Qualifications

Besides our experience with large scale healthcare secure data and IT processing systems management, The St. Paul Group has designed and implemented the following systems for hospitals and consulting firms in Maryland, New Jersey, New York and other states:

  •  DRG Grouping by VER 2.0 to VER 28.0 DRGS
    Using the official HCFA Grouper program MS DRGs available

  • EAPG Grouping
    Outpatient data grouping using EAPGs from 3M

  • APR Severity Adjusted Grouping
    Inpatient data grouping using APR Severity adjustment classifications from 3M

  • PPC Prior Preventable Conditions Grouping
    Inpatient data grouping using PPC software from 3M

  • PPR Prior Preventable Admissions Grouping
    Inpatient data grouping using PPR software from 3M

  • CMI Monitoring systems by Severity, APR DRG and Product Lines

  • HSCRC official Liaison and Processor
    Maryland Statewide Rate System Processing for all Acute Care Maryland Hospitals

  • Casemix Systems for comparing hospitals against their peers
    (Teaching, Non-Teaching, Community Hospitals)

  • Extract, reporting and statistical systems
    Standard Statistical Reports
    Ad-Hoc Statistical Reports

  • Hospital “SnapShot” Inpatient/Ambulatory Surgery Data Analyzer
    Used by over 38 Maryland hospitals
    Analyze HSCRC inpatient data files daily
    Built-in APR/FED DRG groupers – Quality control indexes
    Standard and ad hoc reports allow you to evaluate data submission
    8/31 cost center analyses

  • Physician Peer Profile System (P3)
    With Charge per Case Capability
    Measures Physician performance vs. Dynamic Peer groups, Menu Driven, Report Cards

  • Hospital Market Share Systems (MarketShare) (Inpatient and Ambulatory Surgery Data)
    Visual Basic system uses SQL server
    All Maryland inpatient and ambulatory surgery data for 5 years
    Web based
    Data in Access File Format