Comparing outcomes of care before and after implementation of the DRG-based prospective payment system.

@article{Kahn1990ComparingOO,
  title={Comparing outcomes of care before and after implementation of the DRG-based prospective payment system.},
  author={Katherine Leslie Kahn and Emmett B. Keeler and Marjorie J. Sherwood and William H. Rogers and Debra Draper and S S Bentow and E J Reinisch and Lisa V Rubenstein and Jacqueline B Kosecoff and Robert H. Brook},
  journal={JAMA},
  year={1990},
  volume={264 15},
  pages={1984-8}
}
We compared patient outcomes before and after the introduction of the diagnosis related groups (DRG)-based prospective payment system (PPS) in a nationally representative sample of 14,012 Medicare patients hospitalized in 1981 through 1982 and 1985 through 1986 with one of five diseases. For the five diseases combined; length of stay dropped 24% and in-hospital mortality declined from 16.1% to 12.6% after the PPS was introduced (P less than .05). Thirty-day mortality adjusted for sickness at… CONTINUE READING

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