A new clinical complexity model for the Australian Refined Diagnosis Related Groups

Vera Dimitropoulos, Trent Yeend, Qingsheng Zhou, Stuart McAlister, Michael Navakatikyan, Philip Hoyle, John Pilla, Carol Loggie, Anne Elsworthy, Ric Marshall and Richard Madden

Health Policy, 2019, vol. 123, issue 11, 1049-1052

Abstract: The Australian Refined Diagnosis Related Groups (AR-DRG) underwent a major review in 2014 with changes implemented in Version 8.0 of the classification. The core to the changes was the development of a new methodology to estimate the Diagnosis Complexity Level (DCL) and to aggregate the complexity level of individual diagnoses to the complexity of an entire episode, resulting in an Episode Clinical Complexity Score (ECCS). This paper provides an overview of the new methodology and its application in Version 8.0.

Keywords: Australian Refined Diagnosis Related Groups (AR-DRG); Diagnosis Complexity Level (DCL); Episode Clinical Complexity Score (ECCS); Hospital resource utilisation; Activity Based Funding (ABF); Casemix (search for similar items in EconPapers)
Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:123:y:2019:i:11:p:1049-1052

DOI: 10.1016/j.healthpol.2019.08.012

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