title: [Financing of inpatient orthopaedics and trauma surgery in the 2011 G-DRG System].
abstract: BACKGROUND
  The German DRG system forms the basis for billing inpatient hospital services. It includes not only the case groups (G-DRGs), but also copayments. This paper analyses and evaluates the relevant developments of the 2011 G-DRG system for orthopaedics and traumatology from the medical and classificatory perspective.
  
  
  METHODS
  An analysis was performed of relevant diagnoses, medical procedures and G-DRGs in the 2010 and 2011 versions based on the publications of the German DRG Institute (InEK) and the German Institute of Medical Documentation and Information (DIMDI).
  
  
  RESULTS
  A number of codes for surgical measures have been newly established or modified - above all in foot surgery, arthroscopic surgery and wound surgery. Here, the identification and the correct and performance-based mapping of complex and elaborate scenarios was again the focus of the restructuring of the G-DRG system. The G-DRG structure in orthopaedics and traumatology is changed, especially for polytraumata.
  
  
  CONCLUSIONS
  The allocation of common cases with a standardized treatment pattern appears to be appropriate and the reimbursement adequate. For the less common and more complex cases the 2011 G-DRG system still shows need for further modification (e.g. polytraumata, joint replacement, spine surgery). The proper integration of the modified OPS classification for foot surgery to the appropriate G-DRGs will be essential to maintain the high quality of the reimbursement structure for the future.
authors.affiliation: Geschäftsbereich Medizinisches Management - Medizincontrolling, DRG-Research-Group, Universitätsklinikum Münster, Domagkstraße 20, 48129 Münster. Dominik.Franz@ukmuenster.de
authors.forename: D
authors.initials: D
authors.lastname: Franz
authors.forename: F
authors.initials: F
authors.lastname: Schemmann
authors.forename: N
authors.initials: N
authors.lastname: Roeder
authors.forename: H
authors.initials: H
authors.lastname: Siebert
authors.forename: L
authors.initials: L
authors.lastname: Mahlke
mesh_terms: D039702:Current Procedural Terminology; D003953:Diagnosis-Related Groups / Q000191:economics*; D005245:Fee Schedules; D005380:Financing, Government / Q000191:economics*; D005858:Germany; D006760:Hospitalization / Q000191:economics*; D006801:Humans; D038801:International Classification of Diseases; D009313:National Health Programs / Q000191:economics*; D009985:Orthopedics / Q000191:economics*; D012051:Reimbursement Mechanisms / Q000191:economics*; D014194:Traumatology / Q000191:economics*