よむ、つかう、まなぶ。
○入院（その10）について 総ー４ (88 ページ)
出典
| 公開元URL | https://www.mhlw.go.jp/stf/shingi2/0000212500_00237.html |
| 出典情報 | 中央社会保険医療協議会 総会（第577回 1／10）《厚生労働省》 |
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ハイケアユニット入院医療管理料２における判定基準の見直し（案）
見直し後の基準(案）
該当患者割合が各判定基準の組み合わせを下回る医療機関の割合
現行：22.5%（判定基準：60%）n=40
見直し後（現行の重症度、医療・看護必要度の見直し）
該
当
患
者
割
合
②
60%
61%
62%
63%
64%
65%
66%
67%
68%
69%
70%
10%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-12.5%
-12.5%
-12.5%
-12.5%
11%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-12.5%
-12.5%
-12.5%
-12.5%
12%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-12.5%
-12.5%
-12.5%
-12.5%
13%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-12.5%
-12.5%
-12.5%
-12.5%
該当患者割合①
14%
15%
16%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-15.0% -15.0% -20.0%
-15.0% -15.0% -20.0%
-15.0% -15.0% -20.0%
-15.0% -15.0% -20.0%
17%
-20.0%
-20.0%
-20.0%
-20.0%
-20.0%
-20.0%
-20.0%
-22.5%
-22.5%
-22.5%
-22.5%
18%
-22.5%
-22.5%
-22.5%
-22.5%
-22.5%
-22.5%
-22.5%
-25.0%
-25.0%
-25.0%
-25.0%
19%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
20%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
17%
-12.5%
-12.5%
-12.5%
-12.5%
-12.5%
-15.0%
-15.0%
-17.5%
-17.5%
-20.0%
-22.5%
18%
-12.5%
-12.5%
-12.5%
-12.5%
-12.5%
-15.0%
-15.0%
-17.5%
-17.5%
-20.0%
-22.5%
19%
-15.0%
-15.0%
-15.0%
-15.0%
-15.0%
-15.0%
-15.0%
-17.5%
-17.5%
-20.0%
-22.5%
20%
-17.5%
-17.5%
-17.5%
-17.5%
-17.5%
-17.5%
-17.5%
-20.0%
-20.0%
-22.5%
-25.0%
見直し後（レセプト電算処理システムコードを用いた評価の場合）
該
当
患
者
割
合
②
60%
61%
62%
63%
64%
65%
66%
67%
68%
69%
70%
10%
-5.0%
-5.0%
-5.0%
-5.0%
-5.0%
-7.5%
-7.5%
-10.0%
-10.0%
-12.5%
-15.0%
11%
-5.0%
-5.0%
-5.0%
-5.0%
-5.0%
-7.5%
-7.5%
-10.0%
-10.0%
-12.5%
-15.0%
12%
-5.0%
-5.0%
-5.0%
-5.0%
-5.0%
-7.5%
-7.5%
-10.0%
-10.0%
-12.5%
-15.0%
13%
-7.5%
-7.5%
-7.5%
-7.5%
-7.5%
-10.0%
-10.0%
-12.5%
-12.5%
-15.0%
-17.5%
該当患者割合①
14%
15%
16%
-10.0% -10.0% -10.0%
-10.0% -10.0% -10.0%
-10.0% -10.0% -10.0%
-10.0% -10.0% -10.0%
-10.0% -10.0% -10.0%
-12.5% -12.5% -12.5%
-12.5% -12.5% -12.5%
-15.0% -15.0% -15.0%
-15.0% -15.0% -15.0%
-17.5% -17.5% -17.5%
-20.0% -20.0% -20.0%
出典：DPCデータ（令和５年１月～３月）※当該期間における重症度、医療・看護必要度の評価対象者日が延べ50日以上の治療室のみ抽出。
88
見直し後の基準(案）
該当患者割合が各判定基準の組み合わせを下回る医療機関の割合
現行：22.5%（判定基準：60%）n=40
見直し後（現行の重症度、医療・看護必要度の見直し）
該
当
患
者
割
合
②
60%
61%
62%
63%
64%
65%
66%
67%
68%
69%
70%
10%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-12.5%
-12.5%
-12.5%
-12.5%
11%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-12.5%
-12.5%
-12.5%
-12.5%
12%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-12.5%
-12.5%
-12.5%
-12.5%
13%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-10.0%
-12.5%
-12.5%
-12.5%
-12.5%
該当患者割合①
14%
15%
16%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-12.5% -12.5% -17.5%
-15.0% -15.0% -20.0%
-15.0% -15.0% -20.0%
-15.0% -15.0% -20.0%
-15.0% -15.0% -20.0%
17%
-20.0%
-20.0%
-20.0%
-20.0%
-20.0%
-20.0%
-20.0%
-22.5%
-22.5%
-22.5%
-22.5%
18%
-22.5%
-22.5%
-22.5%
-22.5%
-22.5%
-22.5%
-22.5%
-25.0%
-25.0%
-25.0%
-25.0%
19%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
-30.0%
20%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
-35.0%
17%
-12.5%
-12.5%
-12.5%
-12.5%
-12.5%
-15.0%
-15.0%
-17.5%
-17.5%
-20.0%
-22.5%
18%
-12.5%
-12.5%
-12.5%
-12.5%
-12.5%
-15.0%
-15.0%
-17.5%
-17.5%
-20.0%
-22.5%
19%
-15.0%
-15.0%
-15.0%
-15.0%
-15.0%
-15.0%
-15.0%
-17.5%
-17.5%
-20.0%
-22.5%
20%
-17.5%
-17.5%
-17.5%
-17.5%
-17.5%
-17.5%
-17.5%
-20.0%
-20.0%
-22.5%
-25.0%
見直し後（レセプト電算処理システムコードを用いた評価の場合）
該
当
患
者
割
合
②
60%
61%
62%
63%
64%
65%
66%
67%
68%
69%
70%
10%
-5.0%
-5.0%
-5.0%
-5.0%
-5.0%
-7.5%
-7.5%
-10.0%
-10.0%
-12.5%
-15.0%
11%
-5.0%
-5.0%
-5.0%
-5.0%
-5.0%
-7.5%
-7.5%
-10.0%
-10.0%
-12.5%
-15.0%
12%
-5.0%
-5.0%
-5.0%
-5.0%
-5.0%
-7.5%
-7.5%
-10.0%
-10.0%
-12.5%
-15.0%
13%
-7.5%
-7.5%
-7.5%
-7.5%
-7.5%
-10.0%
-10.0%
-12.5%
-12.5%
-15.0%
-17.5%
該当患者割合①
14%
15%
16%
-10.0% -10.0% -10.0%
-10.0% -10.0% -10.0%
-10.0% -10.0% -10.0%
-10.0% -10.0% -10.0%
-10.0% -10.0% -10.0%
-12.5% -12.5% -12.5%
-12.5% -12.5% -12.5%
-15.0% -15.0% -15.0%
-15.0% -15.0% -15.0%
-17.5% -17.5% -17.5%
-20.0% -20.0% -20.0%
出典：DPCデータ（令和５年１月～３月）※当該期間における重症度、医療・看護必要度の評価対象者日が延べ50日以上の治療室のみ抽出。
88