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Biomedical subjects

L M Mountney

Publications and source records attributed to L M Mountney.

3 recordsLinked to original sources

The development of Healthcare Resource Groups--Version 3.

The use of casemix classifications to assist in the analysis of patient-based information is becoming more widespread and routine in the management of the National Health Service (NHS). This paper details the process of modification of and the results of modifications to Healthcare Resource Groups (HRGs), an in-patient classification tailor-made for the English healthcare system. Clinical expertise and extensive statistical analysis of national data were combined to identify areas of HRGs Version 2 where improvement could be made. The ensuing changes were then reviewed by professional associations and the wider NHS before being incorporated into grouping software. Extensive changes were made to the classification, with significant gains in statistical performance. Analysis shows that the revised groupings perform better on English data than other available systems.

Diagnosis-Related Groups↗

The use of case mix measures in the planning and provision of health care.

Recent changes in the management of U.K. health care have been directed toward the provision of cost-effective care appropriate to the health needs of the population. There are many initiatives to achieve this objective. In particular, the National Casemix Office has developed health care resource groups to categorize clinical activity for costing purposes and health benefit groups to categorize the population in terms of need for health care and ability to benefit from that care. The article describes the use of these two sets of groupings to develop a matrix that maps the major health needs in the population against the treatment and care required to meet those needs. The matrix provides a framework for the development of outcome measures and clinical guidelines.

Diagnosis-Related Groups↗