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© 1998 Faculty of Public Health Medicine of the Royal Colleges of Physicians of the United Kingdom

research-article

The development of Healthcare Resource Groups - version 3


P. L. Benton, Analytical and Statistical Services Manager
H. Evans, Senior Statistician
S. M. Light, Casemix Consultant
L. M. Mountney, Operational Director
H. F. Sanderson, Director
P. Anthony, General Manager

National Casemix Office NHS Executive, Highcroft, Romsey Road, Winchester SO22 5DH
The Workbridge Centre Northampton NN4 7AD


Address correspondence to P. L. Benton

The use of casemix classifications to assist in the analysis of patient-based information is becoming more widespread and routine in the management of the National Health Service (NHS). This paper details the process of modification of and the results of modifications to Healthcare Resource Groups (HRGs), an in-patient classification tailor-made for the English healthcare system. Clinical expertise and extensive statistical analysis of national data were combined to identify areas of HRGs Version 2 where improvement could be made. The ensuing changes were then reviewed by professional associations and the wider NHS before being incorporated into grouping software. Extensive changes were made to the classification, with significant gains in statistical performance. Analysis shows that the revised groupings perform better on English data than other available systems.

Keywords: casemix, HRGs, DRGs


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