Hospital case-mix definition by diagnosis related groups [DRGs]: developing and testing a methodology Part [2]: testing the methodology

ABSTRACT

A methodology for classifying hospital patients into diagnosis related groups [DRGs] was experimented in Abdel Nasser and Karmouz Hospitals in Alexandria. A random sample of patients admitted to the 2 hospitals constituted the data base. Using the methodology, these records were classified into 86 major diagnostic categories [MD Cs]. One of these MDCs i.e. urinary tract calculus was selected for further grouping. Following this methodology, this category was partitioned into 6 DRGs which were exclusive and exhaustive as well as clinically interpretable