Improving Orthopaedic Inpatient Casemix Index
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2019
To benchmark the inpatient Casemix Index (CMI) of NTFGH’s Orthopaedic Department and implement improvements for overall. The project demonstrated significant improvements in financial subvention and patient care metrics through systematic enhancements.
Year Submitted: 2019
Published Date: 31 December 2019
Tags: Care Process ＆ Redesign, Quality Improvement, Clinical Practice Improvement
About this Content
Aims
To benchmark the inpatient Casemix Index (CMI) of NTFGH’s Orthopaedic Department and implement improvements for overall growth.
Background
NTFGH’s inpatient CMI for orthopaedics was among the lowest compared to other hospitals, indicating potential inefficiencies.
Methods
Retrospective review of DRG coding, root cause analysis, and educational initiatives for clinical documentation accuracy.
Results
CMI improved to a record high in CY2019, increasing from 1.77 to 2.18; an estimated additional subvention of $78,000 was achieved.
Conclusion
The project demonstrated significant improvements in financial subvention and patient care metrics through systematic enhancements.
Lessons Learnt
Clear communication, consistent education, and senior staff involvement are key to improving clinical documentation and DRG coding.
Additional Information
National Healthcare Innovation Award for Casemix Index improvement; plans to replicate efforts in other departments.
Keywords
Orthopaedics, Casemix Index, Clinical Documentation
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Healthcare Administration, Medical |
Applicable Specialty or Discipline | Orthopaedics, Healthcare Administrators |
Project Lead(s) | Aravind Kumar |
Project Member(s) | Fione Gun |
Connect with this contributor!
Fione Gun - fione_gun@nuhs.edu.sg
Project Attachment
C121_NTFGH_QM_2019_Improving_Orthopaedic_Inpatient_Casemix_Index.pdf