Newsletter June 2023

A summary of the latest information on the activities of the CKS DRG.

Summary of DRG changes until 30.6.2023

Checking and correcting annual doses using validation protocols

The process of validation and correction of annual DRG benefits for 2022 is currently underway. CKS published validation protocols on 22.05.2023, based on which PHCPs are able to correct their data in the annual benefit. The deadline for the submission of the corrected annual DRG benefit for 2022 is 30.06.2023. After this deadline, PHCS will receive information on the quality of their corrected benefit again in the form of updated validation protocols.

In the future, we plan to extend the validation protocol to include benchmark indicators that will provide the PHCS with the ability to compare key cost performance indicators within the DRG system.

We plan to provide the first such protocols to selected PHAs in 3Q 2023. By default, we intend to apply this extension to all PHAs when they submit their 2023 annual benefits.

Overnight healthcare

One-day health care will be integrated into the SK-DRG system. The Steering Committee endorsed the Concept Note on possible approaches for incorporating same-day healthcare into the SK-DRG system. The Task Force on incorporation of UHC into the DRGs will look into the phased incorporation of UHC into the DRGs in the coming years. DRGs will be created for NHS cases only with appropriate relative weights. The grouper will assign cases to DRG groups for inpatient admissions or ICUs based on algorithms - clearly defined rules based on contraindications for ICUs. The next steps aim to launch the first phase of full reporting and relative weights calculated from modelled costs on an SK-DRG basis from 2025. Read more in the published concept note.

Launch of the Expert Working Group on Contentious Situations in the SK-DRG

The Expert Working Group on Contentious Situations in the SK-DRG has started its work. At its first meeting, the panel dealt with the first disputed situation and successfully reached a common interpretation of the coding rule. The result of its decision will be published in the Compendium of Decisions of the SK-DRG Expert Working Group on Disputed Situations in a few days. The Commission is continuing its work and preparing for its next meetings.

CKS is further engaged in....