Measuring work complexity for acute care services

Shuguang Lin, Paul Rouse, Fan Zhang and Ying‐Ming Wang

International Journal of Health Planning and Management, 2021, vol. 36, issue 6, 2199-2214

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

Date: 2021
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