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Topic: Major Diagnostic Category

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Diagnosis related group

Hong Kong Institute of Education

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MDC

Palatine Guard

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	Major
		Major Indoor Lacrosse League The Major Indoor Lacrosse League was the forerunner to the 1997 at the time the NLL was for...
		Major term The major term is the predicate term of the conclusion of a end term (meaning not the middle term).
		Violin Concerto in E major (Bach) The Violin Concerto in E major by J. Bach (BWV 1042) is a concerto in 3 movements:...
	www.brainyencyclopedia.com /topics/major.html (2227 words)

	WITHIN: Background Information and Help (Site not responding. Last check: 2007-11-01)
		There are 25 major diagnostic categories in all, most of them based on organ systems.
		MDCs and DRGs were originally developed at the Yale University School of Organization and Management during the 1970s under contract to the Health Care Financing Administration.
		The creation of a clinically coherent set of major diagnostic categories was the first step in the process of creating diagnosis-related groups.
	www.dhfs.state.wi.us /within/qspages/hsiterm.htm (1071 words)

	[No title] (Site not responding. Last check: 2007-11-01)
		Category 435, transient cerebral ischemia, was removed from the old DRG 15 and code 436 was added to the redefined DRG 15.
		MDC 15, Newborn and other neonates with conditions originating in the perinatal period, had a number of DRG revisions proposed, but these were not implemented in the final rule.
		Category 633, Ectopic pregnancy, had subcategories expanded to five digits to enable coding a multiply gestation pregnancy that is both an ectopic and intrauterine pregnancy (633.00-633.91).
	www.tmf.org /pepp/ICD9_CM_Update.doc (3861 words)

	Health Care Financing Review: Explaining resource consumption among non-norma... @ HighBeam Research (Site not responding. Last check: 2007-11-01)
		A final source of confusion is that major diagnostic category (MDC) 15 does not include all admissions of patients under 28 days of age, so a small percentage of newborns are scattered across many DRGs outside of MDC 15.
		A major difference between PMDRGs and DRGs is that the former includes all non-normal newborns within the neonatal major diagnostic category (MDC 15).
		By expanding the number of DRG categories from 7 to 31, as in the PMDRG model (without the mechanical ventilation groups), or even to 18, as in the BWDIS model, the number of categories could create a problem of small cell size.
	www.highbeam.com /library/doc0.asp?DOCID=1G1:12160551&refid=ip_encyclopedia_hf (4830 words)

	Major diagnostic categories (from mental disorder) -- Encyclopædia Britannica (Site not responding. Last check: 2007-11-01)
		Major diagnostic categories (from mental disorder) -- Encyclopædia Britannica
		Canadian author and educator Kevin Major was one of the leading figures in Canadian literature for young adults.
		Major served as prime minister until May 1997, when his Conservative party suffered its worst loss in 165 years in national elections and was ousted by the Labour party led by Tony...
	www.britannica.com /eb/article-32330 (785 words)

	Health Care Financing Review: Purpose of admission and resource use during ca... @ HighBeam Research (Site not responding. Last check: 2007-11-01)
		The major surgery variable was flagged if the patient underwent one or more procedures that are generally intended as therapeutic (not diagnostic) and that must typically be performed in the sterile environment of an operating room or comparable facility.
		The diagnostic evaluation variable was also flagged if the proportion of total charges accounted for by radiology plus laboratory charges was at or higher than the 75th percentile for the entire distribution of discharges for that cancer.
		In addition, the diagnostic technologies employed for colon and breast cancers (e.g., radiographic barium studies of the colon, colonoscopy, needle biopsies of the breast) are generally performed on an outpatient basis; an admission purely for diagnostic evaluation would be relatively uncommon for these cancers.
	www.highbeam.com /library/doc0.asp?DOCID=1G1:12160553&refid=holomed_1 (6876 words)

	Health Services Research: Case-mix adjustment using objective measures of severity: the case for laboratory data
		All admissions are classified by major diagnostic category (MDC) and then subassigned to one of 470 diagnosis-related groups (DRGs) using the DRG grouper current at the time of discharge(1) as provided by Health System International/3M.
		The remaining categories were based on physiologically meaningful intervals specific to each of the seven tests under study.
		Consider, for example, the categories we used for "minimum albumin": category 0 is "not ordered," category 1 is "greater than or equal to an adjusted (see further on) lower limit of normal," categories 2 through 5 are "abnormal" (minimum) values falling in the ranges 2.9-3.1, 2.6-2.9, 2.3-2.6, and less than 2.3, respectively.
	www.findarticles.com /p/articles/mi_m4149/is_n6_v28/ai_15296100 (1355 words)

	FR Doc 03-19363
		MDC 8 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue) Prior to the issuance of the proposed rule, we received a comment that two codes for cervical fusion of the spine are not included within DRG 519 (Cervical Spinal Fusion With CC) and DRG 520 (Cervical Spinal Fusion Without CC).
		MDC 15 is comprised of diagnoses that relate to newborns and other neonates with conditions originating in the perinatal period.
		MDC 17 (Myeloproliferative Diseases and Disorders and Poorly Differentiated Neoplasms) High-dose Interleukin-2 (IL-2) Chemotherapy is a hospital inpatient-based regimen requiring administration by experienced oncology professionals.
	a257.g.akamaitech.net /7/257/2422/14mar20010800/edocket.access.gpo.gov/2003/03-19363.htm (16024 words)

	MDC Report
		The report, called Disability Benchmarks by Major Diagnostic Category, was prepared by Work Loss Data Institute (WLDI) to answer the question "How are we doing?", which is increasingly being asked by employers, disability insurers, and consultants.
		To prepare the report WLDI mapped the raw ICD9 data in these databases to the 25 Major Diagnostic Categories (MDC) which are commonly used in benchmarking.
		Numbers are summarized for all MDC’s showing that total lost-work days, for any unscheduled absence due to illness or injury (including sick leave, short and long term disability, and workers’ compensation), add up to 850 days per 100 workers (or 8.5 days per worker, equating to an absence rate of 3.4% assuming 250 work-days annually).
	www.disabilitydurations.com /pr_repmdc.htm (685 words)

	Healthcare Cost and Utilization Project (HCUP) NIS Notes (Site not responding. Last check: 2007-11-01)
		The Major Diagnostic Category appropriate for the date of discharge (MDC) is assigned by the HCFA DRG grouper during HCUP processing.
		The DRG should be 470; and the MDC should be equal to 0.
		This affects the DRG, DRG10, MDC, and MDC10 assignment.
	www.hcup-us.ahrq.gov /db/vars/mdc/nisnote.jsp (461 words)

	report163c
		Except for principal diagnosis no importance w ill be attached to the ordering and/or sequencing of the diagnostic and surgical information on the patient record.
		Whenever possible and appropriate, the initial partition of each major diagnostic category will bebased on the presence or absence of a surgical procedure performed in the operating room.
		Any partition of the data based on the type of surgery or diagnostic information must be predicted on an underlying organizing principle.
	www.lib.lsu.edu /special/apa/report163c.htm (817 words)

	HIMSS - JHIM: Journal of Healthcare Information Management
		Although cost caps and carve outs are not personal attributes that can predict costs, when they are part of the capitation payment model, as the 1996 study by Weiner and others aptly demonstrates, they increase the explanatory power of the risk predictor statistic.
		EDSs were then collapsed to risk-adjustment categories (RAdCs), such as healthy, moderate acute, single chronic, multiple chronic, three or more dominant chronics, metastatic malignancies, and catastrophic illnesses or conditions.
		Even if the HCC variations are excluded, DCGs have evolved adjusted categories since their creation, so in the purest sense the DCGs reviewed in Table 3 are similar, but not equal.
	www.himss.org /asp/ContentRedirector.asp?ContentID=759 (5972 words)

	Connecticut Charge and Discharge Data by MDC (Site not responding. Last check: 2007-11-01)
		The State of Connecticut Office of Healthcare Access has provided New Haven Health with charges by Major Diagnostic Category for FY 1991-97.
		The twenty-five MDCs represent an extremely broad grouping of the ICD-9 diagnostic nosology and its thousands of diagnostic codes.
		A value of "4" is an estimated value; a value of "3" means less than 6, where the value cannot be estimated.
	info.med.yale.edu /newhavenhealth/statistics/services/mdc/about.html (125 words)

	Health Care Financing Review: Health-Based Payment for HIV/AIDS in Medicaid Managed Care Programs
		A third approach is the Diagnostic Cost Group (DCG) methodology developed by Ash and her colleagues (Ash et al., 1986, 1989) to analyze Medicare data; the DCG approach has since given rise to several variants, such as the Hierarchical Coexisting Conditions model (Ellis et al., 1996), which takes into account multiple coexisting conditions.
		Some of the categories are based on body systems and others on types of illness or disability, and the diagnostic categories fit into two broad classes.
		The central feature of the ACG mechanism is a set of 32 distinct Ambulatory Diagnostic Groups (ADGs), which incorporate a majority of the ICD-9 diagnostic codes used in medical records (see Technical Note).
	www.findarticles.com /p/articles/mi_m0795/is_3_19/ai_53458982/pg_5 (1197 words)

	NursingWorld \| OJIN: Nursing Classifications: Home Health Care Classification System: An Overview (Site not responding. Last check: 2007-11-01)
		One major finding from the research demonstrated that the combined nursing diagnoses and interventions data classified by 20 Care Components were the best predictors of resources used.
		One major finding from the research demonstrated that the combined nursing diagnoses and interventions data classified by 20 Care Components were the best predictors of resources used (Saba, 1991; Saba and McCormick, 2001).
		Their goal was to determine the extent to which they possess the characteristics needed to implement a computer-based system including such criteria as (a) atomic and compositional characters, (b) attributes, (c) hierarchies and inheritance, (d) unique identifiers, and (e) definitions.
	www.nursingworld.org /ojin/tpc7/tpc7_7.htm (6959 words)

	NQMC NGC Summary (Site not responding. Last check: 2007-11-01)
		This measure is used to assess the number of cases of decubitus ulcer per 1,000 discharges with a length of stay greater than 4 days.
		Finally, this indicator excludes patients who are particularly susceptible to decubitus ulcer, namely patients with major skin disorders (Major Diagnostic Category 9 [MDC 9]) and paralysis.
		Exclude patients in Major Diagnostic Category 9 (MDC 9) or patients with any diagnosis of hemiplegia, paraplegia, or quadriplegia.
	www.qualitymeasures.ahrq.gov /summary/summary.aspx?doc_id=6016 (973 words)

	Laboratory Costs in the Context of Disease -- Young et al. 46 (7): 967 -- Clinical Chemistry (Site not responding. Last check: 2007-11-01)
		DRGs in MDC 16 (diseases and disorders of the blood and blood-forming
		MDCs, the average of the median laboratory costs for the medical
		DRG was $146 for diseases of the eye (MDC 2).
	www.clinchem.org /cgi/pmidlookup?view=full&pmid=10894840 (4036 words)

	Untitled Document
		They should be able to describe the major diagnostic categories of DSM-IV that are emphasized in this course: mood, anxiety, schizophrenic disorders.
		Students should increase their thinking skills in that they should be able to critically evaluate evidence supporting various theories or therapeutic interventions.
		Video cases may be used to illustrate the human side of the diagnostic categories.
	course1.winona.edu /klane/Abnormalcourse.html (2593 words)

	IDPH Hospital Discharge Database
		For a different perspective, make your choice from the complete major diagnostic categories (MDC), diagnosis related groups (DRG), or surgical selection list.
		Note: To select more than one specific category within each data element, click on a category and then hold down the Ctrl key while clicking on additional categories.
		Diagnostic dilatation and curettage (D&C) Diagnostic endocrine procedures
	app.idph.state.il.us /hospitaldischarge/IPQuery.asp (1046 words)

	DRG Plus!
		Color-coded tree diagram illustrating the DRG structure for the Major Diagnostic Category.
		Listing of all DRG codes assigned to the Major Diagnostic Category along with the Geometric Mean Length of Stay (GMLOS), Arithmetic Mean Length of Stay (AMLOS) and Relative Weight (RW) for each DRG.
		Detailed descriptions of patient attributes which define each DRG in the Major Diagnostic Category.
	www.pohly.com /books/drgplus.html (638 words)

	New Haven Health - New Haven area hospital payer data, FY 1991-1997
		The MDC data that are linked below are in Micorosoft Excel 4.0 format.
		Data for each diagnostic category are available by linking from the list of categories that appears below.
		Data for each hospital (for which the OHCA has information) are available by linking from the list of hospitals that appears that the bottom of this page.
	info.med.yale.edu /newhavenhealth/statistics/services/Ohca/mdc/mdcdata.htm (530 words)

	Nat' Academies Press, Massive Data Sets: Proceedings of a Workshop (1997)
		A typical application of the systems is for quality assurance or utilization review staff at a hospital to undertake analyses of specific categories of patients, using COREPLUS and SAFs as guides towards problem areas.
		A first step in integrating the internet into the central-distributed model might include transmitting data on a daily basis from providers (physicians and hospitals) to a central information processing center and its return to the provider with added value, for example, including some standards and predictions for benchmarking.
		In healthcare analysis, a divide and conquer strategy is natural given the pervasive subject matter knowledge: patients are naturally divided by major diagnostic category (MDC), for example, those with respiratory problems (MDC 4) and those with cardio-vascular problems (MDC 5).
	www.nap.edu /books/0309056942/html/51.html (5015 words)

	Hot Topics
		Levitan (607) 255-4765, lcl3@cornell.edu can comment on whether the benefits of particular official measures, such as insecticide spraying against mosquitoes carrying WNV or mosquito larvae--abatement procedures, outweigh the risks.
		The veterinary diagnostic laboratory screens for WNV in birds and other wild animals, domestic animals including horses and the so-called sentinel chickens, as submitted by local health officials and veterinarians.
		Biotechnology has become a major public issue, both in Europe and in the United States.
	www.news.cornell.edu /hottopics.shtml (2827 words)

	Avalon-Eating Disorders-Anorexia,Bulimia Eating Disorder Treatment
		This pattern of eating and dieting effects health, interpersonal relationships and socialization with significant emotional and medical complications.
		The American Psychiatric Association recognizes it as a major diagnostic category.
		The Academy for Eating Disorders reports that conservative estimates for American females aged 12 and up affected by eating disorders may exceed 10%.
	www.avalon-eatingdisorders.com (297 words)

	Medical Forms & Graphics, Inc. Medical Coding Books - CPT 2005 (Site not responding. Last check: 2007-11-01)
		• A color-coded tree diagram illustrating the DRG structure for the Major Diagnostic Category.
		• A list of all official DRG codes assigned to the Major Diagnostic Category, based on CMS Grouper 21.0 effective October 1, 2004 with the Geometric Mean Length of Stay (GMLOS), Arithmetic Mean Length of Stay (AMLOS) and Relative Weight (RW) for each DRG.
		Medicare Edits — Extensive use of symbols and color coding to help you identify invalid codes, age conflicts, sex conflicts, manifestations not allowed as principal diagnosis, and non-specific principal diagnosis.
	medicalforms.com /books2005/cpt/drgplus.html (281 words)

	Washington State Register
		"Major diagnostic category (MDC)" means one of the twenty five mutually exclusive groupings of principal diagnosis areas in the DRG system.
		The diagnoses in each MDC correspond to a single major organ system or etiology and, in general, are associated with a particular medical specialty.
		The program provides twenty-four-hour specialized nursing services and an intense level of therapy for a diagnostic category for which the client shows significant potential functional improvement.
	www1.leg.wa.gov /documents/wsr/1998/01/98-01-124.htm (16566 words)

	Healthcare Cost and Utilization Project (HCUP) NIS Notes (Site not responding. Last check: 2007-11-01)
		The Major Diagnostic Category, Version 10 (MDC10) is assigned by the HCFA DRG Grouper algorithm during HCUP processing.
		Refer to the notes for the data element DRG10 for complete details.
		One discharge in 1991 with an invalid principal diagnosis code (DXV1=1) and at least one non-missing secondary diagnosis code (DX2, etc.) had the incorrect DRG10 and MDC10 assigned because of a error in HCUP processing.
	www.hcup-us.ahrq.gov /db/vars/mdc10/nisnote.jsp (461 words)

	Self-Reported Anxiety, General Medical Conditions, and Disability Bed Days -- Marcus et al. 154 (12): 1766 -- American ... (Site not responding. Last check: 2007-11-01)
		then grouped into 26 major diagnostic categories (6).
		Table 1 shows the mean number of bed days within each major
		diagnostic category for the subjects with and without self-reported
	ajp.psychiatryonline.org /cgi/content/full/154/12/1766 (1391 words)

	Other Data (Site not responding. Last check: 2007-11-01)
		Financial Indicators and Major Diagnostic Category data are based on the Hospital Cost Report and integrated with the AHA Annual Survey of Hospitals Database.
		To build a report based on Financial Indicators derived from the HCRIS Hospital Report use either the Hospital Specific Financial Report or the Hospital Specific Custom Report.
		To build a report based on the Major Diagnostic Categories use the Hospital Specific Custom Report (select Clinical Utilization as a Category).
	www.hospitalconnect.com /ahadata/data.html (520 words)

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