A resident assessment was assigned to one of 53 case mix
groups using the RUGs grouper program v5.
must be considered when creating benchmarks or establishing outcome goals.
This presentation gives a sense of the extent of variation in cost and case mix
This month's HotList profiles a wide array of vendors that offer system solutions and tools to assist in utilization, resource and case management, case mix
and provider profiling functionality, among others.
This study expanded prior research and had two objectives: (1) to assess the potential impact of facility case mix
on both the cross-sectional variations and short-term stability of the CMS QM and (2) to determine whether multivariate risk adjustment for resident characteristics can minimize these impacts.
But based on this comprehensive study of all Medicare cardiac patients, we can say that our hospitals treat cardiac patients with a higher average case mix
index, which is a common measure of patient severity and case complexity.
MDS data are pooled in this analysis to classify a facility's case mix
In an analysis of 104 Kentucky hospitals, the average case mix
(computed using the proposed system) was compared with each facility's average 1991 case mix
, as published in the Federal Register.
Researchers found that at least part of the increase in case mix
among hospitals after the Diagnosis Related Groups (DRG) system was introduced was attributed to differences in documentation or "DRG creep" (Steinwald and Dummit 1989; Carter, Newhouse, and Relles 1990; Hsia et al.
He has reorganized the medical staff and simplified its bylaws, changed coding practices, improved case mix
index by 10 percent and decreased accounts receivable by 20 percent.
Nationally, approximately 48 percent of all nursing home residents experience urinary incontinence and the number can be as high as 70 percent, depending upon a facility's case mix
I think the position that pressure ulcers are primarily attributable to residents' risk factors is indefensible, because the case mix
does not vary widely from nursing home to nursing home, but the quality of caregiving does.
In general, we found a moderate increase in sub-acute case mix
in TNHs relative to CNHs as reflected by a greater increase in TNH patients with cardiac problems (myocardial infarction, dysrhythmia, and congestive heart failure), certain types of mobility impairment (such as restriction of the upper limbs), and fractures (Shaughnessy, Kramer, and Hittle, 1991).
In addition, the new "HealthShare One" (patent pending) system includes proprietary decision algorithms that adjust case mix
and severity levels to facilitate more accurate comparison between hospitals.
Recent operating performance reflects favorable rate increases from the Maryland Health Services Cost Review Commission from fiscal 2004-2006, strong utilization trends, and growing case mix