Assignment: Calculating the CMI
Scenario: The CEO of your hospital has asked that you calculate the CMI for all patients hospitalized in the past year whose MS-DRG was in MDC 06 Diseases and Disorders of the Digestive System.
|
MS-DRG
|
Relative Weight (RW) of MS-DRG
|
# of Cases Treated
|
Total MS-DRG weight for all patients
|
Anticipated revenue for MS-DRG
|
|
326
|
5.1660
|
2
|
10.3320
|
$41,328
|
|
327
|
3.2941
|
1
|
3.2941
|
13,176.40
|
|
328
|
1.8017
|
5
|
9.0085
|
36,034
|
|
329
|
4.5059
|
3
|
13.5177
|
54,070.80
|
|
330
|
2.8935
|
10
|
28.935
|
115,740
|
|
331
|
1.8415
|
12
|
22.0980
|
88,392
|
|
332
|
3.7139
|
0
|
0.0000
|
0
|
|
333
|
2.5787
|
1
|
2.5787
|
10,314.80
|
|
334
|
1.7856
|
9
|
16.0704
|
64,281.60
|
|
335
|
3.4785
|
1
|
3.4785
|
13,914
|
|
336
|
2.4776
|
1
|
2.4776
|
9,910.40
|
|
337
|
1.6984
|
2
|
3.3968
|
13,587.20
|
|
338
|
2.7254
|
2
|
5.4508
|
21,803.20
|
|
339
|
1.9805
|
4
|
7.922
|
31,688
|
|
340
|
1.3849
|
10
|
13.849
|
55,396
|
|
341
|
1.8824
|
3
|
5.6472
|
22,588.80
|
|
342
|
1.3562
|
8
|
10.8496
|
43,398.40
|
|
343
|
0.9887
|
15
|
14.8305
|
59,322
|
|
TOTAL
|
45.5535
|
89
|
173.7364
|
$694,945.60
|
Use the data above to respond to the following questions:
i. Calculate the CMI for the MS-DRGs in MDC 06 for the last year
ii. Calculate the total expected DRG revenue for all MS-DRGs related to rectal resections (combined) for last year
iii. Identify the MS-DRG(s) that the Surgical Quality Committee might want to review for quality issues based on the data provided and explain your answer.