Patients classification System

tools for
Cost management

tools for
Quality management

tools for
HOSPITAL PLANNING

4  Why to choose US

4  implementation

4  ANECDOTE

4  contact

4  Logic

4  diagnoses

4  procedures

4  inpatients

4  outpatients

4  insurance

4  readmissions

4  reoperations

4  complications

4  deaths

4  length of stay

4  day surgery

4  unjustified stays

 

Aim                                  To analyze the costs of inpatients’ stays, depending on the context of care:
- patient discharged at home, not followed by a potentially avoidable
  readmission
- patient discharged at home, followed by a potentially avoidable readmission
- patient
transferred or dead
-
nursing home placement
- candidate for one day surgery
- unjustified stay

Cost definition                Total amount of resources consumed, divided by the number of inpatients stays (without investment costs)

Scientific validation       Cost weights were computed on a random sample of Swiss hospital data (one University hospital and a number of public hospitals of various sizes). Cross validation was ensured by comparing expected and observed values with another random sample (coefficient of determination R2):

SQLape®

DRGs groupers

without length of stay adjustment

with length of stay adjustment

without length of stay adjustment

with length of stay adjustment

R2 = 0.55

R2 = 0.64

R2 = 0.38 – 0.44

R2 = 0.52 – 0.56

Source: Marazzi A, Gardiol L, Duong HD. New approaches to reimbursement schemes based on DRGs and their comparison. Health Services Management Research 2007; 20(3):203-210.

Predictive performance of the current adjustment model will be updated.

Output                             4   interpretation                  4 FILES

© SQLape s.à.r.l. 2014. Last update: 20.05.2014