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Abstract

The selection of cohorts from national and state databases in Australia usually relies on patient diagnoses according to International Classification of Disease (ICD) codes and/or Diagnosis Related Groups (DRGs). The aim of this study was to select a specific cohort consisting of stroke and transient ischaemic attack (TIA) episodes, thereby allowing the researcher to examine current process of care using State level hospital admissions datasets. Difficulties in accurately selecting the specified cohort were encountered, due to various interpretations of ICD codes and DRGs as well as the placement of codes to DRGs and different classifications used. These difficulties highlighted several issues regarding the relationships between ICD coding and DRGs in stroke and TIA and are the focus of this paper.

Keywords

Cerebrovascular accident ischemic attack transient International Classification of Diseases Diagnosis-Related Groups hospital records medical records

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References

Commonwealth Department of Health and Family Services (DHFS) (1996). Australian National Diagnosis Related Groups (AN-DRGs) - Definitions Manual, Version 3.1. Canberra, Commonwealth Department of Health and Family Services (DHFS).

DHFS (1998). Development of the Australian Refined Diagnosis Related Groups (AR-DRG) Classification, Version 4 - Volume 1, Summary of changes for the AR-DRG classification Version 4.0. Canberra, Commonwealth Department of Health and Family Services (DHFS).

Commonwealth Department of Health and Aged Care (DoHAC) (1998). Australian Refined Diagnosis Related Groups (AR-DRGs) - Definitions Manual, Version 4.1. Canberra, Commonwealth Department of Health and Aged Care (DoHAC).

Commonwealth Department of Health and Aged Care DoHAC (2000). Australian Refined Diagnosis Related Groups (AR-DRGs) - Definitions Manual, Version 4.2. Canberra, Commonwealth Department of Health and Aged Care (DoHAC).

Ellekjaer

Holmen

Kruger

Terent

(1999). Identification of incident stroke in Norway: Hospital discharge data compared with a population-based stroke register. Stroke 30(1): 56–60.

Evers

Voss

Nieman

Ament

Groot

Lodder

Boreas

Blaauw

(2002). Predicting the cost of hospital stay for stroke patients: The use of diagnosis related groups. Health Policy 61(1): 21–42.

Kugler

Freytag

Stillger

Bauer

Ferbert

(2000). Australian Refined Diagnosis Related Groups: Formal and inherent problems of grouping with the example of stroke care. Deutsche Medizinische Wochenschrift 125(51–52): 1554–1559.

Lee

A. H.

Somerford

P. J.

Yau

K. K.

(2003). Factors influencing survival after stroke in Western Australia. Medical Journal of Australia 179(6): 289–293.

National Coding Centre (NCC) (1996). The Official NCC Australian Version of ICD-9-CM. Sydney, National Coding Centre (NCC).

10.

National Centre for Classification in Health NCCH (1998). The International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Australian Modification (ICD-10-AM). First edition. Sydney, National Centre for Classification in Health (NCCH).

11.

National Centre for Classification in Health NCCH (2000). The International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Australian Modification (ICD-10-AM). Second edition. Sydney, National Centre for Classification in Health (NCCH).

12.

O'Toole

, Ed. (1992). Miller-Keane encyclopedia and dictionary of medicine, nursing, and allied health. Philadelphia, W.B Saunders Company.

13.

Roberts

R. F.

Innes

K. C.

Walker

S. M.

(1998). Introducing ICD-10-AM in Australian hospitals. Medical Journal of Australia 169(Suppl): S32–35.

14.

Roos

L. L.

Menec

Currie

R. J.

(2004). Policy analysis in an information-rich environment. Social Science and Medicine 58(11): 2231–2241.

15.

Royle

Callen

Craig

(2004). Should there be an age split for stroke DRGs? Analysing a large clinical data set of a principal teaching hospital over a five-year period. Health Information Management Journal 32(1): 5–12.

16.

Scott

Youlden

Coory

(2004). Are diagnosis specific outcome indicators based on administrative data useful in assessing quality of hospital care? Quality and Safety in Health Care 13(1): 32–39.

Coding and DRG Relationships in Stroke and Transient Ischaemic Attack (TIA)

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