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Muñoz E, Greenberg R, Dietzek A, et al. The identifier concept: clinical parameters to stratify hospital costs within gastroenterology DRGs. Am J Gastroenterol. 1987;82(12):1250-5
Muñoz, E., Greenberg, R., Dietzek, A., Goldstein, J., Bank, S., & Wise, L. (1987). The identifier concept: clinical parameters to stratify hospital costs within gastroenterology DRGs. The American journal of gastroenterology, 82(12), 1250-5.
Muñoz, E, et al. "The identifier concept: clinical parameters to stratify hospital costs within gastroenterology DRGs." The American journal of gastroenterology vol. 82,12 (1987): 1250-5.
Muñoz E, Greenberg R, Dietzek A, Goldstein J, Bank S, Wise L. The identifier concept: clinical parameters to stratify hospital costs within gastroenterology DRGs. Am J Gastroenterol. 1987 Dec;82(12):1250-5. PMID: 3120576.
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Am J Gastroenterol. 1987 Dec;82(12):1250-5.

The identifier concept: clinical parameters to stratify hospital costs within gastroenterology DRGs.

The American journal of gastroenterology

E Muñoz, R Greenberg, A Dietzek, J Goldstein, S Bank, L Wise

Affiliations

  1. Division of Gastroenterology, Long Island Jewish Medical Center, New Hyde Park, New York.

PMID: 3120576

Abstract

Prospective payment systems using the diagnostic related group (DRG) payment mechanism are changing the incentives offered to hospitals. We studied hospital costs of all gastroenterological (GI) patients (n = 2500) treated during a 2-yr period at our academic medical center. We showed that patients within GI DRGs could be grouped regarding hospital costs by four clinical variables: intensive care unit or emergency admission, and blood or plasma product consumption. Patients within each DRG with the variable usually had higher total hospital costs, a longer stay in the hospital, a greater number of diagnoses, more outliers, and a poorer outcome than patients without the variables. As the variables accumulated, these differences became more pronounced. This study demonstrated that hospital costs may be stratified within GI DRGs by clinical parameters that occur during the patient's hospital stay. These four variables could identify higher cost patients within a DRG; cost containment could then be directed at these patients with, hopefully, resultant savings.

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