50
TNI_""""'- ... __ ....... ___ F ... __ ....... ____ ... eo.t. .... IIIocIted from tuppOII __ . ... pcul>ll1o aI:leIote ORG_. '" ..... ........ from ... aupport.....wc.. __ to ... lIMI_ CWiIrw. 1llcIIIiotI kI n...-oe.tIon IfIIIiIIicIthcU:I ___ '" .... ___ FOt-.. ... .... h ... ..... .... ... The..... ,..,.,_ .... .... ......,. ... .. dI'8wIr"4J ....... ... ..... _ ... __ .lOIIoI ...... ... __ ..-oc.ted",,,, ___ .ThemodeldoM"--onIy-"1O <1Nl witII CfOI,f -"-"'"' by IhtM ......a.1IMIIIy. cM8ring. _ ...... ponerirog. _",.. .. ..... -ID ... ___ ""*-poMitIIIItnd ... o--wI ... . ......

The,..,., lb: PIJTP ... V SI-o-3:PUTUSE ThilIIUIQe~Ior"-""""ot .. l'W)lccetI_ ... ...toutco.c_. ThilIIUIQe~" __ """""ot~ 1IdminIInIIIoft .... ~_ ..... F"'~

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TNI_""""'- ... ....-.af",..af~ __ ....... ___ F ... __ rr-r~ ....... ____ ... k*MIng~

• eo.t. .... ~ IIIocIted from tuppOII __ .

• ~.pcuI>IIlo~ ... ~_

• ~. pcul>ll1o aI:leIote ~Io ORG_.

'" ..... for_to~ ........ from ... aupport.....wc.. __ to ... lIMI_

CWiIrw. 1llcIIIiotI ~ ~ kI be~. n...-oe.tIon IfIIIiIIicIthcU:I ~ tt-.'-"'cIiIIIrbAIonaf_Ior.~IUP\XIII"" ___ '"

.... ___ FOt-.. ... .........,oI..--",.......,.~dorw .... h

_oI~~_ ... .........,oI~tnd ..... rrwy~dorw .... ...

_oIbed~ The.....,..,.,_ .... t.::orr.~ .... ......,. ~~..w- ... OItw~ .. ~t.bMtI~by dI'8wIr"4J ....... .--I/gebtIo~ ... -~ A~IIIpIhm ..... _

...........,lOdNI..."h~nMIIr1tol ... IIIDcrian_. T1IIt~

__ .lOIIoI ...... ~_ooUIon~ ... Ide<1~tW*"..,..,.,af __ ..-oc.ted",,,, ___ .ThemodeldoM"--onIy-"1O

<1Nl witII CfOI,f -"-"'"' by IhtM ......a.1IMIIIy. cM8ring. ~ _

~OIwIoIIoIy_rr-r~......,._ ...... ~~·_O ponerirog. _",.. .. .....-ID ... ~ ___ ""*-poMitIIIItnd ... o--wI

~_chd.....,..,.,iI~pc:uibIL

Theopodllily~....:.cW ... cnly-witII~_ . ...... ".~",..

_ID~~~.

CoW_~be~tom_<:OII_~ORO""" l1*ltdoo-.~

~ ..... ""oI_~Of.~IIiIIIfIIId __ ""'*'*'II"" ..... --,. 0I ......... ~ Iot __ ooot_. l1* ...... .-orw.. <:011

1*~~be~Io<_~DDIt-=--. Tl*.,.-It~III"'"

~ .5_

~ It Mo ImPOf*K ~ "'* tMt tM ~~ -a.. __ !MI" ~ witiIin .... group_"'-'tiIIod .......... DDIt-.

•• pfCw.m COlTlt() I! DETAI.

n.--..cwdWI .......... ~~mocWlt .... _tom .... ....u.o:I ~_ 0I .... ~. By """,,11-. ___ .... o.p.1nw"It....:t ~

ocn.r~~ ...... otudy..,_~ ...... boM-h"",,",_~ _ t.c.pbt. n..-1IpICWty 1XIdng ............ _ tt..t ~ ""* be"'­

_ ..... I"II\UII,..,.rdIII.".,....-,tI_tMftgU/"_ ...... modIt( .. ~

.... ",,*!Mo 1IQ....a ........... o.p.nn.nt). A ...... ~ Iotm It_It

AppIn:Ibo5. ~IhII~ltllCllahlNcl_ .... IIotf>bII~

.. 1hI~..-dM'-.""Y!Mo_~lhIIoptIon .. ~_hIIIp

g;..tddiIiorIIII~IO""""'-'

ScIIQII • . PUTMPAY Tl*-*-~ 1o<1hI ~ 0111 .... PlY a.m _ .... --...00It_.

SUge lb: PIJTP ... V

SI-o-3:PUTUSE

ThilIIUIQe~Ior"-""""ot .. l'W)lccetI_

... ...toutco.c_.

ThilIIUIQe~" __ """"""ot~ 1IdminIInIIIoft .... ~_ ............. F"'~

_OOIAd .... ~,.ot .... ~ .... IO~

~eo. .. ~IO~""""'bMio ot ... __ ~.....,:1.

ThiI ........ Ior .... -rouIO .. ~IO .. CO'C

_on""' ... ot .... ...-._.....--....,.IO .. ~on ...... ot~Joo;agiL __ ...-.

_~~ ... '-" ..... o...n.d..,""'_by .. ~~~in1hil .... ~

~.".. ..... _~on._

... bMio. (TlwN 11 .... clindllloc.tlonlO~)

in1hil1lUlQe1ollolw.dbloddtyl .... ~1I> __

TN.~ .... Ior .. ~ ____ (~

iI'cm geneNI-*'iItnotlon) le" ~ 11> wam . ....., in1hil ..... COItIoIbotnlUllng_n...-IdIOOIo_

odminIolnltion .... 1IIoc.MIocI . N"""",, od>ooI and ~

... ~IO_co.ccontreon!l\o_oI""'kUllor

1hII1_ •• ~ot ... IoIIoI .......... M""'_oI .. 3. MIdicII od>ooI_~ .... _

~on ... bMllot"-IoIIoIIorIhll1_ ••

--.oI""'IoIIoI~.tI ... ..:1ot .. 3

STAGE5.PVTTAB- l 1n1hil ... modir:aI.....-____ __ .. ~ID .. ~on ... _oI ___

.... ...,wNtft '-..... ir-*I by,,", indi¥icMI

~ . ... _~1n1hil_hIo ..... 1he

~1n:wn1he~II\III_be~"'_

1he1..:l""'~_"""""'dirIer.-lI""""'of _ ._"""'*""" .... ~.....cIaI'" ~~~1heo.p.nn..ha_"'"

hlfllClllhof....,.....,~_be_. ThiI

__ "'~~of--..._ -STAGES:PUTTA8-2 ThiI-. .... Iot .. --..."' __ _

_ ~on .. t-o."'~_. n.

...-.rOClllhg-.. ..... __ .... _be ~on ...... of ___ ..... _ ....

_be~on .. t..II"'_d.,.o(~1ot

~lothM¥lw .... ~.

O""1heinforTrlllCionhabMn""' ............ "'1hernoOlll.~_ . ..

.,-,*,~ 1he ... ' per ~ ThiI-..! be~, GynMcoIagy"'"

P .... ~ n 1he .... of .. R-.1ioIpbI. ThiI.....,. ~ "I'PfOKh1o ~Coollng"'-" tIIM ~'!IIItIWI. tpedIItd g"""l'""""*I Mw • .....,. ...... ~, ...... co.I __ llifnlllfllloc:d)nmMho<!t. ThiI ... ,.,gMo

COIIIIItency 10 "'" model.

AlIa h ... of""' .... opIdIoIty -*'CI1oI\Wwe MlplIo~ ~-. ~~. _tapitIIII~n,.~.-_1heyIell ..

........t-""--_ouUMd....,~~....,......,~Ihe ... '" tau,"'" 1he_ mIiOriIY ofl'apbll"- MIcrwoII EroII."... ..... ~

~. ThilIo~ .. ~ .... __ , .Io~......,..'" _.~whidllo". __ t.....,-_ .... _Io_Io..--.cl. buI

.1o~~"'upcllMlhe_on.NDI*r .. ....,Io_Ihe ...... '" lhe_inlu~....,"' .... "'ht.n.lb"'~1IIoo:hnoIogy _Ioh __ ......,tapitIIII .. ~In .. ~"'~ ... "'*-loty_

2OOOcr;wnplwa8lld In IIWII' _"'" ~ b'IdI "'"_ "' ...... ~ 110

~"'"~-......-.~.., .. hoopUIo ... "' ... 1IWII' ~bIoMdCOlllng~_ .. ~(IrI ... "*"'-'8IId .. _

~ "*' ... --...,.... n.1ac:I_lIWII'tw:.pbio "borP'v_ MII'Iw-.~"'''~'''''_'''''60nol''''''''''''' ~ It-. -..y ............. ."." It-. __ poot;boe. r.Ietry "'''- _ MII'Iw-. ~ ... dhwM""""III_~(O,IIIn."""""''''~'''''''. lIOby

lMding~inII>"'"IY"'"I1_.irIfonnIItionQl\t..~Int..fotmt;to

,.qui"wdbylhlo~'''''byln~~. lhIIwoukIt.._

~"""IhIoCUllWilIY"'"l1_ ... ~eo.tIng~lI~

~1oI It-.c-TIb"PIIIKt "'" InIoImMIon 11 led Wo ... 1\'l1*li11 t.. 8IId oil ... ,....

1II,.... ... c-TIb"oyAam8lld"*'illIft ........ """ .....

.y 1PfCWID' COIDHQ REUT!QN$tW TO DIE CAK"I( MOOn

.... prwiouIIy _ ... c-nIo; ........ "",,,In nIIrd 11 _ (IrI ~ R.IIIted

GroupI (DROIe). SIe!> . "' ... DRGOOIII ~ ~ (...-..:t III IIMCijan 4.3 ___ )

1rM:WMt..1IIocIIIon"'I .... P.tiIn!_IromIhlllOOlll_IoDROIe. ,.,.~

_lhro<.Igh", Spk:WIy c..tIng prog..........., ~ 11 ~ from ... -.g 001II

• .......... c...UnI . n-. ......., · "'"'-. ......., • AdrrW"IiIIrIIio

• ~(lncIucIIre..-,..~~IUPPiM&~)

• HoIII CoeII (indudIng III.ftIno PlY 001011 8IId IIIIr 8IId PltiIn! ~)

ec.ta .. ~i'om_""COII __ IO"irIcIMdu-'ORO""""'~ ~"~IODRG"""...,bIodoo-.""'''''''''''~''''''-'* Ofdllly_, n.-....y_""~-...;ddblo~IODRa. on .. __ ~MI\/Ioe-...lgllll n. ......... weightl.III ... ...,IIw~~HHIIh ..

~~...,IIwS_~~.USAn .. oImpIy.MI~ .......... _

expftM ui**d ~ ~ MI'tiIa bIo_ ORa. C- .1IDcoIItd 10 ORa. "" IIw

--~dHy- .. ~---- ... pm..rtv~by~~ .wt In Ihio ~ ItItIlotpbl _"",ORG iI..tabIiIhId, The ~ wooghtI ..

-.:nId1O"-Of .... ..,.ta .. lriohoilurion.

M_bIo_"'_~bMn~tallRCkon1hilbIM."""'1imI* '-__ ................ c......~dklnee~IN.s.._

10 ................... n.~~~ ......... hldlO ...... .....-

_ ~1nIorrnI&n n _IN ... ~ ... ~-..IgIa. ThIN ~ ....-ighII .. -,._t.c:.uM~IN_~peIIwiI __ .s..III_ -. 'The~~IN~w.If;IhIII._ ... Mti'naIIorI~,Ior ....... 1Iw

......... _~nurtIng __ n~~rwqui'Id""'~for_ORG. "

oiniI.r~_COIId\r:MCI""_ ...... _ta .......... IN~_~

~ room.~.~,~nI~'*"PY. 4nIgI.iIfIIiII ~~""'_~III_DRG.._bIo~~ __

"""'DI*_~ ......... ~_ORo.n .. ,..,.....,...... .. ~tboo.lI ........ ~......m .............. n.1IIIocMion ..... ..n-s. ___ • __ IIw ........ ~ ........ _peIIwiI-.....bIo~"' ........

......... "'_ pIIIins. 1IIing It. t..I.........,., ........... ~

'M'IIII It. .... ~ IN .... 1}WId welgta might nee bIo ... ldHIiIOIuIIon, • cIoM-...

oonaiI~ ~_.aoc.tIon __ hoep/hI. ~ In 1IwC. ....... prcg"""'"

.',"'!AbID '9II!!IQ CHat ' fWfl FOB BOD!H!¥ 1!9!H>!TtJ.

n..~clthe~l>OIIingmoclll,,*,"'~HoIpbI""''''''­

cI-' n.. meIn illt.-f-..:t .... ~ t.IDw:

In DIlIIrtl ~ the 1P'd*Y~ ueK:lleKaHllly tit ~1lI '­

~.,.-inpllalhtoLlg/ll>Jl ... ~ .. IhII"'''''''''''-'''''''''' bIo_.~

NomineI LedgIr n.. .......... ~.-elltG "-' __ furIdIan.Ily tG pn:Mde the

lrIIDmwIiDn~bthe~~"""'. IIi1

~_t.a.o...tl'Nncilll~"'bIollll!/l1dtdint.

_Nl\n....,t.llPllr.doodtoOf\WJfe_ooIowlor....,..~

_1VM.whk:h ... ~inthe~CIIIIing .. II'CiM .........

t.~~lIrot;tIcwlwllhintheholpW ThIo

fI.nc:IioNIiI:ylrw::i.r:*t.~clDDII_....,t.

_.aocationcl",*"tG_coot_

,..~.-*"' •.• _,Ihe~iI~1he

~cI .. dwiIy_coot........,....c.,........whk:h'" ...,~_ ... _~~ n..a.o...t~in

... 1n ... ~tarlhe~ ....... _nat...al\rpn:Mde

... ~_lhe""""""" lhey*"*,,tG~"'"

oIIIdonIIy.--~-

SI4IPO'I.....a. ... be_m ...... .,..... ........ .......... wiIII. ___ "'........:y .... _ ....... -.g..-....l

by .... "'-'~ ... ~ ... --.y~ ThiI~~ ... """O"'cI_~_ ... _ t.bonIoryb ___ . but ........... ""' ........ The

.-..._cl_ cl 11.-_ ~ 10 be QONiaeNcI. ThiI ..... ha_..o..d~by .... ~_lhey __ •

""- ___ • for _Ill 10 be weighled 10 NIl .... !he ....... cl mia-

~clc:mswilhi1 ... modoII. Thio ... Hherrwqu;n,.~

deI.a.d a.ting ....... 10 be~ 011" .. 11 ~ ...... Iebomory t.Idng -=unI"~ _...., ... _ ~ _eocording Io ... .-ob cl" -""11 __ or .........,.....u.g ... cI ... ""*"' .... __ ~b 1hII.....-. n.~~ha..,........,.,wI ....

~cI .. _IYP'WId_.....-..-.dby ....

ditt....c ..... b ........ '"*""'"' .......... "'...;ghting __ "halObe~ ,...-Ift"IouoII' ........ .......... cI~_ .......... b ... .....-.

.............. _Io_""'*:torMCllod .. ~Ior ... '-Pit'" _ aIIo""'*:to_ ... beO'Ig UNCI by IN_

hoapiteIowlthintheRo!l.nlto·._.

n. ~ ...... the PIwmoIcy _ the CeNnI SIor-._

pnI¥ide .. It.. i1fi;mIIIion r--*l for .,. tn*I. The pIwmKy

.,..,....,.,... .. ....-Io~l"" ....... _)"".

mor'III'IIy~_ .. in/om'IaIdoI'I ... be .............. ~!he ~_ ..... I8Q.ndIDr ... II'IOCW.A ....... .,-

_;..c ~_--....:I .. c.n.reI SIorw.

At~ ....... ..,IormIoI~Lo\ .. IO..,.....,how .......

..-ouppon~"""'!he "'-PIIeI • . D porwr.g. ceIeI1ng.~ry. ~ wlbe~to<X>nlldlorIlUCl'l ...... _put

... 1"-.... -. _ wIIf1ICCfd 8CC1nte1y ___ are

being ptOYicIed. ThI propooed .-~ ....- ahouId be _ to __ ........ oI~ ___ .-...Ior~.lI-..luueof

ponerIng _ ..".,.. COlt """lr1IIl1 net ..... _ wII be

__ byalinMlc8l.ystem.Thllllonewhich_.,.muI

~_klllWfbe~"'IocI<.thow_hoapbb ___ IhiI~.\o .......... ~oI~.

'--1_ ThlrnodeIreq ..... IMI_a.ube_to~on

11-.. bull 0I~ lime """.11-.. Rotundawilllllet1llore_1o .....to ... 11-.. IfIIiI 01 ___ 11-.. apec:iaIiIiuof

OboIeIricI_~.ThI.-f'ationtAdrniniatr.tionSystem

(PAS) _ boo_ \0 prUYkIe II-...--y infotrnnonon

.....-s. ThI weighting otlhese ~ Mo _ to be

o::naIdenod. Aawilh Ioobcmory_ d*'-~. Md>

openotion wII ""'*IIIl8 dilfe<ent ........... ard 11-.. oIiocItion oIcwll

_tollkec:onaider.tionotlMlt.a.Anod'Ie<_thIIl willnMdto

be~lItIw""""-tionolmetliCllpo)'CWII. thlllldilllcullto

_~_II~ha<d"amaternily~

-.g. -'11-.. nwjorItV 0I00nau1tantl .... ~be_1WO ~ .-..IyOblIMllcl _ Gyn..:oIogy. ThI ............... 01

_11-.. Mater _lndMdlllll CcInI..-..swill boolnv • ....- .. 1hiI

Thliaueol • ...-II .. ~ ..... IO_ ..... beca.-II-......-Y""_ .. I"-wII"' abo'l1" ___ lIMIquUlyofllMlopedllilyc:wtilg""""'.1f1l-..

.. ...".. 1110 boo ac:anI1I and Ill. !he hoapbI will .- to! I""IIIMI ...... q"*Y of

. 1"*T'I1hat ... in I"- .. 11-.. _ ~Ia .. 11-.. gralp. o!IwwIIe ..... hoapbI could

_1Ii"npIy ~ ~ tIa occea IOmcnacanteWrlormdon IhM 11-.. _ ~

... IIMI group ..-I IlOl ~ • 11 more etIIcienI. Conversely 11-.. .....p,g CWIS of

cco:npuIeIIutio (maInIenInoe. ~ & wr.umeba) within t..pitaIa could PIlI mcn up

Io .... ~ •• ~"""--'Io __ ~wilhv.y .....

~ n.~."boId""" • . '-.oIPlll-Iott._

S!a!!!qa ' ..... ',.,.....

"'1hIROCI.rodII,*nalrMIIy_~Df.rllclldby~DDIIWIglo

~. k ... be -...y IoIrIiIn IUoIIcn tt. ~dcompleling tt. .......

aoanteIy TNt trWOng .... be perticula1y 1mportanI when 1hI ,......... dDceIicn

oIhl'ooepbl.ldjultedlOr.nectlhlloulpUlfftmtt.C-..bc-o-. TNt

C8llnalbe.......ctllld .. ""''-f>lbllIII~~-..'II!Iinv.y._

anhIr'IIIltd .. Il0l_''' tRlrdlllIIocaIIon 10 bit ~ on I ~ .. btcaI.-..,,_ naI..--1Iw ~oI~ IIwclm

CIOrNCIt ThiI __ III ~~ Iro"ntt. HIPE ............ tu

_1I~ImporIMlIro"n.epecieIitr<X>llir4l~II""'_IIctc..

-.c..'*-"-H1PE ............... _ .. ""'-'O'lIaIfllloClllldlallw

IPICWIY oo.Iir9 -0-. ThllIIIiIon. 'lbl1O hi l\gInt (all be ....",.......

..-.cl "IIfMCI-..'II!Iin 1IwC-..bc IIIOCW. K .~ ... t. ...... dllw t.:.ptolll

~!ingt.IIMC ....... oudIlIoioondoMnoI .. n.~d"'"'*'"

• ..., d~ t. ct..pMor3.G.

0. -n.RGt.nIIo~ ..... lai:llrdy ____ k.~ ___

1hM .. .........-.~bJ .. ~UMdbtlow ........ ~ d .. ......-.

Cl) The~IIIquiIIIodlllwwll:IO __ I\oIpbIII......-..fy~;, ..

C-* .~..o... fftm !he point of Yiew 1hM ...... , of ill CoNuItenII hive

lWO"""dillMc:t~.ThilC-* ....... I_u-..t ......... th.

........ eon.ubnt_t....- ........... ~ _~

_pt<MdeIarIM....option"'~ CooIo .... 1f* _ ... two ____ on�Mt.oio"'bed.,.,...n..~ .. 1M

... _ ...... "'""IghI .................... ~_t..

....".. fer IM ...wniIy "'-PiI*.

(b) n.. ROIUIId8 '*""""" .. !hi .......... !of .. MId*'<! .... 1;1\ s-d. TNa

atMouaty ~IM _11 "'IM 1IbcnIory. n.. ROIUrdI_to

......... _lhiIf8CIIIMClO!iJniIodby~rnodeI.In1l*"'f ... ___ wilhtNa,_ ..... ~ .... __ 1hIo1\'lOdel

_nal8CDDUlllblhill8ct. r.alM ___ .......... ~oI'

HMIItIt__~IMRaUUb.-*..._"' ... ~.~

,.... NIllIt._"' .......... ,....IMHo8pitIIIt__notpttJottnlod ..

,.... ... _ ... _,,,,,,,_onlhil dwt)' TNa"""

Ilnot---*rC8<rild ""-d ... 1t. _,....-._ .... _IM

..",....~~~pI..::Iiotlllll>l*d. TNa""""""'~

rou"'_f8CJIipII~""'<:OII"'~"1t<:IIipl TNa..-.. NI ... _ dt.. 8Qt:tUed ~ ........... 1InInc:W _ 10 ofIMt IM

lIlJIiloM_onIhio8ClMty. ThenoIlIhl<8lcwlo ... _InItw ..... ,.

1ttKI_. wIIIch 11 rtoI matJ::hod by. oorretpOII(I"-' oc:tIY1ty. (The

~8CIMty"'_IM-.g)o'Nl: .tIrrq .........

"'-"" ..... ). Nihil io naI rwcagniMII_1doroIis.d by'" ~. ~ ~_ ... IIIIId"'~lMhoIpiIII_~II'IY __ . TNa

-..lIiIoohighigl'DlM ~ "'~1ooiIoon _It. HIPE

~- ... -~ ... 'PIdIIIY<XIIIInIiJ ....... TNa 1ooiIoon1l_1o ..... __ .. beir!OJ\'IIIchIdIlQllnol

~......,._Thil ... _bMn~bylM ~ "'I411II'I In ....... "' ..... I411II'I BoItOI by ..... o.p.m.m ~_--*'II~bl4llll'lao.o.. n-g~

""""~ID .. ..,..~-......IcI ...... IhIt"IhIt1hMIM""'PUI

~.<:OII\omotchltw---... .• lurpIuowouklt.."'-In""'_

..-d~""><I_IhtIldMly .... to._.-Iht_~.

_ .... p!.:Iice'*-I'IOI~~"' .. ~~

(11) n..~Ito.pbI __ .... 2~,...._.lIUdIl ••

v.yokl bIAIdO'Ig. ".,. ............... _..odiIIId .... Ht~ ......... .. "'-1I"ae~ wiIh _ r.titutioM. Tt-.. no ~

wmIInthe"""'" for ... '" the RotI.ndII ~n """-*I1Ind ItullbeinQ

~""""forthe~_~_"'.~IhiI."'1Iem

...nIchwl...-llo to. dilcuaed wiIh!hl ~ of HuIth '" ttIItthe

1>otj>iW. "'*"*-' in 1hiI rwgW '*' to. ~ Into 1ht....:.HI.

Cd) "ThII"""PbIopw-..suu.II-....T_UOIIIC&r.TUjwhic:tl •

.....,.1O .. ".,...-il~""'""*'"* .... Ift.f> ... _...,._dIIa. _ .. pelWllllO" IN -.:I on .., Out""'" ~ . .... 1QpbI ..

'-1O_Nt"Iho_<-~_~)

~ .... the--'of ... unIt .. lrdlllldin"'Out-Prilnt

moduIIo of Iho ~ COIling 1OftwwI. Thit •• 1yPicIII-" of hooor ~ ."'10 _ tnIt_ ...... ~_ nIr*Ig on allIpecb: of

"'''-'''''''''

""'~IMnG"noc ____ "'to.~buI."""""""""oflho RotJnde 1bpUI~ hooor ...... _ hlMdiI'Jonntl .100Ihw~ in

~1IIoI.-""""",,,,,,,c-ragn>l4>. ".,.c-nb..-.a-.g. _ -.Iho ....... " bIrig """--' 10 ...... Jw:IIpiIIIt. inOfdilrm_1IIt

1ho~.fM..-.:I_thehoo!>itol ..... IO""""<IttIiod---..:of

_<IlIooNritlhilhol-pklllllO!hIgrtIClII.

ThoIaJlluNalIlwOfllll'liMlb'l~"'''''''''''_''''Ino::o....:I~ ~"""lIwhoepillol"'llwc-......s.lo..--~ ...

~"""",*""",_""",*"""in~~_~blhoo

1:Ollt1hey~t.. C.......tly1lwe.1ntuI!\dIwIt~"'lhood~

MCtioIIIoIlhoo~:IhiI.--clltI!IcharogellO~InIIMcIo.H ... _oIthecottt

1hey~_how_I:Ollt ... ~.lfthe~ __ lrMIModinllw

c-mocIII_the_....- ... ~IIor:MIanoIl.-.Mbec:cIf.-­

~lorlhoot-pillll.,kmw .... ~drw. __ ... .,8lx:N~

Ior_ ... _ ........... ~""_~.t ...... (~. ~"'PPO'I. ....... )~ ... ~_lrMIModin .......... ..-.ThIa ...

1"IOItri1'*P<;:CJnWI_rnoniIar_I:dIl/W;Ucl_-'d~in"'_ --47 COttCL UIION

ThoI~_IinCI ......... • .. lrnpormnt~oIthec-nb<.....a.I,".IIwc<»to inpA inIo IhiI model _ /ormo tt. buio Ior Ihoo ~ 01 It-.. c-nix MiI*ed CotI

pw c.. _ •• 1hiI CIIIclMIion1t.t"""""*-...ntIIwI1hoo '-PbI hapn.dOf'"

........ aiit-.. c-r.u ......s.l • illtwwftn ___ ... "" ........ __ 1hoII1

.... c.pan _ ............ ..-...c_IO'" ~ COO"NdI-.. KtIon .... t.. ra.n .. ~ .iI_--'Iortt.'-lDlIO~" __ altt. c......_IIO ... ___ ~~ ... _ .... oIgroup~

.... be~ ........ ......s.l

CHA~R II : SU ...... RY

TlWct.pIIr ............. .....-.. '"""*-iaM . ....tIdo _ ~ In ...... -. TlW PfII*IookI.t IM loppIicaIIonoflhit I'f'O'*S In. moItemity hoIpIteI MIIing

..... ~tf In tt.. Ra!I.ncI. Hc.pUL K~tt.. ~ ... intRIdudiM

tt. C-* pr-. mIQIII_ by IooUlg .t how tt.. pr-. cun...ay wa1<t

1n~""''*'tt..I)'I*nI. ~'''''''''''''tt..RCItur'W:iII -" TlC V M g E_NT QF J!f1O!.JRCf1

ClwpIIf t ....... r.troducIion lDo.c-na:~ ............... t..t.n:t _ ~ 1110. trill! '-PG! MIIi'1O. '"* c:M!*o' _ lheto.

~of_ ... tt..,-" ... -..yof~_1D

t>otpIIMln._~-..yloo_ID_~.tI'IciencyIn ........

utIiuIion. It _ • ...,_lDbe.-..yolproYkllng~wltht"-_of

"""'IIinII_ ....... etIectIveIy·

" W!Ibi!"1Wm'

lookIrO III "~ofc-nix lno. ........ lIDIpbI ...... l_

,.,1D..,.lhettt.-....ofc-nixt.. ..... ~ ....... _of

how1l"'Y .... .-.g .... UlclLAInIDIt~~ ........... .. ~ ............... of .... sysWnL T_ ....... of ... -......

1IDIpbII-....o .... cun...ay~"""inllopIiono ..... ~.,....... 0ChIt""'1CD-8. _._ID~o."""*.,.-.beIIIr_ ~lf_""""' __ """'~,

ThI....,hoepbI_~ .. ~on.PIII*"'blMlO""'"

.... ~1hI"'*"bllWnlllly_ ..... ~ .. 1CIIoIr _CIDItirO~·mlghlrooIbI,,",IOII'J''''_~'''

..... '-'d"'~ oIlhIc.-ro.","*" bUtCllltlinly .. -..:tionllMrooI ......... ~_~.

ThI C-m oyUIm....t.l!1 • .rr- t.o.pbI ~ _ ~!O IocIk

"'-_ ... __ nlhll8llOl'llwtryllot!>b .. d""' . ...... tt... ...,. bI doImtIlmIII"Ig _ ~ "!hI~ lI><;d"IdIquIcy ...

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EIIcIuM ... "'*" • _ In • ~.-.. _ . ... oyUIm iI cIn/gnId

10 1IJId. rMIocMion 01_ ~~. ~_ ... .mciIncy Wo.*;! bI..--nQIId will! r.:.pitIIo DIIfI"II'OIIin; ~ ___ for !hi

~on.r.d1or"""".tIIciency. N_r.o.piI:aIoP"ot."'_0I

_,hclql/tlllaIIouIdbl..-.coonuedIOIooI<.I:t*rI~IoId<tnlify ....

.... ~n .. ~..,.,.thiI_lObI"-WlIl ...

irIcIMdtIoI...,.... .•• pnIbIbIylOo...ty in IhI ~IO II'J' deftniIMIIy

-...c.....IIM~lnb_oIKhiIIwIr'II.'**......-.oI

_ •• pnlblblyflirlOuy .... laloI....t ... ~lObI_1O

....... ndo'ollop .. ..,.....en. ___ --.tollhil~whir;II-_~bythil_.illhI_IOInIruduoI-~..., .. ~,.,I"ooIpUIo.........., ....... _.-..yIOInIruduoI_ ...... on ... dRblirvinpl.tonlOlhI~Onoo_ ...... __

lnIrod ..... n...........-ln.foir ....................... __ cont\dIIo:"alnlhlfY*mnh~bu:IgM~

'2 THf 080 'yaIQI

n.-....aon ~1OMd Iorthl c-.o.: ~ 1.1. DRG..,... ... _

"'~...nyol""~oINtytIIn\.n .. ClIn"8nIt1 .. ...... ~1""""-' .. II<dI~IerIdtIlMl_""I\IIIIotIIII~ et.pw2"'-"'i....--..., ... probobt,-NbMloI .... cun...tI~in

...... oI~oI..-.roIUH. n.n.ny~oI .... lI)'I/*"n ...

root--'Y~anlywilh .... DRGoyaIIIm ........ couId...., ... ~wilhrrw.t~~ • . g . N...,.af~~

........ OIlding~~tt..._ID ... .,...,..,...~inlDlhIoJ

_1D_ .. lnto'- .. ~ .. ORO~..",.,,-,_ ...

1rioII ....... -'Iot .... ~oIlhIoJ_.:c:umoIy_ ... ~

hoopoIoI*-tiQn. T1Wt ...... '"'"-I indwpWo 2 -' 3, .... _ID'" __ In .............. -.dingNDRGoID..-mIho_-'

~_d ...... """"'*" n. ...... oIOPO_ ..... _1n _cMpIIn-' Iho 1..:111-.1 ... "",....".".,.... inlDlhI mocIoI. lInII OPOII

~.tt...<:O\lId ... ~1htI~hoopbII.,.........­.... ..,.1Im by..olgrWIQ •• _ COIIlI into OPO -'~~' 1hI

lyltem (-'though !No VoouId ... pid<Id up ~ N ........:tIotlon 01 coils to __

_ .. ..- avaIWIiI !O" hc:.pUIo In IhI g<oup). ThIo ........... wtid"I

_1D"'OCInIIcIorwIbylhl~oIHMIIIl,_und""""""""

~"~inIolhlfl"lCXW.lho.,...,., ... "", ... Uy~

i'k'IIIIr . .... IIgIRI"'~ . ....... <1I~ .... of ... dIa

~fIodinlD ... ~".~~ ............... _..".... ...... ...-.~in._-' .. _ , .... ~ ...

.....,.. ... optI'l ID ~dN 'ORG~' VHo""ctMpino" m9'1I rootlnl..:l ... IIIdng ... _ .... ~ohow_IhI ......... being

_MriouItr....:l~ .. -.upUlln .... IO~I_1 n.pp.ne.1N ........... _~

5 S CQWI!JJERIMDOH

n.. ..... af~ ..... Ih/ougIIcII.tIhil_hll._for ..

no.pitIIIlntrMwed.~ .... rwo ...... IIntIy ....... Ilth&1..::t

thMMmehoepitoll .. _~Ih.-.~. SomI .. .-.x:.1ItoQ ""*-1O .... _ .... lhIbN.llaf .......... ltUlll.done.numbIordyUl1l11O.

_....,. ...... noOXlnllllllotl_~(IhI ....... donlk.-.'dwt"-"-_ ......... hlloc:olelonllllnclhorlgNlllUdy) """'-oIwI .. 1IIIng

~"""""*"'IfIC/"riquaA.~ ......... aflhillllnlN_dlN

iItIorIIory. _ ....... _~iItIorIIoryS"fl*nl."..CIIhM _ .............. n. .............. d~ ..... ~ ............... 1n .... ~d~"""II_. n. ..... II,...,.'" d"III*r4 Tht.-.cl....,.,._ NgWd "'~ 11 IN ~dlN __ !>ling UNd bV IN DIpIftmoort le> CJbgjn IhI c-nbo daUo. n.. opICiIIItyCOl!lnDIiOftwInIIlLoCuolndlhl ....... II • .....,.*"""*'_ CJDlTllllf.clIo IhI qUlolllyaf~ .... IM ....... II~ k Mo fIqIkII.

IignMcoont_af ........ II~IgaO'IIhiI ..... _IIIMd "' ~3.nc1

4.ClI>.w!lhIfldhl"*'Y~ .. ~~1hIIr

_. llIlIU\IIIMIId "'cl-..pllr4 hlJ*haI>IIhI ~ IhcukI

........,..~., .... af_S"fI*nI_-..Ing""" .. ~

...... CIC:ImJ*IIIbIII_S"fI*nI_ Tht c-nbo _ ""'*I "'-be

~1O.fomI._'*'beUNdbrth&~ ............ af ..

~A.ImoIIt...tltlolA~ .. hoIpbIt~cldnol ... .. c-nb<_b~ __ ~. but_IIIId .... ...

<Mn--.~. ThilobwiouI:Ir......-._af_....:I_

"'~rwo~.,..._._.,.,.c-nbollt.a.g"'_

""!>IIng ........... b'-Pl!lll~

' 4 lIPfCl'K; !IIt 'EI F9!l THE RQIl!M).t, H9!l.fI!!TAL

The .... aII~bc-nll:~~_.-...aIn~

2. lHI;~a...ty~tt..~aII~ln_ofIN

budge! '''''''''In'*lIptQCftI. RIlda<1I.-tWIlw RoIundII ~ ..... It-.

c....ro:.)'I*",.~beln:c!ponotedlnlolM~G""'PIIn!ClI!r8._ ~

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~_ba._~..-nily~

B. T""'*'G

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.. .--, ..... ""* ___ In "",,*,,3..:1_._1 11 "'I'!IIIII'

~lODOIh H'PE..-.I ~ eo.ting. KII ~ b mfflO be 111-1 It-. .--, nI!q ..-.I ouppc:wt. cIherw!M IN IIoe!>bI aUI unfa01y IoN OI.C

In IIw budgeI.:jjuotmwII~.lo:'Ihet$lI'" tlillIlM.....olO"" p((>VIM I""

wiIh"'l'l'O'1_ ..... ..,tt..tlheydCIrOlCfMllhlitlhey ........ ThilII

~iTc>onanIInIMHlPE.,......bIot:Io.Mlnthillilulllofo"f"U_

~~ __ aII ...... _TheRcCt.n;lll'---' _1IDpoa"'pllcelUllPllR...aw-.iIn-...,"' ___ Cllllookb

..-...... W~. ThiI .... iI~In ... In."....3.14

_~"""'"_IIqUIirwdIn"_d~eo-c., '_ dollOlU,........-a..;gnific:w"ocI"" ... ___ '*'_ .... _aU:l_, ..... In .. """""".."II'IIIIIdunlli"lyIn ... budII'! ......... ~ . • iI ___ .. _onllw~....-,;ng

""'-"-_ ........ wiIh .... ~In .... I1IDIpbII.1ID __

_1I~_~Tlw'''''of~III1111 ... 101he

RoUdI ~ IncIIoMI ~ 1I...-..n11y...-1<ing on, ~

~_Ior""'_""'"*"'O'f'f~"'-"""-.1I haplcllIIIlNI_" __ il~Ihe~"....,;tyof

11-. ........ ".~IIWIIIjIIIMI1t"....,;ty"'bI'lilllyirc>orl8nlon

Ihe~ofc...-.

.... -..1'- _II'....-d forlhe hoepbIlo""""",,"*, wIIh 11-. ot...

hotpIIII~., .. c-ro.:~ .. ~t/IOIAdllllplo

.... thM_IlOO111iAon::y IllIhe_of-..-. HowIvIf ..... ~

Iobl ...................... ..".,IheI>olpilll.Aa~In~3_ 4,

Ihecull.noof"''-PIII'--Io~ch::IIM....-d 10 ~ ~ ..

II-.c-ro.:_.IncIIoMI~~_il"~

_1I ..... of .. """'~of ... c-ro.:oywIIrn. ThIIrilptl.lI tIIIJII'cWr.-"lllllfor'" HPE cot:Ii"Ig ~ _ II..,.-ad Ill ..... of

.-oc.tionofCOdloindMd .... """_A1~ ........ InIl-. RaIUnIIoI

""'PbI'" nallnvoIwd In -.nuobIIIyfor-. ThIy Mw ~

............... InIl-.DDlloIc:atior\_ HIPEoodO'Ig_.ThIIIr~1I __ VII-. hoepbIlllopllticiplle illhe ea-M~. ThlII\IpoIIan<:I

of !heir __ 11 eIMrtt IIuttMe<I .. c:n.por. 3 _ 4. C/"111p111 4 .....

hlgNlghlllhelrnpQr\lneeof_<:CIII"fIUIicII_""'" oflhe IPId*Y DIIIIlInQ _ HlPE _"""Ihe t.c.piIII. ThiI c:omroM"i:aIIon _

_ ~ lI'f'i111lflhe"'-Pb!IIIoU,...--.:t ... oornpIIdIIM

of .. c....e. ~ M_ ....... lrtmirlllrillwl wIIh r.t.icIo>II hcIIpbII __ ............... _IIIII~~_il __ ~1he hoopitaII_Wl_""_~"""I:P(IIIII~ ___ """" -.....ofc:ommunlcoltion.

D COMP\ITERlSAnoN

,.. ................. d~ .. _......", ..... 1'aI>IIIII TheRtAlftll .... ...-d~in1l'lil!'ll\llll'd~in .... _

d~OOIIIirV The.....,..~ .. <MIIIIo:Iincn.pw4 III

inlporIIont1hlt .... ROII.n:II FdI in pIEoo"l"-.-..ry sy.-iNl ... .-..ry 10 ptO¥ioM lilt InIomIIlIion ~ for .... ..,....,. 00IMing .yaWl\,

1IQ1hM1 .. naeunfalrt,rlfe.ted ..... da.dtolo;ompuleriMldtyt_"*"*

IhMtn.fllc:lenc:lMinlhlolyllenl. TheRQluncll~".......cty~for

_.~lOrwpIK1IIiWCUIIWII1'o'oIo'IciIIII(IhIoCUIIWIIsy.- ... naey_

2OOO~_1 .. ..,1ookO'Ig1O~ ... ~~

~1I'IiI .. """'-*It.Ip .. hotpbIin~_ ........ ~~_idItdoIdby .. ~~_ ..

..... ......",IhIoy .... _"""""""*'bJ ... ~ThII_ diIcuIMd in ...... in 1Nl*< 4 4 .

E. SY$lUIS

The R ....... IIMda 10 bttw!lr;elop iIIlniImIoI .~ ...cl PfOI*I ..... 1O ....... 1hIo __ ........ d_~forlhloC-*.Yt ..... ThlliI

~ ...... IIIIIt.H1PE~_lIwMdiflwwlt.~..otI""'

..... ""'*"'d_IIII-a,~....t~ThII ..

diIcuIMd in ...... in 1Nl*< 3 . • iI--.1Wl1IwM ~ ...

......... ..............,pIIorlOl"-inIrodI.dIandl"-C-*.,..., ..... .. -

F. UNIOUEHESS

~, !lleRotunclo.-o.",,,,,,,, _____ .,,,,,,,..-.dnc:.

_~hough"~,,,-,"'_W ... .,.....-. .......... dIMI .. "-..nq.,..~. " ...... ofouch

~.""""";'~3..-.d 4. n..~af..-nity tupiIM;'~ __ "'be~nlhil.""""";'

~ 2 .0Id 3. h 11 ddllwllllllilllage '" _ wid'I _ ;,!\'. ",,*,*!IIe

cunwnI.\'IIItII CItIIdoIqI,lllOlly _rea'" ~ 01 ~ hotpitM;. n. ......... probe/:IIyOf"llybe __ ... ltnlo..-.~

~ .. ~In ... c-nD<~.

IfGOPeti' "1lON

ThelnlroclwctionolC-*-....!from ......... _~ ......... _b...:I~on-air*>lm.tion.-d~did __ 1he

inoofIidInclM Ot ____ "* nwyulain 1Iw ..... _1I_tram u. ~ <:NpWI1IIeI C-*ca1IoinIy -...", 0IIIJ<:Qf1Ie _ ..........

...tIeIMI_II~ .. mt.natyelclu<.~whM._.Ihat1he

~pr-.I*l8in/y"""'_lNlI!entIonoll\ot.pkllll_lf1Ipe~

;'!IIe~.

ThelnlroducliondC-* inIollw..-ntr hoepiIIIt .... ~ ....

.......,.,oI .............. afwllich_bRnlllilld;,h_afU. .....

""'"'**1IIeI .. .......wry~;,IIIe~~ ....... --,opeciIk:

........ ;, ...... ICI .. ~oIlIwcuoWll~ ... ..-riIy --

C/WJ*of I _ ..... .....,... Of 0ChIrwIM of .... .,..... .... -...,d .........

...... of-. . .-..Iy;

,"",oonIir'oq~of"~""",IO __ il.. ptOJIeIIy_ ..... _of .... nt.1w:MIpbI1MfIIk:w.

'""'~ofea-nb<~inIo~tuch .......... ~

." .... ThiI""'dMrI\I"'-_"oonIinuing~of"'~ • .-y. both In_ of-.obin' _ tt.---=- of .. ~ ..........

onIywtwl .... ~IO ... .-..,.,of .. ~In .... ~_

c....'D .... ~\MId of_~ -..a P'n*'II- .... __ of .... ~

._.

"

11)0 Of APJIfIlllCEI

~.~...,. c...- FuncIrq for o..-a ..-.d~. FnI Ed .... 1ges. ftt.COG Md HIMAA,AuotrJoIie.

R-. HotpbI CodO'og & c-rb:~. RoUldoo HotpiIaI......" • .

~ ~ ErqtIFf (HIPE)_A.ad &.nmwy --

-

APPENDIX 1

~~ - - ,.,.... - - - ----... -~.,---- .. ...".-c.,..1I __ ... ."....... ... __ .......... _ot __ ....... ___ ., .. _CooIoIc-.n._ ... ___ ., __ .. _

~a..I~."IlACOO"'''''''''' .... ..-11 ___ ... -..-. ..... _. - ........ - .. _.--.:,.,""--., _ ............... l000i ......... _11_ ... .... .-,.11_ ... .,......,.._ ... _., .. ....... ___ 11 .. _ ... _11 ......... ---,..... ................. ......-.

I~M ,~ _.­--_ 1 _ _ •

0;.-110I0I0 ___ _

~

~---_ .... - -"'-,.,., -"""''''

--TABLE OF CONTENTS

------c-.......... "'_ .................... """""_ ---.... _11_ ...... __ _

----..-.

- - ~=-=-!!:"-=--=-=-COOING, ORC, ANO CASEMIX FUNDlNC FOR OBSTETRICS AND GYNAECOUJt;Y

AN·ORO VDSION 1

- -Io"" ______ ~~

~~.-----........ ,,­__ ~_~AI<_OIlOu __ __ ." ___ AI<~ __ " 1!92. __ 1 __

T1oio_~ ...... _ .. ~ ___ -,"" __ ..... 10._ ..... _ ..... _ ..... ~_ .. _ ..

AI<.uao .. _ .. ~......., ... _"" ........

c_,,~I"'-c.,...t __ .. _.......,_ .. _

~,,_.""'_a...I~ __ _IC'D+OO._ .. _-,,,, ... _o..o..c--...---_ AII.-Gc.....-_ no __ ~-a..~_Io· ----.-.----"..-­_-..,.....,.._---___.-J-

_ .. 1," .. _"'...,_ _____ .... >WlaG ....... _ --".-.).....-............ __ ~_ ..... _.t.--.t ... --.,~--.(CCI, ___ ~ ...... <00 ___ 100_

......... .....o __ ~-._

................ "_ ............... "'_ .. _"'_D ..... ~"-'"'IJIIIICI .... .....,.._..,.,·_ _ ........ __ omclJ,,-. .. _"' ... - ......... .,.. .. ..,., .. ,,'-"-~ .. ~-,,-"' .... ---_ ... -~ __ I'fWmIC"_Go .. _

----~--­... ----n-____ .. ...,.,---..... <2!I.,.. .. 4301;1 _ --" ..... <11 __ _ -,,-........-----_ .. -• ....---. ___ tca1 .. _..-

______ .. _..- ....... ~.1

....- ...... --- ....... ----....-.. ~--__ ... I.cl" ___ " __ "

_".CCI'.( __ "_'.)

TYf'ICAL !)jlG CLASSlFICATlON PROCESS

I ~ ...... ______ 1I;n.O.OI I

- -- -\ I

WHAT CLINICIANS NEED TO KNOW AA'}) DO n. ___ ;..--", __ .. ~,.-.. _~ ..... ____ I'o.-_~'" _ ..... ....,..-........ __ .. --.-- ......... 1'riDdpoI~(I'OX} ~_ .... __ otIor

_ ..... .-.~"''''''"''"'oioa ................... ''' _o.o, ____ .. _ ..... pdodpoI ......

AddI_~ __ )_,

~-.... -............ - ... -­-...... . -=---...... ,......_ .. -. ~- .. ---.......... -_ ....... _bt' ___ .,.

n. ___ ",-,,_~~

,..-.-~ ... -.----.. -. ~--- .. --..... -....... -..,....,.--." Tor--", _.-..(7DXl .. . ~ ... lI(OCI')......,.bt' __ ~n. __ .... __ _

~----"""-----­-..-.-..... ~~_ .. c---__ -.... __ ..

...-101fl95_ .. ..,.tm._ ..... __ .... -...-_..,. __ .. ...-_""IO.:IlJ.

" .... -_,_--.......... -______ ... I<N-DIl(;_ ... _~_ ..

~-.. .. _ .... _.-- .. __ ... ----_..--.. __ .,,---"'---....... -.. -__ cw.w.. ___ .. ..-..... _..-.

~--"..-----­........ _"------WHAT CLlN1CAL CODERS NEED TO KNOW AND 00

=-...::=. ___ ...... _ot .... ... _ ... _otllCl)...a<_ ............. ....... ~--- ........... ---......... __ -...-ot __ ~ .. _fI, __ ..... __ ot .. _ ~c.w.(ICQ_(" __ :...,._ .. _ ot_ .... -.. ___ .... ..-_ ... -c..oo.....-..,. ___ .. __ __ ot __ .. _.cIri)'., """""' ..... -----_ ....... __ ._-......ot.-..,.-. __ _ .. _..-Io .. _ot __ .,.......,.. 1'Io .... ot.-.... ____ .. _ .. _ ot ...... -.. _____ .. __.

-.-..-.... .....--......,---.. ~ ...... _ .................. TIo.....,ot ........ _ .. _-_ .. _-... _ .... _ .. _io .. __ .. __ .,.-,...

~_Io .. _ot ........ __ ....... DII:O_·_ .. ,-...... _loltCC __ - ........ ---...,.. .............. -~ ..-,.!oI- .. ..-. __ .... _J_---, .. .. -,_c-..~·So<ioo)'ot ........

AN-DRC DEVELOPMENT

no. _a.G_ ........... _~I_ ..... man ___ ot __ IooII_ ....... US'O'_

........,~,.-.------....-. .... ....,.., ... -,.-....... ------~--......... -... -.....--.-........... .. ....... _ot_ ..... ___ ...... ~ ~..-Lo;cA>IDmun£T or< ,..,.. ... TII .... ..., ruauc II(IOII'IT .. LC,Ut& 1'10 __ ._....-_ .... _____ ..

oIpIII<.--- .................. - .... --_ .. .....---.... --....... -_ .... -----_ ............. -..... _ .. ....... ~ __ .. IIIA.AII.DII:O ___ _ --.. - ........... ~--- .......... -1'Io_ .. _oao. .. _ .... _ ... __ _ .... AII-OIIGo_ ..... __ .. _ot .. _ _ .. _ ... _ ..... _ .. __ ot ... ,.,...,.... c... ..... ___ .,. ..... ~_ .. _ _._._-. ____ ot .. _ ......... _ot ______ _ ~ ...... -..- .. --.~-_ .... _ ...... __ ._ .. .,.....,AJ<-IlII()o ...... __ 1. •

--- - - --"""'-"------OTHER IMPORTANT DD"INITIONS

YOU MUST KNOW

.......-__ W. """"''''..". AUII~ ..... oI.." .... 1rT?000II0_ ...... -, ____ ... _..,.. -.- ... -..,... ....... -........ -~ .-__ io ...... ..,.. ... IfTP __ • __

_-,_ .. 01_ .... '", ... 0.,.-01_ ... c-,. __ ....... _...,. . .......... . ",. _10 ... _ ... ___ .... ___ '" --....... 2_ ... -,...-,.-__ .............. .--'<oI.""...a.." . .. a.,.I_~ ....... Io_IoI_ "'~-.,.-.. -.,. .. - ... --~-• ___ ... ..,.,._Io ......... ~-._ _61 ____ .,.._101_ ... __ _ _ .. __ .. __ Io_.......-...'I'IoAUII __ "'~_ .. __ .................. _.Iooo

DRG 675 PROI"lTABlLITY BY LOS

IIiFim • 1 ••••••••• " " " ....

--------_ .... _"------THE EFFECTS OF CASEMIX l'ONOING

ON CLINICAL CARE n-_._0I_-,._ -.-,,--""" ... _-"'_ ... __ .. .......,. -.-... _"'-................. --. --.....,.. n.." .... ..,..- ... ..-,Iooo_ ... _--... -_ ... ....--_. __ .... ---.-.- .. _" ..... "' ...... __ .. ......,. .. _", __ "_", ... "00II_,,-_,,,,,,_10 .. UM.A __ Io ........ "' ......... ....-."

-" .. -....-_''I0I0 __ ....,._ ........ -_ .. ...-.,.--.... _­_-.-....-..- ..... "'--.. ..-.-"' ..... -.-""~ ... _. n- .. __ """ ___ .. _ .. ..,....,...,,_

._"-"'''''''''''''''''--._'''­~-...... --."'-~

CONCLUSION ''' ... .....-,01 .. _._'''''' .. __ ....... ... ___ ... ___ ...,..o.alo~_Io"'_ --_ .. _---........... -..-......... 0000l0. ......... ''' ... _..- ... _01-.._ ...... _ ''' __ '' __ ''' __ 01 __ _

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........ __ Ior ............ ........

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APPENDlX2

Rotunda Hospital

Coding & Casemlx Guidelines

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Appendix A

mite ;lRotmW. ~.pilaJ, .!fIuhJin

~"~"""L'" Department of Information Technology

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