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The first sheet is the assignment with instructions and the second sheet is the worksheet in which you will use to calculate the case mix index.
6 Assignment: Case Mix Index (CMI) LP06 ASSIGNMENT: Case Mix Index (CM Directions IPPS: The top 25 MS-DRGs for Hospital A are provided in the attached LP06 Assignment Worksheet, Calculate the case mix index in the spreadsheet for this MS-DRG set How to calculate case mix index: - Take the average of the sum of the RWs (relative weight) of all patients treated during a specified time period However, in our table we also have the Volume for each DRG (number of times each DRG was reported at this hospital) so we have to do a Weighted Average. Instructions: 1. Review the MS-DRGs in the table 2. Indicate whether each is Surgical or Medical and place an S or M in the Type column 3. Calculate the weighted average for each DRG Volume x RW- Weighted Average 4. Add up total volume (all of the numbers in the Volume column) 5. Add up the Weighted Average column 6. Divide the total Weighted Average by total volume. This is your Case Mix Index (CMI)

Directions IPPS: The top 25 MS-DRGs for Hospital A are provided in the table below. Calculate the case mix index for this MS-DRG set. MS MS-DRG Title DRG VolumeM TYPE RW Weighted 470 Major yount replacement or reattachment of lower extremity wo MCC 392 Esophagitis, gastroent & misc digest 420 08 332 0 disorders wio MCC 194 Simple pneumonia&pleurisy w CC 247 Perc cardiovasc proc w drug-eluting stent 280 0S 09976 wio MCC 293 Heart falure& shock wo CCAACC 313 Chest pain 292 Heart faalure & shock w CC 690 Kidney& urinary tract infections wo 0.694 0.7708 192 Chronsic obstructive pulmonary disease 218 04 dasease 871 Septicemia wo MV 96+ hours wMCC 641 Nutritional& misc metabolic disorders 0.6843 wo MCC Heart failure & shock w MCC 08899 885 Psychoses 287 Cuculatory dasorders except AMIL, w card 195 Simple pneumonia & pleurisy w 310 Cardsac arrhythmia & conduction 0.7095 0.571 disorders wio CC/MCC 3 Cellulitis w o MCC 191 Chronic obstructave pulmonary disease w 065 Intracranial hemorrhage or cerebral 683 Renal falure w CC 379 GI hemorthage wo CCMCC 131 1.158 infarction w CC 199ーしPalmotaryedemaknesparatoryfailure一ㄧ一114一104一 ischemia 066 | İntracı anal hemon hage or cerebral wo CC Totals CMİ

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