Hospital information systems for case mix management

Bibliographic Information

Hospital information systems for case mix management

Leo K. Lichtig

(A Wiley medical publication)

Wiley, c1986

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Includes index

Description and Table of Contents

Description

Addressed in this book is the increased need for sophisticated hospital management information in the wake of cost-containment pressures resulting from the prospective payment system and DRGs. It shows how the integration of clinical with financial data, or case mix information, can help maintain quality of care while minimizing costs, and in addition, the book examines information systems containing detailed case mix information on individual patients and provides technical information on the state of the art of case mix management: designing a system from scratch, enhancing existing systems, planning future enhancements, evaluating purchase of a system. Defined are key terms and a description of specific applications, and an examination of the selection and quality of data to include in the system. A variety of case mix classification schemes are also reviewed.

Table of 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 DATA SET: Data for Determining Case Mix
  • Recommended Standard Hospital Case Mix Data Set
  • Recommended Standard Multihospital Case Mix Data Set
  • Ambulatory Care Data Set
  • Data Item Codes
  • MAXIMIZING DATA QUALITY: Staffing Considerations
  • Data Editing
  • CASE MIX PROCESSING: Case Mix Schemes
  • Identifying Outlier Cases
  • MERGING MULTIPLE INPUTS: Patient Data Merge: An Overview
  • Merging Bills and Abstracts
  • CASE MIX COST ALLOCATION: Measures of Resource Use
  • Billing Data versus Cost Report Data
  • CASE MIX REPORTING: Variables for Analysis
  • Comparative Case Mix Reports
  • CONFIDENTIALITY: Data Release Policies
  • Provider Confidentiality
  • Appendixes
  • Index.

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