Limits of the G-DRG system to reflect Complexity in German University Hospitals

Zeitschrift für Gastroenterologie
Markus M LerchFrank Lammert

Abstract

Since the introduction of the G-DRG-system in Germany for the reimbursement of in-hospital patients in 2003 the Institute for the Hospital Remuneration System (InEK) annually determines case reimbursements for currently 1300 individual diagnosis-related groups (DRGs). These are based on the cost documentation of 200 representative hospitals, coopted by InEK (§ 21-KHEntG-dataset). Since DRGs represent cost averages, one half of German hospitals would be expected to report an annual income surplus, the other half a deficit. In spite of sustained cost reductions two thirds of public University Hospitals, but only 29 % of non-University hospitals, report annual deficits. The German Society for Gastroenterology, Digestive and Metabolic Diseases (DGVS) has obtained the § 21-cost-dataset from 74 InEK-hospitals and 7 Mio anonymized cases since 2012 in order to appeal for individual DRG-corrections to InEK. In the current project this database was used to investigate whether the cost of care at University Hospitals is appropriately reflected in three representative DRGs and OPS codes (operation and procedure codes): Liver cirrhosis with hepatic encephalopathy, endoscopic procedure-tiers, and an endoscopic intervention after patient tran...Continue Reading

References

Mar 17, 2015·Zeitschrift für Gastroenterologie·M RathmayerUNKNOWN DRG-Arbeitsgruppe und das Zeiterfassungsprojekt der DGVS (Autoren im Anhang)
May 13, 2015·Zeitschrift für Gastroenterologie·R F GrubeUNKNOWN für die DRG-Arbeitsgruppe der DGVS (Autoren im Anhang)
Dec 22, 2019·Zeitschrift für Gastroenterologie·Felix GundlingUNKNOWN für die DRG-Projektgruppe der DGVS

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Citations

Apr 9, 2021·Cost Effectiveness and Resource Allocation : C/E·Ali ModabberStephan Christian Möhlhenrich

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