Allocating Inpatient Expenses to Each DRG in All Clinical Services at DarnallArmy Community Hospital

摘要

The Assistant Secretary of Defense for Health Affairs has increased theresponsibilities of the military treatment facility (MTF) commander with the implementation of the Coordinated Care Program (CCP) initiative. No longer is the MTF commander responsible only for the health care provided at the MTF, but the commander is also responsible for managing the delivery of care to all beneficiaries in the MTF's catchment area. A primary goal under the CCP is that of providing cost-effective health care for the entire beneficiary population. The purpose of this study is to use existing data and establish a methodology for allocating expenses to each diagnosis related group (DRG) at DACH. The DRGs will be assigned a portion of expenses based on FY 92 expenses for the particular clinical service, the number of the inpatient workload units (IWU) produced by the service, and the weight of each DRG. In this way, expenses will be allocated to each DRG. The civilian sector has been using DRGs since 1984 and many of the hospitals identify cost and charges by the DRG. With the methodology provided in this study, the MTF will be able to make more accurate cost comparison of care by DRG at the MTF with the care provided by civilian providers/organizations in the catchment area. Diagnosis related group (DRG).