Fiscal implications of a childhood disorder DRG.
There is considerable interest in the development of a viable prospective payment system for psychiatry. Under the currently proposed system, all child/adolescent psychiatric admissions would be assigned to a single DRG. An alternative set of three DRGs, based on a service variable, were previously identified. Assuming no decrease in the per diem cost for extended lengths of stay, the eight public hospitals in the sample would be compensated at 54% of cost using the single-DRG model and at 83% of cost using the three-DRG model.
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Tsemberis
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D000293:Adolescent; D002648:Child; D003953:Diagnosis-Related Groups / Q000191:economics*; D006760:Hospitalization / Q000191:economics*; D006801:Humans; D007902:Length of Stay / Q000191:economics; D001523:Mental Disorders / Q000191:economics* / Q000628:therapy; D009519:New York City; D011445:Prospective Payment System / Q000191:economics*