[Documentation of surgical performance--does more really help more? Comparison of the effects of maximum and limited documentation depth of clinical patient data on theoretical revenue volume of a surgical clinic after introduction of the DRG-based reimbursement system].
BACKGROUND
The forthcoming introduction of a DRG-based account system in Germany aims at higher transparency and economic efficiency, particularly in the sector of in-patient health care. The availability of documentation of the highest quality, taking into account all potentially relevant diagnoses, appears to be the best method for achieving maximum revenue in individual surgical units. The aim of the study was to determine the relevance of various degrees of documentation depth on calculated DRG-based revenue. Furthermore, we evaluated whether improvements in the quality of documentation can be realized in current hospital organization.


METHODS
In a prospective study, clinical data from 402 in-patients were collected and revenues were calculated based on the Australian-Refined DRG system. Various qualities of documentation were defined. In order to find the medical sectors most sensitive to "under-documentation", homogenous cases were classified into 23 treating groups, according to diagnosis.


RESULTS
In 267 cases, maximum revenue was determined only by one main diagnosis, while better results could be achieved in 137 cases (34%) by extended documentation quality. Half of this gain could only be achieved by an independent medical documentation specialist. An upper limit of documentation intensity (number of diagnoses) could be defined. Maximum gain did not require maximum number of diagnoses.


CONCLUSIONS
Documentation depth has an important influence on the calculated revenue of surgical therapy based on AR-DRG system. The quality and depth of the documentation is not, in itself, sufficient. In order to be really effective, it requires the highest degree of professionalism from hospital staff.
Mieth
M
M
Abteilung Allgemeine Chirurgie, Poliklinik und Unfallchirurgie, Chirurgische Universitätsklinik Heidelberg, Kirschnerstrasse 1, 69120 Heidelberg. markus_mieth@med.uni-heidelberg.de
Wolkener
F
F
Schmidt
J
J
Glück
E
E
Klar
E
E
Kraus
T
T
D003362:Cost-Benefit Analysis; D003953:Diagnosis-Related Groups / Q000191:economics*; D004282:Documentation / Q000379:methods*; D005858:Germany; D006801:Humans; D009313:National Health Programs / Q000191:economics; D011785:Quality Assurance, Health Care / Q000191:economics*; D012051:Reimbursement Mechanisms / Q000191:economics*; D013503:Surgery Department, Hospital / Q000191:economics*