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H310hsa3109 Case Mix Crisis

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Health & Medical

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Rasmussen University

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H310HSA3109 Section 01 Foundations of Managed Care

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Running head: CASE MIX CRISIS AND MORTALITY RATE 1

Case Mix Crisis and Mortality Rate

Student's Name

Institutional Affiliation

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CASE MIX CRISIS AND MORTALITY RATE 2

Part I

a) Case-Mix

A Case-Mix is also referred to as patient mix. This term refers to the type of patients

treated by a hospital or health facility. A Case-Mix deals with patients' ultimate arrangement and

number in hospitals according to their diagnosis (Hof, Fügener, Schoenfelder & Brunner, 2017).

They are used as a grouping criterion for patients to improve clinical and fiscal management in

hospitals. Furthermore, it serves as a tool for providing information about the nature and

complexity of healthcare delivery for assessing hospitals and assisting policymakers in making

informed decisions for resource allocation. In addition, a case-mix is a measure of the efficiency

and significance of specific healthcare policies that are important in improving healthcare

delivery to patients in hospitals.

For instance, Diagnosis-Related Groups (DRGs) is a case-mix classification system that

categorizes similar acute conditions into similar groups with manageable needs and equal

resource consumption. This is done for funding purposes since similar conditions consume

identical resources. Each DRG classification is accorded a weight that depends on the average

cost of medical inputs, including nursing and diagnostic care. These patients are expected to

acquire the correct patient outcome by improving their health status and eliminating the disease.

Resource allocation is done depending on the allocated weight of the DRG. The DRG grouping

places similar conditions that consume an equal amount of resources under one unit. For

example, a case-mix might include patients under 60yrs who present to the hospital with

Myocardial Infarction and are in urgent need of a coronary artery bypass surgical procedure.

These will be placed under a different unit from those who do not require surgeries.

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Running head: CASE MIX CRISIS AND MORTALITY RATE Case Mix Crisis and Mortality Rate Student's Name Institutional Affiliation 1 CASE MIX CRISIS AND MORTALITY RATE 2 Part I a) Case-Mix A Case-Mix is also referred to as patient mix. This term refers to the type of patients treated by a hospital or health facility. A Case-Mix deals with patients' ultimate arrangement and number in hospitals according to their diagnosis (Hof, Fügener, Schoenfelder & Brunner, 2017). They are used as a grouping criterion for patients to improve clinical and fiscal management in hospitals. Furthermore, it serves as a tool for providing information about the nature and complexity of healthcare delivery for assessing hospitals and assisting policymakers in making informed decisions for resource allocation. In addition, a case-mix is a measure of the efficiency and significance of specific healthcare policies that are important in improving healthcare delivery to patients in hospitals. For instance, Diagnosis-Related Groups (DRGs) is a case-mix classification system that categorizes similar acute conditions into similar groups with manageable needs and equal resource consumption. This is done for funding purposes since similar conditions consume identical resources. Each DRG classification is accorded a weight that depends on the average cost of medical inputs, including nursing and diagnostic care. These patients are expected to acquire the correct patient outcome by improving their health statu ...
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