J Korean Soc Med Inform.
2003 Sep;9(3):313-321.
Development of Decision Support System for Case Management Under the DRG PPS(Prospective Payment System): for the Case of Cesarean Section
- Affiliations
-
- 1Nursing College, Yonsei University, Seoul. mrsong@urscope.co.kr
- 2Graduate Schooll of Health Science and Management, Yonsei University, Seoul.
- 3Medical Center, Yonsei University, Seoul.
Abstract
- Recently, we have experienced with various changes in the health insurance. Korean government is implementing the prospective payment system(PPS) as a pilot project to reduce medical expenditure. Case management is an effective way to reduce costs, while not sacrificing quality of service, under the PPS. In this study, the integrated decision support system(DSS) for case management was presented to support two case management activities ; utilization management and discharge planning. This system can be used in three ways ; prospective, concurrent, and retrospective management. By monitoring cases from medical record database, the DSS provides basic patient information, payment information, medical service information to the case manager. In the future, data warehouse should be introduced to integrate various databases related to case management and to improve quality of information produced by the DSS.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Changes in Quality of Care for Cesarean Section after Implementation of Diagnosis-Related Groups/Prospective Payment System
- Effects of Diagnosis-Related Group-Based Payment System on the Risk-Adjusted Cesarean Section Rate
- Impacts of the Implementation of the DRG Based Prospective Payment System on the Medicare Expenditures
- DRG-based Prospective Payment System on the View of Clinician
- Strategies for Assuring Quality of Care under the DRG-based Prospective Payment System
