| Z I M | January 2008 |
Short Info: G-DRG (Germany) |
Wolfram Fischer
Zentrum für Informatik und wirtschaftliche Medizin
CH-9116 Wolfertswil SG
(Switzerland)
http://www.fischer-zim.ch/
Kapitel
E.2 aus:
The DRG Family
State of affairs: 2007
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E.2 |
G-DRG – German Diagnosis Related Groups (Germany) |
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Starting point: |
The first version of the GDRG system was a translation of the ARDRG 4.1 system, based on the German encoding systems ICD-10-GM and OPS-301. |
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1 As an example, I present here the translated label of GDRG-2008 B02B: "Complex Craniotomy or Spinal Procedure or Other Expensive Nervous System Procedure With Motor Ventilation Over 95 Hours, Without Radiotherapy More Than 8 Sessions, Age < 6 Years or Age < 18 Years With Major Intracranial Procedure, With Catastrophic CC or Motor Ventilation Over 95 Hours and Motor Ventilation Under 178 Hours" (German original text: "Komplexe Kraniotomie oder Wirbelsäulen-Operation od. andere aufwändige Operation am Nervensystem mit Beatm. > 95 Std., ohne Strahlenth. > 8 Bestrahl., Alter < 6 J. od. < 18 J. mit grossem intrakr. Eingr., m. äusserst schw. CC od. Beatm. > 95 und < 178 Std."). – Cf. Fischer [DRG Labels, 2007]; Fischer [GDRG-Verständlichkeit, 2007]. |
Seither:
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Subsequently, the system has been revised annually on the basis of cost data processed initially by slightly over 100, and later by over 200 hospitals. Except for the fundamental methodology of the CCL matrix, which was preserved, considerable changes were made that resulted in a softening of the principle of Base DRGs, and gave birth to some quite complex GDRG labels.1 |
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The 2003 GDRG system comprised a number of 664 GDRGs. Each version introduced since has extended this catalogue by 50 to 100 new case groups. The GDRG system of 2008 defines 1137 GDRGs. |
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References |
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| Fischer W. Do You Speak DRG ?. Measuring the Complexity of Labels of Medicare DRGs, AR-DRGs, and G-DRGs by Counting Conjunctions. In: Proceedings of the 23rd PCSI International Working Conference, Venezia 2007. Internet: http:// www.fischer-zim.ch / paper-en-pdf / DRG-Labels-0711-PCSI.pdf. | 5 | ||||
| Fischer W. Sprechen Sie G-DRG?. G-DRG 2007: Statistische Optimierung zu Lasten fachsprachlicher Verständlichkeit. In: Streiflicht Z I M 2007(15)1. Internet: http:// www.fischer-zim.ch / streiflicht / GDRG-2007-Sprache-0701.htm. | 6 | ||||
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( latest compilation:
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G-DRG (Deutschland)