Diagnosis-related group

The Diagnosis Related Group (DRG) is a basic set up group for diagnosis is how some insurance companies can categorize the cost of hospitalization. This in turn helps to decide how much to pay when a patient stays in the hospital. DRG are calculated by finding the average cost of the patient in a particular DRG based on age, diagnosis, surgical procedures and other factors. This base rate is adjusted based on structural differences across hospitals and other factors. There are many advantages and disadvantages to using the DRG system. One disadvantage of the DRG is that if the hospital spends more than the DRG payment whilst treating the patient, then the hospital will lose money. This could be bad in some extensive situations so hospitals…

SWOT Analysis Hamidi and Delbahari (2011) explains the SWOT analysis as a participatory model used by groups for examining conditions and developing appropriate strategies and plans, through assessing attributes and proficiencies to foster evidence for change within a group. SWOT analysis tool analyzes internal and external environments to make systematic approach to making decisions through analysis of strengths, weaknesses, opportunities, and threats. (Ghazinoory, Abdi, & Azadegan-Mehr,…

treatments as well as the associated costs. Each episode of patient care is assigned to a Diagnosis Related Group (DRG) which classifies numbers of diseases into groups which are clinically coherent and resource homogenous in terms of resource consumption and costs. DRG throughput will contribute to determining how much the hospital is paid for the patient care episode. This particular funding…

are based on rate per discharge and by using the Medicare Severity Diagnosis Related Group (MS-DRG) which are assigned to the patients. The MS-DRG is the system by which the Medicare patient’s hospital stay has been classified into different groups in order to make the payments for the services. The MS-DRG assigns code such as 190 stands for chronic obstructive pulmonary disease with MCC. The codes are distributed on the basis of major complication or comorbidity [MCC] and without MCC. There…

Article Assessment- Oppositional Defiant Disorder Kathryn Ervin Appalachian State University Overview of ODD ODD is a pattern of behaviors; angry/irritable mood, argumentative/defiant behavior, and vindictiveness. The symptoms have to be distressing in areas of social functioning to themselves and others, and cause significant problems in all areas such as school, work, home. The symptoms must be present among at least one person that is not a sibling. The behaviors have…

difficult phenomenon’s to detect: factitious disorder, malingering, Munchausen syndrome, and Munchausen by proxy. As a starting point for diagnosis and treatment, doctors rely on reported symptoms in order to accurately detect the problems with the patients. When patients give misleading information, consciously or unconsciously, doctors and physicians are unable to accurately diagnose the patient (Dyer & Feldman, 2007). This phenomenon is commonly known as factitious disorder, which the…

of generalized anxiety disorder and major depression. These diagnoses were chosen because of their consistent presence in published literature about mental health and homelessness. This study could not test for more diagnoses that had advanced diagnostic criteria due to not having access to a professional trained in diagnosing. The intention of the survey is also to be brief and easy to answer in order to maximize the number of participants completing it. These mental health results will be the…

the Anxiety Disorders Interview Schedule for DSM-IV (ADIS; DiNardo, Brown, & Barlow, 1994). The ADIS assesses anxiety disorders, as well as psychosis and other diagnoses that are often comorbid with anxiety disorders, such as major depression. The inclusion criteria for recruitment required that patients have primary diagnoses of DSM-IV anxiety disorders, but excluding those with specific phobias and public-speaking anxiety. They have to have had cohabited with their spouse or partner for at…

Association which have impacted clinicians. Initially, the DSM was based on the psycho-social model, however, it was later changed to focus on the medical model. The result of this change caused clinicians to have to diagnose individuals and include a diagnosis in most cases. Insurance companies pushed for a diagnosis as a means reimburse for treatment and therefore pay for the services. As the DSM was being changed, social workers were impacted tremendously by the changes. The role of social…

Protection of Human Subjects. After receiving approval from Baptist Hospital and University of Florida IRB committees data collection began. Data was gathered by Tanya Warner, DNP student and employee of Baptist Hospital. Data was kept in Tanya Warner’s office on campus at Baptist Hospital. Computer data and patient’s medical records were password protected. No identifiable data was included in data collected. 2014 Results 2014 Age and Gender. Patient’s identified as being discharge with…