Measuring work complexity for acute care services

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...

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Bibliographic Details
Published in:The International journal of health planning and management 2021-11, Vol.36 (6), p.2199-2214
Main Authors: Lin, Shuguang, Rouse, Paul, Zhang, Fan, Wang, Ying‐Ming
Format: Article
Language:English
Subjects:
Acute services
Clinical medicine
Complexity
Diagnosis
diagnosis‐related group (DRG)
Health administration
Health care industry
Medical diagnosis
Physicians
Productivity
productivity measurement
resource‐based relative value scale (RBRVS)
Value
work complexity
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Summary: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 
ISSN:0749-6753
1099-1751
DOI:10.1002/hpm.3279