COMPUTERIZED PREANESTHETIC EVALUATION RESULTS IN ADDITIONAL ABSTRACTED COMORBIDITY DIAGNOSES

Citation
Gl. Gibby et al., COMPUTERIZED PREANESTHETIC EVALUATION RESULTS IN ADDITIONAL ABSTRACTED COMORBIDITY DIAGNOSES, Journal of clinical monitoring, 13(1), 1997, pp. 35-41
Citations number
19
Categorie Soggetti
Anesthesiology
ISSN journal
07481977
Volume
13
Issue
1
Year of publication
1997
Pages
35 - 41
Database
ISI
SICI code
0748-1977(1997)13:1<35:CPERIA>2.0.ZU;2-A
Abstract
Objective. To study the impact of information from a physician-entry c omputerized preanesthetic evaluation system on the coding of Internati onal Classification of Diseases (ICD-9-CM) diagnoses and on hospital r eimbursement due to alterations in diagnosis-related group (DRG) codes . Methods. Nonrandomized, unblinded trial conducted at a 570-bed unive rsity tertiary care hospital. First without and then with reference to information contained on computer-based preanesthetic evaluation repo rts, medical charts were coded by the study institution's usual profes sional coders for ICD-9-CM discharge diagnoses and DRG assignment. Res ults, For 22 of 180 charts studied (12%, 95% confidence limits 7.4% to 16.7%), at least one ICD-9-CM diagnosis was added. Three of 84 DRG-ba sed reimbursements were altered, increasing hospital reimbursement by 1.5%. Conclusions. Supplemental information from a physician-entered, problem-oriented, computerized preanesthetic evaluation system improve d discovery of diagnoses in the population studied.