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Table 5 Nursing case-mix classification groups

From: Validation of the Patient Driven Payment Model (PDPM) in China

Nursing Category

RUG-IV CMG

PDPM Original CMG

PDPM CMG in China

Clinical Conditions

Depression

Nursing Function Score

N

%

Mean

SD

Median

IQR

CV

CMI

Extensive Services

ES3

ES3

HS2

Tracheostomy & Ventilator

-

0–14

58

0.43%

324.38

49.63

331.26

67.46

0.15

6.33

ES2

ES2

HS1

Tracheostomy or Ventilator

-

0–14

275

2.04%

257.14

57.65

267.81

90.69

0.22

5.02

Special Care or Clinically Complex

HE2/HD2/LE2/LD2/CE2/CD2

HDE2/LDE2/CDE2

CSE2

Serious medical conditions (e.g. comatose, septicemia, respiratory therapy, radiation therapy, dialysis) or conditions requiring complex medical care (e.g. pneumonia, surgical wounds, burns)

Yes

0–5

187

1.39%

96.76

34.01

100.10

64.86

0.35

1.89

HE1/HD1/LE1/LD1/CE1/CD1

HDE1/LDE1/CDE1

CSE1

No

0–5

4976

36.87%

82.95

39.91

57.80

66.51

0.48

1.62

HC2/HB2/LC2/LB2/CC2/CB2

HBC2/LBC2/CBC2

CSC2

Yes

6–14

129

0.96%

76.51

48.83

45.20

60.08

0.64

1.49

HC1/HB1/LC1/LB1/CC1/CB1

HBC1/LBC1/CBC1

CSC1

No

6–14

3119

23.11%

57.77

30.72

44.87

36.64

0.53

1.13

CA2

CA2

CSA2

Yes

15–16

44

0.33%

45.18

6.21

44.89

9.38

0.14

0.88

CA1

CA1

CSA1

No

15–16

1164

8.62%

42.21

28.02

35.96

35.07

0.66

0.82

Behavioral Symptoms and Cognitive Performance

BB2/BA2/BB1/BA1

BAB2/BAB1

RB

Behavioral or cognitive symptoms

-

11–16

57

0.42%

38.71

3.53

40.00

3.99

0.09

0.76

Reduced Physical Function

PE2/PD2/PE1/PD1

PDE2/PDE1

ADE

Assistance with daily living and general supervision

-

0–5

1099

8.14%

34.70

12.10

31.94

19.28

0.35

0.68

PC2/PB2/PC1/PB1

PBC2/PBC1

ADC

-

6–14

1247

9.24%

31.79

10.26

31.64

14.90

0.32

0.62

PA2/PA1

PA2/PA1

ADA

-

15–16

1141

8.45%

30.33

9.33

27.44

12.04

0.31

0.59

  1. ES1 groups (Infection Isolation) in RUG-IV and PDPM Original CMG were not included
  2. SD standard deviation, IQR interquartile range, CV coefficient of variation, CMI case mix index