What is a diagnosis -related group?

The

diagnosis -related group (DRG) is a grouping of patients who are expected to have similar needs, based on their diagnoses, so far treatment and profiles in terms of age and the date of prospective discharge. There are a number of different systems used for categorizing groups related to the diagnosis in hospital and clinical environments and are used for activities such as the balance of the hospital case and determining what hospitals are eligible from government insurance companies and private insurance companies. They can also be used to monitor the results of the patient and hospital cases. Each group is based on why the patient is in the hospital and what procedures have been done with other considerations such as age and complications. For example, "craniotomy for a patient for more than 17 years" is an enthusiastic diagnosis-group. People in this group are expected to use similar levels of hospital resources. Using a group -related group system, hospitals can monitor their patients and find outt, what sources they have. While each patient is different, people with similar basic conditions and history of procedures tend to use similar levels of resources, from staff to imaging equipment.

Some insurance providers use salary for the performance system and monitor progress in devices using group -related group systems to determine how much the device should receive compensation. One of the advantages for standardized systems such as this is to remove counterfeit or inflated records; If everyone in the Group is expected to be connected to each member of the Group for each group member to cover related expenses. Looking at the performance in these groups can also be useful for how well the facility is to meet the care objectives of care.

These grouping systems are very large and recognize a huge number of reasons why ifThey look for treatment and potential for complications and co -morbidite. Patients may move between groups related to diagnosis due to changes in their conditions or cases, as can be seen when a patient develops serious complications requiring multiple medical interventions. A patient -related group is a matter of internal records, and patients are usually not said in which group -related group they are.