Diagnosis Related Group (DRG)
Data available on
Perpetrator
This administrative data source does not collect information on Perpetrator
Witness
Background information
No information collected on Background information
Relationship with victim/perpetrator
Incident description by witness
Children witnessing IPV incident
Incident
Code system used
- Health
Description of incident
- Date/time
- Harm/injuries
- Location
- Type of violence
Urban/rural, type of injury, diagnosis, hospital days, generally accounts for physical harm and when it occurs on sexual harm.
Protection order
Civil justice data
Incident respond resources
No information collected on Incident respond resources
Prosecution process
This administrative data source does not collect information on Prosecution process
Outcomes
This administrative data source does not collect information on Outcomes
Characteristics
Storage System
- In paper form
- Electronically (single files)
- Electronically (database)
The Clinical Observation Chart - basically the statistical instrument - is a pen and paper instrument used by medical doctors within hospitals; the Clinical Observation Chart is stored and archived at hospital level; the statistical unit at hospital level fills in another statistical instrument the "Minimum Data Set Per Hospitalized Patient " (SMDPC in Romanian acronyms or MDSHP in English), an electronic instrument which is then sent and centralized at the national level at CNSISP and at the medical data validation centre at the National School for Public Health.
Frequency of updating
Annually
Quality assurance process
The process is described in more detail in D6. The Standardized Patient's Chart is filled in by an MD, the data is then processed by specialized personnel with the hospital unit (the DRG is a database recording only hospital data) and a second document, the Minimum Data Set Per Hospitalized Patient in (SMDPC in Romanian acronyms or MDSHP) is produced out of the initial data of the Clinical Observation Chart; the MDSHP is the sent out for validation. The criteria for validation can be grouped into two categories - identification validation criteria - corresponding age; full details; full mentioning of insurance status and medical criteria - match between diagnosis and treatment; for certain conditions do not fill in a Clinical Observation Chart but a different form;
Comparability
- Geographical
- Over time
- None
Across countries - basically the DRG is an adaptation of ICD-10 and data collected in this system are comparable among different countries;
Timeliness
< 1 month
Recording in the Clinical Observation Chart starts upon hospital visit but is finalized upon the release from hospital of the patient; this is the moment when the COC is processed by the statistical stuff in a hospital; From that point on it takes about a month to be introduced in the National data base for validation and at this point the CNSISP can only provide annual statistics; on the other hand when doctors receive patients having suffered from battery or sexual assault can call in a social worker who is then responsible for following up on the case - while the procedure is in place it is very rare that the system of referral actually work; a number of hospitals do not have a social worker among their stuff nor can they hire one because of the moratorium on state funded jobs;
Current developments
There are few concrete plans to use the database consistently for the information it provides beyond reimbursement and payments from the National Health Care Fund. The main change that seems to continue has to do with the validation criteria. Since the database is quite new it took a while for MDs to get used to it and to show flaws in the validation procedure. Since to 2009, each year there are new modifications of the validation criteria - these also have to do with a current update on most frequent misunderstandings or errors registered in the system.
Relation with third parties
Reporter
- Victim
- Witness
- Offender
The medical doctor (MD) who sees the victim in a hospital setting does the reporting; the MD fills in a Clinical Observation Chart, a standardized format for evaluating the condition of the victim and for recording diagnosis and medical procedures recommended.