Abstract
The Diagnosis Related Group (DRG) payment system in Taiwan has been implemented for many years. We analyzed the data and compare the data of peer hospitals and found problems with the length of stays and medical costs of the DRG cases in plastic surgery are more than peer hospitals. We designed the invention program to improve that problem. We propose the case manager make a plan with the medical care group before admission and changes the plan depend on the patient’s condition. The evaluation indicators include the length of stays, the diagnosis, pathway, medical cost and so on. The intervention was implemented from August 2018. The case manager manages the patient’s condition and the process of the treatment during hospitalization. We expect to reduce the length of stays and medical costs through intervention. We use statistical analysis to compare the group A to the group B. Group A is the DRGs’ case before the intervention, Group B is the DRGs’ case after the intervention. The results of the research are average the length of stays is from 6 days to 4.5 days (p>0.05) and average saving the medical cost is from 6,144 to 15,642 dollars (New Taiwan Dollar) (p<0.05). The findings can help the government and hospitals manage medical resources more efficiently.
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