Case Mix Index (CMI) Optimization and Resource Utilization (Hospitals)

(Hospitals) As regional funding transitions from the Ministry of Health toward accountable-care configurations and prospective capitation models, the Case Mix Index (CMI) has emerged as the single most critical metric for evaluating hospital performance and regional budgeting. CMI represents the clinical complexity and resource intensity of a hospital's patient population, calculated as the sum of all DRG-relative weights divided by total discharged patients. This executive program provides leadership with frameworks to capture, monitor, and report these metrics with precision. Participants examine how an artificially low CMI, often the consequence of conservative coding or poor documentation, creates the illusion that a specialized medical city treats low-acuity patients, triggering severe funding deficits from the Health Holding Company. Through applied analytics and benchmarking workshops, administrators, clinical leads, and financial controllers learn to legitimately maximize CMI reporting and ensure proportionate compensation for managing severe morbidities, the projected 2.4-fold increase in the elderly population, and complex surgical interventions, while strengthening resource-utilization discipline across the facility.