CCAG advice was CCAG endorsed: DTG agreed with CCAG Mental Health Legal sought as to whether using ECCS for U61 endorsement to remove Status as a splitting there is another variable removed. Schizophrenia mental health legal purpose to be gained by disorders status as a splitting retention of mental using ECCS but variable from U61 and health legal status as a maintaining the U62 splitting variable within number of splits (as the AR-DRG in V7.0) for U62 classification Paranoia and acute psychotic disorders (2 splits) 7. Urgency of 7. Urgency of 7. Urgency of 7. Urgency of admission: admission: admission: admission: ACCD sought CCAG CCAG endorsed the DTG agreed with CCAG Urgency of admission as advice as to whether removal of Urgency of endorsement to remove a splitting variable is a clinical reason admission as a splitting Urgency of admission removed for maintaining variable and using ECCS from Y02 Urgency as a for Y02 Skin graft for of admission splitting variable within other burns as a better the AR-DRG reflector of complexity. classification. 8. Low volume 8. Low volume ADRGs 8. Low volume ADRGs 8. Low volume ACCD sought CCAG CCAG endorsed using DTG requested A minimum number of advice as to whether the ECCS (adhering to there was a split in splits have been is any criteria) and not V7.0 but no split maintained when overwhelming clinical splitting low volume using ECCS, the split compared to V7.0 (i.e. if rationale to continue ADRGs should be retained an ADRG had a split in the practice of having a (e.g. A08, E76, J01, V7.0 then a split was split in general for K10) maintained in V8.0) particular low volume DTG discussed K11 ADRGs as there is no split in the ECC Model; the split would need to be forced (ACCD to review)
CCAG advice was sought as to whether there is another purpose to be gained by retention of mental health legal status as a splitting variable within the AR-DRG classification CCAG endorsed: using ECCS for U61 Schizophrenia disorders using ECCS but maintaining the number of splits (as in V7.0) for U62 Paranoia and acute psychotic disorders (2 splits) DTG agreed with CCAG endorsement to remove mental health legal status as a splitting variable from U61 and U62 Mental Health Legal Status as a splitting variable removed. 7. Urgency of admission: 7. Urgency of admission: 7. Urgency of admission: 7. Urgency of admission: ACCD sought CCAG advice as to whether is a clinical reason for maintaining Urgency of admission as a splitting variable within the AR-DRG classification. CCAG endorsed the removal of Urgency of admission as a splitting variable and using ECCS for Y02 Skin graft for other burns as a better reflector of complexity. DTG agreed with CCAG endorsement to remove Urgency of admission from Y02 Urgency of admission as a splitting variable removed 8. Low volume 8. Low volume ADRGs 8. Low volume ADRGs 8. Low volume ACCD sought CCAG advice as to whether is any overwhelming clinical rationale to continue the practice of having a split in general for particular low volume ADRGs CCAG endorsed using the ECCS (adhering to criteria) and not splitting low volume ADRGs DTG requested there was a split in V7.0 but no split using ECCS, the split should be retained (e.g. A08, E76, J01, K10) DTG discussed K11 as there is no split in the ECC Model; the split would need to be forced (ACCD to review) A minimum number of splits have been maintained when compared to V7.0 (i.e. if an ADRG had a split in V7.0 then a split was maintained in V8.0)
development_of_the_australian_refined_diagnosis_related_groups_v8.0_final_report_2.docx