Case mix management system
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Published by Department of Health in [London] .
Written in English


Book details:

Edition Notes

At head of title: NHS Management Board; Resource Management Directorate.

ContributionsNHS Management Board., Great Britain. Resource Management Directorate.
ID Numbers
Open LibraryOL18557579M

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The system of Diagnosis Related Groups (DRGs) is the most notable U.S. experiment in using casemix information. This paper draws lessons from the DRG experience for managing health care services and discusses the underlying infrastructure of health data needed to manage health care services. ISBN: OCLC Number: Notes: Includes index. Description: xiii, pages: illustrations ; 25 cm. Contents: CASE MIX INFORMATION SYSTEMS: Some Applications of Case Mix Information; SYSTEM OVERVIEW: Information Flow; Case Mix Processing; Integrating Clinical and Financial Data; Multihospital Systems; SELECTION OF A COMPREHENSIVE PATIENT .   Case Mix Management: A Cautionary Note. Using data from a study that involved U.S. acute care hospitals, the author examines the relationship between the profitability of Diagnostic Related Groups (DRGs) and their DRG weight, and the similarity/difference of the most/least profitable DRGs across hospital : Michael J. Long. ment. A hospital's case mix is often considered its product in an economic sense, but a case is obviously what a hospital treats, while the care provided is the product. Nevertheless, if the variables used to classify cases in the case-mix system also determine the neces­ sary diagnostic and treatment activities, case mix .

Case Mix Theory 36 plus states currently use MDS based Case-Mix system Theory of value Manage/control expenses Correlates to acuity (partially) with reimbursement Promote efficiency Incentives higher acuity admissions Pay Higher Rates for Higher Acuity. Classification System and includes information specific to the Minnesota Case Mix System. Facilities need to utilize the resources included in this manual to assure they have the most up-to-date information related to Case Mix and the MDS. The Minnesota Case Mix System is . Case-mix involves patient classification as a tool to improve financial and clinical management in a clinical facility. The term case-mix refers to the type or mix of patients treated by a hospital or unit. The term is often used to describe the billing system of the hospital or unit, since the "cost per item" of health care is based on the case-mix. The case-mix management system that utilizes information from the Minimum Data Set (MDS) in long-term care settings is called A. Ambulatory Patient Classifications (APCs). B. Resource Utilization Groups (RUGs). C. Medicare Severity Diagnosis Related Groups (MS-DRGs).

Case Management: A Practical Guide for Education and Practice, 3rd Edition Written for new case managers, this book is a practical guide for nurses, social workers, and others responsible for coordinating and managing the care of the individual patient within the healthcare system.   Projects to select and implement a Case Mix Management System (CMMS) provide an opportunity to reduce the number of separate physical files and to migrate towards systems with an integrated data base. The number of CMMS candidate systems is often restricted due to data base and system interface issues. Advanced Case Management with IBM Case Manager Wei-Dong Zhu Brian Benoit Bob Jackson Johnson Liu Mike Marin Seema Meena Juan Felipe Ospina Guillermo Rios Introducing case management and IBM Case Manager Building IBM Case Manager solutions with use case example Covering customization, rules, deployment, and more Front cover. The Case Mix Index (CMI) is the average relative DRG weight of a hospital’s inpatient discharges, calculated by summing the Medicare Severity-Diagnosis Related Group (MS-DRG) weight for each discharge and dividing the total by the number of discharges. The CMI reflects the diversity, clinical complexity, and resource needs of all the patients in.