Case-mix and hospital management evaluation

Case-Mix and Hospital Management Evaluation

Since 2007, all Romanian hospital discharges are validated based on the clinical data sent by hospitals. Consequently, the Ministry of Health developed a set of indicators, in order to evaluate the hospital management performance. This evaluation was first done in 2008, based on the new legal regulations that introduced Hospital Management Contracts between hospital managers and Ministry of Hea...

Reliability and Validity in Hospital Case-Mix Measurement

There is widespread interest in the development of a measure of hospital output. This paper describes the problem of measuring the expected cost of the mix of inpatient cases treated in a hospital (hospital case-mix) and a general approach to its solution. The solution is based on a set of homogeneous groups of patients, defined by a patient classification system, and a set of estimated relativ...

Evaluating and improving the measurement of hospital case mix

The foundation of case-based prospective payment is the case classification system. The purpose of classification systems is to group together patients with similar treatment requirements. The systems described in this issue take a variety of theoretical and practical approaches to classification. The critical issue in comparing these systems is whether the variation in treatment requirements w...

Hospital financing reform and case-mix measurement: An international review

A review of reforms in the financing of hospital services in eight European countries and Australia reveals a commitment to a common objective of relating resource use to hospital workload by means of a standardized case-mix framework in the pursuit of greater efficiency. While this objective is also shared with the U.S. prospective payment system (PPS), it is noteworthy that the majority of co...

Case-mix measurement and assessing quality of hospital care