Case Mix Crisis

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gevivn_03

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Description

To help you to better understand why case mix is important to managed care and reimbursement methods; here are some fictional heart attack mortality rates for three different hospitals. Consider the national average for heart attack death rates to be 16%.

Hospital

Mortality Rate

National Mortality Rate

Hospital A

16.1%

16%

Hospital B

18.6%

Hospital C

15.7%

Part I

Write a brief report in which you answer the following questions:

  1. Explain case mix and why it is important in evaluating different health care providers.
  2. Refer to the table of heart attack mortality rates for Hospitals A, B, and C. From your reading this week, what variables might be impacting the rates in the table? Please explain and discuss the use of data analysis for evaluating this kind of information.

Part II

You are a staff member at Hospital B, which has the worst mortality rate from heart attacks as seen in the table. Imagine that the administrator for Hospital B has asked you to appear at a Press Conference to share your knowledge about case mix.

Hospital

Mortality Rate

National Mortality Rate

Hospital A

16.1%

16%

Hospital B

18.6%

Hospital C

15.7%

After participating in the Press Conference, write a 1-page summary to explain the use of date for decision-making purposes, and how the technology department performs critical core business processes essential to the managed care organization.

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Explanation & Answer

hey there is the file if there is any need for correction, please inform me

(Last Name) 1
STUDENT NAME

PROFESSOR NAME
CLASS NAME
SUBMISSION DATE
Part 1
Introduction
Case mix refers to the different or varied typed of patients treated by a hospital. It involves the
classification of patients with the intention of improving financial and clinical management in a
hospital. Classification also helps group patients with similar treatment requirements. Case mix
measurement characterizes the stay of an in-patient with the purpose of anticipating the resources
needed to care for them during the stay.
Body
Case mix is important in the clinical management, benchmarking of a hospital with another,
planning of services, funds allocation and quality improvement. In addition to that, it serves as a
tool for gathering information to help policymakers ...


Anonymous
I was struggling with this subject, and this helped me a ton!

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