The twenty DRGs with the highest volume x cost-weight (“cost-weighted separations”) in 2012/13 These DRGs are those that account for the highest proportion of total costs in the private overnight sector. Cost-weighted separations are calculated as the total number of separations multiplied by the cost weight. The percentage distribution of cost-weighted separations represents the percentage distribution of hospital costs incurred in delivering patient care. The top 3 DRGs that account for the highest proportion of hospitals incurred in 2012/13 are: I04B Replacement W/O Catastrophic Or Severe Cc” representing 135,355 cost “Knee weighted separations (4.9%), cost weight of 5.50, and average length of stay of 5.7 days; I03B Replacement W/O Catastrophic Cc”, representing 122,186 cost weighted “Hip separations (4.4%), cost weight 6.54, and average length of stay 6.0 days; and I09B Fusion W/O Catastrophic Cc”, representing 81,805 of cost weighted “Spinal separations (3.0%), cost weight 8.35, and average length of stay 6.1 days. Combined, these 3 DRGs represent 339,346 cost weighted separations which is 12.3% of total cost weighted separations of 2,753,670. Therefore, these 3 DRGs alone account for 12.3% of total hospital costs in 2012/13. Nineteen of this year’s top-20 DRGs were ranked in the top 20 in 16, indicating that the DRGs accounting for a significant proportion of total hospital costs in 2012/13 also accounted for total hospital costs in 2011/12. Overall, this group of DRGs accounts for 33% of total hospital costs in 2012/13, 25% of total separations, and 21% of total patient days.
The twenty DRGs with the highest volume x cost-weight (“cost-weighted separations”) in 2012/13 These DRGs are those that account for the highest proportion of total costs in the private overnight sector. Cost-weighted separations are calculated as the total number of separations multiplied by the cost weight. The percentage distribution of cost-weighted separations represents the percentage distribution of hospital costs incurred in delivering patient care. The top 3 DRGs that account for the highest proportion of hospitals incurred in 2012/13 are: I04B “Knee Replacement W/O Catastrophic Or Severe Cc” representing 135,355 cost weighted separations (4.9%), cost weight of 5.50, and average length of stay of 5.7 days; I03B “Hip Replacement W/O Catastrophic Cc”, representing 122,186 cost weighted separations (4.4%), cost weight 6.54, and average length of stay 6.0 days; and I09B “Spinal Fusion W/O Catastrophic Cc”, representing 81,805 of cost weighted separations (3.0%), cost weight 8.35, and average length of stay 6.1 days. Combined, these 3 DRGs represent 339,346 cost weighted separations which is 12.3% of total cost weighted separations of 2,753,670. Therefore, these 3 DRGs alone account for 12.3% of total hospital costs in 2012/13. Nineteen of this year’s top-20 DRGs were ranked in the top 20 in 16, indicating that the DRGs accounting for a significant proportion of total hospital costs in 2012/13 also accounted for total hospital costs in 2011/12. Overall, this group of DRGs accounts for 33% of total hospital costs in 2012/13, 25% of total separations, and 21% of total patient days.
rd17-private-nhcdc-report.docx