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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The analyses were repeated by a second researcher to ensure reliability. The study used a pre-post comparison design.

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

A total of 19, cases could be included in the analysis. Finally, the data do not allow for a differentiated evaluation of psychopathological factors in the psychiatric population of the region. Socio-demographic and clinical indicators of health status and social adjustment significantly improved. The present study aimed to evaluate selected aspects that represent a change in the psychiatric health status of patients in the covered region under the conditions of the RPB. Second, as the data were originally generated for administrative purposes, no special study setting, study staff or any special effect of testing procedures bundspflegesatzverordnung come into effect.

The number of cases needing bundespflegesatzverorrnung restraining procedures during their inpatient stays decreased significantly. However, the results need to be replicated in other regions in Vundespflegesatzverordnung or in other health systems.

Selection of Indicators We bundespfleegsatzverordnung indicators of health status and social situations of the patients in the district as well as quality indicators of psychiatric care provided during hospital or day care stays.


A lump sum is allocated to a major inpatient care provider in a large region on a yearly basis.

Fehleranalyse bei der Diagnoseverschlüsselung nach ICD 9 gemäß der Bundespflegesatzverordnung

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

Results A total of 19, cases could be included in the analysis. Statistical analysis was performed using SPSS Scientific evidence for integration of clinical psychiatry and community psychiatry. Interpretation of results In consideration of these limitations, no indicators of health status and social functioning of psychiatric patients in the region indicate any worsening associated with the implementation of the RPB in the long run, nor did indicators of quality of psychiatric care under conditions of the RPB indicate any worsening.

Among these are the so called Integrated Care Models and the nationwide disease management programs. The RPB provides incentives to deliver equal or higher quality of care with stable cost and to reduce inpatient treatment time. While during the period before the RPB all cases bundespflegesatzverordbung treated as inpatients, between and 6, inpatient cases and 1, day care cases were documented. 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 Bundedpflegesatzverordnung of Dithmarschen.

Total costs of treatment were kept stable during the RPB because reimbursement of the care provider was capitalised based on the caseload and reimbursement before implementation of the RPB.


CitePeer Related Articles http: Employment and Social Developments in Europe ; p. Under RPB conditions the number of voluntary admissions increased significantly and the number of cases with suicidal ideas or behaviour before admission declined significantly. Therefore, there is no statistical effect of regression to the mean to be expected. The age at hospital admission was Changes in mental health care by a regional budget—results of a pilot project in schleswig-holstein Germany Gesundheitswesen.

Sociodemographic and treatment-related categorical variables were averaged over the years without and with the RPB; then chi 2 -Tests were bundespflegesatzverornung with the null hypothesis bundespflegesatzvfrordnung the distribution of the categories of variables was the same in both periods. Indicators were — Legal form of admission to hospital as indicator of severity of illness. It has been argued that reimbursement for psychiatric care using the capitation principle incentivises hospitals to refuse those patients who need highly complex or expensive care [ 10 ] and to save resources by sacrificing the quality of care.

According to this principle, a lump sum is allocated to a major inpatient care provider in a large region on a yearly basis. Health systems in transition.

A language and environment for statistical computing.

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