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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 Nasal Surgery in the G-DRG System 2005

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  • corresponding author Hendrik Berssenbrügge - Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Universitaetsklinikum Muenster, Muenster
  • Dominik Franz - DRG-Research-Group, Universitaetsklinikum Muenster, Muenster
  • Norbert Roeder - DRG-Research-Group, Universitaetsklinikum Muenster, Muenster
  • Wolfgang Stoll - Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Universitaetsklinikum Muenster, Muenster
  • Juergen Alberty - Klinik und Poliklinik für Hals-Nasen-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. Doc05hno130

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hno2005/05hno032.shtml

Published: September 22, 2005

© 2005 Berssenbrügge et al.
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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, nasal surgery was also evaluated.

The aim of this project was, a.o., to analyse the complexity of performance in nasal surgery in medical and economic terms and to investigate their presentation in the G-DRG-System 2005.

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 nasal surgery on the basis of 1,924 prospectively collected data records with nasal surgical procedures.

Results: Isolated operations on the internal structures of the nose lead to the DRG D10Z in the majority of cases. In combination with further procedures (e.g. NNH operations) nasal surgical procedures are currently mostly irrelevant with regard to classification. 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. The presentation of these in the G-DRG-System could be greatly improved by selectively revising the group classification of the cases.

By means of targeted modifications of the system of classification, the quality of the presentation of nasal surgery 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 nasal surgery in the G-DRG-System, are presented.