case mix

(redirected from Case-mix)

case

 [kās]
a particular instance of a disease or other problem; sometimes used incorrectly to designate the patient with the disease.
case history the collected data concerning an individual, the family, and environment; it includes the medical history and any other information that may be useful in analyzing and diagnosing the case or for instructional or research purposes.
case method a type of nursing care delivery system; see nursing practice.
case mix the groups of patients requiring similar tests, procedures, and resources that are treated at a particular hospital. Case mix is a way to define a hospital's production and has been identified as a major factor in differing costs among hospitals and among individual patients.

case mix

A term which, as used in UK health planning circles, refers to the sum total of the diagnoses (diseases) present in a population, and high- and low-resource therapies required to manage them, considered as a single unit for the purpose of resource analysis and allocation planning.

case mix

Managed care The characteristics–age, gender and health status–of the population served by a health system or physician's office in a given period of time, which are classified by disease, diagnostic or therapeutic procedures performed, method of payment, duration of hospitalization, and intensity and type of services provided; in the US, a hospital's CM is based on the diagnosis-related groups. See Demographics, DRGs.

case mix

(kās miks)
The relative numbers of various types of patients being treated as categorized by disease-related groups, severity of illness, rate of consumption of resources, and other indicators; used as a tool for managing and planning health care services.
References in periodicals archive ?
The metric, which was validated by Brown University, adopted by the American Health Care Association and incorporated into its TrendTracker product in 2013, has enabled the metric to become the de facto industry standard in measuring case-mix adjusted rehospitalizations rates.
The Effect of State Medicaid Case-Mix Payment on Nursing Home Resident Acuity.
The base payment rate would be adjusted for case-mix factors including patients age, body size, and time on dialysis.
To justify its cuts, CMS explained that in 2006 the agency refined its case-mix indices to better account for the resources used in the care of medically complex patients, and SNFs have been paid based on these projections since then.
One way to address this problem is through case-mix classification systems that allocate hours of care according to client needs.
AccuMed Services introduces Chart2Go, a personal digital assistant (PDA) application with short ROI by recapturing case-mix dollars from MDS underscoring.
The addition of the 9 new groups is touted as meeting the regulatory requirement of "implementation of case-mix refinements in the PPS" and, thereby, justifies the removal of the Medicare add-ons.
Change in the Medicare case-mix index in the 1980s and the effect of the prospective payment system.
The commission will look at whether specialty hospitals select patients with less severe illness by using Medicare case mix, severity across DRGs, and case-mix severity among other payers' patients as indicators, said commission consultant Julian Pettengill.
From a policy perspective, the lack of a strong relationship between case-mix factors and CR costs reduces the motivation for developing a case-mix adjustment mechanism to ensure access to quality care for patients with costly characteristics and to provide equitable reimbursement for the facilities that treat them.
Case-mix classification schemes and case-mix indices of output are discussed at the end of the chapter.
Provider profiling and case-mix adjustment tools are invaluable in highly competitive capitated environments.