The overall clinical profile of a particular group or subpopulation of consumers, determined by assessing such factors as diagnosis, severity of illness, and service utilization patterns; case mix is a key variable in establishing capitation rates and estimating costs.
The number and frequency of hospital admissions or managed care services utilized, reflecting the assorted needs and uses of a hospital's or MCO's resources.
the mixture of clinical conditions and severity of condition met in patients in a particular healthcare setting
The overall clinical and diagnostic profile of a defined population which influences intensity, cost, and scope of services typically provided.
The classification of patients being treated in a health system that includes information on characteristics such as age, sex, health status and so forth.
The different types of patients that a provider treats, whose age, gender or diagnosis directly influences the scope of services provided.
A formulative method used in some States (including MN) to determine patients' needs for health care resources within a nursing facility. The assessment is based in part on functional ability to perform ADL's, medical and psychiatric diagnosis. Case mix can determine the daily rate during a nursing home stay. In Minnesota the Case Mix classification ranges from "A" (most independent) to "K" (most dependent).
The types of inpatients a hospital or post acute facility treats. The more complex the patients' needs, the greater the amount spent for patient care.
Set of categories of patients (type and volume) treated by a healthcare organization and representing the complexity of the organization's case load. Back to the top of the page
A formulative method used in some states to determine patients' needs for health care resources within a nursing facility. The assessment is based in part on functional ability to perform activities of daily living (ADLs), medical and psychiatric diagnosis.
The number of cases requiring different needs and uses of hospital resources. (H)