Fiori, W. and Renner, S. P. and Siam, K. and Babapirali, J. and Roeder, N. and Dausch, E. and Hildebrandt, T. and Hillemanns, P. and Nehmzow, M. and Zygmunt, M. and Piroth, D. and Schem, C. and Schwenzer, T. and Friese, K. and Wallwiener, D. and Beckmann, M. W. (2013) Shaping the System - The DRG Evaluation Project of the German Society for Gynaecology and Obstetrics (Deutsche Gesellschaft fur Gynakologie und Geburtshilfe, DGGG). GEBURTSHILFE UND FRAUENHEILKUNDE, 73 (8). pp. 776-782. ISSN 0016-5751,
Full text not available from this repository. (Request a copy)Abstract
Introduction: The German DRG system is annually adapted to the changing services provided. For the further development, the self-governing body and its DRG Institute (InEK) depend on participation of the users. Methods: For one of the DRG evaluation projects initiated by DGGG, cost and performance data for the year 2011 from 16 hospitals were available. After plausibility checks and corrections, analyses for service and cost homogeneity were performed. In cases of inadequate DRG-representation attributes were sought that would make an appropriate reimbursement possible. Conspicuities and potential solutions were checked for clinical plausibility. Results: 44 concrete modification proposals for further development of the G-DRG system were formulated and submitted in due time to the InEK. In addition, 3 modification proposals were addressed to the German Institute for Medical Documentation and Information (Deutsches Institut fur Medizinische Dokumentation und Information, DIMDI) for further development of the diagnosis classification ICD-10-GM. For all modification proposals care was taken to minimise misdirected incentives and to reduce the potential for disputes with the cost bearers and their auditors services in settlements. Discussion: The publication of the G-DRG system 2014 shows which modification proposals have been realised. Essentially, an appropriate redistribution of the resources among the gynaecological and obstetrics departments is to be expected. The financial pressure that is caused by the generally inadequate financing of hospitals will not be reduced by a further development of the G-DRG system.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CARE; DRG; quality assurance; coding; DGGG; MDC; adaptation |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde) |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 03 Apr 2020 13:02 |
| Last Modified: | 03 Apr 2020 13:02 |
| URI: | https://pred.uni-regensburg.de/id/eprint/16282 |
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