Information contracting tools in a cancer specialist unit:the role of Healthcare Resource Groups (HRGs)

The need for high quality management information within the contracting process has driven many of the major developments in health service computing. These have often merged clinical and financial requirements, usually along patient-centred lines. In order to identify a common currency for a range...

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Main Authors: Carol Marlow, Hugh Preston
Format: Article
Language:English
Published: University of Borås 1998-01-01
Series:Information Research: An International Electronic Journal
Subjects:
Online Access:http://informationr.net/ir/4-2/paper52.html
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author Carol Marlow
Hugh Preston
author_facet Carol Marlow
Hugh Preston
author_sort Carol Marlow
collection DOAJ
description The need for high quality management information within the contracting process has driven many of the major developments in health service computing. These have often merged clinical and financial requirements, usually along patient-centred lines. In order to identify a common currency for a range of clinical activities that are inherently variable, price tariffs have been drawn up on the basis of 'episodes of care' within specialties. Healthcare Resource Groups (HRGs) were designed to meet the need for a common information currency. However, they were designed for acute care. The study on which this paper is based aims to examine their applicability to chronic care in a cancer specialist unit. The data were drawn from the patient information system within a major cancer unit. The focus of the investigation is encapsulated in the following questions: a) Do HRGs really work as a grouping and costing methodology? b) How relevant are HRG classifications for long-term patient care? The investigation demonstrated that not all HRGs are iso-resource within this environment. The findings from the data analysis are echoed by the NHS Executive's own evaluation . This does not negate advantages in their use. Furthermore, the development of Health Benefit Groups as information management tools, through a focus on health conditions and interventions rather than on purely on treatments, offers potential for greater validity within a chronic care situation.
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spelling doaj-art-49fe2339126b47bd9859d6cff23b4b682025-02-02T00:53:39ZengUniversity of BoråsInformation Research: An International Electronic Journal1368-16131998-01-014252Information contracting tools in a cancer specialist unit:the role of Healthcare Resource Groups (HRGs)Carol MarlowHugh PrestonThe need for high quality management information within the contracting process has driven many of the major developments in health service computing. These have often merged clinical and financial requirements, usually along patient-centred lines. In order to identify a common currency for a range of clinical activities that are inherently variable, price tariffs have been drawn up on the basis of 'episodes of care' within specialties. Healthcare Resource Groups (HRGs) were designed to meet the need for a common information currency. However, they were designed for acute care. The study on which this paper is based aims to examine their applicability to chronic care in a cancer specialist unit. The data were drawn from the patient information system within a major cancer unit. The focus of the investigation is encapsulated in the following questions: a) Do HRGs really work as a grouping and costing methodology? b) How relevant are HRG classifications for long-term patient care? The investigation demonstrated that not all HRGs are iso-resource within this environment. The findings from the data analysis are echoed by the NHS Executive's own evaluation . This does not negate advantages in their use. Furthermore, the development of Health Benefit Groups as information management tools, through a focus on health conditions and interventions rather than on purely on treatments, offers potential for greater validity within a chronic care situation.http://informationr.net/ir/4-2/paper52.htmlmanagement informationcontractingnational health serviceNHScomputingclinical requirementsfinancial requirementspatient-centredepisodes of careHealthcare Resource GroupsHRGchronic carecancerHealth Benefit Groups
spellingShingle Carol Marlow
Hugh Preston
Information contracting tools in a cancer specialist unit:the role of Healthcare Resource Groups (HRGs)
Information Research: An International Electronic Journal
management information
contracting
national health service
NHS
computing
clinical requirements
financial requirements
patient-centred
episodes of care
Healthcare Resource Groups
HRG
chronic care
cancer
Health Benefit Groups
title Information contracting tools in a cancer specialist unit:the role of Healthcare Resource Groups (HRGs)
title_full Information contracting tools in a cancer specialist unit:the role of Healthcare Resource Groups (HRGs)
title_fullStr Information contracting tools in a cancer specialist unit:the role of Healthcare Resource Groups (HRGs)
title_full_unstemmed Information contracting tools in a cancer specialist unit:the role of Healthcare Resource Groups (HRGs)
title_short Information contracting tools in a cancer specialist unit:the role of Healthcare Resource Groups (HRGs)
title_sort information contracting tools in a cancer specialist unit the role of healthcare resource groups hrgs
topic management information
contracting
national health service
NHS
computing
clinical requirements
financial requirements
patient-centred
episodes of care
Healthcare Resource Groups
HRG
chronic care
cancer
Health Benefit Groups
url http://informationr.net/ir/4-2/paper52.html
work_keys_str_mv AT carolmarlow informationcontractingtoolsinacancerspecialistunittheroleofhealthcareresourcegroupshrgs
AT hughpreston informationcontractingtoolsinacancerspecialistunittheroleofhealthcareresourcegroupshrgs