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

No selection with regard to diagnosis, regional provenance or social background took place. The regional budget for mental health care: Open in a separate window. Int J Integr Care. These models aim to bunxespflegesatzverordnung sector divisions and to provide continuous treatment, which integrates several care providers and guarantees the stability of treatment staff.

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 ]. Additionally, we did not analyse subgroups of various psychiatric diagnoses.

Psychiatric and psychotherapeutic inpatient care for the approximatelyresidents of this predominantly rural district are provided by the only hospital that exists in the region. The model has been described in detail elsewhere [ 791012 ]. Employment and Social Developments in Europe ; p.

Finally, the data do not allow for a differentiated evaluation of psychopathological factors in the psychiatric population of the region. We especially thank Mrs. Petersen HP, Hejnal T. Using administrative data bundespflegesqtzverordnung by the hospital and bjndespflegesatzverordnung basic patient documentation of the psychiatric department, the analysis of selected quality indicators should clarify whether the introduction of a RPB changes the treatment results of patients.

Supplementary to this after one year there was carried out an additional coding of the letters by the documentation doctor. This article has been cited by other articles in PMC. Z Orthop Unfall ; 5: Psychiatric patients have particular difficulties in navigating through various treatment offers and Social Insurance Codes when receiving continuous treatment.


The snippet could not be located in the article text. Second, psychiatric bundespflegesatzverorndung might have changed or generally improved within the bundesflegesatzverordnung system, and the results of the study might be influenced by factors outside the RPB. According to this principle, a lump sum is allocated to a major inpatient care provider in a large region on a yearly basis. 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.

Limitations As a control group is missing, there are several limitations associated with the study design and data sources. Bundespflegesatzvetordnung in mental health care by a regional budget: Health systems in transition. The corresponding errors of the house physicians for three digit numbers maximum were amounting to 8 p. The study used a pre-post comparison design.

During hospital treatment, fewer restraining procedures were necessary and bunedspflegesatzverordnung cases could be regularly discharged, a higher percentage of those were improved compared to regular reimbursement conditions.

All increasing expenditures such as salaries and overheads had to be compensated by reducing other expenditures such as inpatient treatment cost. As we performed a pre-post comparison, there are several threats to the internal validity of the analysis.

Additionally, it does not explain why other indicators changed between the first and second bundespflegedatzverordnung. Case management is not routinely provided in the German health care system [ 34 ]. Received May 12; Accepted Nov A total of 19, cases could be included in the analysis. A language and environment for statistical computing. Data Sources Administrative, anonymised data for analysis were contributed a by the hospital controlling department, which provided the number of cases admitted to inpatient or day care treatment per year, starting in ; and b by the psychiatric department, which provided bundespflegesatzvwrordnung number of forced admissions, the number of restraining procedures during inpatient stays which must be documented in Germanyand the clinical parameters that were documented in a standardised basic psychiatric documentation system BADO for the admission and discharge of each case [ 1314 ].


The mean number of cases per year remained approximately stable, with an average number of 1, range: Under the capitation principle of a Regional Psychiatry Budget, the mean duration of inpatient treatment of psychiatric bundespflegesataverordnung could be significantly reduced and shifted to day care and outpatient nundespflegesatzverordnung. The RPB enables healthcare providers to limit expenses.

This may be because the snippet appears in a figure legend, bundespflegesatzzverordnung special characters or spans different sections of the article. In return the provider is free to offer all forms of treatment and to construct individual models of integrated care within the RPB that specifically suit the region and the needs of community members.

Fehleranalyse bei der Diagnoseverschlüsselung nach ICD 9 gemäß der Bundespflegesatzverordnung

The present study aims to evaluate selected aspects that represent a buncespflegesatzverordnung in the psychiatric health status of patients in the Dithmarschen region who were included in the RPB. 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.

However, in our analysis we did not use continuous variables or psychopathological parameters, both of which are sensitive to any methodological variations.