In addition, advice CCAG endorsed DTG agreed with CCAG Use ECCS but maintain was also sought as to ECCS but retaining 3 recommendation to use 3 splits in ADRG O60 whether a departure complexity splits for ECCS but retain 3 splits and O01 from ECCS (no split) is O60 Vaginal delivery in O60. The same justified for ADRG O60, number of splits as in and if so whether to V7.0 to be maintained adopt 2 or 3 splits for ADRG O01 Caesarean delivery 5. Major problem splits 5. Major problem splits 5. problem splits 5. Major problem splits (neonates)(10 DRGs) (neonates)(10 DRGs) (neonates)(10 DRGs) (neonates)(10 DRGs) ACCD seeks CCAG endorsed the DTG requested to Major problem list, endorsement from removal of the major retain splits for all other problem list and CCAG in relation to problem list, other 10 ADRGs. complicating removal of the major problem list and DTG agreed with procedures list removed problem list, other complicating CCAG endorsement as splitting variables problem list and procedures list and the to remove major use of ECCS with no Same number of splits complicating problem list, other from the splits required for: and is maintained in all procedures list problem list neonatal ADRGs P03 Neonate, complicating Neonatal ADRGs with 1000-1499g w procedures list the exception of P62 significant OR where there is now a procedures DTG agreed that split (V7.0 had no split) P04 Neonate, neonatal clinical 1500-1999g w consultation through significant OR CCAG should be procedures arranged in the future. P05 Neonate, This would be in the AdmWt 2000-2499g form of advice and w significant OR education around the procedures change to MDC 15 P63 Neonate, following the AdmWt 1000-1249g replacement of the w/o significant OR major problem list with procedures ECCS. It is anticipated that this consultation CCAG endorsed using would note the ECCS with proposed outcome of the review splits for: of the ECC methodology which may yield the P06 Neonate, AdmWt >=2500g w same number of ADRG significant OR splits as in AR-DRG V7.0 procedures
In addition, advice was also sought as to whether a departure from ECCS (no split) is justified for ADRG O60, and if so whether to adopt 2 or 3 splits CCAG endorsed ECCS but retaining 3 complexity splits for O60 Vaginal delivery DTG agreed with CCAG recommendation to use ECCS but retain 3 splits in O60. The same number of splits as in V7.0 to be maintained for ADRG O01 Caesarean delivery Use ECCS but maintain 3 splits in ADRG O60 and O01 5. Major problem splits (neonates)(10 DRGs) 5. Major problem splits (neonates)(10 DRGs) 5. problem splits (neonates)(10 DRGs) 5. Major problem splits (neonates)(10 DRGs) ACCD seeks endorsement from CCAG in relation to removal of the major problem list, other problem list and complicating procedures list from the neonatal ADRGs CCAG endorsed the removal of the major problem list, other problem list and complicating procedures list and the use of ECCS with no splits required for: P03 Neonate, 1000-1499g w significant OR procedures P04 Neonate, 1500-1999g w significant OR procedures P05 Neonate, AdmWt 2000-2499g w significant OR procedures P63 Neonate, AdmWt 1000-1249g w/o significant OR procedures CCAG endorsed using ECCS with proposed splits for: P06 Neonate, AdmWt >=2500g w significant OR procedures DTG requested to retain splits for all 10 ADRGs. DTG agreed with CCAG endorsement to remove major problem list, other problem list and complicating procedures list DTG agreed that neonatal clinical consultation through CCAG should be arranged in the future. This would be in the form of advice and education around the change to MDC 15 following the replacement of the major problem list with ECCS. It is anticipated that this consultation would note the outcome of the review of the ECC methodology which may yield the same number of ADRG splits as in AR-DRG V7.0 Major problem list, other problem list and complicating procedures list removed as splitting variables Same number of splits is maintained in all Neonatal ADRGs with the exception of P62 where there is now a split (V7.0 had no split)
development_of_the_australian_refined_diagnosis_related_groups_v8.0_final_report_2.docx