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The need for a "resource consumption profile" for monitoring patient care
1Commission on Professional and Hospital Activities, Ann Arbor, MI 48106.
Abstract:
The implementation of a DRG-based payment system in the United States relied on a stream of data which already existed, namely that of patient billing data. The growing interest outside of the United States in a diagnosis-based payment system will, at some point, require hospitals to generate patient-specific resource consumption profiles (RCPs) for setting hospital payment rates, and budgeting. Our experience has been that the RCPs can be used for extremely specific quality assurance studies as well.