1. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Ric Marshall 10.45 - 11.30 Wednesday, 7th December 2011 Data Collection and Reporting (continued)

2. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА ELEMENTS OF DATA MANAGEMENT Data reporting policies and specifications –Data dictionary –Data set specification (eg NMDS) –Data entry tools –Data extraction tools –Data edits and validation processes Data warehousing functions –(incl) metadata management, data access Data analysis reporting

3. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА INFORMATION SYSTEMS SCHEMA SUPPLYHRFMISPASEHR MPI MH ODS Aggregate AED EMD ESIS MDSs REPORT REPOSITORY CUBES PIVOT COGNOS,BRIO, EXCELL BUSINESS OBJECTS SAS,SPSS, STATA, ACCESS BUSINESS LAYER DATA WAREHOUSE REPORTING LAYER (MIS) STATISTICAL ANALYSIS MH CMI MH DW Oracle, SAP, etc

4. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Hospital Information Systems Hospital Financial Data Minimum Basic Data Set- DRG Data Entry Tool - Clinical Data, DRG - Resource Consumption Data (analysis tool) Combo Software Coding Analysis Reports PICQ Software Cost Reports Cost Sheet -Allocation Statistics (costfile)(volumefile) (CASES) Data Analysis Reports (preparecostsheet) Diagnosis and procedures Analysis Reports

5. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА REPORTING FEEDBACK The key to –GOOD DATA –EFFICIENCY GAINS –PERFORMANCE IMPROVEMENT The basis for rational planning A primary mechanism to assess innovation and investment priorities.

6. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Standard reports may include Productivity Complexity Allocative efficiency Technical efficiency Coding Completeness And various quality indicators –Outcome – Process Some examples follow …

7. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Productivity Performance in total Weighted Episode (WEs) of all hospitals Overall performance in total WEs against target by hospital WEs by Major Diagnostic Categories (MDC) for Medical Diagnosis Related Group (DRGs) by hospital WEs by MDC for Procedural DRGs by hospital Top 10 increment DRG families by hospital Top 10 decrement DRG families by hospital

8. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Complexity –Casemix Index of Medical and Procedural DRGs of all hospitals –Casemix Index (CMI) by MDC by hospital –Average WEs per patient by MDC in by hospital –Average number of episodes per patient by MDC by hospital –Casemix – “1 Year On”

9. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Allocative Efficiency Percentage same day episodes by MDC of Medical and Procedural DRGs by hospital Change in same day episodes of Ambulatory Medical DRGs Percentage of episodes admitted via A&E Department by MDC by hospital

10. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Technical Efficiency Average Length of Stay (ALOS) of Medical & Procedural DRGs of all hospitals Change in ALOS by MDC by hospital Cost per weighted DRG by hospital

11. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Coding Completeness –Percentage of total multi-day episodes for Medical and Procedural DRGs by severity level in all hospitals –Percentage of total multi-day episodes with Major Co- morbidities and Complication (MCC) by MDC for Medical DRGs by hospital –Percentage of total multi-day episodes with MCC by MDC for Procedural DRGs in all hospitals –Percentage of total multi-day episodes with MCC by MDC by hospital –WE / CMI by discharged specialty: 4-year trend analysis by hospital