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HRG4 2013/14 Local Payment Grouper


HRG4 2013/14 Local Payment Grouper

The HRG4 2013/14 Local Payment Grouper should be used to group data and derive HRGs, support data quality, conduct what-if-modelling, and assess local reimbursement that will be received under PbR for the 2013/14 financial year.

It should be used in conjunction with the HRG4 Grouper Reference Manual , which explains how data should be sorted and presented for processing by the grouper. This and other resource materials can be downloaded from the documentation downloads section below.

As a precursor to using the grouper, it is strongly advised that users read the  pdf icon Summary of Changes [168kb] document to become familiar with the changes made since the 2012/13 Local Payment Grouper.

As with previous releases, users must be aware that the local grouper does not apply certain PbR business rules, for example, Specialised Service Code provider eligibility. Activities relating to Treatment Function Code or other pre-processing exclusions should therefore be removed from the input data prior to running through the local Grouper. As HRG exclusions are at spell level, and the HRG4 Grouper produces both episode and spell-level HRGs during the same run, HRG exclusions should be made at spell level following grouping. There is no requirement to group data twice. Those organisations that choose not to remove exclusion data may generate HRGs for data that are excluded from national tariff under PbR funding policy.

Further information on PbR policy and implementation in 2013/14 can be found on the Department of Health website (external) (Opens in a new window)

Users should also note that they will continue to process data for the 2012/13 financial year using the HRG4 2012/13 Local Payment Grouper, for reimbursement purposes for that financial period.


HRG4 2013/14 Local Payment Grouper Documentation

pdf icon HRG4 Grouper Reference Manual [645kb] Provides full instructions on how to prepare and group data using the HRG4 Grouper software application.

pdf icon HRG4 2013/14 Local Payment Grouper Summary of Changes [168kb] Overview of changes between the current HRG4 grouper design and its predecessor.

xls icon HRG4 2013/14 Local Payment Grouper Roots [609kb] Details of new HRGs, deleted HRGs and changes to existing HRG Labels between designs, at the aggregate HRG level.

  zip icon HRG4 2013/14 Local Payment Grouper Code to Group [3Mb] Details on mappings between primary classification codes and HRGs and the logics required to generate HRG.

zip icon HRG4 2013/14 Local Payment Grouper Chapter Summaries [5Mb] Updates on changes and an overview of the scope, composition and grouping logic of individual subchapter.

zip icon HRG4 2013/14 Local Payment Grouper Chapter Listings [9Mb] Details, listed by HRG, of the codes that can map to HRGs, along with details of flags, lists and complications and comorbidities content.

xls icon HRG4 2013/14 Local Payment Grouper Specialised Service Identification Code Sets [492kb] A workbook containing details regarding the flags and trigger codes relating to PbR Specialist Service Top Ups.

xls icon HRG4 2013/14 Local Payment Grouper Guide to Best Practice Flags v1.1 [398kb] A workbook containing details regarding the flags and trigger codes relating to PbR Best Practice Tariff generation.

pdf icon HRG4 Companion [156kb] Starting point and general reference for new and existing users, providing an introduction to HRGs, groupers, HRG4 design concepts and grouping logic.

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