Introducing the new DRG-based payment system in German hospitals: a difficult operation?

摘要: Patient costs in German hospitals has until recently been calculated mainly by the length of hospital stay. However, December 1999 Gesundheitsreform 2000 announced a dramatic change social laws. Starting 2003 prospective payment system will be introduced based on classification “Australian refined diagnosis-related groups” (AR-DRG). DRGs are already used many industrialized countries and basically per case systems group patients with homogeneous average diagnoses procedures performed hospital. When preparing for this new system, clinician substantial additional tasks. In addition to correctly documenting all clinical findings ICD-10 OPS301 procedure codes, knowledge economic impact decision is absolutely crucial. The most important task optimization treatment (e.g., through introduction pathways), because only that can carry out highly efficient able survive pending competitive climate. Munchen-Schwabing Hospital have as benchmark since 1997. Many direct measures optimize efficiency taken valuable experience. Especially multiple trauma it became evident use standardized bring gain without loss quality