CMI

What factors affect the CMI? If we had a drop in CMI, what might have affected this?

Comments

  • It could be attributed to a number  of things.  Was one of your major surgeons on vacation? Drops in the number of high weighted procedures tends to be the most significant hits to our CMI.


  • Thank you!
  • Short on time and will try to provide further details later but anything that can potentially raise the CMI can potentially cause a decrease.

    Other possibilities could be if your hospital goes on diversion and/or cancels surgeries due to flu epidemic or weather events, etc..

  • edited February 2019
    Alba123 said:
    What factors affect the CMI? If we had a drop in CMI, what might have affected this?


     A decline in surgical volumes can have a big impact on CMI, particularly if you are a smaller hospital. 
  •  CMI is impacted by:
    ◦Types of services provided by the hospital
    ◦Volumes of Medical and Surgical cases
    ◦Utilization Review “gatekeeping efforts”
    ◦A high incidence of short stay admissions will negatively impact CMI
    ◦DRG assignments
    ◦Quality of Documentation inaccurately representing the “severity” of the patient population
    I hope you find this information helpful
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