BEGIN:VCALENDAR VERSION:2.0 PRODID:icalendar-ruby CALSCALE:GREGORIAN METHOD:PUBLISH X-MS-OLK-FORCEINSPECTOROPEN:FALSE BEGIN:VEVENT DTSTAMP:20260625T131750Z UID:854@nordcaseforum.easyredmine.com DTSTART:20230105T000000 DTEND:20230105T000000 CLASS:PUBLIC CREATED:20230105T105616 DESCRIPTION:The aim of the project was to update the current psychiatric gr ouping logic to meet the needs of the psychiatric field. The project was c arried out by a development team\, which included members from FCG Finnish Consulting Group\, Nordic Casemix Centre\, Finnish institute for health a nd welfare and several hospital districts. The data used in original anal yses was from five Finnish university hospitals of year 2019. However\, th e final testing was done with more recent data (2021) from only one hospit al district (see appendix 2). Throughout the project the so called “spli tting criteria” was followed. In case of splitting a group of cases\, th e cost difference between the new groups must be at least 20% and the amou nt of cases must be at least 50. For strong clinical reasons\, however\, t hese rules can occasionally be stretched. The main updates for the psychi atric grouping logic are: Update of the psychiatric diagnosis categories (DGCAT) belonging to MDC 19. The psychiatric diagnoses were regrouped into 29 new categories (see TC for details in appendix 1) compared to 19 DGCAT s in old logic. The duration of care for short therapy groups was changed from <\; 2 to <\; 3 days\, which allowed to group the short hospitali zations (overnight stays) into short therapy DRGs as was fair from the cos t point of view. The OR1 procedure cases for both short therapy and inpat ients were split into two separate DRGs: OR1 cases related to one’s gend er-identity and other OR1 cases. The gender-identity cases were identified by using the new DGCAT 19M53 Gender-identity related contacts. Of psychi atric procedures\, psychiatric neuromodulation treatments (for both short therapy and inpatients) and ketamine therapy (for short therapy only) are taken into account in grouping logic. A case involving any of these proced ures will be grouped to a separate (short therapy or inpatient) DRG\, rega rdless of the main diagnosis in question. To identify these procedures\, t wo new procedure properties were created and added: 19V14 Ketamine therapy and 19V15 Psychiatric neuromodulation treatment. Secondary diagnoses wit h cc property will complicate the cases with main diagnoses from DGCAT 19M 40 ´Alcohol addiction´ and 19M20 ´Drug and alcohol abuse´. Complicated cases are grouped to a separate DRG. For diagnoses categories 19M03 ´An xiety disorder´\, 19M45 ´Depression´\, 19M51´Psychosis´\, and 19M48 ´Neurocognitive disorder´ the cases will be grouped into two separate DR Gs based on the age. For the first three the split will be made to those u nder the age of 18 and others. For ´Neurocognitive disorder´\, however\, the split will be for those under the age of 25 and others. The updated logic has 66 DRGs\, of which 34 are short therapy groups and 32 inpatient groups. Technical changes\, cost information and presentation about the p roject in pdf format are attached. LAST-MODIFIED:20230403T160919 ORGANIZER:mailto:lotta.sokka@fcg.fi PRIORITY:5 SEQUENCE:0 STATUS:CONFIRMED SUMMARY:Developing grouping logic for psychiatric care URL;VALUE=URI:https://nordcaseforum.easyredmine.com/issues/854 ATTENDEE;CN=Lotta Sokka:mailto:lotta.sokka@fcg.fi X-MICROSOFT-CDO-BUSYSTATUS:BUSY X-MICROSOFT-CDO-IMPORTANCE:1 X-MICROSOFT-DISALLOW-COUNTER:FALSE X-MS-OLK-AUTOFILLLOCATION:FALSE X-MS-OLK-AUTOSTARTCHECK:FALSE X-MS-OLK-CONFTYPE:0 END:VEVENT END:VCALENDAR