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Allocating Inpatient Expenses to Each DRG in All Clinical Services at Darnall Army Community Hospital
Final rept. Jul 1992-Jul 1993
DARNALL ARMY HOSPITAL FORT HOOD TX
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The Assistant Secretary of Defense for Health Affairs has increased the responsibilities of the military treatment facility MTF commander with the implementation of the Coordinated Care Program CCP initiative. No longer is the MTF commander responsible only for the health care provided at the MTF, but the commander is also responsible for managing the delivery of care to all beneficiaries in the MTFs catchment area. A primary goal under the CCP is that of providing cost-effective health care for the entire beneficiary population. The purpose of this study is to use existing data and establish a methodology for allocating expenses to each diagnosis related group DRG at DACH. The DRGs will be assigned a portion of expenses based on FY 92 expenses for the particular clinical service, the number of the inpatient workload units IWU produced by the service, and the weight of each DRG. In this way, expenses will be allocated to each DRG. The civilian sector has been using DRGs since 1984 and many of the hospitals identify coast and charges by the DRG. With the methodology provided in this study, the MTF will be able to make more accurate cost comparison of care by DRG at the MTF with the dare provided by civilian providersorganizations in the catchment area. Diagnosis related group DRG.
APPROVED FOR PUBLIC RELEASE