h28改定(dpc)説明

H28DPC/PDPS

DPC/PDPS

DPCH28DPC/PDPShttp://archives.mag2.com/0001588268/https://qmir.wordpress.comTwitterhttps://twitter.com/9ijiken

H28

1

()DPC/PDPS275

0.2515

2426507528DPC/PDPS

2

DPC/PDPSIIIICBACBAB28

H2425%ABC

AC

75%H28H30

H2650%

28DPC/PDPS

1223(65)(3a1 (3b)DPC(3c) (3A(3B)DPC(3C)4DPC

28DPC/PDPS

4

A200A204A204-2A207A207-2A234A234-2A244A245A230A230-2A243A207-32530A207-41216A213A21475A218A218-2A224A225A229A219A220A220-2A221A221-2A222A222-2A223A223-2

28

28DPC/PDPS

6

497.5%tile2.5%tile097.5%tile2.5%tile01.001097.5%tile0201.000 1.00097.5%tile(3)2.5%tile090%tile10%tile0

1 30%tile2 3704

1.59

28DPC/PDPS

7

1

30%tile2929

70700.05290.05DPCDPC95

28DPC/PDPS

8

30

2,410426 28DPC/PDPS

9

ABCD28DPC/PDPS

10

DH28DPC060020xx99x7xx5.7080005xx99x2xx3.7010070xx9910xxE0032.6100020xx99x2xxI1316.0010030xx9910xxE0032.6050050xx9920xxD2062.9

D26D28DPC/PDPS

11

CCPCCPp01p02

20102030405060708p01p04p01p05p05p01

50100601728704008011201610006010008114427

Comorbidity Complication Procedure28DPC/PDPS

12

MDCDPCDPC15165752,5521,86016165913,0741,72618165162,3471,43820185062,4511,57222185072,6581,88024185162,9272,241264185042,8732,309284185065,0784,4042,410

MDCMajor Diagnostic CategoryDPCCCP2828DPC/PDPS

13

78ADPCABBDPCBDPCADPCBDPCB7

DPC

DPC28DPC/PDPS

14

7DPCADPCA'7

DPCADPCA'7

DPCADPCA'7

DPCADPCA'7

DPCADPCA'7

DPCDPC

DPCMDC

R00.2R05R06.0R63.028DPC/PDPS

15

DPCDPC2

DPC100.875 28DPC/PDPS

16

DPCDPCCAN0040 /0123M040020 /15040070040080

28DPC/PDPS

17

DPCM050010 /NYHANYHANYHA

/2711306

28DPC/PDPS

18

EF

DPCEFEF

DDPC14DPCDPCDPCDPC

28DPC/PDPS

DPCH110289EF28910289D10DPCDPCDPC28910200-293

28DPC/PDPS

20

(H)A 0.00 B 0.00 C 0.00 A1 A2 A3 3 A4 A5 A6 A7 B1 B2 B3 B4 B5 B6 B7 C1 C2 C3 C4 C5 C6 C7

H-A1H-A2H-1H-2 EF H-3H-41 EFH-5 EF H-1H-4H-5 0 1 02

21

H

DPC 0011 28 9 29 H-1H-5H201692928Hhttp://www.prrism.com/dpc/16dpc.html

22

DPCDPCDPCEF

DPC

DPC

2810EF

28DPChttp://www.mhlw.go.jp/stf/shingi2/0000142177.htmlDPCDPC/PDPSD-2-3 2PDF2,210KBhttp://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000142262.pdf23

FF-19F-19410193 12 ( 000 )

410194 1 0,1, 2 0,1,2 3 0,1,2 4 0,1,2 5 0,1,2,3,4,9 0

410195 2 1,2

410196 (1)(3 )(4) 0 8

410197

410198 160671A008010 2 03

24

2628DPC262829DPCDPC 292470

28DPChttp://www.mhlw.go.jp/stf/shingi2/0000142177.htmlDPCDPC/PDPSD-2-3PDF91KBhttp://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000142251.pdf25

2628DPC2628DPCCCPD DIC 2DPCPDPSDPCDPC30 DPC/PDPSDPC DPCDPC110EF2810EF12810DPCEF2810ADLEF2810

28DPChttp://www.mhlw.go.jp/stf/shingi2/0000142177.htmlDPCDPC/PDPSD-2-3PDF91KBhttp://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000142251.pdf26

1

30%tile2929

70700.05290.05DPCDPC95

28DPC/PDPS

27

DPCH2810H2941.2. 3 3. UICC 4.5. ICD10 6.7.DIC

DPC0.00047 DPC143DPC14 5UICCUICC / ICD10 UICCTNMUPUICCTNM http://www.prrism.com/dpc/byouinjyouho_koukai28.htmlhttp://dpcri.or.jp/

http://www.prrism.com/dpc/byouinjyouho_koukai28.html28

P4PH28.107

28H22H27http://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000124225.htmlhttp://quality-indicator.net/QIPhttp://med-econ.umin.ac.jp/QIP/QIhttps://www.hospital.or.jp/qip/https://www.hosp.go.jp/treatment/treatment_rinsyo.htmlhttp://www.univ-hosp.net/features.shtml

P4P30

2035 2016117?3 http://www.igaku-shoin.co.jp/paperDetail.do?id=PA03198_04

P4Phttp://wp.me/p6NPV7-UN

OP-25830

OP-3B58

OP-497 24

OP-57ECG

AMI-299

AMI-7A61 30

AMI-8A95 90PCI

AMI-1098 CMSAMI8http://www.medicare.gov/hospitalcompare/Data/Measures-Displayed.htmlH29

31CMSAMI8http://www.medicare.gov/hospitalcompare/Data/Measures-Displayed.html

1

0.05290.05DPCDPC95

28DPC/PDPS

0.05

4

32

DPC/PDPSDPCDPC30DPC

DDPCWG

28DPC28119http://www.mhlw.go.jp/stf/shingi2/0000142177.html2810D-3PDF105KBhttp://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000142263.pdfD-3 PDF83KBhttp://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000142264.pdf33

DPC/PDPS DPC/PDPS 24


DPC/PDPS DPC 2428


DPC/PDPS 22 24


DPC/PDPS

30

CCP ICD-102013

DPC DPC DPC WG MDC DPC

DPC/PDPS DPC/PDPS 1.DPC

2.55


P4Phttp://www.slideshare.net/kanrishi/2015-53488845http://www.slideshare.net/kanrishi/2006-53362798pptx

H28DPChttp://archives.mag2.com/1588268/201502/H28DPChttp://archives.mag2.com/0001588268/20150303070000000.html

38

DPC

DPChttp://archives.mag2.com/0001588268/20150303070000000.html

DPChttp://archives.mag2.com/0001588268/20150224222000000.html

DPC2http://archives.mag2.com/0001588268/20150226220000000.html

39

UPFIM

DPC

12385

DPC

H27http://wp.me/s6NPV7-nho

40

4059

11840417131718695386

87

130TOP101 1302 1043 924 915 876 647 607 609 5810 57

91

8161211623792516382892887836719H281215H2811

92104

1112

23

11

64

21

7

111797

87

100474646454240383634333332292827272726252423222120181818181717161612111111711920398060791211,764 111,661 22103

27

22

18

17

27

16

47

33

36

34

16

18

18

12

45

29

32

25

57

38

26

17

18

58

33

28

24

46

27

46

60

40

42

60

20

12P1581687221231101127027211221801817017261271601632133425473513680119161364331341511629029171181011144145320322142554357120121801831738848929771041742125126170171711857158591602943317320707364402712812281302132442042537604514627027460461101181687116211837925404163817128928317179718687895367193861,661 103 1,764 41

/1215

42

H28(2016 H28.3

100199 130300399 68 20 99 64200299 50400499 29500999 81000 0349

43

152710281764

281215

/12

271028http://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000102535.pdf

44

11840417131718695386

87781612116237925163828928179887836719/121

60TOP30H281215131.631.61,76455,757

H28.10

317123291435(45358)

3

45

14H281215

46

H28.9http://www.mhlw.go.jp/toukei/saikin/hw/iryosd/m16/is1609.html303020101. 38.62. 35.43. 35.3

10.7H26.10

20.9H28.11

121764/844220.9http://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000076241.pdfPDF462

(10.7)2610 29227http://www.mhlw.go.jp/stf/shingi2/0000076225.htmlhttp://www.mhlw.go.jp/file/05-Shingikai-12404000-Hokenkyoku-Iryouka/0000076241.pdf47

281128713http://www.soumu.go.jp/main_sosiki/jichi_gyousei/daityo/gaiyou.html

H28.9http://www.mhlw.go.jp/toukei/saikin/hw/iryosd/m16/is1606.html

281215

48

49

31.6

50

2016/11http://medical.nikkeibp.co.jp/all/info/mag/nhc/

20142425

2630

3136

51

201611 () ( Vol.75 No.11)

201612 () ( Vol.75 No.12) 28202528712828

52

201612 () ( Vol.50 No.12)

2016 201611BOOK282016

22

328

53

JAHCCJapanese Association of Hospitals for Community-based Carehttp://chiiki-hp.jp/http://chiiki-hp.jp/gaiyou/yakuin.html http://chiiki-hp.jp/kaiin/

http://chiiki-hp.jp/nyukai/

54

http://www.slideshare.net/kanrishi/55

H17H18H19H20H21H22H23H24H25H26H2755 51 59 56 66 63 69 68 69 73 75 309 295 329 358 353 376 404 427 441 439 430 61 102 99 97 122 77 89 99 103 109 110 459 540 513 435 440 414 429 446 447 437 410 56 89 89 109 102 103 101 101 101 97 93 276 307 346 319 381 287 323 327 350 363 353 68 172 120 113 170 141 172 146 160 156 174 357 442 547 667 797 906 1,084 1,284 1,399 1,477 1,454 6 6 7 4 7 6 6 6 6 6 6 192 200 201 258 290 369 334 341 360 382 387 8,538 11,077 11,120 12,339 10,995 11,129 12,515 14,317 14,492 14,073 13,607 1,394 1,725 1,770 1,939 1,634 1,705 1,783 1,976 1,959 1,941 1,812 415 408 307 228 230 186 251 278 279 266 245 0 0 0 67 61 92 101 118 121 111 104 1,396 1,600 1,956 1,951 2,333 2,546 2,763 2,562 2,579 2,725 2,790 29,607 29,472 30,495 30,337 29,085 30,727 31,046 32,229 32,752 32,746 33,189 43,188 46,486 47,957 49,278 47,065 49,126 51,468 54,728 55,620 55,403 55,237

DPC55,237DPC33,189H25

DPC55,237/100

35,97965.115,41927.9

93

27 615http://www.mhlw.go.jp/toukei/list/26-19c.html56

H266/2

DPC

57

H26.6.2

3H26.10

H26.9

H26H27

58

http://www.slideshare.net/kanrishi/dpch28h30dpchttp://www.slideshare.net/kanrishi/dpcpdps2016http://www.slideshare.net/kanrishi/new-icd-11-codes-for-2018

http://www.slideshare.net/kanrishi/2015-53488845

59

H2860

h28改定(dpc)説明

Health & Medicine