PDF ALL PATIENT REFINED DIAGNOSIS RELATED GROUPS (APR-DRGs)

ALL PATIENT REFINED DIAGNOSIS RELATED GROUPS

(APR-DRGs)

Version 20.0

Methodology Overview

3M Health Information Systems

Richard F. Averill Norbert Goldfield, M.D. Jack S. Hughes, M.D.

Janice Bonazelli Elizabeth C. McCullough

Barbara A. Steinbeck Robert Mullin, M.D.

Ana M. Tang National Association of Children's Hospitals

and Related Institutions, Inc. John Muldoon Lisa Turner

Medical Advisory Committee for NACHRI APR-DRG Research Project

James Gay, M.D.

Copyright ? 2003, 3M. All rights reserved.

3M Health Information Systems has prepared this document for use only by 3M HIS personnel and 3M customers who have executed an Order Agreement. This document, and the information contained within, are confidential and proprietary to 3M, and may not be used, copied, reproduced, stored in a retrieval system or transmitted in whole or in part without the prior written permission of 3M. No permission is granted for this document, or an portion of this document, to be disclosed to, or used by, any party other than the 3M customer to whom this document is delivered by 3M HIS.

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This manual was written, designed, and produced by the Clinical Research and Documentation Departments of 3M Health Information Systems, Wallingford, Connecticut and Murray, Utah.

Document number GRP?041 Version 20.0 07/03

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ACKNOWLEDGEMENTS

The developement of the APR-DRGs, Version 20.0, involved the participation of many individual contributors. 3M HIS consultants Ruth Shaber, M.D., Warren Strauss, M.D., Stephen Wittenberg, M.D., David Earle, M.D., James Flink, M.D., James Slaughter, M.D., Robert Keller, M.D., Donald George, M.D., and Benjamin Gitterman, M.D. provided clinical input into the research. Data analysis support for the project was provided by Keith C. Mitchell, Enes Elia, Mona Bao, Julie-Anne Perry, and Oleg Kostenko. The software was produced by Ronald Mills and Laurence W. Gregg. It was tested by Susie Nickman and Carolyn Hogan. Assistance in the design and production of the APR-DRG Definitions Manual was provided by Sue Boucher, Kathy Blake, Marilyn Marino, and Darriell Rolka.

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Table of Contents

CHAPTER 1 CHAPTER 2 CHAPTER 3 APPENDIX A

HISTORY OF THE DEVELOPMENT OF THE DIAGNOSIS RELATED GROUPS (DRGS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

DEVELOPMENT OF THE ALL PATIENT REFINED DIAGNOSIS RELATED GROUPS (APR-DRGS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

BACKGROUND AND EXPLANATION OF APPROACH FOR REROUTING LOGIC IN APR-DRG, VERSION 20.0 . . . . . . . . . . . . . . . . . . . . . . . . . . 57

LIST OF ALL PATIENT REFINED DRGS, VERSION 20.0 . . . . . . . . . . . . . . . . . . . . . . 69

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