Fleck, Martin and Zeuner, Martin and Schoelmerich, Juergen (2009) Central Patients Admission (CPA) Unit - Connecting Inpatient and Outpatient Care. MEDIZINISCHE KLINIK, 104 (12). pp. 925-930. ISSN 0723-5003,
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Due to the novel reimbursement policies, hospitals face substantial conflicts regarding best patient care and optimal utilization of resources. In order to optimize patient treatment, a central patients admission (CPA) unit has been established. All patients electively referred to the hospital were primarily treated by a medical specialist at the CPA unit. According to an appropriateness evaluation protocol etablished with the medical service of the health insurances of Bavaria ("MDK-Bayern"), patients were treated as inpatients or outpatients. The impact of this novel admission procedure was assessed for a period of 30 months. Within 30 months following establishment of the CPA unit, 10% of the patients were treated as outpatients, whereas 90% of referred patients were admitted as inpatients. Nonetheless, numbers of inpatients increased by 20.7% after 24 months compared to 12 months following establishment of the CPA unit with a substantial increase of patients referred by external medical specialists. In addition, there were no cases of inappropriate admission. The CPA unit is an ideal instrument for treating patients cross-sectorally as well as more effectively and economically advocating reorganization. Establishment of a CPA unit leads to greater satisfaction among patients, referring physicians, and medical staff.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | DRG-SYSTEM 2008; HISTORICAL DEVELOPMENT; Central patients admission unit; Appropriateness evaluation protocol; Inpatient care; Outpatient care; Inappropriate admission |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 31 Aug 2020 09:32 |
| Last Modified: | 31 Aug 2020 09:32 |
| URI: | https://pred.uni-regensburg.de/id/eprint/28066 |
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