Building a Performance Management System for Hospitals Based on Diagnosis-Related Group (DRG) Payment

Table 4

Scoring criteria for DRG-related indicators.

Indicator	Scoring criteria
Number of DRG groups	The number of DRG groups in each assessment unit in the previous year as the base, plus (minus) one point for each additional (reduced) group in each assessment unit in the current assessment period, with a maximum of two points for each assessment unit in the current period
CMI value	The CMI value of each assessment unit in the previous year will be used as the base, and 1 point will be added (subtracted) for every 1% increase (decrease) in each assessment unit during the current assessment period, with a maximum of 2 points added to each assessment unit in the current period
Time consumption index	Each assessment unit will be based on 1, and 0.2 points will be deducted (added) for every 1% increase (decrease) in each assessment unit during this assessment period, with a maximum of 2 points added for each assessment unit in the current period
Cost consumption index	Each assessment unit will be based on 1, and 0.2 points will be deducted (added) for every 1% increase (decrease) in each assessment unit during this assessment period, with a maximum of 2 points added for each assessment unit in the current period
Mortality in low- and medium-risk groups	5 points deducted for each case during this assessment period