期望值——马里兰.docVIP

PPC and APR DRG Statistical Methods Introduction The 3M? APR? DRG classification system categorizes patients based on their severity of illness and risk of mortality at the time of admission. In version 27.0 of the APR classification system, there are 314 APR DRG categories, each of which is subdivided into four subclasses for a total of 1,356 unique patient categories. Potentially Preventable Complications (PPCs) identify complications that can occur during an admission. There are 64 PPCs. Depending on their clinical characteristics, some patients are totally excluded from the PPC analysis, while others are partially excluded (i.e., cannot be considered for some PPCs, but may be considered for others). Rates of PPC occurrence can be calculated for each APR DRG category. These rates may be calculated using the occurrence of any PPC, a specific PPC, or a specific number of PPCs (e.g., one, two, three or more). These rates were calculated using the full Maryland dataset. These rates are typically referred to as norms because they reflect the experience of groups of hospitals. Once the expected occurrence of a PPC is computed, the difference between the observed (actual) occurrence and expected occurrence of a PPC can be multiplied by the PPC marginal charge amount in order to calculate the resource use or savings by PPC. Multiplying the marginal charge amount for each PPC times the case differential between the observed and expected PPC occurrence allows for each PPC to be weighted by an estimated resource use when summed across the various PPC, This total impact allows for the user to financially assess the difference in the observed and expected occurrence of each PPC. Further, using admission APR DRG categories to control differences in the clinical characteristics between their patients or those of the norm, individual hospitals can compare their PPC rates to those of the normative data. These comparisons will enable them to determine if and how the