Fischer: Short Info: APR-DRG (3M/USA).

Z I M       January 2008


Short Info: APR-DRG (3M/USA)

Wolfram Fischer

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

Kapitel B.5 aus:
The DRG Family
State of affairs: 2007

      
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B.5

  

APR-DRG – All Patient Refined Diagnosis Related Groups

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The APR-DRG system is a refinement of the AP-DRG system. All DRGs subdivided according to age/or secondary diagnoses were merged into base APR-DRGs. Two subdivisions of four stages each were applied throughout the system. One of them differentiates cases according to severity of disease, while the other operated according to mortality risk. Several CC-lists were used for this purpose.

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1 Vgl. Averill et al. [APR-DRG 20.0, 2003].

   

The system was published in 1991. In its 9th version for 1991/1992 it comprised 1194 APR-DRGs (298 base APR-DRGs). In version 15, published for 1997/98, 1422 APR-DRGs (355 base APR-DRGs) were defined. In version 20 for 2002/03, 1258 APR-DRGs (316 base APR-DRGs) were defined.1

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Table 1:
Hierarchical levels of APR-DRGs

Table 1: Hierarchical levels of APR-DRGs

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Source: Fischer [DRGs im Vergleich, 1999]: 43.

  
   

 

  

 

References

  
 
Averill et al.
APR-DRG 20.0
2003
Averill RF, Goldfield N, Hughes JS, Bonazelli J, McCullogh E, Steinbeck BA, Mullin R, Tang AM, Muldoon J, Turner L, Gay J. All Patient Refined Diagnosis Related Groups (APR-DRGs) Version 20.0. Methodology Overview. Wallingford (3M-HIS) 2003: 85 pp. Internet: http:// www.hcup-us.ahrq.gov / db / nation / nis / APR-DRGsV20 Methodology Overview and Bibliography.pdf.

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Fischer
DRGs im Vergleich
1999
Fischer W. Diagnosis Related Groups (DRGs) im Vergleich zu den Patienten­klassifi­kations­systemen von Deutschland und Österreich. Eine problemzentrierte Diskussion von Patienten­klassifi­kations­systemen für stationäre Akut­behandlungen im Hinblick auf deren Verwendung in Ver­gütungs­systemen. Wolfertswil (ZIM) 1999: 155 pp. Auszüge: http:// www.fischer-zim.ch / studien / DRGs-im-Vergleich-9901-Info.htm.

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