Fischer: Short Info: AR-DRG (Australia).

Z I M       January 2008


Short Info: AR-DRG (Australia)

Wolfram Fischer

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


Kapitel E.1 aus:
The DRG Family
State of affairs: 2007

      
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E.1

 

AR-DRG – Australian Refined Diagnosis Related Groups (Australia)

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1 The last version of AN-DRG (from 1996) was 3.1; so the first version of AR-DRG (from 1998) was numbered as version 4.0.

   

The ARDRG system was created in 1998 as an original Australian product based on the experience previously gathered from the DRG-inspired system called "AN-DRG".1 In its version 4.1 from 1999, it consisted of 409 base ARDRGs and 661 ARDRGs

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Table 1:
Hierarchical levels of AR-DRGs

Table 1: 
Hierarchical levels of AR-DRGs

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Source: Fischer [SL/AR-DRG, 2000].

 
 

CCL matrix

[Table 2] A particular feature of the ARDRG system is the CCL matrix (CCL = Complication and Comorbidity Level). In a space-saving way, it allows for each secondary diagnosis to be split into different severity levels depending on the base ARDRG.

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2 Severity categories are marked with letters "A" to "D" or with "Z". "Z" is used for ARDRGs without splitting into severity categories.

 

PCCL = Patient Clinical Complexity Level

[Table 3] Out of the combination of the CCL values of all secondary diagnoses, the "Patient Clinical Complexity Level" (PCCL) is determined. In order to operate with the least number of ARDRGs, PCCLs are subsequently aggregated into one up to four severity categories per base ARDRG.2

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Table 2:
CCL matrix

Table 2: 
CCL matrix

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Source: Fischer [AR-DRG, 2001].

 

Table 3:
CCL combinations and the resulting PCCLs

Severity Category CCL(Dg1) CCL(Dg2) CCL(Dg3) CCL(Dg4) CCL(Dg5) CCL(Dg6)
PCCL = 4   (CCC) 4 3
  4 2
  4 1 1
  3 3
  3 2 2
  3 2 1 1
  2 2 2 2
  2 2 2 1 1 1
PCCL = 3   (SCC) 4
  4 1
  3
  3 2
  3 2 1
  2 2
  2 2 2
  2 1
  1 1 1 1
PCCL = 2   (CC) 2
  1 1
PCCL = 1   (–) 1
PCCL = 0   (–)

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References

 
 
Fischer
SL/AR-DRG
2000
Fischer W. Das australische AR-DRG-System als Grundlage für ein deutsches DRG-System. In: Streiflicht Z I M 2000(8)2. Internet: http:// www.fischer-zim.ch / streiflicht / ARDRGs-in-Deutschland-0007.htm.

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Fischer
AR-DRG
2001
Fischer W. Das australische AR-DRG-System als Beispiel einer ärztlich-ökonomischen Klassifikation. In: SGMI-Proceedings, Basel 2001. Internet: http:// www.fischer-zim.ch / artikel / ARDRG-0105-SGMI.htm.

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