MDS: Hospital Case Mix and Resource Management
Uses of MDS
- Diagnosis related groups (DRGs): Classification of episodes of hospitalization with clinically recognizable definitions where patients in each group are expected to consume a similar process of hospital care.
- Identifying patients at high resource consumption.
Features
- Comparison of DRG hospitals across a wide range of resources and outcomes.
- Evaluation of differences in mortality rates among hospitalized patients.
- Implementation and support of protocols or guidelines and actions to developing critical.
- Identify projects for continuous quality improvement.
- Payment of cases, from one region to another.
- As a basis for internal management and planning systems.
- Regional contract for hospital care of hospitalized patients.
DRM Concepts
Weight
Measurement of the average resources. Establishing a relative weight to each DRG based on their cost in the U.S.. The value 1.00 represents the overall average cost American patient. DRG weight indicates how many hospital resources has consumed a given disease, mostly stays. Weight relative relationship between the estimated cost thereof with respect to the average cost of all patients seen at the hospital, region, state, etc. Cumulative weight of all high / not high If > 1 the number of cases is more complex media, in terms of cost, that of the standard. If < 1 the number of cases is less complex media, in terms of cost, that of the standard.
Index GRD or the complexity of Casuistry
The internal structure of the hospital cases, it is called in English”CASE-MI” and is the combination of differential rates of similar patients on the care required, treated in placement services of the hospital.
Index DRG case mix complexity
Case mix complexciti refers to characteristics related but distinct from each patient. disease severity. Relative loss of function and mortality may have a patient with a given disease. 2) Forecast. Final result of a disease by taking into account the likelihood of improvement or deterioration and d the pair for life expectancy and patient. 3) Difficulty of treatment. Problems for the hospital means managing a certain disease. These problems are associated with disease or without a clear pattern of symptoms, which require difficult and sophisticated procedures that require close monitoring or supervision. 4) The need for intervention relates the consequences in terms of worsening or severe, which result in the absence or lack of immediate care or continuous. 1) The resource intensity refers to the volume-type facilities for the diagnosis, treatment and inpatient care you use for a particular disease.
DRG Media Stay Concepts (MS)
Is the relationship between rooms and patients in a particular patient group or period (arithmetic mean of the stay). Addition days stay / no high-adjusted average stay Casuistry (EMC) would be that if the hospital would try the same cases (GDR) that a reference standard, but with his MS in each DRG. The EMC Control casuistry confounding of MS.
Circuit MDS Information
MBDS
All data is recorded to be sent to the Ministry of Health sent quarterly by the Manager or Director of each center to the General Directorate of Evaluation and Inspection: A file that must contain: o Data of the total admissions or outpatient episodes or other procedures produced a report signed or number of discharges produced in the center and Specialty Service or Technical Manager Appointment period: answer questions the SIS.
MDS Circuit File Information
Cumulative on the current year, including episodes with the corresponding quarter the previous ones to enable the retrieval of episodes incomplete or failed in previous quarters.
File
Each shipment shall be identified by: Code and name of the clinic ^ ^ quarter for which the file name found in the data records NOT containing for each type of assistance, or hospitalization or major surgery or other procedures Ensure Data Protection under the Law 15/1999 of 13 December”regulating the automated processing of Personal Data)
MDS Circuit Information Ministry of Health
Debugging and validation of received data bases Return to the center for correction and completion of records with data errors or mistakes and correct records to be confirmed. Error: You do not identify and characterize the patient not to identify and characterize the clinical episode and assistance. Corrections: Shipping is included in the following quarter. Except for the last quarter of the year. Regular reports to compare the results. MDS record sent to the state.
Murcia Region
Decree 34/1999 of 26 May. Subject: creation of the MDS in the AC of Murcia and function, who are obligated to compliance and sanctions. MDS function: have valid and reliable data to detect the needs of citizens, develop plans, health programs and evaluation. Forced compliance: all public and private hospitals of the Murcia Region Responsible for implementation and development of MDS: hospital Address Sentence: administrative. Chapter IV of Title I of Law 14/1986 of 25 April, General Health.