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Measuring work complexity for acute care services

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  • Shuguang Lin
  • Paul Rouse
  • Fan Zhang
  • Ying‐Ming Wang

Abstract

Case weights capture the resource cost by diagnosis‐related group (DRG) but may not fully reflect the complexity of the clinical services provided. This study describes the use of a work complexity index (WCI), for assessing acute care services focusing on those provided by physicians in healthcare systems. The services are classified using relative value units (RVUs) and their point value assigned using the resource‐based relative value scale. 57,559 acute inpatients from a tertiary hospital were first classified into diagnosis‐related groups, which together with the relative value units assigned to services were then used to calculate a work complexity index for 38 departments. A case mix index (CMI) was also compiled as a conventional measure of complexity which had a correlation of 0.676 (p

Suggested Citation

  • Shuguang Lin & Paul Rouse & Fan Zhang & Ying‐Ming Wang, 2021. "Measuring work complexity for acute care services," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(6), pages 2199-2214, November.
    • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:6:p:2199-2214
    DOI: 10.1002/hpm.3279
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    1. Ramji Balakrishnan & Thomas Gruca & Deepika Nath, 1996. "The Effect of Service Capability on Operating Costs: An Empirical Study of Ontario Hospitals," Contemporary Accounting Research, John Wiley & Sons, vol. 13(1), pages 177-207, March.
    2. Becker, E.R. & Dunn, D. & Braun, P. & Hsiao, W.C., 1990. "Refinement and expansion of the Harvard resource-based relative value scale: The second phase," American Journal of Public Health, American Public Health Association, vol. 80(7), pages 799-803.
    3. K. R. Olsen, 2012. "Patient complexity and GPS' income under mixed remuneration," Health Economics, John Wiley & Sons, Ltd., vol. 21(6), pages 619-632, June.
    4. Ernst, Chris & Rouse, Paul, 2016. "Complexity, Tertiariness and Healthcare: Unresolved Issues of Reimbursement and Incentives," Die Unternehmung - Swiss Journal of Business Research and Practice, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 70(3), pages 227-247.
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    1. Cabot, Clément & Villavicencio, Manuel, 2024. "The demand-side flexibility in liberalised power market: A review of current market design and objectives," Renewable and Sustainable Energy Reviews, Elsevier, vol. 201(C).

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