To help you to better understand why case mix is important to managed care and reimbursement methods; here are some fictional heart attack mortality rates for three different hospitals. Consider the national average for heart attack death rates to be 16%.
Hospital
Mortality Rate
National Mortality Rate
Hospital A
16.1%
16%
Hospital B
18.6%
Hospital C
15.7%
Part I
Write a 3-4 page report in which you answer the following questions:
Part II
You are a staff member at Hospital B, which has the worst mortality rate from heart attacks as seen in the table. Imagine that the administrator for Hospital B has asked you to appear at a Press Conference to share your knowledge about case mix.
Hospital
Mortality Rate
National Mortality Rate
Hospital A
16.1%
16%
Hospital B
18.6%
Hospital C
15.7%
After participating in the Press Conference, write a 2-page summary to explain the use of date for decision-making purposes, and how the technology department performs critical core business processes essential to the managed care organization.