Z I M - Example 2005-03 | February 2008 |
Comparing Patient Spectra
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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? |
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Table 1: Hospital H217: Proportion of cases by APDRG subcategories and cost weight classes compared to all hospitals of the same type |
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Source: Fischer [Krankenhaus-Betriebsvergleiche, 2005]: 45. |
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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"). |
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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. |
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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. |
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Discussion |
In order to obtain a simpler graphic, cost weight classes can be omitted. Then only two triangles will remain in each panel. |
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Conclusions |
This is a new type of graphics helping to provide a "detailed overview" of DRG data. |
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References |
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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 WS. Visualizing Data. Summit (Hobart) 1993: 360 pp. | |||
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 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 W. Die DRG-Familie. Stand: 2007. Wolfertswil (ZIM) 2008: 32 pp. Internet: http:// www.fischer-zim.ch / textk-pcs / index.htm. | |||
Sarkar D. Lattice. Multivariate Data Visualization with R. New York (Springer) 2008: 265 pp. |
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