Related Experiment Video
Updated: Jun 23, 2026
06:55
Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
Use of case mix tools for utilization management and planning
1Canadian Institute for Health Information, Canada.
Studies in Health Technology and Informatics
|April 22, 2009
Summary
Canadian hospitals are using the CMG+ case mix tool to improve efficiency. This method analyzes inpatient data to identify areas for reducing healthcare inefficiencies and optimizing patient care.
Area of Science:
- Health Services Research
- Health Informatics
- Hospital Management
Background:
- Increasing demands on healthcare systems due to aging populations and resource constraints.
- Canadian healthcare authorities prioritize evaluating medical care appropriateness and efficiency.
- Need for proactive reduction of inefficiencies in acute-care inpatient settings.
Purpose of the Study:
- To describe the application of CMG+ (Canadian Case Mix Groups) methodology for utilization management in Canadian hospitals.
- To demonstrate how CMG+ can be used to identify opportunities for improving healthcare efficiency.
- To present the use of the Expected Length of Stay (ELOS) indicator within CMG+ for efficiency analysis.
Main Methods:
- Utilizing the CMG+ case mix grouping methodology developed by the Canadian Institute for Health Information (CIHI).
- Applying the Expected Length of Stay (ELOS) indicator as a benchmark for patient length-of-stay analysis.
- Analyzing patient subgroups to identify potential conservable days and areas for efficiency gains.
Main Results:
- CMG+ provides a framework for analyzing the acute-care inpatient population.
- The ELOS indicator facilitates the assessment of length-of-stay distributions.
- Methodology can identify specific patient subgroups where efficiency improvements are feasible.
Conclusions:
- CMG+ is a valuable tool for hospital utilization management in Canada.
- The methodology supports the proactive reduction of healthcare inefficiencies.
- Targeted efficiency gains can be realized through the analysis of patient subgroups and ELOS benchmarks.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:21Manipulation and Analysis
GIS manipulation and analysis functions are vital for decision-making and planning. These activities range from data retrieval tasks, such as selecting information based on specific criteria, to advanced analytical techniques that address complex spatial problems.One critical GIS analysis method is overlaying, which combines multiple data layers to examine impacts. For example, overlaying a river-dammed lake boundary with road networks can identify affected infrastructure. Another common...
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...