title: [Quality measurement using administrative data in mandatory quality assurance].
abstract: For several years, the use of administrative data in mandatory quality measurement has been requested by several stakeholders in Germany. Main advantages of using administrative data include the reduction of documentary expenditures and the possibility to perform longitudinal quality analyses across different healthcare units. After a short introduction, a brief overview of the current use of administrative data for mandatory quality assurance as well as current developments is given, which will then be further exemplified by decubital ulcer prophylaxis. By using administrative data coding expenditures in this clinical area could be reduced by nine million data fields. At the same time the population analysed was expanded resulting in a more than tenfold increase in potentially quality-relevant events. Finally, perspectives, further developments, possibilities as well as limits of quality measurement with administrative data are discussed.
authors.affiliation: AQUA - Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH Göttingen, Deutschland. Electronic address: guenther.heller@aqua-institut.de.
authors.forename: Günther
authors.initials: G
authors.lastname: Heller
authors.affiliation: AQUA - Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH Göttingen, Deutschland; Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg, Deutschland.
authors.forename: Joachim
authors.initials: J
authors.lastname: Szecsenyi
authors.affiliation: AQUA - Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH Göttingen, Deutschland.
authors.forename: Gerald
authors.initials: G
authors.lastname: Willms
authors.affiliation: AQUA - Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH Göttingen, Deutschland.
authors.forename: Björn
authors.initials: B
authors.lastname: Broge
mesh_terms: D003625:Data Collection / Q000706:statistics & numerical data*; D005858:Germany; D006077:Government Agencies / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000706:statistics & numerical data*; D006801:Humans; D009313:National Health Programs / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000706:statistics & numerical data*; D019984:Quality Indicators, Health Care / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000706:statistics & numerical data*; D012052:Reimbursement, Incentive; D017749:Total Quality Management / Q000331:legislation & jurisprudence / Q000458:organization & administration / Q000706:statistics & numerical data
keywords: Dekubitusprophylaxe; Gemeinsamer Bundesausschuss; Joint Federal Committee; Quality assurance; Qualitätsmessung; Qualitätssicherung; Routinedaten; administrative data; pressure ulcer prevention; quality measurement