5 DRG for MDC 01 DRG 01010 : Craniotomy exc for Trauma WO CC 01011 : Craniotomy exc for Trauma W Minor CC01012 : Craniotomy exc for Trauma W Moderate CC01013 : Craniotomy exc for Trauma W Major CC01014 : Craniotomy exc for Trauma W Extreme CC…...
6 Patient Clinical Complexity Level PCCL Determintion 1. Patient’s dataDx, Procedure, age, adm wt2. CCL Determination : ( for each SDx )DC SDxDC Col Table CC list with CC excl.CC Row TableCol CCL Matrix RowCCL(comorbidity & complication)3. CCL Arrangement and Recursive Exclusion4. PCCL Determination : Using Formula or Table
7 Method for calibration Standardised charge for room and food by replacing reported charge with callos x200 baht/day for teaching hospitals and callos x 100 baht/day for other hospitalRW is the mean of standardised charge for each charge divided by 10,000
8 MaterialClinical data of 4.2 million admissions in 2001 and 1.1 million in 2002Charge data of 640,109 in 2001 and 270,741 in 2002 (>0.8 and <1.2 consistency)Charge data >3,000 baht only 362,144 cases -> average charge 12,848 baht