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Comparing Classification Methods

Measurement of Variations in Charges, Length of Stay, and Mortality

Bibliographic Data

ID9103096
AuthorsSusan D Horn (0000-0003-0199-4513, corresponding author), Dale N Schumacher (Washburn University)
Year1982
Volume20
Issue5
Pages489-500
Publication date1982-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198205000-00005
PMID6808258
OpenAlexW2088860186
LanguageEN
Citations received8
References cited4

We define and examine three alternative systems for categorizing hospital patients. The first system is based on discharge abstract data alone; the second system is based on discharge abstract data that has been reabstracted from charts for completeness and accuracy; the third system is based on a severity-of-illness index within a diagnostic group. Using acute myocardial infarction patients as an illustrative example, we examine the homogeneity of these categorization systems with respect to charges, length of stay and mortality rates. Our results indicate that a measure of patient severity of illness is essential to produce homogeneous categories to study hospital productivity for utilization review assessment by PSROs, for planning purposes by Health Systems Agencies, for hospital rate setting by cost review commissions and for internal hospital financial management and utilization review studies

Actuarial science · Business · Categorization · Health care · Healthcare system · Homogeneity (statistics) · Homogeneous · Hospital discharge · Intensive care medicine · Medical emergency · Myocardial infarction · Operations management · Statistics · Artificial Intelligence · Computer Science · Emergency Medicine · Engineering · Healthcare Policy and Management · Internal Medicine · Mathematics · Medical Coding and Health Information · Medicine

  • Measuring Severity of Illness

    Susan D Horn, Phoebe D Sharkey et al.•Medical Care•1983

  • Should DRG Assignment Be Based on Age

    Susan I Desharnais, Susan DesHarnais et al.•Medical Care•1988

  • Severity of Illness Index and the Adverse Patient Occurrence Index

    Dale N Schumacher, Barbara Parker et al.•Medical Care•1987

  • On newborn sickle cell screening in NYC

    L K Grossman, Linda Grossman•American Journal of Public Health•1983

  • On the cost of repealing motorcycle helmet laws

    Ronald L Somers•American Journal of Public Health•1983

  • Dr. Horn's Response

    Susan D Horn•American Journal of Public Health•1983

  • Illness severity, death, and hospital cost comparisons

    Mary E W Goss, M E Goss•American Journal of Public Health•1983

  • Regulation, retrenchment- The DRG experience

    Open Access•E Greer Gay, Jennie Jacobs Kronenfeld•Social Science & Medicine•1990

  • Should Operations Be Regionalized?

    Harold S Luft, John P Bunker et al.•New England Journal of Medicine•1979

  • Validity, Reliability and Implications of an Index of Inpatient Severity of Illness

    Susan D Horn•Medical Care•1981

  • Assessment of the AUTOGRP Patient Classification System

    WANDA W YOUNG, Robert Blane Swinkola et al.•Medical Care•1980

  • An Analysis of Case Mix Complexity Using Information Theory and Diagnostic Related Grouping

    Susan D Horn, Dale N Schumacher•Medical Care•1979

Unique citing works8
Citations per year0,19
Citation span1983 - 1990 (8)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5
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