[Orthopedic and trauma surgery in the German-DRG-System 2009].
BACKGROUND
The German DRG-System was advanced into version 2009. For orthopedic and trauma surgery significant changes concerning coding of diagnoses, medical procedures and concerning the DRG-structure were made.


METHODS
Analysis of relevant diagnoses, medical procedures and G-DRGs in the versions 2008 and 2009 based on the publications of the German DRG-institute (InEK) and the German Institute of Medical Documentation and Information (DIMDI).


RESULTS
Changes for 2009 focussed on the development of DRG-structure, DRG-validation and codes for medical procedures to be used for very complex cases. The outcome of these changes for German hospitals may vary depending in the range of activities.


CONCLUSIONS
G-DRG-System gained complexity again. High demands are made on correct and complete coding of complex orthopedic and trauma surgery cases. Quality of case-allocation within the G-DRG-System was improved. Nevertheless, further adjustments of the G-DRG-System especially for cases with severe injuries are necessary.
Franz
D
D
Geschäftsbereich Medizinisches Management - Medizincontrolling, DRG-Research-Group, Universitätsklinikum Münster, Münster. dominik.franz@ukmuenster.de
Windolf
J
J
Siebert
C H
CH
Roeder
N
N
D003953:Diagnosis-Related Groups / Q000706:statistics & numerical data*; D005858:Germany; D009985:Orthopedics / Q000145:classification* / Q000706:statistics & numerical data*; D014194:Traumatology / Q000145:classification* / Q000706:statistics & numerical data*