The Cost of Hospital Stays: Why Costs Vary
Canadian Institute for Health Information (CIHI) 2008
Available online PDF file [73p.] at: http://secure.cihi.ca/cihiweb/products/2008HospCosts_report_final_Eng_web.pdf
“… This looks at the average costs of a wide range of treatments and procedures performed during acute care hospital stays for typical patients, and some of the reasons these costs can vary from patient to patient.
The report begins by providing the big picture on how much
What Is and Case Mix Groups CMG+?
The CMG+ methodology is used to create distinct patient groupings that are clinically similar and/or homogenous with respect to hospital resources used. By linking patient groups to resources used in their treatment, CMG+ provides a tool for analyzing resource utilization and costs.
The case mix grouping methodology was revised to make use of the most recent Canadian classification systems for diseases and related health problems and interventions.
The CMG+ methodology assigns patient records to major clinical categories (MCCs) and Case Mix Groups (CMGs). Both MCCs and CMGs are based on either a diagnosis or condition described as being most responsible for the patient’s stay in hospital—in clinical terms, the “most responsible diagnosis” (MRDx)—or based on an intervention that significantly affects the pattern of care and resources consumed by a patient.
1. Overview of Hospital Spending in
Who Pays for Hospital Care?
Where Does the Money Go?
2. Measuring Average Acute In-Hospital Costs
What Is CMG+?
What’s New About CMG+: The Five Factors
Using CMG+ and Other Tools to Calculate Average Costs
3. Looking Into Hospital Costs: Selected Examples
Factors Affecting Hospital Costs
Cost of Treating Atypical and Long-Stay Patients
What We Know
What We Don’t Know
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