Nursing cost by DRG: nursing intensity weights.
Nursing cost by DRG: nursing intensity weights.
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DOI：
10.1177/1527154406297910
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发表时间：
2006-11-01
期刊：
影响因子：
--
通讯作者：
Lichtig, Leo K
中科院分区：
文献类型：
--
作者：
Knauf, Robert A;Ballard, Karen;Lichtig, Leo K
尽管诊断相关组 (DRG) 报销用于医疗保险和许多其他付款人，但除纽约州外，在任何 DRG 报销系统中，护理费用（占医院费用的最大部分）在获得付款时都没有被具体确定和量化。在纽约，护理费用通过护理强度权重（NIW）的方式分配到每个 DRG 的支付率中，NIW 是反映每个 DRG 中向患者提供的护理服务的数量和类型的相对值。在不收取护理服务费用的情况下，这些 NIW 是根据护士代表小组通过修改后的德尔菲技术提供的每个 DRG 的分数得出的。 NIW 已被证明与医院每天的护理费用相关。它们用于设置基于成本的支付权重，从而避免因对所有急症和重症监护患者使用统一的收费成本或每日平均成本而造成的压缩。
Although diagnosis-related group (DRG) reimbursement is used for Medicare and many other payors, nursing--the largest portion of hospital costs--is not specifically identified and quantified in deriving payments in any of the DRG reimbursement systems except that of New York State. In New York, nursing costs are allocated to each DRG in payment rate formulation by means of nursing intensity weights (NIWs)--relative values reflecting the quantity and types of nursing services provided to patients in each DRG. In the absence of charges for nursing services, these NIWs are derived from scores for each DRG provided by a representative panel of nurses through a modified Delphi technique. NIWs have been shown to correlate with hospitals' nursing costs per day. They are used to set cost-based payment weights, thereby avoiding compression caused by using flat cost-to-charge or cost-per-day averages for all acute and intensive care patients.