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Acute physiology and chronic health evaluation (APACHE II) and Medicare reimbursement.

Wagner DP, Draper EA - Health Care Financ Rev (1984)

Bottom Line: The APS is defined by a relative value scale applied to 12 objective physiologic variables routinely measured on most hospitalized patients shortly after hospital admission.For intensive care patients, APS at admission is strongly related to subsequent resource costs of intensive care for 5,790 consecutive admissions to 13 large hospitals, across and within diagnoses.The APS could also be used to evaluate quality of care, medical technology, and the response to changing financial incentives.

View Article: PubMed Central - PubMed

ABSTRACT
This article describes the potential for the acute physiology score (APS) of acute physiology and chronic health evaluation (APACHE) II, to be used as a severity adjustment to diagnosis-related groups (DRG's) or other diagnostic classifications. The APS is defined by a relative value scale applied to 12 objective physiologic variables routinely measured on most hospitalized patients shortly after hospital admission. For intensive care patients, APS at admission is strongly related to subsequent resource costs of intensive care for 5,790 consecutive admissions to 13 large hospitals, across and within diagnoses. The APS could also be used to evaluate quality of care, medical technology, and the response to changing financial incentives.

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Observed and predicted therapeutic intervention scoring system (TISS) for peripheral vascular surgery
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Related In: Results  -  Collection


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f5-hcfr-84-supp-091: Observed and predicted therapeutic intervention scoring system (TISS) for peripheral vascular surgery

Mentions: Figure 5 plots the observed cost and the predicted cost based on the regression analysis. Within this narrow disease category peripheral vascular surgery, there is large variation across hospitals in observed cost and considerable difference in severity of illness. This leads to substantial differences in predicted costs of ICU care. Dividing predicted costs by observed costs yields efficiency ratios that range from 2.4 to .6, where the average efficiency in this sample as a whole is normalized to 1.0. Thus, within this specific diagnostic category there are wide interhospital differences in the severity of patients at admission and in the efficiency of ICU care.


Acute physiology and chronic health evaluation (APACHE II) and Medicare reimbursement.

Wagner DP, Draper EA - Health Care Financ Rev (1984)

Observed and predicted therapeutic intervention scoring system (TISS) for peripheral vascular surgery
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4195105&req=5

f5-hcfr-84-supp-091: Observed and predicted therapeutic intervention scoring system (TISS) for peripheral vascular surgery
Mentions: Figure 5 plots the observed cost and the predicted cost based on the regression analysis. Within this narrow disease category peripheral vascular surgery, there is large variation across hospitals in observed cost and considerable difference in severity of illness. This leads to substantial differences in predicted costs of ICU care. Dividing predicted costs by observed costs yields efficiency ratios that range from 2.4 to .6, where the average efficiency in this sample as a whole is normalized to 1.0. Thus, within this specific diagnostic category there are wide interhospital differences in the severity of patients at admission and in the efficiency of ICU care.

Bottom Line: The APS is defined by a relative value scale applied to 12 objective physiologic variables routinely measured on most hospitalized patients shortly after hospital admission.For intensive care patients, APS at admission is strongly related to subsequent resource costs of intensive care for 5,790 consecutive admissions to 13 large hospitals, across and within diagnoses.The APS could also be used to evaluate quality of care, medical technology, and the response to changing financial incentives.

View Article: PubMed Central - PubMed

ABSTRACT
This article describes the potential for the acute physiology score (APS) of acute physiology and chronic health evaluation (APACHE) II, to be used as a severity adjustment to diagnosis-related groups (DRG's) or other diagnostic classifications. The APS is defined by a relative value scale applied to 12 objective physiologic variables routinely measured on most hospitalized patients shortly after hospital admission. For intensive care patients, APS at admission is strongly related to subsequent resource costs of intensive care for 5,790 consecutive admissions to 13 large hospitals, across and within diagnoses. The APS could also be used to evaluate quality of care, medical technology, and the response to changing financial incentives.

Show MeSH