Patient case mix

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Patient Classification Systems International : 2011 Case Mix Conference

Introduction: Casemix in Ireland is run on a retrospective basis. Budget adjustments are made that relate to costs and activity for the calendar year two years previously. This is presently changing to a prospective funding model which will be informed by a Patient Level Costing project currently in progress. The Irish Casemix budget models are subject to a rigorous audit process. A unique aspe...

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Optimizing the Strategic Patient Mix

In this paper we address the decision of choosing a patient mix for a hospital that leads to the most beneficial treatment case mix. We illustrate how capacity, case mix and patient mix decisions are interrelated and how understanding this complex relationship is crucial for achieving the maximum benefit from the fee-for-service financing system. Although studies to determine the case mix that ...

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Do effects of common case-mix adjusters on patient experiences vary across patient groups?

BACKGROUND Many survey studies in health care adjust for demographic characteristics such as age, gender, educational attainment and general health when performing statistical analyses. Whether the effects of these demographic characteristics are consistent between patient groups remains to be determined. This is important as the rationale for adjustment is often that demographic sub-groups dif...

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Setting economic priorities for patient safety programs and patient safety research using case mix costing data

Methods Patient level costs are estimated using computerized patient costing systems that initially log individual utilization of inpatient services, and then apply sophisticated cost estimates from the hospital's general ledger. The occurrence of a hospital-acquired diagnosis is identified using a new Australian 'condition-onset' flag for all diagnoses not present on admission. These diagnoses...

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Medicare case-mix index increase

Medicare paid hospitals a higher amount per admission in 1984 than had been planned because the case-mix index (CMI), which reflects the proportion of patients in high-weighted DRG's versus low-weighted ones, increased more than had been projected. This study estimated the degree to which the increase in the CMI from 1981 reflected medical practice changes, the aging of the Medicare inpatient p...

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ژورنال

عنوان ژورنال: Academic Medicine

سال: 1981

ISSN: 1040-2446

DOI: 10.1097/00001888-198107000-00013