J Guerra1, E Luciolli2, A Felce3, B Ghersi4, F Guilmineau5, M C Rousseau4, B Soudrie3, A Urtizberea3, J Holstein5. 1. Direction de la politique médicale, Assistance publique-Hôpitaux de Paris, 3, avenue Victoria, 75004 Paris, France. Electronic address: j.guerra.sp@gmail.com. 2. Direction de la politique médicale, Assistance publique-Hôpitaux de Paris, 3, avenue Victoria, 75004 Paris, France; Fédération poly- et multihandicap, Assistance publique-Hôpitaux de Paris, 3, avenue Victoria, 75004 Paris, France. 3. Fédération poly- et multihandicap, Assistance publique-Hôpitaux de Paris, 3, avenue Victoria, 75004 Paris, France; Hôpital Marin-de-Hendaye, Assistance publique-Hôpitaux de Paris, route de la Corniche, BP 40139, 64701 Hendaye cedex, France. 4. Fédération poly- et multihandicap, Assistance publique-Hôpitaux de Paris, 3, avenue Victoria, 75004 Paris, France; Hôpital San-Salvadour, Assistance publique-Hôpitaux de Paris, BP 30080, 83407 Hyères cedex, France. 5. Département d'information médicale, Assistance publique-Hôpitaux de Paris, 3, avenue Victoria, 75004 Paris, France.
Abstract
BACKGROUND: Long-term intratracheal ventilated patients need continuous artificial ventilation support. After the acute periods, these patients may benefit from dedicated follow-up in rehabilitation care centers. In this paper, we aimed to study the validity of the data provided by a French diagnosis-related group (DRG) information system. METHODS: For a sample of intratracheal ventilated patients in two rehabilitation units, we compared the data provided in the DRG information system with the data available in the medical charts. Furthermore, we asked the medical, nursing and allied health staff to assess the data provided by the French DRG information system. RESULTS: The diagnosis was found accurate for 86% of hospital stays. In the DRG information system, 77% of the medical care, and 39% of the nursing and allied health care were mentioned correctly. Overall, 55% of the nursing and allied health care procedures in the DRG information system were not reported in the medical charts. The healthcare providers estimated that the frequency of the care provided was underestimated in the DRG information system for 30% of the nursing and allied health care. CONCLUSION: The patients' main characteristics were found correctly reported in the DRG information system. However, the diversity and the frequency of the care provided were underestimated. These underestimates were mainly related to care frequently provided in these patients (for example, urinary catheterization, massages, counseling for relatives).
BACKGROUND: Long-term intratracheal ventilated patients need continuous artificial ventilation support. After the acute periods, these patients may benefit from dedicated follow-up in rehabilitation care centers. In this paper, we aimed to study the validity of the data provided by a French diagnosis-related group (DRG) information system. METHODS: For a sample of intratracheal ventilated patients in two rehabilitation units, we compared the data provided in the DRG information system with the data available in the medical charts. Furthermore, we asked the medical, nursing and allied health staff to assess the data provided by the French DRG information system. RESULTS: The diagnosis was found accurate for 86% of hospital stays. In the DRG information system, 77% of the medical care, and 39% of the nursing and allied health care were mentioned correctly. Overall, 55% of the nursing and allied health care procedures in the DRG information system were not reported in the medical charts. The healthcare providers estimated that the frequency of the care provided was underestimated in the DRG information system for 30% of the nursing and allied health care. CONCLUSION: The patients' main characteristics were found correctly reported in the DRG information system. However, the diversity and the frequency of the care provided were underestimated. These underestimates were mainly related to care frequently provided in these patients (for example, urinary catheterization, massages, counseling for relatives).