An evaluation of pediatric-modified diagnosis-related groups.
Pediatric-modified diagnosis-related groups (PM-DRGs) were designed to describe more accurately than DRGs differences in severity of illness and charges across pediatric patients. We report on an evaluation of PM-DRGs for use in prospective payment systems (PPSs). Data on pediatric discharges (i.e., patients 17 years of age or under) from 5 States and a national sample of 43 hospitals were used. PM-DRGs explained substantially more variation in resource use at the discharge level and hospital level. PM-DRGs improved classification of neonatal discharges by concentrating them into fewer categories and measuring birth weight more precisely.
Boston University School of Medicine, MA 02118.
S M
SM
Payne
R M
RM
Schwartz
D002648:Child; D003953:Diagnosis-Related Groups / Q000145:classification* / Q000191:economics; D006302:Health Services Research; D006776:Hospitals, Pediatric / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000191:economics / Q000706:statistics & numerical data; D015278:Intensive Care Units, Pediatric / Q000191:economics / Q000706:statistics & numerical data; D016018:Least-Squares Analysis; D016344:Medicare Part A / Q000706:statistics & numerical data*; D010351:Patient Discharge / Q000706:statistics & numerical data; D010372:Pediatrics / Q000145:classification* / Q000191:economics; D011445:Prospective Payment System / Q000706:statistics & numerical data*; D012121:Respiration, Artificial / Q000191:economics; D012720:Severity of Illness Index; D014481:United States