Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
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Showing 1 to 20 of 22 for “"Case-Mix"”.
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Case-Mix Adjustment of Adherence Based Pharmacy Quality Indicator Scores
… Not adequately addressing the effects of patient case-mix while measuring quality could have severe implications if these measures are used for pay for performance programs or generating quality report cards.
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Case mix and coding error detection in Western Cape healthcare facilities
… must be addressed. This dissertation applies case mix adjustment for hospitals in the Western Cape based on DRG weights from the private sector. DRG weights represent the average resources required to care for cases in that particular DRG, relative to the average resources used to treat cases …
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Case mix and workload of patients seen at three private emergency centres in Cape Town, South Africa
Objectives: To determine the case mix and workload of patients presenting to three private emergency centres in Cape Town Design: A Prospective cross sectional observational study was undertaken Setting and subjects: A convenience sample of all prospective patients that presented to three private …
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The evaluation of case-mix adjusted efficiency scores the case of the South African private hospital industry
… efficiency that allows for differences in case mix across hospitals. One of the primary motivations for this dissertation is to help fill this gap in the literature by examining the impact that adjusting for differences in case mix has on efficiency scores. Data Envelopment Analysis (DEA) …
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Measurement of Hospital Performance: Environmental and Organizational Factors Associated with Cost
… among hospitals in patient complexity (i.e., case mix) and outpatient volume, not all adjustment methodologies take cost of living differences into account. To test the impact of adjusting for cost of living differences in addition to case mix and outpatient volume differences, this research …
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An Evaluation of Medicaid Programs Using Medication Use-Related Quality Measures
… use-related quality was also created. Patient case-mix adjusted measure scores were computed using hierarchical logistic regression models. States were ranked on both case-mix adjusted and unadjusted scores and categorized into top (?20%), medium (60%) and bottom (?20%) performers. Agreement in …
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The Unintended Consequences of the Adoption of Electronic Medical Record Systems on Healthcare Costs
… an unconventional manner (“upcoding” of patient case mix data), and how EMR adoption may end in the eventual abandonment of the system along with corresponding negative effects. In my first essay, I examine if the adoption of EMR systems has effects beyond the adopting hospital to neighboring …
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Influence of Organizational, Operational, Financial AndEnvironmental Factors on Hospitals' Adoption of Computerized Physician Order Entry Systems for Improving Patient Safety: A Resource Dependence Approach
… of ownership, in-house physician staff, case mix index and the environmental characteristic of HMO penetration rate had a positive effect on management's adoption decisions. The operational characteristic excess capacity, the organizational characteristic community orientation, the …
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A retrospective description of a 12 month caseload at four private emergency centres in South Africa
… This study is the first description of the caseload and case mix in private EDs in South Africa. The most common presenting complaints were gastrointestinal and respiratory, with chest pain being the commonest red triaged complaint. Such complaints are similar to international data. In …
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A medicaid resident assessment-based statewide analysis of intermediate care nursing homes
… and validity were evaluated. Relationships of case-mix and selected structural variables (size, ownership, location, percent Medicaid, staff ratios) to the quality measure were analysed. Results suggested better performance by non-profit and smaller homes, but proprietary and non-prof it …
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A cross-sectional study of patients presenting to an urban emergency department in Mwanza, Tanzania
Introduction: Tanzania suffers from limited healthcare resources, accentuated by the burden of trauma and infectious diseases. There is limited data on the profile of patients attending Emergency Departments (ED). This study describes patients attending the Bugando Medical Centre, Mwanza, Tanzania …
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Predictors of Carbapenem Resistant Gram-negative Bacteria in a Consortium of Academic Medical Center Hospitals
… (e.g. geographical location, bed size, case mix index). “Whole house” antibiograms were obtained to determine rates and proportions of carbapenem-resistant P. aeruginosa (CR-PA) and carbapenem resistant K. pneumoniae (CR-KP). Also, CR-KP isolation was generated as a binary outcome. …
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Analysis of factors of importance for drug use
… County. To estimate multimorbidity the ACG-Case Mix was used in all papers. Drug use depending on age, gender, income- and educational level, after adjustment for multimorbidity, was analysed in the entire adult population in Paper I, and in the primary healthcare population in Paper III. In …
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Essays on the health economics of hospital quality
… based on realistic assumptions about how patient case mix can vary by hospital quality and how hospital quality can vary by hospital volume. Because different methods of estimating patient mortality risk have different degrees of precision, the simulation considers variation in this precision and …
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Outcome and Resource Use of Patients with Liver Disease: Analysis of Chinese Electronic Medical Records
… liver diseases, require large databases and rich case mix information to incorporate severity assessment and risk adjustment in order to generate robust results. Researchers worldwide have recognized the potential value of electronic medical record (EMR) and tremendous efforts are underway to …
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The role of the Registered [Surgical] Nurse in the 21st century NHS acute trust hospital. An ethnographic study
… throughput’, and an ever increasingly dependent case mix of surgical patients, within the existing, or if possible diminishing Senior / experienced RN labour force due to the emergent evidence of a ‘cycle of staff change’ with non-clinical managers backfilling Senior RN posts with Junior RNs. For …
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Economic studies of chronic kidney disease
… persisted, despite the increasing complexity of case mix over time. The chapter concluded by presenting a road map for a subsequent full economic evaluation of the LDKT program. <br/><br/>In summary, the PhD thesis identified a number of economic aspects of CKD and ESRD including economic impact, …
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HOSX: Hospital operations excellence model
… provides. Six HUC components are proposed: (i) case-mix adjusted inpatient days (ii) discharge disposition (iii) intensive care (iv) nursery (v) outpatient care and (vi) ancillary services. The HUC is compatible with the Medicare Cost Report data format. Model application is demonstrated on a …
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An economic analysis of hospital costs in New Zealand
… length of stay and the changing diagnostic mix of patients treated in hospital, are also shown to have had an important, though less substantial impact on hospital cost levels. The second part of the study is devoted to identifying and examining the factors that give rise to variations in …
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Studying glomerular disease epidemiology: tackling challenges and paving a path forward
… accounting for between-group differences in case-mix. Conclusions: In addition to answering specific research questions regarding glomerular disease epidemiology, this research exemplifies the strengths and feasibility of population-level, internationally collaborative, approaches to studying …
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