PMID: 15366331Sep 16, 2004Paper

Quality of generated diagnosis related groups in Italian Respiratory Intermediate Care Units

Monaldi Archives for Chest Disease = Archivio Monaldi Per Le Malattie Del Torace
A PotenaMarco Confalonieri

Abstract

To date we lack official data on tipology of Diagnosis Related Groups (DRGs) and their quality in Italian Respiratory Intermediate Care Units (RICUs). The objective of the study was to collect data on the activity of 26 Italian RICUs and to evaluate the quality of the DRGs generated. The primary and secondary diseases, the procedures carried out and their coding using the ICD9 system (valid Italy until 2000) were collected from the discharge forms of patients admitted to RICUs. To obtain the DRG, these codes were automatically recoded in the ICD9-CM classification system by Grouper 10. Afterwards, the same diseases and procedures were directly processed by the ICD9-CM classification system. Finally, in order to evaluate the quality of care, the DRGs generated by the ICD9 classification system were compared to DRGs generated by the ICD9-CM classification system. The average weight of the patients cared for in an Italian RICU was 2.05 using the ICD9 classification system and 2.53 using the ICD9-CM classification system. Some non-complicated DRGs (80-97) or non specific DRGs (101-102) were set to zero; others, like DRG 87 appear due to the ability of the ICD9-CM classification system to recognise and accept the fifth digit of the ...Continue Reading

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