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Diagnosis-related groups (DRGs) are used in hospitals for the
reimbursement of inpatient services. The assignment of a patient to
a DRG can be distinguished into billing- and operations-driven DRG
classification. The topic of this monograph is operations-drivenDRG
classification, in which DRGs of inpatients are employed to improve
contribution margin-based patient scheduling decisions. In the
first part, attribute selection and classification techniques are
evaluated in order to increase early DRG classification accuracy.
Employing mathematical programming, the hospital-wide flow of
elective patients is modelled taking into account DRGs, clinical
pathways and scarce hospital resources. The results of the early
DRG classification part reveal that a small set of attributes is
sufficient in order to substantially improve DRG classification
accuracy as compared to the current approach of many hospitals.
Moreover, the results of the patient scheduling part reveal that
the contribution margin can be increased as compared to current
practice."
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