Administrative Code

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Virginia Administrative Code
Title 12. Health
Agency 5. Department of Health
Chapter 216. Methodology to Measure Efficiency and Productivity of Health Care Institutions
10/19/2020

12VAC5-216-50. Efficiency and Productivity Indicators.

Individual data elements from the general categories identified in 12VAC5-216-40 will be used to form ratio indicators. These indicators will be used to evaluate health care institutions and rank health care institutions in relation to their peers.

1. Case mix index. Each acute care hospital shall provide the board with a case mix index for all inpatients and designated categories of inpatients when it submits its annual historical performance filing. The Medicare DRG grouper process shall be utilized by the board.

2. Each nursing facility that has received a Patient Intensity Rating System (PIRS) Service Intensity Index (SII) number from the Virginia Department of Medical Assistance Services shall report the four quarterly final PIRS SII scores associated with its fiscal year. These scores are to be reported on the institution's annual historical performance filing.

Statutory Authority

§§ 32.1-12 and 32.1-276.2 of the Code of Virginia.

Historical Notes

Former 12VAC25-30-60 derived from VR370-01-002 § 2.3, eff. June 1, 1994; amended and adopted as 12VAC5-216-50, Volume 13, Issue 22, eff. August 20, 1997.

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