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

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

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.

Suggested Citation

  • Dimitropoulos, Vera & Yeend, Trent & Zhou, Qingsheng & McAlister, Stuart & Navakatikyan, Michael & Hoyle, Philip & Pilla, John & Loggie, Carol & Elsworthy, Anne & Marshall, Ric & Madden, Richard, 2019. "A new clinical complexity model for the Australian Refined Diagnosis Related Groups," Health Policy, Elsevier, vol. 123(11), pages 1049-1052.
    • Handle: RePEc:eee:hepoli:v:123:y:2019:i:11:p:1049-1052
    DOI: 10.1016/j.healthpol.2019.08.012
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    References listed on IDEAS

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    1. Jackson, Terri & Dimitropoulos, Vera & Madden, Richard & Gillett, Steve, 2015. "Australian diagnosis related groups: Drivers of complexity adjustment," Health Policy, Elsevier, vol. 119(11), pages 1433-1441.
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