DRG BASED PERFORMANCE INDICATORS OF ANGIOLOGICAL ACTIVE INPATIENT CARE
Author(s)
Endrei D, Boncz I
University of Pécs, Pécs, Hungary
OBJECTIVES: Angiological active inpatient care has been a field with a separate professional entity and code since 2012. Our study aimed at analysing the performance indicators of angiological active inpatient care. METHODS: Data analysed were taken from the DRG-based financial database of the National Health Insurance Fund Administration and the year examined was 2015. In our study, we determined average nursing times, the case-mix index (CMI), case numbers and cost weight for activities listed under professional code ’0101 Angiology, phlebology, lymphology’. RESULTS: In the year 2015, 13 health care institutions out of 7 counties reported having provided angiological care with a separate professional code to the National Health Insurance Fund Administration in Hungary. The national annual angiological active inpatient volume amounted to12,076 cases and 101,546 nursing days which was financed by the National Health Insurance Fund Administration with a DRG cost weight of 13.573. The market share of angiological care was 0.54% of the total active inpatient care based on case numbers, 0.57% based on cost weight, 0.80% based on number of active beds and 0.83% when calculated according to nursing days. The national average case-mix index for all medical specialist fields was 1.15249, while the average number of nursing days was 5.3 days/case. The national case-index of angiology (1.17373) was the highest in university clinics (1.39419) and the lowest in hospitals in the capital (1.02154). The national average length of stay was (8.1 days/case) was longer than the national professional average and was the shortest in town hospitals (7,6 days/case) and the longest in special hospitals (9.8 days/case). CONCLUSIONS: Performance indicators of angiological care suggest that the its case-mix index is higher than the national professional average, whereas nursing times are somewhat longer. Performance indicators of different types of institutions (universities, town and county hospitals, Budapest hospitals) show significant differences.
Conference/Value in Health Info
2017-05, ISPOR 2017, Boston, MA, USA
Value in Health, Vol. 20, No. 5 (May 2017)
Code
PCV91
Topic
Epidemiology & Public Health, Health Service Delivery & Process of Care
Topic Subcategory
Disease Classification & Coding, Health Care Research
Disease
Cardiovascular Disorders