Future demands of NordDRG cooperation

Mikko RotonenIT Development Director

HUS ICT

About coding systems in Nordic countries

• Standard coding in all Nordic countries ?– NCSP+ (explains 26 % of the costs)– Radiology diagnostics (explains 5 % of the costs)– Laboratory diagnostics (explains 6 % of the costs)– Medication (exlains over 10% of costs)– Staff and internal support services (58 % of the cost)

Trends in future / Are we ready for… (1/2)

• New technologies in treatment– Medication– Operations– Web therapies in psychiatry – Other …

• Aging (Europe 2030 and 2040)– Over 85 year old patient’s treatment is 1,6 times

more expensive than patiens between 15-64 years– Lack of staff ?

• Organizational changes– Combining primary and secondary healtcare unit

Trends in future / Are we ready for… (2/2)

• DRG packages or still continue fee by service– Total package of treatment?– Risks in packages

• Rapid development– Changes annually or even faster in coding and

pricing the services (Denmark)• Is DRG too expensive for users?– Cost calculating and DW is expensive (ICT 0,5% of

costs)– Collecting data is expensive– Benefits of the data – information - knowledge