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From The CriticsReviewer: Janice M. Lato, MA (Medical College of Wisconsin)
Description: This book is a thorough review of case mix adjusted clinical information methodologies, both inpatient and outpatient. It includes perspectives on how the various parts of the healthcare industry use the data.
Purpose: The purpose is to provide a review of case mix methodologies and identify the strengths and weaknesses of the utilization of case mix data. The book contributes information in an objective fashion to the debate physicians/hospitals have with payors that data collected does not reflect patient severity.
Audience: This book is intended for individuals who work with case mix data. The book includes information from a variety of settings and experts throughout the country. The authors and contributors are knowledgeable about the subject matter.
Features: Illustrations are used within chapters to describe methodologies or findings. There are a sufficient number to make the book easier to read. Because the book is very technical, this helps the reader. There is an index at the back that is very helpful in locating specific items. There is not a reference listing since experts are used for each chapter.
Assessment: This book is a significant resource for persons within hospitals, group practices, and payors who work with case mix data. For others, the book would be a reference to be used periodically. The book describes many available severity adjustment systems and summarizes the current state of physician profiling.