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.

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References in periodicals archive ?

(27) We developed a case mix index by assigning discharge or visit records to a Clinical Classification Software (CCS) principal diagnosis category and then estimating average cost using 2013 HCUP SID and SEDD data.

Changes in hospital service demand, cost, and patient illness severity following health reform

Realizar este proceso se llama case mix (23, 24, 25).

La economia de la salud en el hospital

Equation (1): [Factor.sub.itg] = [group.sub.g] + [[beta].sub.1] Case mix [index.sub.it] + [[beta].sub.2] Number of licensed [bed.sub.sit] + [[beta].sub.3] Proportion of Medicare [patients.sub.it] + [[beta].sub.4] Proportion of Medicaid [patients.sub.it] + [[beta].sub.5] Proportion of [outpatients.sub.it] + [hospital.sub.i] + [year.sub.t] + year*[group.sub.ig] + [[Epsilon].sub.itg]

The effect of ownership structure on performance of hospitals

During the audit process, it became possible to analyze each nurse's current case mix to determine if the work required could be completed within that staff members' work week.

Workload measurement in a community care program

Subsequent studies found no evidence of code creep that could not be attributed to true case mix changes and improved coding practices (Hsia et al., 1992; Carter, Newhouse, and Relles, 1990).

Physician code creep: evidence in medicaid and state employee health insurance billing

Others have controlled for case mix when measuring cost or technical efficiency (Fleming 1991; Bradley & Kominski 1992; Koop et al.

Does a single case mix index fit all hospitals? Empirical evidence from Washington state

However, other conditions or circumstances affect CMS' publicly reported measures, such as resident case mix and preadmission conditions.

Rethinking quality: improving resident care requires the MDS

Financial winners will review their processes and focus on improvement in: (1) MDS data accuracy, (2) case mix of admissions, (3) selection of ARD and coordination of service delivery with therapy managers, and (4) operational changes that will ensure proper look-back to document each resident's clinical history.

Be a winner in Medicare RUG-53: still struggling with the new grouper? A refresher course to bring you up to financial speed

In addition, results show that estimates of provider rankings varied little across the three regression models when controlling for case mix, suggesting that provider rankings are not especially sensitive to choice of method.

Using Case-Mix Adjustment Methods To Measure the Effectiveness of Substance Abuse Treatment: Three Examples Using Client Employment Outcomes

After adjustment for case mix, family physicians generated 5% lower costs (95% confidence interval [CI], 2% - 9%).

Risk Aversion and Costs

In Chapter 5, the effect of case mix on costs is analysed using multiproduct cost functions for two different sets of output classifications.

Hospital Cost Analysis

The success of your review of blood film review criteria depends on the hematology analyzer being used in your laboratory to flag these specimens because there are instrumental differences in the efficiency of the flagging rates, and depending on the case mix in your particular laboratory, such differences may or may not become apparent.