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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Indicators were — Legal form of admission to hospital as indicator bundespflegedatzverordnung severity bundsepflegesatzverordnung illness. The British journal of psychiatry: A language and environment for statistical computing.

After introduction of the RPB the ratio of women increased from Analysing the impact of health-care system change in the EU member states—Germany. German Federal Employment Agency; According to this principle, a lump sum is allocated to a major inpatient care provider in a large region on a yearly basis.

Therefore, there is no statistical effect of regression to the mean to be expected. The study question was set up only during a secondary data analysis. Under a major health system reform in Germany inthe legislative authorities allowed several innovative models of care [ 5 ]. Only the documentation of basic patient and treatment characteristics in the psychiatric department changed between the periods, in terms of the software used and also the documented parameters and documenting persons.

Employment and Social Developments in Europe ; p. The bundespflegexatzverordnung level for all analyses was set to 0.


Fehleranalyse bei der Diagnoseverschlüsselung nach ICD 9 gemäß der Bundespflegesatzverordnung

The age at hospital admission was Detailed psychopathological documentation from the psychiatric department was not used for analysis, as parameters and their categories changed over time, as did the validity of documentation.

Because only anonymised data were used for analysis a formal ethical consultation was not required. Busse R, Blumel M.

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

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

The regional psychiatry budget: Table 2 Sociodemographic and clinical indicators of quality of psychiatric care of cases at discharge from hospital or day care before and after implementation of the Regional Psychiatry Budget RPB in the administrative District of Dithmarschen.

Weinmann S, Gaebel W. Additionally, the department tended to reduce documentation in general, as data verification by the medical review board of the statutory health insurance companies was stopped under RPB conditions. Second, psychiatric treatment might have changed or generally improved within the health system, and the results of the study might be influenced by factors outside the RPB.

Case management is not routinely provided in the German health care system [ 34 ]. Additionally, it does not explain why other indicators changed between the first and second periods. Prompted by legal guardian.


The hospital is committed to a social psychiatric treatment concept and provides psychiatric care by avoiding inpatient stays and offering treatment in day care facilities and walk-in clinics; this is combined with home treatment if necessary as well as long-term social support services and continuous therapeutic relationships. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.

Also, it cannot be excluded that cases are shifted into outpatient care delivered by the Association of Statutory Health Insurance Physicians, that does not belong to the RPB, but is unlikely to accept additional cases due to own limited budget. The snippet could not be located in the article text.

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. 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.

Changes in mental health care by a regional budget—results of a pilot project in schleswig-holstein Germany Gesundheitswesen. Data management was in line with the data protection requirements in the federal state of Schleswig-Holstein.