[Gastroenterology in the G-DRG-System 2004].
After a year of preliminary voluntarily introduction of casemix funding in hospitals in 2003 nearly every German hospital will be confronted with lump sump payments on the basis of the G-DRG system for their inpatient care starting from January 2004. To analyse weaknesses referring to gastroenterology services within the G-DRG version 1.0 the German Association for Disorders of the Digestive System and Metabolism (DGVS) and the DRG-Research-Group from the University of Muenster conducted a DRG evaluation project. In the analysis patient data from 16 hospitals were included. As a result of the project recommendations for G-DRG adjustments were generated. Those recommendations were implemented in the advancement to G-DRG version 2004. Also the International Classification of Diseases (ICD-10) was modified to ICD-10 German Modification. The classification of procedures OPS-301 was revised. The main adjustments to the G-DRG system and both classifications will be presented in this paper.
Bunzemeier
H
H
Universitätsklinikum Münster, DRG-Research-Group, Münster. holger.bunzemeier@smc.uni-muenster.de
Frühmorgen
P
P
Caspary
W F
WF
Roeder
N
N
D000328:Adult; D000368:Aged; D002648:Child; D003695:Delivery of Health Care / Q000191:economics; D003953:Diagnosis-Related Groups; D005762:Gastroenterology / Q000639:trends*; D005767:Gastrointestinal Diseases / Q000145:classification / Q000191:economics*; D005858:Germany; D017721:Hospital Costs; D006801:Humans; D038801:International Classification of Diseases; D008875:Middle Aged