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ICD-10-based Relative Cost Weights, PAC-10

Jason Sutherland, PhD
Finance and Information Management Branch
Ontario Ministry of Health and Long Term Care

January 13, 2004

Executive Summary

The Province of Ontario applies relative cost weights to acute inpatient activity submitted to the Canadian Institute of Health Information's (CIHI) Discharge Abstract Database (DAD) for a variety of purposes. The introduction of the International Statistical Classi¯cation of Diseases and Related Health Problems - Tenth Revision, Canada (ICD-10-CA) and the Canadian Classication of Health Interventions (CCI) in Ontario introduces changes in Case Mix Group (CMGTM) assignment. Statistical methods are used to identify affected CMG. Relative cost weights are developed for use in Ontario to be applied to 2002/2003 DAD acute inpatient activity. The new relative cost weights are known as PAC-10 to reflect their application to ICD-10-CA and CCI activity. Recommendations regarding their application to weighted cases are provided.

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ICD-10-based Relative Cost Weights, PAC-10
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