The assessment of functionality of the Diagnosis-Related Group (DGR) system by its users

Original Article, Zdr Publ 2013;123(1): 3-6

RAFAŁ WŁACH1, PIOTR KSIĄŻEK1, BARTŁOMIEJ DROP1, JOANNA TKACZUK-WŁACH2

1 Chair and Department of Public Health Medical University of Lublin, Poland

2 Chair and Department of Gynecology and Gynecological Endocrinology Medical University of Lublin, Poland

Abstract

Introduction. The authors of the system based on the grouping of the cases, depending on the type of diagnosis and procedures performed were Robert Barclay Fetter and John Devereaux Thompson of Yale University. For the first time DRG was implemented in New Jersey at the beginning of 1980 and in 1987. The decision of the authorities of New York DRG became the basis for the settlement
of the patients. In Europe, the model based on the DRG billing applies in almost all EU countries except the Czech Republic and Slovenia. In Poland, the scheme was introduced in July 2008, which caused numerous controversies due to changes in the financing of health services
Aim. The aim of the survey was to assess the functio-nality of a web-based DRG grouper.
Material and methods. The survey was performed in February 2009 in 200 hospitals. The participation in the survey was optional and only 14% of users decided to fulfill the questionnaire. The collected data was analyzed and presented in tables. The surveyees were divided into the following professional groups: doctor, medical secretaries in the wards, employees of medical statistics epartment/department of settlements with the NHF, other groups.
Conclusions. The results show that the most useful functionality is that of grouping, whereas the least useful is that of a duration of hospitalization. You can find a very similar distribution of functional suitability grouper in all 4 treatment groups. The users mainly use the software to determine the correct DRG groups, and much less likely to make coding optimization.

Keywords

DRG, grouper, functionality

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