1st International Case-mix Conference, 7-8th July, HUKM

Venue: Auditorium, Blok Pendidikan

Location: Cheras, Kuala Lumpur, Malaysia

Event Date/Time: Jun 05, 2003
Abstract Submission Date: Jun 15, 2003
Paper Submission Date: Jun 15, 2003
Report as Spam




Hospital University Kebangsaan Malaysia Case-Mix Unit in its activity plans for 2003 has proposed to conduct an international conference on case-mix system in collaboration with Community Health Department, Faculty of Medicine, UKM and 3M/THIS. The aim of the conference is to introduce and enhance the knowledge of case-mix concept to the participants. The target participants are medical practitioners, hospital administrators, policy makers and interested parties from the health sector.


The demand for health care service and medical cost has recently escalated tremendously while the ability for government to bear this increment is limited. In most of the developed countries, the cost of treatment is incurred by the patients and supported by several health care financing systems in the country.

Several factors have been identified as the cause of this increment. This includes changes in prevalence and incidence of diseases amongst the population attributed to improved life style and socio-economic status. The discovery of new technologies as methods of treatment leads to cost escalation because these technologies are usually expensive. Advancement in knowledge and social status also cause patients to demand for the best and latest treatment.

The most important approach in dealing with this problem is by introducing an efficient health care financing system at national level that provides the fund for health care expenditure. Effective and efficient health care service will result in good quality service and cost containment. Therefore, an effective and resilient system is important to achieve this target.

Case-Mix System is amongst the best solution in achieving those target. It is a form of disease classification system that combines type of diseases treated in a hospital with cost of treatment in terms of quality and effectiveness of treatment given. This system can be used to gauge the usage of resources needed to provide health care service in a hospital according to patients’ conditions. It is very appropriate especially in justifying the usage of optimum resources in tertiary care hospitals which admits more severe cases. At present, the allocation of resources to hospitals are among others based on the number of beds and previous resource utilization without considering efficiency and thus did not contribute to the improvement of hospital efficiency. Case-Mix System also facilitates in the implementation of quality enhancement programme in line with it original objective of classification. Information on patients’ treatment such as length of stay helps in identifying differences in treatment and problems in quality of patient care so it can be highlighted and managed immediately. Hospitals are also encouraged to standardize the treatment process using clinical guidelines and critical pathways in accordance to best practices to ensure that patients receive the best and most effective treatment.

The Government of Malaysia has decided to introduce a national health care financing system to support the increasing health care cost and to enhance equity, accessibility, quality and efficiency in the health system. One of the element in financing is the health care provider payment mechanism based on this case-mix system. Therefore, HUKM has taken the initiative to lead the way in using case-mix system in this country and hope to extend its experience to other hospitals and insinuate its implementation to strengthen the health service in the country.



Introduction and dissemination of knowledge on case-mix system and its implementation worldwide as well as its feasibility in Malaysia.


To discuss the importance of case-mix as one of the mechanisms of achieving efficiency and quality in health care service.

To introduce and discuss the experience of case-mix system implemented in the developed and developing countries around the world.

To discuss the strategy to improve the case-mix system to be used by the hospital administrator.

To introduce and discuss the experience of case-mix system in HUKM.


It is hope that, the conference will provide:

Better understanding on the importance of case-mix system as a mechanism in the national health care financing which will be implemented in Malaysia.

Better understanding on the usage of case-mix system in enhancing quality in health care service in terms of costs and efficiency.

Increase in knowledge of ICD-10 coding and Procedure coding.

Increase in the efficiency of HUKM Case-Mix Unit as a role model for case-mix system in this country.

Introduction to the concept of national health care financing which includes sources of financing collection of contribution, mechanism of payment to hospitals and clinics, monitoring and controlling aspect and etc.

Introduction of case-mix system concept used by HUKM to the rest of country and world


Additional Information

Scientific Programme Day 1 (7th July 2003 - Monday) | Day 2 (8th July 2003 - Tuesday) Day 1 – 7th July 2003 (Monday) Time Programme 7.30 – 8.15 am Registration 8.15 – 9.00 am Keynote address - by : YBhg Dato' Dr. Hj. Ahmad Tajuddin bin Jaafar “Creating Greater Equity, Efficiency and Quality in Health Through Case-Mix”. 9.00 – 9.05 am Doa 9.05 - 9.15 am Welcoming speech by Prof. Dr. Syed Mohamed Aljunid Chairman of The International Conference on Case-Mix 2003 9.15 - 9.30 am Speech by Yg. Bhg Prof. Datuk Dr. Anuwar Ali Vice Chancellor UKM 9.30 – 10.30 am Opening Speech. by YB Dato’ Chua Jui Meng Health Minister of Malaysia 10.30 – 11.00 am Tea break & Poster session 11.00 – 11.45 am Plenary I “Maximization of Health Output in an Environment of Limited Resources: The Role of Case-Mix” by Yg. Bhg. Prof. Dato’ Dr Anuar Zaini Vice Chancellor University Malaya 11.45– 12.30 pm Plenary II “Global Scenario of Case-Mix: From Planning to Implementation”. by Dr. James C Vertrees Manager Health Economics Research 3M Health Information Systems. 12.30 – 1.45 pm Free paper/poster presentation I 1.45 – 2.30 pm LUNCH 2.30 – 5.30 pm Symposium I Malaysia : Prof. Dr. Syed Mohamed Aljunid. “Experience of HUKM in Implementing Case-Mix” Thailand : Prof. Dr. Supasit Pannarunothai Thailand in Transition : Lessons to be Learnt Australia : Prof. Emeritus George Palmer AR-DRG: What Other Countries Should Know ? 5.30 pm Tea break Day 2 – 8th July 2003 (Tuesday) Time Programme 8.30 – 9.15 am Plenary III “Case-Mix: Concerns of Private Hospitals” by Datuk Dr Ridzwan Bakar President, Association of Private Hospital of Malaysia (APHM) 9.30 – 12.30 pm Symposium II Malaysia : Dr. Rohaizat Yon. “Equitable, affordable and sustainable Health Care Financing Option for Malaysia” Singapura : Dr. Lee Chien Earn “The Experience of Singapore in Implementing Case-Mix : From Diagnosis, Coding to Costing” Japan : Dr. T. Hasegawa “Health Care Provider Payment Mechanism in Japan” 12.30 – 1.45 pm Free paper/poster presentation II 1.45 – 2.30 pm LUNCH 2.30 – 4.00 pm Seminars and Meeting the Experts Session “Cost Accounting in Hospital: Case-Mix Perspective” by Dr James C. Vertrees Manager Health Economics Research 3M Health Information Systems. “Fundamental Concept of DRG and Future Development” by Mr. Leon Paff Business Development Manager 3M/THIS Asian Pacific Region, Australia. “Coding: Implementation and Problems in Malaysia” by Dr. Hj. Lailanoor Ibrahim Planning and Development Division Ministry of Health, Malaysia. 4.00 – 4.30 pm Closing Ceremony by Prof. Dr. Mohamad Abdul Razak Director of Hospital UKM 4.30 – 5.00 pm Tea break Registration Information Date and Vanue: Date : 7-8th July 2003 (Monday and Tuesday) Vanue : Auditorium, Hospital UKM, Kuala Lumpur, Malaysia. REGISTRATION FEE: Descriptions Registration Fee / Person Post Graduate Students, Under Graduate Students, Diplomas and Research Assistance RM 150 Medical Officer, Specialist and Paramedics (government) RM 200 Medical Officer, Specialist and Paramedics (private) RM 250 Overseas Participant USD 250 (Secretariat will provides 20 free place for HUKM) Sponsorship: Description Costs Hard Cover (outside) RM 5,000.00 Inside (full page) RM 4,000.00 Inside (half page) RM 2,000.00