An evaluation of pediatric-modified diagnosis-related groups.
Payne, Susan M
Date of Pub
Schwartz, Rachel M
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
Child : Diagnosis-Related Groups/classification/economics : Health Services Research : Hospitals, Pediatric/economics/statistics
& numerical data/utilization : Human : Infant, Newborn : Intensive Care Units, Neonatal/economics/statistics & numerical data/utilization
: Intensive Care Units, Pediatric/economics/statistics & numerical data/utilization : Least-Squares Analysis : Medicare Part
A/statistics & numerical data : Patient Discharge/statistics & numerical data : Pediatrics/classification/economics : Prospective
Payment System/statistics & numerical data : Respiration, Artificial/economics : Severity of Illness Index : Support, U.S.
Gov't, Non-P.H.S. : United States