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Children's hospitals have been excluded from the Medicare prospective payment system (PPS) because of concerns over the applicability of the DRG case-mix system and PPS payment weights to pediatric hospitalization. Nevertheless, DRG-based payment systems are being adopted by State Medicaid agencies and private third-party payers, and the Health Care(More)
Objectives: Patient safety is an important national issue. To date, there has been little attention paid to patient safety in rural hospitals, which make up nearly half of all U.S. hospitals. Information is needed to target interventions for improving patient safety. Our objective was to determine how patient safety rates, offered services, and patient mix(More)
Important biomedical information is often recorded, published or archived in unstructured and semi-structured textual form. Artificial intelligence and knowledge discovery techniques may be applied to large volumes of such data to identify and extract useful metadata, not only for providing access to these documents, but also for conducting analyses and(More)
Pediatric-modified diagnosis-related groups (PM-DRGs) were designed to describe more accurately than DRGs differences in severity of illness and charges across pediatric patients. We report on an evaluation of PM-DRGs for use in prospective payment systems (PPSs). Data on pediatric discharges (i.e., patients 17 years of age or under) from 5 States and a(More)
To determine the extent of inappropriate hospital use, and to investigate factors related to variations in appropriateness, 8,031 hospital records of patients discharged from 41 hospitals in 3 Massachusetts professional standards review organization (PSRO) areas were reviewed in 1973 and 1978. The Appropriateness Evaluation Protocol (AEP) was used for the(More)
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