Mai Error Analysis Regarding Diagnosis Coding According to ICD 9 Subject to the “ Bundespflegesatzverordnung”E. Nitzschke, M. Wiegand. as a result of national convergence. Current .. ) and the Bundespflegesatzverordnung (Statutory Instrument Con-. 5. Okt. innerhalb der Bundespflegesatzverordnung. .. 2 Ab mit der Durchschnittsbevölkerung auf Grundlage des Zensus berechnet, bis.

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Bunfespflegesatzverordnung the capitation principle of a Regional Psychiatry Budget, the mean duration of inpatient treatment of psychiatric cases could be significantly reduced and shifted to day care and outpatient settings.

Therefore, the RPB-model is well-suited to facilitating fundamental structural and procedural changes in psychiatric patient care. We performed a secondary data analysis of administrative data of 19, cases generated by the hospital in a pre-post comparison of the periods before and under RPB conditions. Either your web browser doesn’t support Javascript or it is currently turned off.

The age at hospital admission was However, as this effect has been controversial and is poor at least for severely ill patients, we estimate this confounder to be weak. The RPB enables healthcare providers to limit expenses. Scientific evidence for integration of clinical psychiatry and community psychiatry. As we performed a pre-post comparison, there are several threats to the internal validity of the analysis.

The stable capitation of the RPB allows for individual approaches to integrated care because the hospital need not rely on traditional reimbursement based on bed occupancy [ 12 ]. It has also been argued that the short-term reduction of admissions to the RPB would lead to a gradual worsening of the health status of the community in the long run.


Limitations As a control group is missing, there are several limitations associated with the study design and data sources. Competing Interests The authors have no competing interests to declare.

Thieme E-Journals – Zeitschrift für Orthopädie und ihre Grenzgebiete / Abstract

Open in a separate window. The regional psychiatry budget: A language and environment for statistical computing. Under this model, the provider is free to offer all forms of treatment and to construct individual models of integrated care that specifically suit the region and the needs of community members. Under the capitation principle of the RPB, providers were better able to provide flexible and continuous care for psychiatric patients in need of inpatient treatment than was possible under the standard reimbursement model, based on single inpatient cases.

Improved documentation of therapeutic process using a modified psychiatric basis documentation. These models aim to overcome sector divisions and to provide continuous treatment, which integrates several care providers and guarantees the stability of treatment staff. Ulrike Stasun for her support in the data management process and Prof. Introduction The treatment of chronic psychiatric disorders is seriously hampered by the division of the German health care system into the sectors of outpatient and inpatient acute care, rehabilitation and social support care [ 12 ].

One pioneer region has been scientifically studied [ 891011 ] and has shown long-lasting improvement in the health status of the psychiatric patients in its catchment area and a significant reduction in inpatient days. Publications Office of the European Union; This did not result in a worse outcome in terms of health status and social functioning in the population of severely psychiatric ill patients in the region. The district of Dithmarschen began using the capitation principle only in The RPB provides incentives to deliver equal or higher quality of care with stable cost and to reduce inpatient treatment time.


Nevertheless a documentation with an error rate to such an extend is of no use for a base documentation, and this error rate must be taken into consideration in the interpretation of global medical statistics. Socio-demographic and clinical indicators of health status and social adjustment significantly improved. Changes in mental health care by a regional budget—results of a pilot project in schleswig-holstein Germany Gesundheitswesen. GPS—good practice secondary data analysis.

Fehleranalyse bei der Diagnoseverschlüsselung nach ICD 9 gemäß der Bundespflegesatzverordnung

Conclusion Under the capitation principle of the RPB, providers were better able to provide flexible and continuous care for psychiatric patients in need of inpatient treatment than was possible under the standard reimbursement model, based on single inpatient cases.

For example, the employment situation bunddespflegesatzverordnung Germany has generally improved during the last decade [ 19 ]. Changes in mental health care by a regional budget: Prompted by legal guardian.

Rates and correlates of employment in people with schizophrenia in the UK, France and Germany. Health systems in transition. Indeed, the hospital began to cooperate with the public medical service that is responsible for initiating compulsory admissions in cases of severe acute mental illness.

No selection with regard to diagnosis, regional provenance or social background took place.