Authors
Daniel Gartner, Rema Padman
Publication date
2015
Book
MEDINFO 2015: eHealth-enabled Health
Pages
315-319
Publisher
IOS Press
Description
The objective of this paper is to evaluate the extent to which early determination of diagnosis-related groups (DRGs) can be used for better allocation of scarce hospital resources. When elective patients seek admission, the true DRG, currently determined only at discharge, is unknown. We approach the problem of early DRG determination in three stages:(1) test how much a Naïve Bayes classifier can improve classification accuracy as compared to a hospital's current approach;(2) develop a statistical program that makes admission and scheduling decisions based on the patients' clincial pathways and scarce hospital resources; and (3) feed the DRG as classified by the Naïve Bayes classifier and the hospitals' baseline approach into the model (which we evaluate in simulation). Our results reveal that the DRG grouper performs poorly in classifying the DRG correctly before admission while the Naïve Bayes …
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