Република Србија
МИНИСТАРСТВО ЗДРАВЉА
Data Collection and Reporting
(continued)
Ric Marshall
10.45 - 11.30 Wednesday, 7th December 2011
Serbia Health Project – Additional Financing
Training for Trainers on AR-DRG, 05-09.12.2011
Република Србија
МИНИСТАРСТВО ЗДРАВЉА
ELEMENTS OF DATA
MANAGEMENT
• Data reporting policies and specifications
– Data dictionary
– Data set specification (eg NMDS)
– Data entry tools
– Data extraction tools
– Data edits and validation processes
• Data warehousing functions
– (incl) metadata management, data access
• Data analysis reporting
Serbia Health Project – Additional Financing
Training for Trainers on AR-DRG, 05-09.12.2011
INFORMATION SYSTEMS SCHEMA
Република Србија
МИНИСТАРСТВО ЗДРАВЉА
SAS ,SPSS, STATA, ACCESS
BUSINESS OBJECTS
REPORT
REPOSITORY
STATISTICAL
ANALYSIS
AED
EMD
ESIS
Aggregate
COGNOS,BRIO, EXCELL
CUBES
PIVOT
MH
DW
MDSs
Oracle, SAP, etc
SUPPLY
REPORTING
LAYER (MIS)
DATA
WAREHOUSE
MH
ODS
MH
CMI
MPI
HR
FMIS
PAS
BUSINESS LAYER
Serbia Health Project – Additional Financing
Training for Trainers on AR-DRG, 05-09.12.2011
EHR
Hospital Information Systems
Hospital Financial Data
Република Србија
МИНИСТАРСТВО ЗДРАВЉА
Cost Sheet
-Allocation
Statistics
Minimum Basic Data SetDRG Data Entry Tool
- Clinical Data, DRG
- Resource Consumption
Data
(preparecostsheet)
(analysis tool)
(CASES)
Diagnosis and procedures
Analysis Reports
Coding Analysis Reports
PICQ Software
Data Analysis Reports
Serbia Health Project – Additional Financing
Training for Trainers on AR-DRG, 05-09.12.2011
(volumefile) (costfile)
Combo Software
Cost Reports
Република Србија
МИНИСТАРСТВО ЗДРАВЉА
REPORTING FEEDBACK
• The key to
– GOOD DATA
– EFFICIENCY GAINS
– PERFORMANCE IMPROVEMENT
• The basis for rational planning
• A primary mechanism to assess
innovation and investment priorities.
Serbia Health Project – Additional Financing
Training for Trainers on AR-DRG, 05-09.12.2011
Република Србија
МИНИСТАРСТВО ЗДРАВЉА
•
•
•
•
•
•
Standard reports may
include
Productivity
Complexity
Allocative efficiency
Technical efficiency
Coding Completeness
And various quality indicators
– Outcome – Process
• Some examples follow …
Serbia Health Project – Additional Financing
Training for Trainers on AR-DRG, 05-09.12.2011
Република Србија
МИНИСТАРСТВО ЗДРАВЉА
Productivity
• Performance in total Weighted Episode (WEs) of all
hospitals
• Overall performance in total WEs against target by
hospital
• WEs by Major Diagnostic Categories (MDC) for Medical
Diagnosis Related Group (DRGs) by hospital
• WEs by MDC for Procedural DRGs by hospital
• Top 10 increment DRG families by hospital
• Top 10 decrement DRG families by hospital
Serbia Health Project – Additional Financing
Training for Trainers on AR-DRG, 05-09.12.2011
Република Србија
МИНИСТАРСТВО ЗДРАВЉА
Complexity
– Casemix Index of Medical and Procedural
DRGs of all hospitals
– Casemix Index (CMI) by MDC by hospital
– Average WEs per patient by MDC in by
hospital
– Average number of episodes per patient by
MDC by hospital
– Casemix – “1 Year On”
Serbia Health Project – Additional Financing
Training for Trainers on AR-DRG, 05-09.12.2011
Република Србија
МИНИСТАРСТВО ЗДРАВЉА
Allocative Efficiency
• Percentage same day episodes by MDC
of Medical and Procedural DRGs by
hospital
• Change in same day episodes of
Ambulatory Medical DRGs
• Percentage of episodes admitted via A&E
Department by MDC by hospital
Serbia Health Project – Additional Financing
Training for Trainers on AR-DRG, 05-09.12.2011
Technical Efficiency
Република Србија
МИНИСТАРСТВО ЗДРАВЉА
• Average Length of Stay (ALOS) of
Medical & Procedural DRGs of all
hospitals
• Change in ALOS by MDC by hospital
• Cost per weighted DRG by hospital
Serbia Health Project – Additional Financing
Training for Trainers on AR-DRG, 05-09.12.2011
Coding Completeness
Република Србија
МИНИСТАРСТВО ЗДРАВЉА
– Percentage of total multi-day episodes for Medical
and Procedural DRGs by severity level in all hospitals
– Percentage of total multi-day episodes with Major Comorbidities and Complication (MCC) by MDC for
Medical DRGs by hospital
– Percentage of total multi-day episodes with MCC by
MDC for Procedural DRGs in all hospitals
– Percentage of total multi-day episodes with MCC by
MDC by hospital
– WE / CMI by discharged specialty: 4-year trend
analysis by hospital
Serbia Health Project – Additional Financing
Training for Trainers on AR-DRG, 05-09.12.2011