The Case Mix department is on a 3-year cycle for methodology changes. April 1, 2018, will see a new version of the Comprehensive Ambulatory Classification System (CACS). Along with the addition of new classification codes, there will be a number of changes to the logic steps.
While working on the project to enable NACRS Level 2 data submissions to be grouped in CACS, the Case Mix team took the opportunity to revisit the emergency department (ED) logic, looking for opportunities to enhance the intervention partition. As a result, the logic will be changing and a number of new cells will be created.
Rehabilitation clinics and medical clinics
Where volume is sufficient, a second split using Mode of Visit (NACRS data element 20) has been added to this logic step. A group session defined by Mode of Visit = 2 — indicating that a single care provider is providing a service to a group of patients at the same time — is less resource-intensive (e.g., a clinical nutritionist teaching a class of newly diagnosed diabetics the art of a diabetic diet). (Note: This logic step is not mandatory in all jurisdictions.)
New Canadian Classification of Health Interventions (CCI) codes will be added to the existing CACS cells. Some modifications are being made to the intervention-driven cells where costs or volume warrant.
Stay tuned for more information in September 2017!