よむ、つかう、まなぶ。
○入院（その10）について 総ー４ (86 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１における判定基準の見直し（案）
見直し後の基準(案）
該当患者割合の基準を満たす治療室の増減
現行：88.4%（判定基準：80%）n=632
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
75%
76%
77%
78%
79%
80%
81%
82%
83%
84%
85%
10%
11%
12%
13%
該当患者割合①
14%
15%
16%
-5.5%
-5.9%
-7.1%
-8.5%
-10.3%
-12.0%
-14.4%
-16.1%
-19.5%
-21.8%
-24.8%
-7.4%
-7.8%
-8.9%
-10.3%
-12.0%
-13.8%
-16.1%
-17.9%
-21.0%
-23.3%
-26.3%
-8.9%
-9.2%
-10.3%
-11.7%
-13.3%
-15.0%
-17.4%
-19.1%
-22.2%
-24.4%
-27.1%
-10.3%
-10.6%
-11.7%
-13.1%
-14.7%
-16.5%
-18.7%
-20.4%
-23.3%
-25.5%
-28.2%
-11.6%
-11.9%
-13.0%
-14.4%
-16.0%
-17.6%
-19.8%
-21.5%
-24.4%
-26.6%
-29.3%
-13.6%
-13.9%
-14.9%
-16.1%
-17.7%
-19.3%
-21.5%
-23.1%
-25.9%
-27.8%
-30.2%
17%
18%
19%
20%
-15.5%
-15.8%
-16.8%
-17.7%
-19.3%
-20.9%
-23.1%
-24.5%
-27.2%
-29.1%
-31.5%
-17.9%
-18.2%
-19.0%
-19.9%
-21.5%
-22.8%
-25.0%
-26.3%
-28.8%
-30.4%
-32.3%
-20.1%
-20.3%
-20.9%
-21.8%
-23.4%
-24.5%
-26.6%
-27.7%
-30.2%
-31.5%
-33.4%
-22.5%
-22.6%
-23.1%
-23.9%
-25.3%
-26.1%
-28.2%
-29.3%
-31.5%
-32.8%
-34.7%
-24.8%
-25.0%
-25.5%
-26.3%
-27.5%
-28.3%
-30.4%
-31.5%
-33.5%
-34.8%
-36.7%
17%
18%
19%
20%
-15.2%
-15.5%
-16.8%
-19.0%
-21.4%
-23.7%
-25.8%
-28.5%
-30.9%
-34.3%
-37.0%
-16.3%
-16.6%
-17.9%
-20.1%
-22.2%
-24.5%
-26.6%
-29.1%
-31.5%
-35.0%
-37.7%
-18.0%
-18.4%
-19.5%
-21.5%
-23.6%
-25.9%
-28.0%
-30.4%
-32.6%
-35.9%
-38.6%
-19.1%
-19.5%
-20.6%
-22.6%
-24.7%
-27.1%
-28.8%
-31.2%
-33.4%
-36.7%
-39.4%
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
75%
76%
77%
78%
79%
80%
81%
82%
83%
84%
85%
10%
11%
12%
13%
該当患者割合①
14%
15%
16%
-8.2%
-8.5%
-10.1%
-12.3%
-15.5%
-18.0%
-20.3%
-23.1%
-26.3%
-30.4%
-33.4%
-8.5%
-8.9%
-10.4%
-12.7%
-15.7%
-18.2%
-20.4%
-23.3%
-26.4%
-30.4%
-33.4%
-9.5%
-9.8%
-11.4%
-13.6%
-16.5%
-18.8%
-21.0%
-23.9%
-26.7%
-30.5%
-33.5%
-10.1%
-10.4%
-12.0%
-14.2%
-17.1%
-19.5%
-21.5%
-24.4%
-27.2%
-30.9%
-33.9%
-11.2%
-11.6%
-13.1%
-15.3%
-18.0%
-20.4%
-22.5%
-25.3%
-28.0%
-31.5%
-34.5%
-12.2%
-12.5%
-14.1%
-16.3%
-18.8%
-21.2%
-23.3%
-25.9%
-28.6%
-32.1%
-35.0%
-13.3%
-13.6%
-15.0%
-17.2%
-19.8%
-22.2%
-24.2%
-26.9%
-29.6%
-33.1%
-35.9%
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。
86
見直し後の基準(案）
該当患者割合の基準を満たす治療室の増減
現行：88.4%（判定基準：80%）n=632
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
75%
76%
77%
78%
79%
80%
81%
82%
83%
84%
85%
10%
11%
12%
13%
該当患者割合①
14%
15%
16%
-5.5%
-5.9%
-7.1%
-8.5%
-10.3%
-12.0%
-14.4%
-16.1%
-19.5%
-21.8%
-24.8%
-7.4%
-7.8%
-8.9%
-10.3%
-12.0%
-13.8%
-16.1%
-17.9%
-21.0%
-23.3%
-26.3%
-8.9%
-9.2%
-10.3%
-11.7%
-13.3%
-15.0%
-17.4%
-19.1%
-22.2%
-24.4%
-27.1%
-10.3%
-10.6%
-11.7%
-13.1%
-14.7%
-16.5%
-18.7%
-20.4%
-23.3%
-25.5%
-28.2%
-11.6%
-11.9%
-13.0%
-14.4%
-16.0%
-17.6%
-19.8%
-21.5%
-24.4%
-26.6%
-29.3%
-13.6%
-13.9%
-14.9%
-16.1%
-17.7%
-19.3%
-21.5%
-23.1%
-25.9%
-27.8%
-30.2%
17%
18%
19%
20%
-15.5%
-15.8%
-16.8%
-17.7%
-19.3%
-20.9%
-23.1%
-24.5%
-27.2%
-29.1%
-31.5%
-17.9%
-18.2%
-19.0%
-19.9%
-21.5%
-22.8%
-25.0%
-26.3%
-28.8%
-30.4%
-32.3%
-20.1%
-20.3%
-20.9%
-21.8%
-23.4%
-24.5%
-26.6%
-27.7%
-30.2%
-31.5%
-33.4%
-22.5%
-22.6%
-23.1%
-23.9%
-25.3%
-26.1%
-28.2%
-29.3%
-31.5%
-32.8%
-34.7%
-24.8%
-25.0%
-25.5%
-26.3%
-27.5%
-28.3%
-30.4%
-31.5%
-33.5%
-34.8%
-36.7%
17%
18%
19%
20%
-15.2%
-15.5%
-16.8%
-19.0%
-21.4%
-23.7%
-25.8%
-28.5%
-30.9%
-34.3%
-37.0%
-16.3%
-16.6%
-17.9%
-20.1%
-22.2%
-24.5%
-26.6%
-29.1%
-31.5%
-35.0%
-37.7%
-18.0%
-18.4%
-19.5%
-21.5%
-23.6%
-25.9%
-28.0%
-30.4%
-32.6%
-35.9%
-38.6%
-19.1%
-19.5%
-20.6%
-22.6%
-24.7%
-27.1%
-28.8%
-31.2%
-33.4%
-36.7%
-39.4%
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
75%
76%
77%
78%
79%
80%
81%
82%
83%
84%
85%
10%
11%
12%
13%
該当患者割合①
14%
15%
16%
-8.2%
-8.5%
-10.1%
-12.3%
-15.5%
-18.0%
-20.3%
-23.1%
-26.3%
-30.4%
-33.4%
-8.5%
-8.9%
-10.4%
-12.7%
-15.7%
-18.2%
-20.4%
-23.3%
-26.4%
-30.4%
-33.4%
-9.5%
-9.8%
-11.4%
-13.6%
-16.5%
-18.8%
-21.0%
-23.9%
-26.7%
-30.5%
-33.5%
-10.1%
-10.4%
-12.0%
-14.2%
-17.1%
-19.5%
-21.5%
-24.4%
-27.2%
-30.9%
-33.9%
-11.2%
-11.6%
-13.1%
-15.3%
-18.0%
-20.4%
-22.5%
-25.3%
-28.0%
-31.5%
-34.5%
-12.2%
-12.5%
-14.1%
-16.3%
-18.8%
-21.2%
-23.3%
-25.9%
-28.6%
-32.1%
-35.0%
-13.3%
-13.6%
-15.0%
-17.2%
-19.8%
-22.2%
-24.2%
-26.9%
-29.6%
-33.1%
-35.9%
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。
86