diagnosis related groups

Summary

Summary: A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.

Top Publications

  1. ncbi Methods to determine reimbursement rates for diagnosis related groups (DRG): a comparison of nine European countries
    Jonas Schreyögg
    Department of Health Care Management, Berlin University of Technology, 10623 Berlin, Germany
    Health Care Manag Sci 9:215-23. 2006
  2. ncbi Performance of the ACG case-mix system in two Canadian provinces
    R J Reid
    Centre for Health Services and Policy Research, University of British Columbia, Vancouver, Canada
    Med Care 39:86-99. 2001
  3. ncbi Application of the ambulatory care groups in the primary care of a European national health care system: does it work?
    J F Orueta
    Astrabudúa Health Center, Osakidetza Basque Health Service, Bizkaia, Spain
    Med Care 37:238-48. 1999
  4. ncbi Recalibration of risk prediction models in a large multicenter cohort of admissions to adult, general critical care units in the United Kingdom
    David A Harrison
    Intensive Care National Audit and Research Centre, London, UK
    Crit Care Med 34:1378-88. 2006
  5. ncbi Quality of diagnosis and procedure coding in ICD-10 administrative data
    Toni Henderson
    Victorian Department of Human Services, Melbourne, Australia
    Med Care 44:1011-9. 2006
  6. ncbi The rate and cost of hospital readmissions for preventable conditions
    Bernard Friedman
    Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
    Med Care Res Rev 61:225-40. 2004
  7. pmc Using diagnoses to describe populations and predict costs
    A S Ash
    Boston Medical Center, Mass, USA
    Health Care Financ Rev 21:7-28. 2000
  8. ncbi External validation of the SAPS II, APACHE II and APACHE III prognostic models in South England: a multicentre study
    Dieter H Beck
    Department of Anaesthesiology and Intensive Care, Charite Hospital, Humboldt University, Schumannstrasse 20 21, 10098 Berlin, Germany
    Intensive Care Med 29:249-56. 2003
  9. pmc Comparison of alternative weight recalibration methods for diagnosis-related groups
    J R Rogowski
    RAND Corporation, Washington, DC 20037
    Health Care Financ Rev 12:87-101. 1990
  10. ncbi Length of stay. How short should hospital care be?
    A Clarke
    Health Services Research Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
    Eur J Public Health 11:166-70. 2001

Detail Information

Publications280 found, 100 shown here

  1. ncbi Methods to determine reimbursement rates for diagnosis related groups (DRG): a comparison of nine European countries
    Jonas Schreyögg
    Department of Health Care Management, Berlin University of Technology, 10623 Berlin, Germany
    Health Care Manag Sci 9:215-23. 2006
    ..use of trimming methods and plausibility checks and 3.) definition of prices. It concludes with a discussion on the typical development path of DRG systems and the role of additional reimbursement components in this context...
  2. ncbi Performance of the ACG case-mix system in two Canadian provinces
    R J Reid
    Centre for Health Services and Policy Research, University of British Columbia, Vancouver, Canada
    Med Care 39:86-99. 2001
    ..While application of ACGs in Canada shows promise, further research is required to examine how closely they reflect population morbidity burdens and health care needs...
  3. ncbi Application of the ambulatory care groups in the primary care of a European national health care system: does it work?
    J F Orueta
    Astrabudúa Health Center, Osakidetza Basque Health Service, Bizkaia, Spain
    Med Care 37:238-48. 1999
    ..Ambulatory Care Groups (ACGs), a US case-mix system that uses the patient as the unit of analysis, is particularly appropriate for health care systems in which physicians serve a defined list of patients...
  4. ncbi Recalibration of risk prediction models in a large multicenter cohort of admissions to adult, general critical care units in the United Kingdom
    David A Harrison
    Intensive Care National Audit and Research Centre, London, UK
    Crit Care Med 34:1378-88. 2006
    ..To assess the performance of published risk prediction models in common use in adult critical care in the United Kingdom and to recalibrate these models in a large representative database of critical care admissions...
  5. ncbi Quality of diagnosis and procedure coding in ICD-10 administrative data
    Toni Henderson
    Victorian Department of Human Services, Melbourne, Australia
    Med Care 44:1011-9. 2006
    ....
  6. ncbi The rate and cost of hospital readmissions for preventable conditions
    Bernard Friedman
    Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
    Med Care Res Rev 61:225-40. 2004
    ..Interventions to reduce cost might focus on identifying high-risk patients before discharge and devising new approaches to follow-up...
  7. pmc Using diagnoses to describe populations and predict costs
    A S Ash
    Boston Medical Center, Mass, USA
    Health Care Financ Rev 21:7-28. 2000
    ..We describe the logic, structure, coefficients and performance of DCG/HCC models, as developed and validated on three important data bases (privately insured, Medicaid, and Medicare) with more than 1 million people each...
  8. ncbi External validation of the SAPS II, APACHE II and APACHE III prognostic models in South England: a multicentre study
    Dieter H Beck
    Department of Anaesthesiology and Intensive Care, Charite Hospital, Humboldt University, Schumannstrasse 20 21, 10098 Berlin, Germany
    Intensive Care Med 29:249-56. 2003
    ..External validation of three prognostic models in adult intensive care patients in South England. DESIGN. Prospective cohort study...
  9. pmc Comparison of alternative weight recalibration methods for diagnosis-related groups
    J R Rogowski
    RAND Corporation, Washington, DC 20037
    Health Care Financ Rev 12:87-101. 1990
    ..At the provider level, charge weights result in higher payments to large urban hospitals and teaching hospitals, relative to cost weights...
  10. ncbi Length of stay. How short should hospital care be?
    A Clarke
    Health Services Research Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
    Eur J Public Health 11:166-70. 2001
    ..Reducing length of hospital stay (LOS) is a policy aim for many health care systems and is thought to indicate efficiency...
  11. ncbi Length of stay benchmarking in the Australian private hospital sector
    Brian W T Hanning
    Australian Health Service Alliance, 979 Burke Road, Camberwell, VIC 3124, Australia
    Aust Health Rev 31:150-8. 2007
    ..interstate variation in same-day (SD) cases and overnight average LOS (ONALOS) on an Australian Refined Diagnosis Related Groups version 4 (ARDRGv4) standardised basis...
  12. ncbi [Primary hip- and knee arthroplasty--comparison of the actual costs with the Australian diagnosis related groups (DRG)-]
    N Schürmann
    Orthopadische Universitats und Poliklinik, Essen, Germany
    Z Orthop Ihre Grenzgeb 140:589-94. 2002
    ..With the introduction of the Australian DRG system in Germany the question arises which current procedures remain reasonable in cost. The present study compares the actual costs with the expected DRG reimbursement...
  13. ncbi Applying the 3M All Patient Refined Diagnosis Related Groups Grouper to measure inpatient severity in the VA
    Yujing Shen
    Health Economics Program, Center for Health Quality, Outcomes and Economic Research, Edith Nourse Rogers Memorial Veterans Health Administration Hospital, 200 Springs Road, Bedford, MA 01730, USA
    Med Care 41:II103-10. 2003
    ..level of acute inpatient care in the Veterans Health Administration (VA) using the 3M All Patient Refined Diagnosis Related Groups (APR-DRGs) Grouper and compare severity levels in the six study sites with other Veterans Affairs Medical ..
  14. ncbi Trends in head injury outcome from 1989 to 2003 and the effect of neurosurgical care: an observational study
    H C Patel
    Department of Neurosurgery, Hope Hospital, Salford, UK
    Lancet 366:1538-44. 2005
    ..Our aims were to investigate the case fatality trends in major trauma patients with and without head injury, and to establish the effect of neurosurgical care on mortality after severe head injury...
  15. ncbi Evaluating non-randomised intervention studies
    J J Deeks
    Centre for Statistics in Medicine, Institute of Health Sciences, Oxford, UK
    Health Technol Assess 7:iii-x, 1-173. 2003
    ..To consider methods and related evidence for evaluating bias in non-randomised intervention studies...
  16. ncbi Measuring potentially avoidable hospital readmissions
    Patricia Halfon
    Institut Universitaire de Medecine Sociale et Preventive, University of, Lausanne, Switzerland
    J Clin Epidemiol 55:573-87. 2002
    ..The proposed measure could be used as an indicator of inpatient care outcome. However, the instrument should be validated using other sets of data from various hospitals...
  17. pmc Patterns of ambulatory care utilization in Taiwan
    Tzeng Ji Chen
    Department of Family Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    BMC Health Serv Res 6:54. 2006
    ..We used the insurance claims of a representative cohort to quantify the patterns of ambulatory care visits, especially the doctor-shopping phenomenon, in Taiwan...
  18. ncbi [Data validity and coverage in the Danish National Health Registry. A literature review]
    T N Nickelsen
    DSI Institut for Sundhedsvaesen, Dampfaergevej 22, DK 2100 København
    Ugeskr Laeger 164:33-7. 2001
    ..But these figures conceal large differences in specific diagnoses. Work with selected data requires the data to be confirmed in another registry or at the primary source. Future changes in the DNHR are summed up at the end...
  19. pmc Principal inpatient diagnostic cost group model for Medicare risk adjustment
    G C Pope
    Health Economics Research, Inc, Waltham, MA 02452, USA
    Health Care Financ Rev 21:93-118. 2000
    ..In this article, the authors describe the risk-adjustment model HCFA is implementing in the year 2000, known as the Principal Inpatient Diagnostic Cost Group (PIPDCG) model...
  20. pmc Redesigning Medicare inpatient PPS to adjust payment for post-admission complications
    Richard F Averill
    3M Health Information Systems, Wallingford, CT 06492, USA
    Health Care Financ Rev 27:83-93. 2006
    ..Based on the redesigned IPPS, the increase in Medicare payments due to post-admission complications was reduced by more than one billion dollars annually...
  21. ncbi Clinical redesign using all patient refined diagnosis related groups
    Aileen B Sedman
    University of Michigan Health System, Ann Arbor, Michigan, USA
    Pediatrics 114:965-9. 2004
    ....
  22. pmc Applying diagnosis and pharmacy-based risk models to predict pharmacy use in Aragon, Spain: the impact of a local calibration
    Amaia Calderón-Larrañaga
    Aragon Health Science Institute, 25, Gomez Laguna Ave, Zaragoza 50009, Spain
    BMC Health Serv Res 10:22. 2010
    ..Developed primarily for the U.S. health care setting, a secondary objective was to evaluate the benefit of a local calibration in order to adapt the PMs to the Spanish health care system...
  23. ncbi Trends in antibiotic use and cost and influence of case-mix and infection rate on antibiotic-prescribing in a long-term care facility
    Joseph M Mylotte
    Departments of Medicine and Microbiology, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, NY 14215, USA
    Am J Infect Control 31:18-25. 2003
    ..The objectives of this study were to further assess the utility of the antibiotic use and cost indicators in a different LTCF and to determine the correlation of case-mix and these indicators...
  24. ncbi The effect of Medicare's payment system for rehabilitation hospitals on length of stay, charges, and total payments
    L Chan
    Division of Clinical Standards and Quality, Health Care Financing Administration, Seattle, WA 98121, USA
    N Engl J Med 337:978-85. 1997
    ..We hypothesized that per-patient charges would increase during the base year and then decrease in subsequent years. Hospitals would thus have higher reimbursement limits and receive incentive payments for reducing their charges...
  25. ncbi Case mix use in 25 countries: a migration success but international comparisons failure
    Francis H Roger France
    Health Services Research, Centre for Medical Informatics, School of Public Health and St Luc Hospital, Universite Catholique de Louvain, 10 Avenue Hippocrate, Boîte 3718, B 1200 Brussels, Belgium
    Int J Med Inform 70:215-9. 2003
    b>Diagnosis related groups (DRGs) were the first health management tool to group patients in clinical meaningful categories with homogeneous resources consumption...
  26. ncbi Gender-related differences in intensive care: a multiple-center cohort study of therapeutic interventions and outcome in critically ill patients
    Andreas Valentin
    II Medical Department, KA Rudolfstiftung, Vienna, Austria
    Crit Care Med 31:1901-7. 2003
    ..To determine whether gender-related differences exist in the provided level of care and outcome in a large cohort of critically ill patients...
  27. ncbi [High-risk pregnancy, costs and DRG reimbursement]
    Agnete Bache Wiig Mathisen
    Senter for epidemiologi og sykehusstatistikk, Rikshospitalet 0027 Oslo
    Tidsskr Nor Laegeforen 122:503-6. 2002
    ..The present Norwegian financial system for hospitals has two components: a government reimbursement based on diagnosis-related groups (DRG) covering, in principle, half of hospital costs, and a basic budget received as a block grant...
  28. ncbi A comparison of actual registered costs and costs derived from diagnosis-related groups (DRGs) for patients undergoing heart transplantation, lung transplantation, and thoracotomy for other lung diseases
    V Mishra
    Center for Epidemiology and Hospital Statistics, The National University Hospital of Oslo, 0027 Oslo, Norway
    Transpl Int 14:361-9. 2001
    ..We found that our method was applicable to a hospital setting. DRG coverage for heart and lung transplantation seems to overestimate the actual costs. For the thoracotomy procedure, the DRG coverage did not cover the actual costs...
  29. ncbi Cost analysis of a hospital-wide selective screening programme for methicillin-resistant Staphylococcus aureus (MRSA) carriers in the context of diagnosis related groups (DRG) payment
    M H Wernitz
    Vivantes Klinikum im Friedrichshain, Berlin, Germany
    Clin Microbiol Infect 11:466-71. 2005
    ..33 Euro for a patient found to be MRSA-positive. Under the prospective diagnosis related groups (DRG) payment system in Germany, the costs of a prolonged hospital stay resulting from a hospital-..
  30. ncbi A comparison of actual cost, DRG-based cost, and hospital reimbursement for liver transplant patients
    Bjorn Skeie
    Department of Anaesthesiology, University Hospital, Sognsvannsv 20, 0027 Oslo, Norway
    Transpl Int 15:439-45. 2002
    ..02). The hospital's reimbursement for liver transplantation did not differ significantly from the actual registered cost. The computed cost was significantly lower than the DRG-based cost...
  31. ncbi Development and testing of a hierarchical method to code the reason for admission to intensive care units: the ICNARC Coding Method. Intensive Care National Audit & Research Centre
    J D Young
    Nuffield Department of Anaesthetics, Radcliffe Infirmary, Oxford, UK
    Br J Anaesth 87:543-8. 2001
    ..1%) in the primary reason for admission. Five conditions account for 19.4% of all primary reasons for admission. This is the first method to be developed empirically for coding the reason for intensive care admission...
  32. ncbi [Analysis and classification of hospital emergencies through Ambulatory Patient Groups]
    A Conesa
    Hospital Clínic Barcelona Spain
    Gac Sanit 17:447-52. 2003
    ..To assess the feasibility and results of application of Ambulatory Patient Groups (APG) patient's classification system to the case-mix of patients seen at the Emergency Departments (ED) of 6 Barcelona metropolitan area hospitals...
  33. ncbi [Profile of the hospital case mix of the immigrant population in Barcelona, Spain]
    F Cots
    Institut Municipal d Assistència Sanitària de Barcelona IMAS Unitat Docent de l IMAS Barcelona Spain
    Gac Sanit 16:376-84. 2002
    ..Hospital resource use was compared according to age, case mix (diagnosis related groups) and seriousness (severity, complications and comorbidities) of the events requiring medical care.
  34. ncbi [Using diagnosis relative groups mortality risk classification to assess medical quality]
    Wei yan Jian
    Department of Health Policy and Management, Peking University School of Public Health, Beijing 100083, China
    Beijing Da Xue Xue Bao 39:145-8. 2007
    To introduce diagnosis related groups to assess the medical quality and try to establish an effective quality evaluation approach.
  35. ncbi The diagnosis related groups enhanced electronic medical record
    Marcel Lucas Müller
    Department of Medical Informatics and Biomathematics, University of Munster, Domagkstr 9, 48129 Munster, Germany
    Int J Med Inform 70:221-8. 2003
    The introduction of Diagnosis Related Groups as a basis for hospital payment in Germany announced essential changes in the hospital reimbursement practice...
  36. pmc Assessing population health care need using a claims-based ACG morbidity measure: a validation analysis in the Province of Manitoba
    Robert J Reid
    Centre for Health Services and Policy Research, University of British Columbia, Vancouver, Canada
    Health Serv Res 37:1345-64. 2002
    ..The study included all continuously enrolled residents in the universal health care plan in Manitoba...
  37. ncbi [Prospects of adjusted clinical groups (ACG's) in capitated payment risk adjustment]
    Antoni Sicras-Mainar
    Dirección de Planificación y Desarrollo Organizativo, Badalona, Serveis Assistencials, Badalona, Barcelona
    Rev Esp Salud Publica 80:55-65. 2006
    ..S. by using the Adjusted Clinical Groups (ACG's) as a possible capitated payment risk adjustment...
  38. ncbi The impact of hospital financing on the length of stay: evidence from Austria
    Engelbert Theurl
    Department of Economics and Statistics, University of Innsbruck, Universitaetsstrasse 15, A 6020 Innsbruck, Austria
    Health Policy 82:375-89. 2007
    ..Our findings suggest that the change of the hospital financing system has induced a substantial decrease in the average hospital length of stay. This effect is more pronounced for diagnostic groups with a longer length of stay...
  39. pmc Case mix, outcome and length of stay for admissions to adult, general critical care units in England, Wales and Northern Ireland: the Intensive Care National Audit & Research Centre Case Mix Programme Database
    David A Harrison
    Intensive Care National Audit and Research Centre, London, UK
    Crit Care 8:R99-111. 2004
    ..The paper also describes the case mix, outcome and activity of the admissions in the Case Mix Programme Database (CMPD)...
  40. ncbi A hierarchical Poisson mixture regression model to analyse maternity length of hospital stay
    K Wang
    Department of Epidemiology and Biostatistics, School of Public Health, Curtin University of Technology, GPO Box U 1987, Perth, WA 6845, Australia
    Stat Med 21:3639-54. 2002
    ..In addition, predicted random hospital effects enable the comparison of relative efficiencies among hospitals after adjustment for patient case-mix and health provision characteristics...
  41. ncbi [Measurement of relative cost weights as an effect of the retrospective application of adjusted clinical groups in primary care]
    Antoni Sicras-Mainar
    Badalona Serveis Assistencials, S A, Badalona, Barcelona, Espana
    Gac Sanit 20:132-41. 2006
    ....
  42. ncbi Predicting costs of care using a pharmacy-based measure risk adjustment in a veteran population
    Anne E Sales
    VA Puget Sound Health Care System, Seattle, Washington 98108, USA
    Med Care 41:753-60. 2003
    ..The Veterans Health Administration (VHA) is an ideal environment in which to test the efficacy of a pharmacy-based approach...
  43. ncbi Construction and characteristics of the RxRisk-V: a VA-adapted pharmacy-based case-mix instrument
    Kevin L Sloan
    VA Puget Sound Health Care System, Seattle, Washington 98108, USA
    Med Care 41:761-74. 2003
    ..Our goal was to provide a reliable and valid pharmacy-based case-mix classification system for chronic diseases found in the Veterans Health Administration (VHA) population...
  44. ncbi Emergency room utilization in Copenhagen: a comparison of immigrant groups and Danish-born residents
    Marie Norredam
    Department of Health Services Research, Institute of Public Health, University of Copenhagen Denmark
    Scand J Public Health 32:53-9. 2004
    ..The aim of the study was to investigate whether utilization of the emergency room differed between immigrant groups and Danish-born residents in Copenhagen, Denmark...
  45. pmc Community-acquired pneumonia on the intensive care unit: secondary analysis of 17,869 cases in the ICNARC Case Mix Programme Database
    Mark Woodhead
    Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
    Crit Care 10:S1. 2006
    ..This paper describes the case mix, outcome and activity for admissions to intensive care units (ICUs) with community-acquired pneumonia (CAP)...
  46. ncbi Types of morbidity and categories of patients in a Swedish county. Applying the Johns Hopkins Adjusted Clinical Groups System to encounter data in primary health care
    Lennart Carlsson
    Center for Family Medicine Stockholm, Department of Clinical Science, Karolinska Institutet, Stockholm, Sweden
    Scand J Prim Health Care 22:174-9. 2004
    ..To elucidate types of morbidity and categories of patients in a large population...
  47. ncbi Adjusted Clinical Groups use as a measure of the referrals efficiency from primary care to specialized in Spain
    Antoni Sicras-Mainar
    Planning Management, Badalona Serveis Assistencials, SA, Badalona, Barcelona, Spain
    Eur J Public Health 17:657-63. 2007
    ..To determine the referral rate (RR) per centre, its main causes and the adjusted efficiency indexes, through the retrospective implementation of the Adjusted Clinical Groups (ACG) in a Spanish primary care setting...
  48. pmc Managed care, time pressure, and physician job satisfaction: results from the physician worklife study
    M Linzer
    Department of Medicine, University of Wisconsin, Madison 53705, USA
    J Gen Intern Med 15:441-50. 2000
    ..Whether providing more time for patient encounters would improve job satisfaction in HMOs or other practice settings remains to be determined...
  49. ncbi Revisiting physicians' financial incentives in Quebec: a panel system approach
    Abdelhak Nassiri
    University of Western Brittany, France
    Health Econ 15:49-64. 2006
    ..In particular, it successfully addresses issues of physician heterogeneity, jointness between consultations and temporal breaks and generates robust estimates of PCPs volume and quality reactions to regulatory changes...
  50. ncbi Evaluating diagnosis-based case-mix measures: how well do they apply to the VA population?
    A K Rosen
    Center for Health Quality, Outcomes and Economic Research, Bedford VAMC, MA 01730, USA
    Med Care 39:692-704. 2001
    ..Diagnosis-based case-mix measures are increasingly used for provider profiling, resource allocation, and capitation rate setting. Measures developed in one setting may not adequately capture the disease burden in other settings...
  51. pmc Variability in prescription drug expenditures explained by adjusted clinical groups (ACG) case-mix: a cross-sectional study of patient electronic records in primary care
    Alba Aguado
    Catalan Institute of Oncology, IDIBELL, L Hospitalet, Barcelona, Spain
    BMC Health Serv Res 8:53. 2008
    ..We have estimated the variability in pharmacy costs explained by ACG in centers using patient electronic records, profiled centers and physicians and analyzed the correlation between cost and quality of prescription...
  52. ncbi Burden of hospitalizations due to Rotavirus infection in Emilia Romagna, Italy
    Giovanni Gabutti
    Section of Hygiene and Occupational Health, Department of Clinical and Experimental Medicine, University of Ferrara
    Acta Biomed 78:176-81. 2007
    ..The extensive use of these vaccines could reduce hospitalizations and related costs in industrialized countries...
  53. pmc Finding future high-cost cases: comparing prior cost versus diagnosis-based methods
    A S Ash
    Department of General Internal Medicine, Boston University, MA 02118, USA
    Health Serv Res 36:194-206. 2001
    ..Combined cost and diagnostic data are even more powerful and more operation ally useful, especially because the diagnostic information identifies the medical problems that may be managed to achieve better out comes and lower costs...
  54. ncbi Case-mix payment in Japanese medical care
    Shinichi Okamura
    Department of Medical Informatics and Decision Sciences, Gunma University Hospital, 3 39 15 Showa Machi, Maebashi, Gunma 371 8511, Japan
    Health Policy 74:282-6. 2005
    ..For the expansion of this system, ongoing program refinement, reflecting the results of data analysis, is indispensable...
  55. ncbi Predicting pharmacy costs and other medical costs using diagnoses and drug claims
    Yang Zhao
    DxCG, Inc, Boston, Massachusetts, USA
    Med Care 43:34-43. 2005
    ..Predicting health care costs for individuals and populations is essential for managing care. However, the comparative power of diagnostic and drug data for predicting future costs has not been closely examined...
  56. ncbi Patient reported quality of care before vs. after the implementation of a diagnosis related groups (DRG) classification and payment system in one Swedish county
    B Ljunggren
    Department of Public Health and Caring Sciences, Uppsala University, Sweden
    Scand J Caring Sci 15:283-94. 2001
    Patient reported quality of care before vs. after the implementation of a diagnosis related groups (DRG) classification and payment system in one Swedish county...
  57. pmc Measuring population health risks using inpatient diagnoses and outpatient pharmacy data
    Y Zhao
    DxCG Inc, Boston, MA 02111, USA
    Health Serv Res 36:180-93. 2001
    ..Properly organized and in combination these data are promising predictors of future costs...
  58. pmc Case-mix and variation in specialist referrals in general practice
    Caoimhe O Sullivan
    University College London Hospital NHS Trust
    Br J Gen Pract 55:529-33. 2005
    ..The potential of a comprehensive measure of patient morbidity to explain variation in referrals to secondary care has not previously been examined in the UK...
  59. ncbi Prospective casemix-based funding, analysis and financial impact of cost outliers in all-patient refined diagnosis related groups in three Belgian general hospitals
    Magali Pirson
    School of Public Health, Universite Libre de Bruxelles, Brussels, Belgium
    Eur J Health Econ 7:55-65. 2006
    ..The billing generated by these patients largely compensates for costs generated. Length of stay and charges are not a good approximation to select cost outliers...
  60. ncbi [Retrospective application of adjusted clinical groups (ACGs) at a primary care centre]
    A Sicras-Mainar
    Dirección de Planificación, Badalona Servicios Asistenciales S A Badalona, Barcelona, Espana
    Aten Primaria 37:439-45. 2006
    ..To evaluate retrospectively the application of adjusted clinical groups (ACGs) at a primary care centre...
  61. ncbi Approaching cross-national comparisons of nursing home residents
    B E Fries
    Institute of Gerontology and School of Public Health, VA Medical Center, University of Michigan, Ann Arbor 48109 2007, USA
    Age Ageing 26:13-8. 1997
    ..We report comparative statistics representing institutionalized residents in seven nations, describing from several hundred to hundreds of thousands of residents...
  62. ncbi Application of functional independence measure-function related groups and resource utilization groups-version III systems across post acute settings
    T B Eilertsen
    University of Colorado Health Sciences Center, Center on Aging Research Section, Denver 80206, USA
    Med Care 36:695-705. 1998
    ..The present study evaluated alternative patient classification systems for skilled nursing facility and rehabilitation facility patients...
  63. ncbi [Contribution of the microbiology laboratory to epidemiologic surveillance]
    Encarnación Román
    Enferm Infecc Microbiol Clin 21:387-8. 2003
  64. ncbi A closer look at all-patient refined DRGs
    Richard F Averill
    3M Health Information Systems, Wallingford, CT, USA
    J AHIMA 73:46-50. 2002
  65. ncbi The ICD-9-based illness severity score: a new model that outperforms both DRG and APR-DRG as predictors of survival and resource utilization
    R Rutledge
    Department of Surgery, University of North Carolina at Chapel Hill 27599 7210, USA
    J Trauma 45:791-9. 1998
    ..The study also compared the outcome predictions of ICISS with those of the long-established diagnosis-related groups (DRG) and the 3M product APR-DRG systems...
  66. pmc Case mix, outcome, and activity for admissions to UK critical care units with severe acute pancreatitis: a secondary analysis of the ICNARC Case Mix Programme Database
    David A Harrison
    Intensive Care National Audit and Research Centre ICNARC, Tavistock House, Tavistock Square, London WC1H 9HR, UK
    Crit Care 11:S1. 2007
    ..We describe the case mix, outcome, and activity of admissions with SAP who were identified from a high-quality clinical database...
  67. pmc Performance evaluation of inpatient service in Beijing: a horizontal comparison with risk adjustment based on Diagnosis Related Groups
    Weiyan Jian
    School of Public Health, Health Science Center, Peking University, Hai Dian District, Beijing, PR China
    BMC Health Serv Res 9:72. 2009
    ..To achieve better progress, an effective tool for evaluating medical performance needs to be established. In view of this, this study attempted to develop such a tool appropriate for the Chinese context...
  68. ncbi Predicting length of stay in an acute care hospital: the role of psychosocial problems
    J Keefler
    Montreal General Hospital, Montreal, QC, Canada
    Soc Work Health Care 33:1-16. 2001
    ..Workers found clients had significantly more problems related to their social role functioning than problems in the environment...
  69. ncbi Measuring performance in health care: case-mix adjustment by boosted decision trees
    Anke Neumann
    Assistance Publique Hopitaux de Paris, Direction de la Politique Médicale, 3 Av Victoria, F 75184 Paris Cedex 04, France
    Artif Intell Med 32:97-113. 2004
    ..The purpose of this paper is to investigate the suitability of boosted decision trees for the case-mix adjustment involved in comparing the performance of various health care entities...
  70. ncbi Prevalence estimation of anorectal malformations using German diagnosis related groups system
    Ekkehart Jenetzky
    Institute for Medical Biometry and Informatics, University of Heidelberg, Im Neuenheimer Feld 305, 69120, Heidelberg, Germany
    Pediatr Surg Int 23:1161-5. 2007
    ..It may be a useful supplement to smaller regional registries because of larger size. Further calculations for other epidemiological questions have to be faced...
  71. ncbi Clinical findings of the second 1000 UK Gulf War veterans who attended the Ministry of Defence's Medical Assessment Programme
    H A Lee
    Gulf Veterans' Medical Assessment Programme (GVMAP, Baird Health Centre, St Thomas' Hospital, London, SE1 7EH
    J R Army Med Corps 147:153-60. 2001
    ..The pattern of disease is similar to that seen in NHS practice. We found, like others, no evidence to support a unique Gulf War syndrome. Post conflict illnesses have many common features...
  72. ncbi Predicting the cost of hospital stay for stroke patients: the use of diagnosis related groups
    Silvia Evers
    Department of Health Organization Policy and Economics, Maastricht University, P O Box 616, 6200 MD Maastricht, The Netherlands
    Health Policy 61:21-42. 2002
    ..are considering the implementation of output-pricing based on hospital case-mix measures, such as diagnosis related groups (DRG)...
  73. ncbi Patient based 'burden-of-illness' in Swedish primary health care. Applying the Johns Hopkins ACG case-mix system in a retrospective study of electronic patient records
    L Carlsson
    Centre for Development of Health Services, Stockholm County Council, Sweden
    Int J Health Plann Manage 17:269-82. 2002
    ..The ACG should be a driving force in the development of health indices in both national and international comparisons, as a result of its focus on the health status of patients and populations instead of on diagnoses and diseases...
  74. ncbi Comparing outcomes of coronary artery bypass surgery: Is the New York Cardiac Surgery Reporting System model sensitive to changes in case mix?
    L G Glance
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    Crit Care Med 29:2090-6. 2001
    ..To assess the validity of using the standardized mortality ratio (SMR), based on the New York State Cardiac Surgery Reporting System (CSRS) prediction model to compare coronary artery bypass grafting (CABG) outcomes between hospitals...
  75. pmc Adjusted clinical groups: predictive accuracy for Medicaid enrollees in three states
    E Kathleen Adams
    Rollins School of Public Health, Emory University, Room 656, 1518 Clifton Road NE, Atlanta, GA 30322, USA
    Health Care Financ Rev 24:43-61. 2002
    ..Higher and more unpredictable expenses of short-term enrollees moderated the predictive power of ACGs. This limitation was significant in Mississippi due in part, to that State's very high proportion of short-term enrollees...
  76. pmc Influence of patient gender on admission to intensive care
    Rosalind Raine
    Health Services Research Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
    J Epidemiol Community Health 56:418-23. 2002
    ..To compare the case mix and outcomes of male and female patients admitted to intensive care units for a wide range of conditions...
  77. ncbi Classifying psychiatric inpatients: seeking better measures
    J Durbin
    Health Systems Research Unit, Clarke Division, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
    Med Care 37:415-23. 1999
    ..In recognition of the fact that many patient factors, in addition to diagnosis influence delivery of care in psychiatry, new measures of patient need are emerging...
  78. pmc Characteristics and outcome for admissions to adult, general critical care units with acute severe asthma: a secondary analysis of the ICNARC Case Mix Programme Database
    Dheeraj Gupta
    Department of Respiratory Medicine, Birmingham Heartlands Solihull NHS Trust, Birmingham, UK
    Crit Care 8:R112-21. 2004
    ....
  79. ncbi The added value that increasing levels of diagnostic information provide in prognostic models to estimate hospital mortality for adult intensive care patients
    N F de Keizer
    Department of Medical Informatics, Academic Medical Center, Amsterdam, The Netherlands
    Intensive Care Med 26:577-84. 2000
    ..To investigate in a systematic, reproducible way the potential of adding increasing levels of diagnostic information to prognostic models for estimating hospital mortality...
  80. ncbi Nutritional assessment and management in hospitalised patients: implication for DRG-based reimbursement and health care quality
    J Ockenga
    Department of Gastroenterology, Hepatology and Endocrinology, Charite, Universitatsmedizin Berlin, Schumannstrasse 20 21, 10117 Berlin, Germany
    Clin Nutr 24:913-9. 2005
    ..The primary aim of this study was to evaluate the economic effect of a nutritional screening procedure on the identification and coding of malnutrition in the G-DRG system...
  81. ncbi [Postoperative complications in stapes surgery. An analysis of medical and economic aspects]
    J Klask
    Universitäts Hals Nasen Ohren Klinik Essen
    HNO 51:893-7. 2003
    ..Stapedectomy surgery seems to be appropriate for resource and cost management. To avoid unfair future losses for the hospitals, a mechanism of compensation for very expensive medical complications should be developed...
  82. ncbi [Cost comparison of different graft materials in femoropopliteal bypass: experience with G-DRG]
    T Nowak
    Klinik für Gefässchirurgie, Vaskuläre und Endovaskuläre Chirurgie, Klinikum Krefeld, Lutherplatz 40, 47805 Krefeld
    Zentralbl Chir 131:25-30. 2006
    ..The process cost calculation of femoropopliteal bypass should as an example illuminate the charge of a surgical procedure under hospital conditions...
  83. ncbi [Current state of the art of cardiological emergency care and the DRG system in 2004]
    Gerhard Steinbeck
    Med Klinik I, Klinikum Grosshadern, Ludwig Maximilians Universitat Munchen
    MMW Fortschr Med 146:28-9. 2004
  84. ncbi Cost accounting to determine prices: how well do prices reflect costs in the German DRG-system?
    Jonas Schreyögg
    Department of Health Care Management, Berlin University of Technology, Strasse des 17 Juni 145, 10623 Berlin, Germany
    Health Care Manag Sci 9:269-79. 2006
    Germany has recently introduced a system of Diagnosis Related Groups (DRGs) to engender more appropriate resource allocation. The following article describes the German DRG-system and the methodologies used to determine prices...
  85. ncbi The reform of hospital financing in Germany: an international solution?
    Markus Lungen
    Institute of Health Economics and Clinical Epidemiology, University of Cologne, Cologne, Germany
    J Health Organ Manag 17:360-72. 2003
    From 2003, each inpatient's stay at a German hospital will be reimbursed according to diagnosis related groups. The former German hospital financing system, which consisted partly of per diem rates and partly of per-case rates, was ..
  86. ncbi [DRG-based cost analysis of inpatient conservative treatment of stage III/IV peripheral arterial occlusive disease]
    H Heidrich
    DRG Arbeitsgruppe der Deutschen Gesellschaft für Angiologie, Berlin
    Vasa 32:235-40. 2003
    ..Moreover, the study population was compared with a German calculation sample for the DRGs F65A/B, as published by InEK...
  87. ncbi Variation in patient routine costliness in U.S. psychiatric facilities
    Jerry Cromwell
    RTI, 411 Waverley Oaks Road, Suite 330, Waltham, Massachusetts 02452 8414, USA
    J Ment Health Policy Econ 8:15-28. 2005
    ..Because of claims data limitations, these levels do not account for patient-specific staffing costs within a facility's routine units, nor are certain key patient characteristics considered for higher payment...
  88. ncbi Cost containment and infusion services
    Kathy Kokotis
    Resources, Inc, Crown Point, Indiana 46307, USA
    J Infus Nurs 28:S22-32; quiz S33-6. 2005
    ..This article discusses the impact of the MPPS on clinicians who provide infusion therapy, and examines methods for containing costs related to infusion care such as advanced planning and accurate vascular access device selection...
  89. ncbi [Reimbursement of patients with high costs in a department of otorhinolaryngology of maximum care and refinancing by the German DRG system]
    E Bachor
    Universitäts Hals Nasen Ohren Klink, Ulm
    Laryngorhinootologie 84:594-601. 2005
    With the introduction of a diagnosis related groups (DRG)-system in Germany, the medical analysis of the total costs of caring for a given patient is of significance...
  90. ncbi [Developing rehabilitation treatment groups for cardiology and orthopaedics -- findings of a research project]
    J Ranneberg
    Institut für Volkswirtschaftslehre insb Sozial und Gesundheitsökonomik, Universitat der Bundeswehr Munchen
    Rehabilitation (Stuttg) 44:34-43. 2005
    ..This situation changed with the introduction of German Diagnosis Related Groups (DRGs) for acute care settings...
  91. ncbi Impact of the Japanese Diagnosis Procedure Combination-based Payment System on cardiovascular medicine-related costs
    Hideo Yasunaga
    Department of Planning, Information and Management, University of Tokyo Hospital, Hongo, Japan
    Int Heart J 46:855-66. 2005
    ..It therefore became clear that the DPC-based payment system does not decisively provide an economic incentive to reduce LOS in cardiovascular medicine...
  92. ncbi The origins, development, and passage of Medicare's revolutionary prospective payment system
    Rick Mayes
    University of Richmond Department of Political Science, 28 Westhampton Way, Richmond, VA 23173, USA
    J Hist Med Allied Sci 62:21-55. 2007
    ....
  93. ncbi [Financing methods for psychiatric care: concepts, evidence and requirements]
    Ulrich Frick
    Institut für Suchtforschung, Psychiatrische Universitatsklinik, Zurich, Schweiz
    Psychiatr Prax 31:163-6. 2004
  94. ncbi Using average cost methods to estimate encounter-level costs for medical-surgical stays in the VA
    Todd H Wagner
    VA HSR and D Health Economics Resource Center, Stanford University, USA
    Med Care Res Rev 60:15S-36S. 2003
    ..They discuss the method's limitations and application in other health care systems...
  95. ncbi [Effect of DPC based payment and its future]
    Shinya Matsuda
    Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Kitakyushu, Japan
    Nihon Geka Gakkai Zasshi 106:633-6. 2005
    ..It has been observed the reduction of ALOS, resource uses such as laboratory test radiological examination, drugs and supplies. The under treatment due to strong incentive for cost containment has not been observed up to now...
  96. ncbi Combining DRGs and per diem payments in the private sector: the Equitable Payment Model
    Brian W T Hanning
    Australian Health Service Alliance, 979 Burke Road, Camberwell, VIC 3124, Australia
    Aust Health Rev 29:80-6. 2005
    ..The advantages in the context of the private sector of EPM(TM) being a per diem model, albeit very different to current per diem models, are discussed. The advantages of EPM(TM) for hospitals and health funds are outlined...
  97. ncbi [DRG practice: thoracic surgery operations of the thoracic wall]
    K Welcker
    Abteilung für Thoraxchirurgie, Krankenhaus Grosshadern, Zentrum fur Pneumologie und Thoraxchirurgie
    Chirurg 75:M68-70. 2004
  98. ncbi [Homogeneity of G-DRGs in ophthalmology]
    P Gass
    Augenklinik, Ludwig Maximilians Universitat, Munchen
    Ophthalmologe 101:733-40. 2004
    ..The aim of this study was to analyze the data of the first German national hospital cost data calculation for their homogeneity...
  99. ncbi Costs associated with hospital-acquired bacteraemia in a Belgian hospital
    M Pirson
    Department of Health Economics, School of Public Health, Universite Libre de Bruxelles, 806 Route de Lennik, B1070 Brussels, Belgium
    J Hosp Infect 59:33-40. 2005
    ..At present, the Belgian healthcare system covers most extra costs; however, in the future, these outcomes of hospital-acquired bacteraemia will not be funded and prevention will be a major concern for hospital management...
  100. ncbi [Comorbidity of mental disorders in the German G-DRG system -- effect on length of stay and revenue at a university hospital]
    Markus Burgmer
    Klinik für Psychosomatik und Psychotherapie, Universitatsklinikum Munster, Domagkstr 22, D 48129 Munster, Germany
    Z Psychosom Med Psychother 50:306-16. 2004
    ..The effect of comorbid mental disorders on the length of stay and revenue in a DRG system was investigated...
  101. ncbi Patient casemix classification for medicare psychiatric prospective payment
    Edward M Drozd
    RTI International, 411 Waverley Oaks Rd, Suite 330, Waltham, MA 02452 8414, USA
    Am J Psychiatry 163:724-32. 2006
    ..For a proposed Medicare prospective payment system for inpatient psychiatric facility treatment, the authors developed a casemix classification to capture differences in patients' real daily resource use...

Research Grants62

  1. Chronic Stress and Abdominal Pain: Novel Mechanisms
    John W Wiley; Fiscal Year: 2013
    ....
  2. Neurorestorative Strategy for Diabetic Peripheral Neuropathy
    Feng Qiao Li; Fiscal Year: 2013
    ..2) To determine if COG112 exerts neuroprotective and neurorestorative effects in vivo by functional and histological examination in a DPN model of BKS db/db mice. ..
  3. Stress and Visceral Hyperalgesia: Epigenetic Mechanisms
    John W Wiley; Fiscal Year: 2012
    ..Therapeutic interventions that target epigenetic mechanisms are touted as a pathway to personalized medicine in the future. ..
  4. Merkel cells specify innervating SAI sensory neuron phenotype.
    Erin G Reed-Geaghan; Fiscal Year: 2013
    ..These experiments will determine the molecular cascades involved in SAI identity and the peripheral contribution to these processes. ..
  5. ALTERED SENSIBILITY FOLLOWING PERIPHERAL NERVE DAMAGE
    Clifford J Woolf; Fiscal Year: 2013
    ....
  6. Tetrahydrobioperin acts as a pain signaling molecule
    Yessenia M Ibarra; Fiscal Year: 2012
    ..Identifying the actions of BH4 in the cell bodies of sensory neurons could lead to potential molecular targets for analgesics to relieve symptoms of chronic pain while eliminating side effects. ..
  7. Mechanisms of Neuroinflammation after Fracture
    Wade S Kingery; Fiscal Year: 2013
    ....
  8. Mechanisms of postnatal cutaneous afferent development during inflammation
    Michael P Jankowski; Fiscal Year: 2013
    ..These and future studies will allow us to better understand how changes in sensory fibers impact pediatric pain and may also lead to the establishment of more suitable treatments for pain in children. ..
  9. Evaluating the role of NRG-1 receptors in MPNST tumorigenesis
    STEPHANIE NICOLE BROSIUS; Fiscal Year: 2013
    ..The work proposed here will attempt to isolate the tumor initiating cells and understand the key signaling cascades required for tumor development in order to identify potential chemotherapeutic targets. ..
  10. MrgprC, A New Target for the Treatment of Neuropathic Pain
    Yun Guan; Fiscal Year: 2013
    ..Current study may identify a new pain-specific treatment target and lead to a novel mechanism-based approach to the treatment of neuropathic pain. ..
  11. Genetics and Gene X Environment Interactions during Opioid Administration
    David J Clark; Fiscal Year: 2013
    ..Furthermore, we will determine how genetic factors interact with pain in controlling adaptations to the chronic administration of these drugs. ..
  12. sc-rAAV8 via Lumbar Puncture as Spinal Analgesic Drug Delivery Systems
    Andreas S Beutler; Fiscal Year: 2013
    ..abstract_text> ..
  13. Improving Inpatient Psychiatric Payment: Cost and Quality Implications
    DONALD MICHAEL STEINWACHS; Fiscal Year: 2010
    ..The findings of this research are expected to be applied in Maryland by the HSCRC. In addition, the project has a Policy Advisory Committee with broad representation that will ensure national relevance. ..
  14. DRG engraftment of transduced mesenchymal stem cells to treat neuropathic pain
    Quinn H Hogan; Fiscal Year: 2013
    ..Completion of the proposed work will establish the basis for therapeutic trials of engineered MSC as sources of these or other analgesic peptides in larger animals or human subjects. ..
  15. Monocyte/macrophage traffic and peripheral nerve pathogenesis
    TRICIA HELEN BURDO; Fiscal Year: 2013
    ..The studies proposed here will provide new avenues of investigation into the development of therapies targeting the monocyte/macrophage in HIV peripheral neuropathy. ..
  16. Control of neuronal cAMP by light
    Lynn T Landmesser; Fiscal Year: 2012
    ....
  17. Identification of novel somatosensory receptors
    Ardem Patapoutian; Fiscal Year: 2013
    ..Our proposal uses state-of-the-art technologies of screening candidate- and genome-wide full length cDNAs and RNAis to identify novel receptors and potential sensors. ..
  18. DNA Methylation Profiling of Chronic Pain
    Andreas S Beutler; Fiscal Year: 2010
    ..Research outcomes of Aims 1 and 2 will be confirmed in an independent set of animals. If conducted now, the proposed study would be the first to investigate DNA cytosine methylation in pain. ..
  19. COMPARATIVE EFFECTIVENESS OF CARDIOVASCULAR DEVICES AND MEDICARE COST GROWTH
    Peter W Groeneveld; Fiscal Year: 2011
    ....
  20. Sensitization of intact nociceptors following contralateral nerve injury
    DEEPAK JYOTINDRA SONEJI; Fiscal Year: 2012
    ..Those genes could then be investigated further as potential targets for pharmacological treatment. ..
  21. Injury-induced plasticity of P2X receptor function
    Li Yen M Huang; Fiscal Year: 2013
    ..In addition, we will determine if blocking Epac activity can reduce abnormal pain behaviors in rats. These studies should provide a better understanding of the mechanisms underlying injury-induced P2XR sensitization. ..
  22. Promoting axon regeneration by activation of the Smad1 signaling pathway
    HONGYAN JENNY ZOU; Fiscal Year: 2013
    ..Finally the in vivo studies will validate a minimally invasive and clinically applicably therapeutic approach that can be readily translated into clinical trials for spinal cord injury patients. ..
  23. Sensory Plasticity During Central Neuropathic Pain Caused by Spinal Cord Injury
    Edgar T Walters; Fiscal Year: 2010
    ..The proposed studies will test the hypothesis that chronic pain caused by spinal cord injury is produced in part by spontaneous electrical activity in sensory neurons, and that pain may be reduced by blocking this activity. ..
  24. Neuronal-Glia Interactions in Trigeminal Ganglia as a Basis for Future Therapy
    Li Yen M Huang; Fiscal Year: 2013
    ....
  25. The genetic basis of pain sensitivity
    Michael Costigan; Fiscal Year: 2006
    ....
  26. SENSORY AXON PATHFINDING
    MARCIA HONIG; Fiscal Year: 2009
    ....
  27. BASELINE PSYCHIATRIC HOSPITAL PROFITS
    HOWARD TUCKMAN; Fiscal Year: 1991
    ..4) A predictive model used both to classify individual hospitals and to predict how changes in policy affects profit level...
  28. EICOSANOID MECHANISMS INITIATING NEUROGENIC INFLAMMATION
    MICHAEL VASKO; Fiscal Year: 2004
    ..This knowledge is critically important for understanding the process of neurogenic inflammation and in ultimately designing new drug therapies for the management of inflammatory diseases. ..
  29. COST-CONTAINMENT & INTER-PAYER DIFFERENCES IN TREATMENT
    KENNETH LANGA; Fiscal Year: 1991
    ..and rates of procedure-use will be calculated for both Medicaid and private patients for a range of Diagnosis Related Groups (DRGs)...
  30. Neurotrophic factor regulation of regenerated sensory neuron response properties
    Michael Jankowski; Fiscal Year: 2009
    ..This work may also lead us to better ways to treat injury related chronic pain states. ..
  31. BIOCHEMISTRY OF OPIOID TOLERANCE: CORD-GANGLIA CULTURE
    MAYNARD MAKMAN; Fiscal Year: 1992
    ..Studies of cross-tolerance may suggest new strategies for intervention during opiate withdrawal and for counteracting tolerance when chronic opiate treatment is needed...
  32. DO FREE CARE POOLS AFFECT HOSPITAL ACCESS FOR UNINSURED?
    Arnold Epstein; Fiscal Year: 1990
    ..will specify multiple regression equations with sophisticated controls for case mix and severity within Diagnosis Related Groups (DRGs). We will emphasize differences in our findings between discretionary and non discretionary (i.e...
  33. CHD INCIDENCE, MORTALITY, RISK FACTOR RELATIONSHIPS
    THOMAS KOTTKE; Fiscal Year: 1990
    ..There are few, if any, long-term U.S. data on the occurrence of AP, MI or SUD as the initial manifestation of CHD other than Framingham and the Rochester data. These data form a crucial complement to the national mortality data...
  34. DETERMINANTS OF NURSING CARE COSTS AND PATIENT OUTCOMES
    Ada Jacox; Fiscal Year: 1992
    ..The analytic approach to the data will be a multiple regression framework in which the dependent variable will be either a measure of nursing cost or patient outcome...
  35. EFFECT OF SUBSTANCE ABUSE/ALCOHOLISM ON DRG VARIABILITY
    SARMAD PIRZADA; Fiscal Year: 1990
    ..Our preliminary analysis indicates that substance abuse and alcoholism as a comorbidity is associated with longer than average LOS and charges at Harborview Medical Center...
  36. MUTATIONAL ANALYSIS OF ARABIDOPSIS DRG GENES
    JOEL STAFSTROM; Fiscal Year: 2000
    ..Potential mutants will be characterized for developmental and physiological defects that may give clues concerning the cellular mode of action of the DRGs and their physiological role. ..
  37. Correcting Under-reporting in HCUP Inpatient Data
    Clara Dismuke; Fiscal Year: 2004
    ..It is expected that this method may serve to increase the value of HCUP inpatient data to health services researchers. ..
  38. COMMUNITY HEALTH NURSING SERVICES UTILIZATION
    JUNE HELBERG; Fiscal Year: 1993
    ..Regression analysis is the overall strategy being planned to analyze the data...
  39. REGULATION AND DRG EFFECTS ON HOSPITAL MORTALITY RATES
    Larry Manheim; Fiscal Year: 1990
    ..It will also provide information on trends in adjusted hospital mortality data in the period since the introduction of Medicare prospective payment...
  40. HOSPITAL RESOURCE USE FOR HIV-INFECTED PATIENTS
    DAVID BIALY; Fiscal Year: 1992
    ....
  41. Caregivers of Cancer Pain Patients: Coping Intervention
    Susan McMillan; Fiscal Year: 2007
    ..The effectiveness of the intervention will be tested as well as identification of potential mediators and moderators of the effectiveness of the intervention. ..
  42. Somatic Sensory Neurons: Mechanisms of Heterogeneity
    Ardem Patapoutian; Fiscal Year: 2005
    ....
  43. VARIATION IN INPATIENT COST & NET CORPORATE VALUE BY DRG
    JOHN SILVERS; Fiscal Year: 1991
    ..The end result will be specific information by critical sub areas of the system on the effectiveness of marginal heath care expenditures. Areas for attention in both policy and management will be highlighted...
  44. Are Volume Standards Accurate Measures of Quality?
    Laurent Glance; Fiscal Year: 2005
    ..abstract_text> ..
  45. Psychometric Analyses of the CIDI-A
    Alan Zaslavsky; Fiscal Year: 2007
    ..g., Area Resources File, CPS, etc.). ..
  46. Virtual Recovery Simulation
    Margaret Stineman; Fiscal Year: 2006
    ..abstract_text> ..
  47. SENSORY NEURON ADDITION IN RAT
    PAUL FAREL; Fiscal Year: 2002
    ..We will also determine whether the presumed population of type-L neurons differs from nature sensory neurons in the functional differentiation. ..
  48. Impact of the Medicare Part D Benzodiazepine Exclusion on Managed Care Patients
    Susan Ettner; Fiscal Year: 2008
    ..Our findings will inform the ongoing debate over amending Part D legislation to include BZD coverage by providing objective data to guide policymakers on the likely costs and benefits. [unreadable] [unreadable] [unreadable]..
  49. Coverage, Organization of Care, and Colorectal Screening
    Eric Schneider; Fiscal Year: 2004
    ..Results of this study can guide the enactment of health policies that will increase rates of colorectal cancer screening and thereby reduce the incidence of colorectal cancer and its associated morbidity and mortality. ..
  50. Costs of Preventing Alcohol Problems in Older Adults
    Susan Ettner; Fiscal Year: 2007
    ..abstract_text> ..
  51. Treatment Patterns, Expenditures and Outcomes in MBHOs
    Susan Ettner; Fiscal Year: 2005
    ..e., how psychotherapy visits are associated with outcomes and expenditures. Selection models will be used to estimate this relationship for patients with and without drug use. ..
  52. INDEPENDENT SCIENTIST AWARD
    Kenneth Ottenbacher; Fiscal Year: 2007
    ....
  53. Disablement Process in Mexican American Older Adults
    Kenneth Ottenbacher; Fiscal Year: 2009
    ..The findings will extend our understanding of how frailty impacts independence and quality of life in the rapidly expanding Mexican American older adult population. ..
  54. Do amputees benefit from comprehensive rehabilitation services?
    Margaret Stineman; Fiscal Year: 2008
    ..abstract_text> ..
  55. MUTATIONS, HORMONE THERAPY, AND VENOUS THROMBOEMBOLISM
    Bruce Psaty; Fiscal Year: 2001
    ....
  56. Minicomputer Upgrade for the Clinical Resarch Database
    Colin Begg; Fiscal Year: 2002
    ..This proposal is a request for funds to upgrade the hardware platform once again to maintain the performance of the system in the face of these rapidly increasing demands. ..
  57. Impact of Changing Medicaid Policies on NH Quality
    Vincent Mor; Fiscal Year: 2006
    ..abstract_text> ..
  58. Challenging Life Events in Older Persons
    TIMOTHY DAALEMAN; Fiscal Year: 2005
    ..e. social support, mental health status. Secondary aims include learning how a baseline measure of patient spirituality predicts future death attitudes and discussions of advance care planning. ..
  59. Cerebral Edema in Pediatric Diabetic Ketoacidosis
    MONICA VAVILALA; Fiscal Year: 2006
    ..unreadable] [unreadable]..
  60. Biosurveillance Utilizing SNOMED-CT Based Natural Language Processing
    Peter Elkin; Fiscal Year: 2007
    ..The fruits of this research will assist our national initiatives to pave the way toward a safe and effective BioSecure biosurveillance solution. ..