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S Blumenthal - One of the best experts on this subject based on the ideXlab platform.
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Do ICU patients' discharge characteristics change with Swiss Diagnosis Related Groups?
Critical Care, 2013Co-Authors: G Rauchenstein-ziltener, Ca Rüst, P Fodor, S BlumenthalAbstract:Swiss Diagnosis Related Groups (SwissDRG) have been effective since 1 January 2012. The influence of this new system on patients' discharge characteristics from a large ICU is not known. With the introduction of the DRG we expect patients to be discharged after a shorter length of stay on the ICU and with higher severity of illness.
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do Diagnosis Related Groups change admission practice to a large swiss icu
Critical Care, 2013Co-Authors: K Homburg, Ca Rüst, P Fodor, S BlumenthalAbstract:The new Swiss financing system by means of Diagnosis Related Groups (DRG), effective 1 January 2012, forms the basis of a performance-based system to reimburse general hospital services. There are only few data on the influence of DRG on ICU patients [1,2]. We expect that the introduction of the DRG in Switzerland will change the number of admissions from external hospitals to a large ICU with a centre function and will influence the severity of disease of the admitted patients.
Mark J Browne - One of the best experts on this subject based on the ideXlab platform.
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the impact of the inpatient prospective payment system and Diagnosis Related Groups a survey of the literature
The North American Actuarial Journal, 2001Co-Authors: Mark J BrowneAbstract:Abstract The outpatient prospective payment system for the Medicare program became effective Aug. 1, 2000, as mandated by the Balanced Budget Act of 1997. This outpatient program complements Medicare’s inpatient prospective payment system, which was introduced in 1983. A survey of the literature over the past 20 years is undertaken to review the effects of the inpatient prospective payment system and Diagnosis-Related Groups (DRGs) on inpatient hospital utilization, expenditures, and outcomes. The level of the DRG payment has been questioned, as well as the process of adjusting the payment levels from one year to the next. In addition, past research has speculated that the DRG classification may not be sensitive to severity and is subject to coding ambiguities. These conclusions can be used as input to future research on the new outpatient program, as well as updating research on the inpatient program.
Reinhard Busse - One of the best experts on this subject based on the ideXlab platform.
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Diagnosis Related Groups in Europe: moving towards transparency, efficiency, and quality in hospitals?
BMJ (Clinical research ed.), 2013Co-Authors: Reinhard Busse, Alexander Geissler, Ain Aaviksoo, Francesc Cots, Unto Häkkinen, Conrad Kobel, Céu Mateus, Jacqueline O'reilly, Lisbeth SerdénAbstract:Hospitals in most European countries are paid on the basis of Diagnosis Related Groups. Reinhard Busse and colleagues find much variation within and between systems and argue that they could be improved if countries learnt from each other
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hospital payment based on Diagnosis Related Groups differs in europe and holds lessons for the united states
Health Affairs, 2013Co-Authors: Wilm Quentin, Alexander Geissler, David Schellerkreinsen, Miriam Blumel, Reinhard BusseAbstract:England, France, Germany, the Netherlands, and Sweden spend less as a share of gross domestic product on hospital care than the United States while delivering high-quality services. All five European countries have hospital payment systems based on Diagnosis-Related Groups (DRGs) that classify patients of similar clinical characteristics and comparable costs. Inspired by Medicare’s inpatient prospective payment system, which originated the use of DRGs, European DRG systems have implemented different design options and are generally more detailed than Medicare’s system, to better distinguish among patients with less and more complex conditions. Incentives to treat more cases are often counterbalanced by volume ceilings in European DRG systems. European payments are usually broader in scope than those in the United States, including physician salaries and readmissions. These European systems, discussed in more detail in the article, suggest potential innovations for reforming DRG-based hospital payment in t...
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appendectomy and Diagnosis Related Groups drgs patient classification and hospital reimbursement in 11 european countries
Langenbeck's Archives of Surgery, 2012Co-Authors: Wilm Quentin, Alexander Geissler, David Schellerkreinsen, Reinhard BusseAbstract:Background As part of the EuroDRG project, researchers from 11 countries (i.e., Austria, England, Estonia, Finland, France, Germany, Ireland, Netherlands, Poland, Sweden, and Spain) compared how their Diagnosis-Related Groups (DRG) systems deal with appendectomy patients. The study aims to assist surgeons and national authorities to optimize their DRG systems.
P Fodor - One of the best experts on this subject based on the ideXlab platform.
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Do ICU patients' discharge characteristics change with Swiss Diagnosis Related Groups?
Critical Care, 2013Co-Authors: G Rauchenstein-ziltener, Ca Rüst, P Fodor, S BlumenthalAbstract:Swiss Diagnosis Related Groups (SwissDRG) have been effective since 1 January 2012. The influence of this new system on patients' discharge characteristics from a large ICU is not known. With the introduction of the DRG we expect patients to be discharged after a shorter length of stay on the ICU and with higher severity of illness.
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do Diagnosis Related Groups change admission practice to a large swiss icu
Critical Care, 2013Co-Authors: K Homburg, Ca Rüst, P Fodor, S BlumenthalAbstract:The new Swiss financing system by means of Diagnosis Related Groups (DRG), effective 1 January 2012, forms the basis of a performance-based system to reimburse general hospital services. There are only few data on the influence of DRG on ICU patients [1,2]. We expect that the introduction of the DRG in Switzerland will change the number of admissions from external hospitals to a large ICU with a centre function and will influence the severity of disease of the admitted patients.
Ca Rüst - One of the best experts on this subject based on the ideXlab platform.
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Do ICU patients' discharge characteristics change with Swiss Diagnosis Related Groups?
Critical Care, 2013Co-Authors: G Rauchenstein-ziltener, Ca Rüst, P Fodor, S BlumenthalAbstract:Swiss Diagnosis Related Groups (SwissDRG) have been effective since 1 January 2012. The influence of this new system on patients' discharge characteristics from a large ICU is not known. With the introduction of the DRG we expect patients to be discharged after a shorter length of stay on the ICU and with higher severity of illness.
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do Diagnosis Related Groups change admission practice to a large swiss icu
Critical Care, 2013Co-Authors: K Homburg, Ca Rüst, P Fodor, S BlumenthalAbstract:The new Swiss financing system by means of Diagnosis Related Groups (DRG), effective 1 January 2012, forms the basis of a performance-based system to reimburse general hospital services. There are only few data on the influence of DRG on ICU patients [1,2]. We expect that the introduction of the DRG in Switzerland will change the number of admissions from external hospitals to a large ICU with a centre function and will influence the severity of disease of the admitted patients.