DRG grouper

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A DRG grouper is an economic-medical EDP program for calculating the respective flat rate per case based on the diagnosis related groups ( DRG ; German : diagnosis- related case groups ).

background

This article or paragraph presents the situation in Germany . Help us to describe the situation in other countries.

On January 1, 2003, a performance-oriented and flat-rate remuneration system based on the German Diagnosis Related Groups (G-DRG) was introduced in Germany to pay for hospital services . While it was still voluntary in 2003, it has been mandatory for all hospitals in Germany since 2004, with the exception of psychiatric departments and hospitals or departments that are explicitly excluded by law.

In order to ensure uniform encryption, a set of rules ( German coding guidelines or DKR) was created. From the diagnoses and procedures as well as the age, gender, weight information for newborns, the number of hours of mechanical ventilation, the length of stay and the type of discharge (e.g. relocated, deceased, normal discharge, etc.), the DRG is determined by a from the Institute for the hospital remuneration system (InEK) created and published algorithm (definition handbooks). This algorithm is revised every year and republished by the InEK.

Groupers were programmed in order to collect the flat rate per case with an economic expenditure of time. They work with the predefined algorithm and make data entry easier thanks to a user-friendly interface. Only current groupers who have been certified by InEK may be used (see also German Diagnosis Related Groups ).

The grouper needs the following raw data for its calculations:

  • Main diagnosis
  • Secondary diagnosis
  • Procedure date
  • gender
  • Age
  • Reason for admission
  • Reason for admission
  • Reason for dismissal
  • Length of stay
  • holidays
  • Pick-up weight
  • Status of the length of stay "one occupancy day"
  • Duration of mechanical ventilation
  • Department type (main department / document department)

Webgrouper

The DRG Research Group in Senden near Münster provides a free and up-to-date grouper. Since this is a browser-based grouper, no installation is required.

4K Analytics also offers a free grouper.

A commercial grouper that supports all versions of the BAS algorithm as of 2012 is offered by the health forums.

literature

  • Reinhard Busse : Remuneration in the inpatient area: The G-DRG system PDF
  • Dietmar P. Berger: DRG Handbook 2010: Hematology and Oncology Online

Individual evidence

  1. ↑ GetDRG: http://www.getdrg.de
  2. ↑ Coding guidelines : Coding guidelines 2017 ( Memento of the original from April 29, 2017 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot / www.g-drg.de
  3. ↑ certified grouper: Archive link ( Memento of the original from April 24, 2012 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot / www.g-drg.de
  4. ↑ Dietmar P. Berger: DRG-Handbuch 2010: Hematologie und Onkologie S. 34 ISBN 978-3609164427
  5. ↑ Webgrouper of the DRG Research Group in Senden near Münster: https://www.drg-research-group.de/index.php?option=com_webgrouper&view=webgrouper&Itemid=112
  6. ↑ 4K Analytics: The free grouper is here! Retrieved March 9, 2019 .
  7. ↑ Health Forums: Datalytics Grouper. Retrieved August 14, 2020 .