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 ?
The annual costs of care at the facility level depends primarily on the case mix of its residents, the number of days of care provided, and the wages that the NH pays to provide that care.
As Figure 2 demonstrates, facilities with a higher case mix of EOL residents had higher numbers of residents at low-and high-risk for pressure ulcers.
We report results describing the relationship between patient case mix and several measures of dialysis facility cost and payment per hemodialysis (HD)-equivalent session.
Prospective payment raises the issue of predicting future demand for hospital services and case mix by DRG.
The description of the construction scalar case mix index (information theory-based) is also very meticulous.
Issues to consider in provider profiling and case mix systems
Thomas and Associates, the leader in healthcare clinical documentation improvement, published today a set of benchmarking reports that show 188 hospitals using its Compliant Documentation Management Program (CDMP[R]) have realized an overall 5 percent improvement in case mix index than projected by the Centers for Medicare and Medicaid Services/MEDPAR for hospitals adjusting to the new MS-DRG coding system.
2003) found that a selected group of Southern California NHs with extremely high or low rates in the weight-loss QM did not differ in their nutrition care practices; rather, the difference in QM rate across facilities was dominated by differences in case mix.
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.
Contract notice: Update / acquisition of licenses for use of software applications intended for analysis of case mix, clinical coding, sorting and grouping of patients in health centers of the ministry of health and social policy in the region of murcia