Artikel
Analysis of DRG-assessments of in-patient ENT-therapies within the German DRG-Systems 2004-2007
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Autoren
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Dominik Franz
- DRG-Research-Group, University of Muenster, Muenster, Germany
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Norbert Roeder
- DRG-Research-Group, University of Muenster, Muenster, Germany
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Karl Hoermann
- Department of Otorhinolaryngology Head and Neck Surgery, University of Mannheim, Mannheim, Germany
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Juergen Alberty
- Department of Otorhinolaryngology Head and Neck Surgery, University of Muenster, Muenster, Germany
| Veröffentlicht: | 8. August 2007 |
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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.
