gms | German Medical Science

78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2007, München

Analysis of DRG-assessments of in-patient ENT-therapies within the German DRG-Systems 2004-2007

Meeting Abstract

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  • corresponding author Dominik Franz - DRG-Research-Group, University of Muenster, Muenster, Germany
  • author Norbert Roeder - DRG-Research-Group, University of Muenster, Muenster, Germany
  • author Karl Hoermann - Department of Otorhinolaryngology Head and Neck Surgery, University of Mannheim, Mannheim, Germany
  • author Juergen Alberty - Department of Otorhinolaryngology Head and Neck Surgery, University of Muenster, Muenster, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 78th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Munich, 16.-20.05.2007. Düsseldorf, Köln: German Medical Science; 2007. Doc07hno026

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2007/07hno026.shtml

Veröffentlicht: 8. August 2007

© 2007 Franz et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Since the German-DRG-System was implemented signifi-cant effort was made to differenciate the structure of DRGs in order to achieve a proper case-allocation. Reduction of in-patient Length-of-stay and shifting between in-patient and out-patient therapy have been leading to a significant economical pressure for ENT-Departments. In this paper the changes of relative weights of ENT-DRGs between 2004 and 2007 were analysed. Profits and losses of DRG-reimbursements were calcu-lated.

Methods: Grouping of Cost-Data from 25,005 prospective documented cases from the DRG-Evaluation-Project ENT and Head and Neck Surgery from 27 German ENT-Departments within the G-DRG-Versions 2004-2007. Calculating of the effective Case-Mix- and Case-Mix-Index for each ENT-Department and for the whole sample. Analysis of economical shifts concerning a base rate of 2,700 Euro.

Results: Effective Case-Mix of the sample increased 2004-2007 about 10.5%. The Case-Mix of the individual ENT-Departments increased be-tween 0.1% and 17.9%. Based on a base-rate of 2,700 Euro individual DRG-profits ranged from 3 Euro and 517 Euro per case. The results are based on changes within the DRG-structure that allows accurate cost-calculation.

Conclusion: ENT-Departments made profit from the changes within the DRG-structure and the improved conditions of calculating relative weights. The amount of DRG-profits depends on the individual DRG-spectrum of the ENT-Department. In contrast to other medical disciplines ENT did not make Case-Mix and Case-Mix-Index-losses.