PATIENT CLASSIFICATION SYSTEMS, PLANING NURSING SERVICES, MANAGEMENT, Patient classification systems are essential tools in healthcare settings that aim to categorize patients based on various factors such as their clinical conditions, resource requirements, and level of care needed. These systems provide a standardized framework for healthcare professionals to assess and classify patients, ensuring appropriate care delivery, resource allocation, and effective management. The primary purpose of patient classification systems is to streamline healthcare processes and optimize patient care delivery. The Johnson Patient Classification System typically categorizes patients into different levels or categories based on their care needs.

1. PATIENT
CLASSIFICATION
SYSTEMS
Mr. Pradeep Abothu
Associate professor
Child health nursing

2. INTRODUCTION
Patient classification systems are essential
tools in healthcare settings that aim to categorize
patients based on various factors such as their clinical
conditions, resource requirements, and level of care
needed. These systems provide a standardized
framework for healthcare professionals to assess and
classify patients, ensuring appropriate care delivery,
resource allocation, and effective management.

3. PURPOSE
The primary purpose of patient classification systems is to streamline healthcare
processes and optimize patient care delivery. Some key objectives and purposes of these systems
include:
Standardization: Patient classification systems provide a standardized approach to categorize
patients, ensuring consistency and uniformity in the assessment and management of healthcare
needs.
Resource Allocation: By classifying patients based on their care requirements, these systems
help in determining the appropriate allocation of healthcare resources such as hospital beds,
nursing staff, medical equipment, and other necessary facilities.
Workload Management: Patient classification systems assist in workload management by
providing an objective and systematic method to distribute patient assignments among
healthcare providers, ensuring equitable distribution of workload.

4. Reimbursement: In many healthcare systems, patient
classification systems are utilized for reimbursement purposes.
They help determine the reimbursement rates or funding levels
based on the complexity and severity of patients’ conditions.
Quality Improvement: These systems contribute to quality
improvement initiatives by enabling healthcare professionals to
identify trends, patterns, and variations in patient populations,
leading to targeted interventions, improved outcomes, and
enhanced patient safety.

5. THE JOHNSON PATIENT CLASSIFICATION SYSTEM
The Johnson Patient
Classification System typically
categorizes patients into different
levels or categories based on their
care needs. Here are some common
categories that are often included:
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Class I: Self-care patients
These are patients who
require minimal assistance
with activities of daily living
(ADLs) and have stable health
conditions. They can perform
most tasks independently.

6. Class II: Low-care patients
Patients in this category
require some assistance with ADLs
but generally have stable
conditions. They may need
occasional monitoring and basic
nursing interventions.
Class III: Moderate-care patients
Patients in this category
have moderate care needs and
require more frequent monitoring
and nursing interventions. They
may have chronic illnesses or
conditions that require regular
medication administration or
specialized treatments.

7. Class IV: High-care patients
Patients in this category have
complex care needs and require
intensive nursing care. They may
have multiple chronic illnesses,
require frequent monitoring, and
need assistance with ADLs. They
may also require specialized
treatments or interventions.
Class V: Intensive-care patients
These are critically ill
patients who require constant
monitoring and intensive nursing
care. They may be unstable, have
acute conditions, or be recovering
from major surgeries or
procedures.
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8. Therapeutic Intervention Scoring System (TISS) :is primarily used in intensive care units
(ICUs) to assess patient acuity and determine the level of care required. TISS focuses on the
intensity and complexity of therapeutic interventions needed for each patient. Some key points
about TISS include:
PURPOSE:
To determine nursing
workload, monitor
patient progress, and
allocate appropriate
resources within the
ICU.
SCORING METHODS:
Assigns numerical
values to interventions
performed, such as
procedures,
medications, and life
support measures.
CALCULATIONS:
Scores are summed up
for all interventions over
a specific time period,
usually 24 hours
BENEFITS:
Helps in workload
management, staffing
decisions, and equitable
resource allocation in ICUs
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9. Nursing Intensity Classification System
(NICS)
Nursing Intensity Classification System (NICS) is a
patient classification system used in general nursing
units to assess nursing workload. NICS takes into
account patient dependency factors and nursing care
activities. Key details about NICS include:
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10. (NICS)
PURPOSE:
To determine the
required level of
nursing care, assist in
staffing decisions, and
manage workload in
general nursing units.
a numerical
scoring system to
quantify nursing
workload for each
patient.
Patient dependency
factors (physiological
stability, mobility,
cognitive status) and
nursing care activities
(assessments,
treatments,
interventions).
Facilitates
equitable resource
distribution across
nursing units based
on patient needs.
FACTORS:
SCORING
METHOD
Application

11. All India Institute
of Medical
Sciences (AIIMS)
System
Developed by the All India Institute of
Medical Sciences, New Delhi.
Primarily used in tertiary care hospitals and
medical colleges.
Classifies patients into categories based on disease
severity, complexity, and resource utilization
Helps in determining the level of care
required, resource allocation, and planning

12. CASE MIX GROUPING (CMG)
 Employed in private
hospitals and some
government hospitals.
 Classifies patients based on their principal
diagnosis, surgical procedures, age, gender,
and comorbidities.
 Assists in predicting
patient outcomes,
resource allocation, and
reimbursement.

13. CONCLUSION
 Patient classification systems play a vital role in
healthcare settings by providing a structured
approach to categorize patients based on their
clinical conditions, resource requirements, and
care needs. They serve the purpose of
standardizing care delivery, optimizing resource
allocation, managing workload, facilitating
reimbursement processes, and promoting quality
improvement. By implementing effective patient
classification systems, healthcare providers can
enhance the efficiency, effectiveness, and overall
quality of patient care while ensuring equitable
distribution of resources and improved outcomes
for patients.

14. THANK YOU