RDRGRefined Diagnosis-Related Group
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References in periodicals archive ?
The Yale severity revisions expand the number of patient classes to 1,263 RDRGs. Health Care Investment Analysts, Inc.
Because the RDRGs represent a significant increase in the number of patient classes, several issues are raised:
* The ability of the RDRGs to capture the difference in the amount of resources used to treat cases as severity increases.
Compared with the current Medicare DRGs, the Yale RDRGs result in a sizeable increase in the number of low-volume DRGs, and an even more significant increase in the number of DRGs with 30 or fewer cases.
For medical RDRGs, the relative weights of the "moderate" class of RDRGs are, on average, almost 40 percent higher than those for the "minor or no CC" class.
In addition, New York expanded the CC list by adding other diagnoses that are not considered catastrophic or major in the RDRGs based on the clinical judgment of medical staff.
Like the RDRGs, the New York AP-DRGs incorporate major CCs, but with the addition of only 54 DRGs.
Most recently, the APR-DRGs were developed as part of a joint research effort between 3M/Health Information Systems (HIS) and NACHRI to address the following limitations of the Yale RDRGs: