APR-DRG Service Intensity Weights and Average Length of Stay

$79 / 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

2017-01-01

Version

33

Update Frequency

Annual

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs => Department of Health, New York State

Source License URL

John Snow Labs Standard License

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

Name Description Type Constraints
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.integerrequired : 1 level : Ordinal
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
7221Fever 0.4619330535
7222Fever 0.5744330535
7223Fever 0.8630330535
7224Fever 1.4012330535
1411Asthma 0.4172326961
1412Asthma 0.5585326961
1413Asthma 0.8321326961
1414Asthma 1.5258326961
0531Seizure 0.4229333812
0532Seizure 0.5364333812
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