APR-DRG Service Intensity Weights and Average Length of Stay

$179 / year

This dataset is the version 33 of APR-DRG Weights (All Patient Refined Diagnosis Related Group) and ALOS (Average Length of Stay) for acute care services. The APR-DRG weights effective January 1, 2017 will not be updated. For discharges beginning on or after January 1, 2017, the SIWs (Service Intensity Weights), cost thresholds and ALOS effective July 1, 2014 will be used for payment purposes with the updated APR-DRG grouper version 33, which is available in this dataset.

Complexity

The Diagnosis Related Groups (DRGs) are a patient classification system that provides a means of relating the type of patients a hospital treats (i.e., its casemix) to the costs incurred by the hospital. There are currently three major versions of the DRG in use. The basic DRGs are used by the Health Care Financing Administration (HCFA) for hospital payment for Medicare beneficiaries. The All Patient DRGs (AP-DRGs) are an expansion of the basic DRGs to be more representative of non- Medicare populations such as pediatric patients. The All Patient Refined DRGs (APR-DRG) incorporate severity of illness and risk of mortality subclasses into the DRGs. For discharges beginning on or after January 1, 2017, the SIWs (Service Intensity Weights), cost thresholds and ALOS effective July 1, 2014 will be used for payment purposes with the updated APR-DRG grouper version 33, which is available in this dataset.

Date Created

2009-12-01

Last Modified

2020-02-01

Version

2020-02-01

Update Frequency

Annual

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs; Department of Health, New York State;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

APR-DRG Grouper version 33, APR DRG Codes, All Patient Refined Diagnosis Related Group, Acute Care Payment Methodology, Service Intensity Weights, Average Length of Stay, Hospital Inpatient Reimbursement

Other Titles

All Patient Refined Diagnosis Related Groups, APR DRG And Average Length of Hospital Stay, APR-DRG Weights and ALOS for Acute Services

NameDescriptionTypeConstraints
APR_DRG_CodeAPR-DRG (All Patient Refined Diagnosis Related Group) codestringrequired : 1
Severity_of_IllnessSeverity of illness relates to the extent of physiologic decompensation or organ system loss of function experienced by the patient. The four severity of illness subclasses are numbered sequentially from 1 to 4 indicating respectively, minor, moderate, major or extreme severity of illness.integerlevel : Ordinal required : 1
APR_DRG_DescriptionDescription of APR-DRGstringrequired : 1
Service_Intensity_WeightsService Intensiy Weightsnumberlevel : Ratio
Average_Length_of_StayAverage length of hospital stayintegerlevel : Ratio
Cost_Outlier_Threshold_In_DollarsCost outlier threshold (in dollars)numberlevel : Ratio
APR DRG CodeSeverity of IllnessAPR DRG DescriptionService Intensity WeightsAverage Length of StayCost Outlier Threshold In Dollars
11Liver Transplant11.133124941717
12Liver Transplant11.347924941717
13Liver Transplant11.450424941717
14Liver Transplant22.833824941717
21Heart &/or Lung Transplant10.4706451621980
22Heart &/or Lung Transplant10.9585451621980
23Heart &/or Lung Transplant18.0726451621980
24Heart &/or Lung Transplant29.288451621980
31Bone Marrow Transplant8.869829854815
32Bone Marrow Transplant10.105529854815