Abstract
DPC “Diagnosis Procedure Combination” is an inclusive payment system of the acute period hospitalization in our country. It was introduced into our hospital in July, 2004. At that time, we were requested that a critical path was assumed to be a corresponding type for DPC.
Our committee defined the following three items as concrete conditions for it.
1. The number of days in the hospital is set to less than “Hospitalization period II” of DPC.
2. Among pre-operative and pre-discharge inspections, possible items of them are shifted to the outpatient department.
3. The standard of leaving hospital and the target of leaving hospital day are clarified.
The concrete improvement point of the existing the total-knee-replacement path revised along above mentioned conditions was shown as an example.
When DPC will be newly introduced in your hospital, it is not difficult to change the existing path to DPC path, if existing path is already revised properly after variance evaluation.
