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TDVI REPORT FOR HOSPITAL MANAGERS BASED ON 2004 MEDPAR DATA
| |
ESTIMATED MEDICARE |
| MDC |
PCT OF TOTAL |
NUM. CASES |
NOT TDRG TDRG |
"OLD" TDRG |
NEW TDRG |
TDVI |
TOTAL RISK |
REVENUE REDUCTION |
| 5 |
27.5% |
2683 |
57.5% |
30.0% |
12.5% |
1.190% |
-1.19% |
$287,337 |
| 4 |
13.9% |
1351 |
37.2% |
35.4% |
27.4% |
0.880 |
-0.88% |
$107,011 |
| 6 |
10.9% |
1060 |
59.5% |
0.0% |
40.5% |
1.120 |
-1.12% |
$106,806 |
| 1 |
6.6% |
646 |
15.6% |
47.3% |
37.0% |
1.010 |
-1.01% |
$58,725 |
| 11 |
5.6% |
545 |
25.3% |
36.8% |
37.9% |
1.180 |
-1.18% |
$57,860 |
| 8 |
5.5% |
537 |
28.5% |
36.0% |
35.6% |
1.100 |
-1.10% |
$53,116 |
| 10 |
4.0% |
387 |
7.6% |
82.7% |
9.7% |
0.990 |
-0.99% |
$34,485 |
BACKGROUND INFORMATION ON TDRG/TDVI REPORTS TRANSFER DRGS/MARKETING/REPORT OVERVIEW - 11/11/05
- All reports are based on FY2004 MedPAR data.
- We assume that the mix of patients does not change.
- We take into consideration how hospitals' responded to "old" TDRGs = OTDRGs = DRGs for which transfer rules existed in FY04. We assume hospitals' responses in FY04 are valuable predictors of hospitals' response to "new" TDRGs = NTDRGs.
- The TDVI takes into account:
- pct of cases in NTDRGs.
- Pct of cases transferred to rehab, nursing home, home health.
- Pct of early discharges.
- Response to OTDRGs.
- The TDVI represents the "relative risk," based on the relative reduction for a particular group, compared to the overall estimated reduction. A "particular group" might be a hospital, an MDC, or a DRG. For example, a hospital CFO might wish to estimate the particular risk overall for his facility. A hedge fund manager may want a single TDVI for an entire publicly traded organization. Mid-level managers may wish to study the TDVI for a Major Diagnostic Category
- The total risk is the estimated percent reduction in Medicare revenue from the new TDRGs, which became effective on 10/1/2005.
- We need to double-check which TDRGs became applicable in FY05. Those are OTDRGs, but we don't know how hospitals responded to these, since we only have FY04 data. We call these OTDRG5.
HOSPITALS
- Their main question is: How much can we expect to lose, if we don't change our transfer patterns?
- Where should we take action, (using Pareto's Principle), to cut our losses?
- What MDCs should we focus on?
- Are the reductions in Medicare revenue from the TDRGs greater for surgical or medical cases?
- NTDRGs = DRGs for which the new transfer rules began on 10/1/05
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