ACCD requested CCAG’s CCAG endorsed the DTG agreed with CCAG Remove the <5 day advice as to whether: removal of the <5 day endorsement transfer as a splitting Patients in these 8 split for the for ADRGs E40, transfer variable ADRGs, who have following ADRGS: E64, F09, F40 early transfer, are E40 Respiratory clinically distinctive system disorders w An administrative ventilator support variable of E64 Pulmonary transfer should be Oedema and retained as a proxy Respiratory Failure for the relative F09 resource use of cardiothoracic those patients procedures w/o CPB pump F40 Circulatory disorders w ventilator support n/a CCAG endorsed DTG agreed with CCAG Maintain a transfer retaining a transfer endorsement splitting variable for for the following ADRGs B70, B78, F60, ADRGs: F62 with analysis B70 Stroke and undertaken to other determine whether the cerebrovascular transfer split can be disorders shortened B78 Intracranial injuries F60 Circulatory disorders, admitted for AMI w/o invasive cardiac investigation procedures F62 Heart failure and shock n/a CCAG requested ACCD DTG agreed with CCAG Following analysis, look at additional cost endorsement. Analysis ACCD will maintain a <5 by day data for these to be undertaken by day transfer splitting four ADRGs to ACCD to look for variable for ADRGs B70, determine if the < 5 day transfer patterns across B78, F60, F62 due to transfer split could be jurisdictions. If variance variation in transfer shortened. Otherwise, across the jurisdictions patterns across
ACCD requested CCAG’s advice as to whether: Patients in these 8 ADRGs, who have early transfer, are clinically distinctive An administrative variable of transfer should be retained as a proxy for the relative resource use of those patients CCAG endorsed the removal of the <5 day transfer split for the following ADRGS: E40 Respiratory system disorders w ventilator support E64 Pulmonary Oedema and Respiratory Failure F09 cardiothoracic procedures w/o CPB pump F40 Circulatory disorders w ventilator support DTG agreed with CCAG endorsement Remove the <5 day transfer as a splitting variable for ADRGs E40, E64, F09, F40 n/a CCAG endorsed retaining a transfer for the following ADRGs: B70 Stroke and other cerebrovascular disorders B78 Intracranial injuries F60 Circulatory disorders, admitted for AMI w/o invasive cardiac investigation procedures F62 Heart failure and shock DTG agreed with CCAG endorsement Maintain a transfer splitting variable for ADRGs B70, B78, F60, F62 with analysis undertaken to determine whether the transfer split can be shortened n/a CCAG requested ACCD look at additional cost by day data for these four ADRGs to determine if the < 5 day transfer split could be shortened. Otherwise, DTG agreed with CCAG endorsement. Analysis to be undertaken by ACCD to look for transfer patterns across jurisdictions. If variance across the jurisdictions Following analysis, ACCD will maintain a <5 day transfer splitting variable for ADRGs B70, B78, F60, F62 due to variation in transfer patterns across
development_of_the_australian_refined_diagnosis_related_groups_v8.0_final_report_2.docx