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76th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

04.05. - 08.05.2005, Erfurt

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DRG-Evaluation Project ENT-Medicine, Analysis of Ear Surgery in the G-DRG-System 2005

Meeting Abstract

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  • corresponding author Dominik Franz - DRG-Research-Group, Universitaetsklinikum Muenster, Muenster
  • Norbert Roeder - DRG-Research-Group, Universitaetsklinikum Muenster, Muenster
  • Rudolf Leuwer - HNO-Klinik, Klinikum Krefeld, Krefeld
  • Karl Hörmann - HNO-Klinik, Universitaetsklinikum Mannheim, Mannheim
  • Juergen Alberty - Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Universitaetsklinikum Muenster, Muenster

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 76. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. Erfurt, 04.-08.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05hno129

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hno2005/05hno035.shtml

Published: September 22, 2005

© 2005 Franz et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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For further differentiation of ENT-Medicine in the G-DRG-reembursement-system, the German association for ENT-Medicine (DGHNOKHC) and the ENT Medical Professional Association (Berufsverband) of German ENT-doctors, in cooperation with the DRG-Research Group of the University Hospital of Muenster, have conducted a DRG-Evaluation Project for ENT-Medicine. In this context, ear surgery was evaluated.

The aim of this evaluation was to analyse the medical and economic complexity of ear surgery and to verify its proper presentation within the G-DRG-System 2004.

Method: Retrospective analysis of the official DRG-data records (§21 KHEntgG) of 85,971 cases from 2003 from 40 ENT institutions (14 university hospitals, 16 urban hospitals and 10 other institutions). Prospective collection of data of 25,006 cases, including defined expenditure data within a period of four months in 2004. Detailed analysis of ear surgery on the basis of 1,854 prospectively collected data records with surgical procedures on the ear.

Results: Operations on the ear lead first and foremost to the non-specific DRGs D06Z and D30Z in the G-DRG-system. The analysis of expenditure on staff, length of hospital stay and material costs in the random sample presented makes it possible, on the other hand, to identify case constellations whose current presentation in the G-DRG-System is not appropriate.

By means of targeted modifications of the system of classification, the quality of the presentation of surgery on the ear in the G-DRG System could be further improved.

The recommendations for adaptation, based on the results of the evaluation project for the further development of ear surgery in the G-DRG-System, are presented.