CASEMIX

Root Definition

Provides the methodology for costing in the NHS for a significant proportion of clinical interventions in hospitals.

Customers

NHS Providers and Commissioners
NHS IT systems providers

Actors

NHS agencies (NICE, Monitor, NHS England)
Professional bodies
IT Systems providers

Transformations

Transforms clinical activity into costings.

Weltenshauung

Reimbursement of care providers should be standardised.

Owner

HSCIC

Environment

Clinical care is rapidly developing

Subsystems

HRGs
ICD10
OPCS

Contribution to the problem

As there is no OPCS code for MBPs, they cannot be reimbursed through CASEMIX.