patient Discharge/*statistics & numerical data
MH  - Severity of Illness Index
EDAT- 2020/03/19 06:00
MHDA- 2020/04/14 06:00
CRDT- 2020/03/19 06:00
PHST- 2018/03/21 00:00 [received]
PHST- 2019/08/20 00:00 [accepted]
PHST- 2020/03/19 06:00 [entrez]
PHST- 2020/03/19 06:00 [pubmed]
PHST- 2020/04/14 06:00 [medline]
AID - S0034-98872019001201518 [pii]
AID - 10.4067/S0034-98872019001201518 [doi]
PST - ppublish
SO  - Rev Med Chil. 2019 Dec;147(12):1518-1526. doi: 10.4067/S0034-98872019001201518.