Fischer: Short Info: NordDRG (Skandinavia).

Z I M       January 2008


Short Info: NordDRG (Skandinavia)

Wolfram Fischer

Zentrum für Informatik und wirtschaftliche Medizin
CH-9116 Wolfertswil SG (Switzerland)
http://www.fischer-zim.ch/

Kapitel C.3 aus:
The DRG Family
State of affairs: 2007

      
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C.3

  

NordDRG – Nordic Diagnosis Related Groups (Skandinavia)

1
   

Starting in 1995, Scandinavian countries jointly developed the NordDRG grouper, which emulated the HCFA-DRG system version 12.0. This paved the way for the maintenance and development of a DRG version that would take into account national needs in differentiated ways. Participating countries were Denmark, Finland, Norway and Sweden. The system is also being used by Iceland.

2

 

ICD-10 and NCSP

Since 1999 at latest, participating countries have been using the ICD-10 to encode diagnoses, and the newly developed "Nordic Classification of Surgical Procedures" (NCSP) for codification of procedures.

3

1 Although such decision trees are represented in the electronic NordDRG manual, the grouping process and all adjustments are still made using decision-making tables.

 

Decision tables

As the NordDRG grouper uses decision tables instead of decision trees, it is more transparent than the DRG systems of United States.1

4

2 http:// www.nordcase.org / eng / norddrg _ manuals / versions /.

 

Manual in the Internet

The complete definitions manual is available on the internet.2

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3 Cf. Fernström [NordDRG-O, 2002]; Fernström [NordDRG-O, 2001].

 

"NordDRG-O" since 2002
for outpatient treatment

For sameday surgical procedures (not requiring inpatient care) and other outpatient treatments a reduced system called "NordDRG-O" has been developed. (The "O" in the acronym stands for "outpatient".) NordDRGs for medical treatments and treatments with complications or co-morbidities were skimmed off, while about 40 new NordDRGs were created for endoscopy and small procedures.3

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References

  
 
Fernström
NordDRG-O
2001
Fernström M. Development of a DRG System for Out­patient Procedures (NordDRG-O). In: Proceedings of the 17th PCS/E International Working Conference, Brugge 2001: 264–269.

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Fernström
NordDRG-O
2002
Fernström M. NordDRG-O, a New Nordic DRG system for outpatient procedures. In: Proceedings of the 18th PCS/E International Working Conference, Innsbruck 2002: 700–705.

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