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- 50 - ( ASE MIX DEFINITION BY DRC NIEDICAL Ckax Fic. 1. Tree diagram i!lustrating partitioning of urinary calculus patients. where almost everyone has a tonsillectomy anid/or an adenoidectomy. The high correlation of primary surgical procedure with primnary diagnosis results in no further variance reduction in the category that can be attributed to surgical procedures. Thus, although stirgery is aiinost always used in the treatmneit e.' i.,';esits with Hypertrophy of Tonsils anacl Adenoíds, since virtually every patient in this category had the same surgical procedure, the surgical information did not differentiate the utilization of these patients and was therefore not used in the formation of the DRGs for this category. 2.4 An Example The iterative partitioning process used in form;,-. the DRCs can hest be illustratedl ti¡ tic co.ltext ol aln xamill)lc-tile classitication of lMajor Diagnostic Category 55: Urinary Calculus. This category contains patients with a primary diagnosis (ICDA8 codes) of either 592, calculus of kidney and ureter, or 594, calculus of other parts of the urinary system. The formation of the DRGs from this Major Diagnostic Category is summarized in the tree diagram presented in Figure 1. First, this category is partitioned into 3 groups based on the variable primary surgical procedure. The first group contains; nonsurgical patients, which are those with either no operation or with a procedure code (ICDA8) outside the range 010-999, A10-A59,t The second and third groupsare fonned on the basis of the specific procedure perfonrned. In particular, the imore complicated procedures perfonned on patients with a urinary calculus-ne.phrotomy, ureterotomy, cystotomy-are in the third group, while f Operatitións oed outside these ranges ae not considered actual surgicil procedures since they represent minor procedures or therapies.
.'yo. XVIII. No. 2, Supplentcsit Size = 1125 - 51 - DRG CONSTRRUCTION TAtiLE 2. Descriptive Stastistics tor the Partitioning of MIajor I)iaganostic Category 55 (Urinary Calculis). Mean '-= 6.93 S.P. - 6.44 Partial M .Mean :' Independent Variance Length Variabhles Explainiiedl DRG No. Size lf Stay S.D. Priinary surgery . Minor Major Seconidary tLi.glo
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L 00111111 MASTER COPY - NO TOCAR B
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- ii - liancock, W., D. Magerlein y
Page 5 and 6: FOREWORD These last years, PAHO wit
Page 7 and 8: Workshop .- Education in Operationa
Page 9 and 10: -3. The format of the workshop was
Page 11 and 12: -5- 2. Programs for bringing togeth
Page 13 and 14: II. R.commendations -7- A series of
Page 15 and 16: -9- there are technically trained i
Page 17 and 18: -11- and selected individuals who h
Page 19 and 20: -13- 6. In order to improve the qua
Page 21 and 22: -15- cnve!opment will typically be
Page 23 and 24: -17- 16. All participants sbould pr
Page 25 and 26: A. Short Courses -19- Short courses
Page 27 and 28: -21- 4. Presentation of a case to b
Page 29 and 30: Topic Introduction to Systems Analy
Page 31 and 32: -25- 12. Elementary Statistics ior
Page 33 and 34: -27- 8. Applications of data proces
Page 35 and 36: -29- problems. The graduate should
Page 37 and 38: -31- Lblo-w. Also given is that typ
Page 39 and 40: - 33 -' -Case Mix Definition by Dia
Page 41 and 42: - 35 - Acknowledgment The authors w
Page 43 and 44: ML ICAL CAE1 Februurl 1980, Vol. XV
Page 45 and 46: X;' VIII, No. 2. Suippllce,t - 39 -
Page 47 and 48: - 41 - dMLDICAL C.ARE '.Fcbrtanj 19
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Page 63 and 64: - 57 - MEDICAL CARE Febiuary 1980,
Page 65 and 66: - 59 - .SlDiCL ( :AL.. FcbnartlrJ p
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Page 71 and 72: - 65 - £.¡EDCAL CARE ebrNuarV 1;9
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Page 77 and 78: 'XVII. No. 2. Supplement - 71 - P)i
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Page 89 and 90: T XVIII. No. 2. S.pphlts"t .i¿jor
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Page 99 and 100: - 93 - 414 R. FRRKICkIS AND J. PRAW
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V - 101 - McUCi. (:Au AWuu IMI. VoL
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GREENLAND ET AL - 103 - the case (p
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CREENLAND iT AL - 105 - TABLE 2. Fi
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GREENLAND ET AL. 3. Cornfleld J, Ha
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160 I indicates the flow of patient
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162 CONGESTION POINTS ANU CONTROL.A
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164 c 8o Table 4. The cffect of cha
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166 B. LEV etal. significant differ
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MEREDITH - 117 - ciety. However. ch
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I MEREDITH - 119 - varying oulcome
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MEDICAL CARE ,arch 1981, Vol. XIX,
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%,I. XIX, No. 3 iclnts. It should d
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n'ol. XIX, No. 3 - 125 - tailed exa
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1 Vol. XIX. No. 3 - 127 - tant for
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Vi. .XIX, No. 3 - 129 - tom' s reco
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- 131 - A \ ,,1. XIX, No. 3 PEHFOHR
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V Xl. IX, No. 3 - 133 - PERFORMANCE
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- 135 - The fourth requirement is l
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- 137 - Systems and Procedures of P
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- 139 - 2. ldentify problemn areas
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c 1 '-a
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u. o a.- 1 W. LZi - 143 - c c S C.
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- 145 - Thc cu rrent appointmren t-
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- 147 - A pure block appointment sy
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- 149 - ihe future. It was discover
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- 151 -
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- 153 - Figui.'¢ VII. Patient Arri
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- 155 - sonnel working in positions
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- 157 - 17. Keep the time span of t
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- 159 - TABLE I: Pnmary DesklConsul
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.Recomme;tded systenz - 161 - .;any
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- 163 - system, there is nr'. :vste
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- 165 - - A major problem with such
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- 167 - T1c Iteole of Olieraionls R
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- 169 - Larry J. Shumc- Harvey Wolf
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- 171 - '- ionoal Heolth Ploanning
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- 173 - Regional Health Planning ar
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- 175 - Regio.,oi Health Planning w
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- 177 - Regionao rfeclth Planning l
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A^CJonoal neonah ronning 21. 1'. F.
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- .,1 - Programming, Budgeting, and
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- 183 - the health care industí ,
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- 185 - was apparently no scarcity.
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ut, u a. íL ._c E 0 t42 a .. 0m u
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plex stochastic distribution of arr
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- 191 cumulated according to any or
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- 193 - Step 2 represents the heart
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ÍA en .aa
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- 197 - analysis, forecasting, and
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Budgeting Attitudes - 199 - The pla
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- 201 Health Services Research most
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a. - 203 - Health Services Research
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- 205 - DESIGN OF ALTERNATIVE PROVI
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- 207 - 1. A change in the immigrat
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- 209 - accessibility of health car
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- 211 - dimensional graph to illust
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- 213 - Primary Care Health Service
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- 215 - different health and educat
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- 217 - The tasks that were rated "
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IC1 o -a - i - w im W..i C -J M. -
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0 z 0 u _ I- 0 Ut. I,, uj CD Q U- ,
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TABLE 3 TASK ANALYSIS OF MALNUTRITI
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11 - 225 - TASK ANALYSIS OF MALNUTR
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- 227 - 12. Reisman, A., F.Staub, B
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- 229 - METHODS Parameters Affectin
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- 231 - ~HNCOCK Fig. 1. Daily censu
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- 233 - HANCOCK Table 1. Parameters
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- 235 - Fig. 3. Maximum average occ
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- 237 - HANCOCK ET AL Fig. 4. Maxim
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- 239 - AECOCL. Table 2. Eflect of
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- 241 - HANCOCK Discussion ET AL Th
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#12 Estinating the Need for Additio
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Pri c= arvicc a ia Indina. - 245 -
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. 1' - - IIINDLE Algorithmn for Det
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- 249 - HINDLE that all tlie primar
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- 251 - HINDLE 6. Computc Mhe Avail
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- 253 - HINDLA Tablek Meamm of Zfic
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HINDLE Tr AL HIALTH falvCU - 255 -
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- 257 - HIiDLZ 26. Ado, An . ad L.
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- 259 - REISMIAN, DEAN, ESOOBUE, AG
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- 261 - REISMAN, DEAN, ESOGBUE, AGG
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- 263 - 1350 REISMiAN, DEAN, ESOOBU
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- 265 - REISMAN, DEAN, ESOOBUE, AGO
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- 267 - 1354 REISMAN, IEAN, ESOGCUE
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- 269 - William J. Abernothy and Jo
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- 271 - William J. Abernathy and Jo
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- 273 - William 1. Abernothy ond Jo
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- 275 - William J. Abrnarthy and Jo
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- 277 - William J. Abernathy and Jo
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- 279 - William J. Aberncthy and Jo
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- 281 - 642 William J. Abernathy an
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Decmand in Mintu és/Day Numnlber o
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Disposal System 326 IIstlic I,',i,
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i Trays 334 Colorful pattenis anid
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tiie, gency L:ghting 347 ,i',., .:.
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- 296 - REVEI.LE we believe to be t
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- 293 R£VELLE is apparent in light
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- 295 - REVEt.EI. ET AL. poSJcd pro
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- 297 - RM.VELLE EL AL. of faciliti
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REVELLE ET AL. HALTOI SERVICUS RESE
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REVELLE ET Al.. - 301 - Fig. 4. Ano
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- 303 - REVet. ¡T AL Act of 1973.
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- 305 - REVELLE possible within ilh
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- 307 - RLVELI.E 29- Khumawala. a.
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- 309 - assuring thal the maxinmum
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-311 - the implemented strategy he
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- 313 - analytical approximalions w
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- 315 - rcquired Ior shipping and o
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- 317 - Controlling ¡he system The
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- 319 - The light pen techniques ar
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- 321 - shipnients have to be on ro
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- 323 THE CREATER NEIW' YORK BLOOD
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_,~ .- - 3. 2- - TABLE 1. PATIENT C
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TABLE 3. MEDICAL INTENSIVE CARE UNI
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Nursing Stalf Level (i of nurss/day
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Table 1. Factors ¡i denad for medi
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e forecast. This section descijbcs
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ei, paid to these standards in cond
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O Emphasis u.on the explicit enumer
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*1 1 21 1 «i 1 1 1 1 - 331, -- For
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Therc are ihreec basic prcessecs fi
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- 343 - Forecasting Hcalth Care Ser
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#20 Jaime 1B. Henrs Rtxlnc. I.. Ro:
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- 347 - I v,'N ti.K 1tHm.pi.l !, t1
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Ra.fo.renem.. aid %.hs '. - 31!9 -
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; / larman u empirical research has
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I Klarman - >3 - benefits that for
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I Klaman Ctitena for Inchmion - 355
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IClarman - 37 - The prevailing tend
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1 Klarman Intargibl Benefits - .5 -
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Kllarman - 361 - thi prospects of r
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- 363 - Thua, it did not consider w
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I Klannan - 365 - again if the new
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Klarman - 367 - At the other pole,
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- 369 - seem worth exploring. Howev
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iKlarman - 371 - in the use of serv
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Kmnnan - 373 - REFERENCES 1. Havema
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- 375 - 59. Valr y, W. S. One eonoi
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- 377 - i aSll a _ . b, CuaMu L. L,
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WAHRNER ANI) I|UTTr)N The puroses I
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WARNER AND HUTfON - 381 - observers
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.AHNF:R AND IIl'TIoN - 383 - rare I
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WARNER AND HUTTrU., TABLE 1. Trenda
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W'AHNER AND IHUTTON - 387 - treatme
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AAHNER AND HU'TON - 389 - Several d
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WARNER AND HUTTON pal orientations
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w'ARNER AND UL'TTOit'u ' . N Engl I
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I,,qr *ir 'ilu.,i XV. Seplteri¡br
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In.lumin- i',)i.eIu XV. Seph.irhb'r
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In#unrvlVolutn XV. September 1978 h
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Problemas identificados - 401 - Dur
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Programas educativos 3 - 403 - 1. S
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- 405 - maestrfa, donde se supone q
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- 407 - presentación formal de inf
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- 409 - * Curso para ingenieros ind
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- 411 - ¢ 16. Hancock, W., D. Mage
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- 413 - 2. Barrenechea, J. J. La se
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- 415 - Curwso (8 a 16 horas) para
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- 417 - 4. Necesidades de los admin
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MOISES ARTEAGA DR. DAVID GOMEZ COVA
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