[Implementation of the multi-center basis documentation CL-BaDo for conciliar and liaison services: generating data for internal quality management and cost calculation].
In the German DRG system the funding of CL services is not ensured. The documentation of psychiatric comorbidity and CL care delivery is a pre-condition to the development of funding models for CL-services. A task force of several German psychosomatic associations (German College of Psychosomatic Medicine, German Society of Psychosomatic Medicine and Psychotherapy, General Medical Society for Psychotherapy) developed a new documentation form for CL-services (CL-BaDo). The pilot study explored the multicenter implementation of CL-BaDo and the use of the documentation form for quality management and cost calculation. Over a period of at least three months, participating CL-services documented all CL cases consecutively with the CL-BaDo. One site applied full electronic data processing. 2116 CL cases from eight psychosomatic CL-services were analysed. The CL-BaDo is a time-efficient, feasible and acceptable documentation form for CL-service delivery. The full electronic data processing enables networking with a hospital information system to produce higher data quality. The data of CL-BaDo can be used locally for quality management, development of management strategies and communication with consultants, as well as nationwide for health policy questions and research.
Stein
Barbara
B
Klinik für Psychosomatik und Psychotherapeutische Medizin, Klinikum Nürnberg, Prof. Ernst-Nathan-Strasse 1, D-90419 Nürnberg. barbara.stein@klinikum.nuernberg.de
Fritzsche
Kurt
K
Schäfer
Christine
C
Pedrosa Gil
Francisco
F
Vitinius
Frank
F
von Wachter
Martin
M
Häfner
Steffen
S
Loew
Thomas
T
Herzog
Thomas
T
Söllner
Wolfgang
W
D001317:Austria; D003365:Costs and Cost Analysis / Q000706:statistics & numerical data; D003625:Data Collection / Q000191:economics / Q000379:methods*; D003953:Diagnosis-Related Groups / Q000191:economics / Q000458:organization & administration; D004282:Documentation / Q000379:methods*; D001330:Electronic Data Processing / Q000191:economics / Q000458:organization & administration; D005240:Feasibility Studies; D005858:Germany; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006751:Hospital Information Systems / Q000191:economics / Q000458:organization & administration; D006801:Humans; D009313:National Health Programs / Q000191:economics / Q000458:organization & administration; D010865:Pilot Projects; D011611:Psychosomatic Medicine / Q000191:economics / Q000458:organization & administration*; D011613:Psychotherapy / Q000191:economics / Q000458:organization & administration*; D012017:Referral and Consultation / Q000191:economics / Q000458:organization & administration*; D017749:Total Quality Management / Q000191:economics / Q000458:organization & administration*