Page 269 - CEO Orientation

Methodology – Defining Service (Inpatient/Outpatient)

• Each hospital uses its own definition of service to define a patient group,

set of providers, and/or number of beds

• In order to define service in a comparable way across hospitals, a

combination of main patient service and main provider service from the

coded abstracts were used for analyses:

– Main patient service allowed for separation of gynecology from obstetrics and

newborns and the analysis of palliative care and trauma services

– All other services were defined by most responsible provider’s service

• Main provider service is the service attributed to the most
DAD NACRS responsible physician* as coded in the Health Records
Abstract. The association between a physician and a
service is created and maintained by the hospital.

Main
Main Patient Provider
Service • Main patient service is only available for DAD records and
Service
is determined primarily by most responsible diagnosis;
however the relationship between diagnosis and service
Main
Provider can be modified by the hospital as they see fit.
Service

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*physician who is responsible for the care and treatment of the patient for the majority of the visit