title: [Nonnative guidelines for allocating human resources in child and adolescent psychiatry using average values under convergence conditions instead of price determination - analysis of the data of university hospitals in Germany concerning the costs of calculating day and minute values according to Psych-PV and PEPP-System].
abstract: OBJECTIVE
  Despite substantial opposition in the practical field, based on an amendment to the Hospital Financing Act (KHG). the so-called PEPP-System was introduced in child and adolescent psychiatry as a new calculation model. The 2-year moratorium, combined with the rescheduling of the repeal of the psychiatry personnel regulation (Psych-PV) and a convergence phase, provided the German Federal Ministry of Health with additional time to enter a structured dialogue with professional associations. Especially the perspective concerning the regulatory framework is presently unclear.
  
  
  METHODS
  In light of this debate, this article provides calculations to illustrate the transformation of the previous personnel regulation into the PEPP-System by means of the data of §21 KHEntgG stemming from the 22 university hospitals of child and adolescent psychiatry and psychotherapy in Germany. In 2013 there was a total of 7,712 cases and 263,694 calculation days. In order to identify a necessary basic reimbursement value th1\t would guarantee a constant quality of patient care, the authors utilize outcomes, cost structures, calculation days, and minute values for individual professional groups according to both systems (Psych-PV and PEPP) based on data from 2013 and the InEK' s analysis of the calculation datasets.
  
  
  CONCLUSIONS
  The authors propose a normative agreement on the basic reimbursement value between 270 and 285 EUR. This takes into account the concentration phenomenon and the expansion of services that has occurred since the introduction of the Psych-PV system. Such a normative agreement on structural quality could provide a verifiable framework for the allocation of human resources corresponding to the previous regulations of Psych-PV.
authors.affiliation: 1 Koordinierungsstelle der Universitätsklinika BW, Universitätsklinikum Heidelberg.|2 Klinik für Kinder- und Jugendpsychiatrie/-psychotherapie, Universität Ulm.
authors.forename: Steffi
authors.initials: S
authors.lastname: Barufka
authors.affiliation: 1 Koordinierungsstelle der Universitätsklinika BW, Universitätsklinikum Heidelberg.|3 AG PEPP, VUD (Verband der Universitätsklinika Deutschlands e. V.) Berlin.
authors.forename: Michael
authors.initials: M
authors.lastname: Heller
authors.affiliation: 2 Klinik für Kinder- und Jugendpsychiatrie/-psychotherapie, Universität Ulm.
authors.forename: Valeria
authors.initials: V
authors.lastname: Prayon
authors.affiliation: 2 Klinik für Kinder- und Jugendpsychiatrie/-psychotherapie, Universität Ulm.|3 AG PEPP, VUD (Verband der Universitätsklinika Deutschlands e. V.) Berlin.
authors.forename: Jörg M
authors.initials: JM
authors.lastname: Fegert
mesh_terms: D000293:Adolescent; D000296:Adolescent Psychiatry / Q000191:economics* / Q000331:legislation & jurisprudence*; D002648:Child; D002665:Child Psychiatry / Q000191:economics* / Q000331:legislation & jurisprudence*; D003365:Costs and Cost Analysis / Q000191:economics / Q000331:legislation & jurisprudence; D005377:Financial Management, Hospital / Q000191:economics* / Q000331:legislation & jurisprudence*; D005858:Germany; D006301:Health Services Needs and Demand / Q000191:economics / Q000331:legislation & jurisprudence; D006778:Hospitals, Psychiatric / Q000191:economics* / Q000331:legislation & jurisprudence*; D006785:Hospitals, University / Q000191:economics* / Q000331:legislation & jurisprudence*; D006801:Humans; D009313:National Health Programs / Q000191:economics* / Q000331:legislation & jurisprudence*; D011785:Quality Assurance, Health Care / Q000191:economics / Q000331:legislation & jurisprudence; D012051:Reimbursement Mechanisms / Q000191:economics / Q000331:legislation & jurisprudence; D015895:Relative Value Scales
keywords: Basisentgeltwert; Minutenwerte; PEPP-System; Psychiatrie-Personalverordnung; basic reimbursement value; minute values; psychiatry personnel regulation