Abstract
In France, GHM (French DRGs) have been used to fund the acute hospital sector since 2005, with extra per day for outliers or intensive care units, and specific payments for educational tasks, research and general interest. However, at present fees differ between for-profit and non-profit hospitals. But the law requires that fees must converge by 2012, with a 50% reduction in the differences by the end of 2009. France has one of the highest percentages of for-profit hospital beds in Europe. These hospitals are often very specialized. Homogenization of GHM becomes, therefore, a crucial issue. For-profit and non-profit hospitals do not have the same rates and the same kinds of CC. The current version of the French DRG uses only two levels of GHM (with/without CC), and specific GHMs for major CC, as do AP-DRGs. Hence, ATIH decided to improve the way to take CC into account.
Highlights
In France, GHM (French DRGs) have been used to fund the acute hospital sector since 2005, with extra per day for outliers or intensive care units, and specific payments for educational tasks, research and general interest
Patient Classification Systems International: 2008 Case Mix Conference Jason Sutherland and Penny Weeks Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here.
The method was applied on the effects of the diagnoses on the average length of stay, and on the percentage of stays longer than the median
Summary
Open Access from 24th Patient Classification Systems International (PCSI) Working Conference Lisbon, Portugal. 8–11 October 2008. Open Access from 24th Patient Classification Systems International (PCSI) Working Conference Lisbon, Portugal. Published: 27 November 2008 BMC Health Services Research 2008, 8(Suppl 1):A8 doi:10.1186/1472-6963-8-S1-A8. Patient Classification Systems International: 2008 Case Mix Conference Jason Sutherland and Penny Weeks Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here.
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