Fischer: Comparing Patient Spectra by Difference Diagrams.

Z I M - Example 2005-03       February 2008


Comparing Patient Spectra
by Difference Diagrams

Wolfram Fischer

Zentrum für Informatik und wirtschaftliche Medizin
CH-9116 Wolfertswil SG (Switzerland)
http://www.fischer-zim.ch/


      
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Introduction

How can one visualise the particularities of the casemix of a hospital?

Table 1: Hospital H217: Proportion of cases by APDRG subcategories and cost weight classes compared to all hospitals of the same type

Table 1: 
Hospital H217: Proportion of cases by APDRG subcategories and cost weight classes compared to all hospitals of the same type
 

Source: Fischer [Krankenhaus-Betriebsvergleiche, 2005]: 45.

Data

The necessary data from the hospital concerned and all the hospitals of a reference group are case records containing DRG codes. The DRG codes are classified by MDCs, subcategories ("M" = medical, "C" = surgical) and cost weight classes ("1" to "4").

1 Fischer [Krankenhaus-Betriebsvergleiche, 2005]: 135 ff.

2 Sarkar [Lattice, 2008]; Becker et al. [Trellis, 1996]; Cleveland [Visualizing, 1993].

Methods

The differences of portions of cases between the hospital concerned and the hospitals in the reference group are shown by the triangles of «difference diagrams»1 (developed by the author), arranged by means of graphic panels ("trellis displays")2, one for each MDC.

Results

This kind of graphic enables us to see negative and positive deviations (dull colour/clear colour) of medical and surgical cost weight classes (green/golden) within MDCs of the full casemix of a hospital at a glance.

Discussion

In order to obtain a simpler graphic, cost weight classes can be omitted. Then only two triangles will remain in each panel.

Conclusions

This is a new type of graphics helping to provide a "detailed overview" of DRG data.

 

 

 

References

Becker et al.
Trellis
1996
Becker RA, Cleveland WS, Shyu MJ. The Visual Design and Control of Trellis Display. In: Journal of Computational and Statistical Graphics 1996/5: 123–155. Internet: http:// cm.bell-labs.com / stat / doc / trellis.jcgs.col.ps.
Cleveland
Visualizing
1993
Cleveland WS. Visualizing Data. Summit (Hobart) 1993: 360 pp.
Fischer
Krankenhaus-Betriebsvergleiche
2005
Fischer W. Neue Methoden für Krankenhaus-Betriebsvergleiche. Ein Werkstattbuch zur Visualisierung DRG-basierter Daten. Wolfertswil (ZIM) 2005: 160 pp. Auszüge: http:// www.fischer-zim.ch / studien / KBV-0506-Info.htm.
Fischer
Grafiken zur PCS-Beurteilung
2008
Fischer W. Statistische Grafiken zur Beurteilung von Patientenklassifikationssystemen. dargestellt am Beispiel der pädiatrischen Sicht auf das APDRG-System. Wolfertswil (ZIM) 2008: 169 pp. Internet: http:// www.fischer-zim.ch / studien / Grafiken-PCS-Beurteilung-0804-Info.htm.
Fischer
DRG-Familie
2008
Fischer W. Die DRG-Familie. Stand: 2007. Wolfertswil (ZIM) 2008: 32 pp. Internet: http:// www.fischer-zim.ch / textk-pcs / index.htm.
Sarkar
Lattice
2008
Sarkar D. Lattice. Multivariate Data Visualization with R. New York (Springer) 2008: 265 pp.

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