PMID- 8250774
OWN - NLM
STAT- MEDLINE
DCOM- 19931228
LR  - 20191210
IS  - 0726-3139 (Print)
IS  - 0726-3139 (Linking)
VI  - 13
IP  - 3
DP  - 1993
TI  - Diagnosis related groups: the effect of input error.
PG  - 127-31
AB  - American studies on Diagnosis Related Groups (DRG) coding errors have suggested 
      large error rates. However, we are aware of no Australian data on the extent and 
      significance of errors in completion and encoding of front sheet 
      diagnosis/procedure information on DRG grouping of hospital separations. With the 
      imminence of casemix funding in Australia, this topic takes on a greater 
      significance. We therefore undertook a pilot research study to assess this. At 
      each of three hospitals in the Hunter Area Health Service, NSW (one teaching, one 
      acute general district hospital and one rural general practitioner hospital), we 
      attempted to sample 150 records. A committee reviewed the charts and assessed 
      coding, DRG and Major Diagnostic Category (MDC) error rates. These were 8.1-9.6% 
      for DRG allocation and 3.4-5.2% in MDC allocation. Using current casemix funding 
      data, one of the hospitals would have suffered a funding shortfall for inpatient 
      services of nearly $2 million or 2.6% of total budget at that time. If these 
      data, extracted after an exercise to reduce errors in DRG and front sheet coding, 
      are representative, then there are major implications for hospital inpatient 
      funding if casemix funding is introduced. Major educational exercises are called 
      for the further in-depth research may prove useful.
FAU - Westphalen, J B
AU  - Westphalen JB
AD  - Hunter Area Health Services, New Lambton Heights, NSW, Australia.
LA  - eng
PT  - Journal Article
PL  - Australia
TA  - Aust Clin Rev
JT  - Australian clinical review
JID - 8300517
SB  - IM
MH  - Abstracting and Indexing/*standards/statistics & numerical data
MH  - *Bias
MH  - Budgets
MH  - Costs and Cost Analysis
MH  - *Diagnosis-Related Groups/economics
MH  - Financial Management, Hospital
MH  - Health Care Rationing
MH  - Pilot Projects
EDAT- 1993/01/01 00:00
MHDA- 1993/01/01 00:01
CRDT- 1993/01/01 00:00
PHST- 1993/01/01 00:00 [pubmed]
PHST- 1993/01/01 00:01 [medline]
PHST- 1993/01/01 00:00 [entrez]
PST - ppublish
SO  - Aust Clin Rev. 1993;13(3):127-31.