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The Computerized Severity Index. A New Tool for Case-mix Management

Overview
Journal J Med Syst
Specialty Medical Informatics
Date 1986 Feb 1
PMID 3088190
Citations 8
Authors
S D Horn
R A Horn
Affiliations
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Abstract

We describe the new Computerized Severity Index (CSI) that is obtained from an expanded discharge abstract data set, based on a 6th-digit severity addition to the ICD-9-CM coding system. The new 6-digit code book (called ICD-9-CMSA) is used to label existence and severity of each principal and secondary diagnosis. It can be used to produce an overall severity of illness level for each hospital inpatient. The impact of severity-adjusted DRGs on prospective payment and uses of the CSI for assessing quality of care, efficiency, physician practice profiles, and prediction of posthospital resource needs are discussed.

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References
1.
Horn S, BULKLEY G, Sharkey P, Chambers A, Horn R, Schramm C . Interhospital differences in severity of illness. Problems for prospective payment based on diagnosis-related groups (DRGs). N Engl J Med. 1985; 313(1):20-4. DOI: 10.1056/NEJM198507043130105. View
2.
Jencks S, Goldman H, McGuire T . Challenges in bringing exempt psychiatric services under a prospective payment system. Hosp Community Psychiatry. 1985; 36(7):764-9. DOI: 10.1176/ps.36.7.764. View
3.
Coffey R, GOLDFARB M . DRGs and disease staging for reimbursing Medicare patients. Med Care. 1986; 24(9):814-29. DOI: 10.1097/00005650-198609000-00003. View
4.
Horn S, Horn R, Sharkey P . The Severity of Illness Index as a severity adjustment to diagnosis-related groups. Health Care Financ Rev. 1983; Suppl:33-45. PMC: 4195109. View
5.
Horn S, Horn R, MOSES H . Profiles of physician practice and patient severity of illness. Am J Public Health. 1986; 76(5):532-5. PMC: 1646608. DOI: 10.2105/ajph.76.5.532. View