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Casemix: Analysis and Reports


HRG4+ 2014/15 Reference Costs ~ National Casemix Office Appraisals

The National Casemix Office have produced  zip icon HRG4+ 2014/15 Reference Cost Appraisals [21Mb] for each subchapter, with the exception of UZ Undefined Groups. The appraisals are at Subchapter-level, except where Subchapters have an intrinsic relationship, in which case the appraisal covers multiple subchapters, or in the case of Paediatric Medicine, is published at the Chapter level.

These appraisals have been endorsed by the Department of Health Reference Costs Team and use the published national and provider level Reference Costs from the 2014/15 collection to evaluate the performance of the HRGs in the HRG4+ 2014/15 Reference Costs design, focussing on the expected relativities between HRGs. They provide a basis from which to improve the data quality of the Reference Costs in future years, as well as providing an assessment of how well the HRG4+ casemix classification reflects current clinical practice and innovations in healthcare delivery.

Particular attention has been paid to the areas where HRG performance has been significantly influenced by a relatively small number of providers with atypical reported activity and/or costs. Tables also identity outlier costs as submitted by individual providers.

Any feedback regarding these appraisals should be directed to enquiries@nhsdigital.nhs.uk, marked for the attention of the National Casemix Office.

HRG4+ Clinical Snapshots (2013/14)

The National Casemix Office have produced zip icon HRG4+ Clinical Snapshots [10Mb] of the Reference Costs 2013/14 HRG4+ design for each subchapter, with the exception of UZ Undefined Groups and WF Non-admitted Consultations. There is a clinical snapshot per subchapter, except in cases where subchapters have an intrinsic relationship, in which case a snapshot may cover multiple subchapters, or in the case of paediatric medicine, has been completed at the Chapter level.

These snapshots use the published national and provider level Reference Costs from the 2013/14 collection to evaluate the performance of the HRGs in the Reference Costs 2013/14 HRG4+ design, focussing on the expected relativities between HRGs. Particular attention has been given the areas where HRG performance has been significantly influenced by a relatively small number of Providers with atypical reported activity and/or costs.

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