Report writer tc health provide a report writer in

Info icon This preview shows pages 17–19. Sign up to view the full content.

Report Writer TC Health provide a report writer in the "Casemix Grouper", to facilitate the process of matching the Casemix Grouper data format to the format of the incoming data. This facility is extended to allow the user to construct individually customised output analysis reporting. All data that is fed to the Casemix Grouper is stored in a separate directory, for later examination of historical data, to feed clinical indicator and financial reporting, for interactive reporting and for use by the hospital when constructing their own "ad hoc' reports. The "Casemix Grouper" can either accept an input data file or can be used interactively in stand alone mode, with no reliance on the hospital patient management system. DRG Funding Model For Health Insurers and Universities TC Health offer pre-constructed algorithms, pseudo code and source code to assist the design of a funding model. Transition Mapping issues "Mapping" is the process of finding an equivalent code between two classifications e.g. ICD-9- CM and ICD-10-AM. An early issue in Germany is to be able to map German surgery codes to the Australian surgery codes. As of January 1, 2001 the German Hospitals will be using Australian medical codes and German surgical codes. The Australian AN-DRG v4.1 will not accept the German surgical codes so they have to be converted (mapped). Here is a mapping table The HIS patient information is transferred to the Casemix Grouper e.g. Name of Patient, Patient Number etc. Any ICD coding in the HIS system can also be transferred electronically. The code in Column "A" is entered into the Casemix Grouper interface either by single patient or by "Batch Processing". The software "Maps" the column "A:" code to the column "C" code. The code in Column "C" is sent to the Grouper.
Image of page 17

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

An Introduction to DRG's TC Health Administration © 18 In some circumstances it is not possible to find a direct match between the two different Tables. There is a separate column (not shown) where adjustments are made. The creation of German mapping Tables is being undertaken by the Universities. Here is the result of the mapping …… The "Mapped" column shows the Australian code and the "Code" column shows German code that was entered by the Hospital. DRG Research A second issue is to be able to map the old German medical codes to the new Australian medical codes. This requirement is for research. So the old German medical data can be examined to establish historical length of stay values for each DRG. Groupers work with a defined set of medical and surgical ICD codes. The ICD coding version and the Grouper version are exactly matched. Each Grouper version is developed on a unique set of disease and procedure codes and "Mapping" is important for time series data analysis .
Image of page 18
Image of page 19
This is the end of the preview. Sign up to access the rest of the document.
  • Fall '18
  • Diagnosis-related group, DRG

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern