case mix


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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 ?
We excluded 51 facilities because of missing case mix data and 42 because they were atypical, providing care to special poptflations such as subacute pediatrics and residents with developmental and psychiatric disorders.
The point is not that facilities should find pressure ulcers in EOL residents acceptable, but that their performance evaluation or comparative benchmarks should be more specific to acknowledge their resident case mix.
Patient case mix is measured by an extensive set of variables.
In addition to well described and illustrated explanations given to the economic concepts, the strengths of the book are the sections on measuring hospital output, case mix indices and output classification schemes.
How is case mix measured and what is the statistical significance of the calculations?
As clinical documentation improves, hospitals are able to achieve more accurate coding and better establish severity of illness, which in turn impacts a hospital's case mix index and ensures appropriate hospital/physician profiles.
This body of literature has focused on the cross-sectional variation of QMs and the impact of case mix on it.
With these data, it is possible to calculate case-mix classifications of the residents of each nursing home and to compare the relationship between case mix and various other facility attributes.
The potential impact of a new case mix system for computing Prospective Payment System (PPS) reimbursement poses several questions to hospitals, including:
5-hour radius, KUHA's overall case mix index in fiscal 2006 was high at 1.
Some researchers have suggested, however, that the increases in patient acuity after case-mix implementation may have been due to documentation changes rather than actual changes in case mix (Arling and Daneman 2002; Weissert and Muslinger 1992).