November 1988

Use of Specialty Psychiatric Settings in Constructing DRGs

Author Affiliations

From the Division of Biometry and Applied Sciences (Dr Taube) and Mental Health Financing (Dr Goldman), National Institute of Mental Health, Rockville, Md; University of Maryland School of Medicine, Baltimore (Dr Goldman); and School of Public Health, University of Texas Health Science Center, Houston (Dr Lee). Dr Taube is now with The Johns Hopkins University, Baltimore.

Arch Gen Psychiatry. 1988;45(11):1037-1040. doi:10.1001/archpsyc.1988.01800350071010

• Characteristics of a psychiatric setting, such as staffing intensity and scope of services, are examined to see if they contribute to explaining variation in length of stay over that explained by commonly available patient descriptors. For short-stay admissions (<31 days), only a small improvement in predictive ability was found. Implications for prospective payment systems are discussed.