What Your Patients Should Know About Drg S And The Prospective Payment System
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What Your Patients Should Know About Drg S And The Prospective Payment System
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Author : American Medical Association
language : en
Publisher:
Release Date : 1984-01-01
What Your Patients Should Know About Drg S And The Prospective Payment System written by American Medical Association and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1984-01-01 with categories.
What Your Patients Should Know About Drgs And The Prospective Payment System
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Author :
language : en
Publisher:
Release Date : 1984
What Your Patients Should Know About Drgs And The Prospective Payment System written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1984 with Hospitals categories.
Drgs
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Author : Robert B. Fetter
language : en
Publisher:
Release Date : 1991
Drgs written by Robert B. Fetter and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Medical categories.
The DRG Patient classification system. Use of DRGs for managing hospital resources. The product-line management model. Cost accounting and budgeting. Nursing resources. Use of DRGs for financing patient care. Structure of a DRG-based prospective payment system. Using DRGs for international comparisons. DRG analogues for ambulatory care and long-term care
The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients
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Author : Rand Corporation
language : en
Publisher:
Release Date : 1991
The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients written by Rand Corporation and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Diagnosis related groups categories.
To control rising health care costs, the federal government, in 1983, established a prospective payment system (PPS) to reimburse hospitals for inhospital care of Medicare patients. PPS changed the way Medicare reimbursed hospitals from a cost or charge basis to a prospectively determined fixed-price system in which hospitals are paid according to the diagnosis-related group (DRG) into which a patient is classified. This report constitutes the executive summary of an evaluation of the impact of the DRG-based PPS system. Six conditions were selected for the evaluation: congestive heart failure, acute myocardial infarction, hip fracture, pneumonia, cerebrovascular accident, and depression. The authors used both explicit and implicit measures to assess quality of care. Two key policy conclusions emerge from the findings: (1) at least through the middle of 1986, PPS did not interrupt a long-term trend toward better hospital care; and (2) PPS has had a detrimental effect on patients' stability at discharge. The authors recommend that physicians, hospitals, and professional review organizations undertake a more systematic assessment of a patient's readiness to leave the hospital, and that clinically detailed data on sickness at admission, processes, discharge status, and outcomes continue to be collected regularly as long as PPS is in place.
The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients
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Author : Katherine L. Kahn
language : en
Publisher:
Release Date : 1990
The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients written by Katherine L. Kahn and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1990 with Diagnosis related groups categories.
Drgs And The Prospective Payment System
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Author :
language : en
Publisher:
Release Date : 1986
Drgs And The Prospective Payment System written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with Diagnosis related groups categories.
Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients Executive Summary
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Author : Rand Corporation
language : en
Publisher:
Release Date :
Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients Executive Summary written by Rand Corporation and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on with categories.
The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients
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Author :
language : en
Publisher: Rand Corporation
Release Date : 1992
The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients written by and has been published by Rand Corporation this book supported file pdf, txt, epub, kindle and other format this book has been release on 1992 with Diagnosis related groups categories.
In 1983, in an effort to control rising health care costs, the federal government established a prospective payment system (PPS) to reimburse hospitals for inhospital care of Medicare patients. Under PPS, hospitals are paid an amount based largely on flat rates per admission calculated for each of approximately 470 diagnosis-related groups (DRGs). This new payment system has been somewhat successful at slowing the upward spiral of Medicare costs. However, because PPS presents incentives to decrease lengths of stay and to substitute lower-cost services and procedures, patients, physicians, and policymakers are concerned that, despite the introduction of monitoring by professional review organizations, the quality of health care given Medicare patients may have declined under PPS. This report assesses the quality of inhospital care for Medicare patients age 65 and over, before and after the implementation of PPS, and estimates the effects of the PPS intervention on quality of care, by comparing quality of care now with the best estimate of what it would have been without PPS. Specifically, the authors describe the study's design, sampling, and fieldwork; discuss changes in sickness at admission following the introduction of PPS; consider measurements of the quality of care using explicit criteria before and after implementation of the PPS; compare changes in quality of care between 1981 and 1986 for five diseases as measured by implicit review; and discuss PPS and impairment at discharge.
Transition To Diagnosis Related Group Drg Payments For Health
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Author : Caryn Bredenkamp
language : en
Publisher: World Bank Publications
Release Date : 2019-12-19
Transition To Diagnosis Related Group Drg Payments For Health written by Caryn Bredenkamp and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-12-19 with Medical categories.
This book examines how nine different health systems--U.S. Medicare, Australia, Thailand, Kyrgyz Republic, Germany, Estonia, Croatia, China (Beijing) and the Russian Federation--have transitioned to using case-based payments, and especially diagnosis-related groups (DRGs), as part of their provider payment mix for hospital care. It sheds light on why particular technical design choices were made, what enabling investments were pertinent, and what broader political and institutional issues needed to be considered. The strategies used to phase in DRG payment receive special attention. These nine systems have been selected because they represent a variety of different approaches and experiences in DRG transition. They include the innovators who pioneered DRG payment systems (namely the United States and Australia), mature systems (such as Thailand, Germany, and Estonia), and countries where DRG payments were only introduced within the past decade (such as the Russian Federation and China). Each system is examined in detail as a separate case study, with a synthesis distilling the cross-cutting lessons learned. This book should be helpful to those working on health systems that are considering introducing, or are in the early stages of introducing, DRG-based payments into their provider payment mix. It will enhance the reader's understanding of how other countries (or systems) have made that transition, give a sense of the decisions that lie ahead, and offer options that can be considered. It will also be useful to those working in health systems that already include DRG payments in the payment mix but have not yet achieved the anticipated results.
Ebook Diagnosis Related Groups In Europe Moving Towards Transparency Efficiency And Quality In Hospitals
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Author : Reinhard Busse
language : en
Publisher: McGraw-Hill Education (UK)
Release Date : 2011-11-16
Ebook Diagnosis Related Groups In Europe Moving Towards Transparency Efficiency And Quality In Hospitals written by Reinhard Busse and has been published by McGraw-Hill Education (UK) this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-11-16 with Medical categories.
Diagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives. Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main ‘building blocks’ of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector