5DRG 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…...
6Patient 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
7Method 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
8MaterialClinical 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