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Mai Error Analysis Regarding Diagnosis Coding According to ICD 9 Subject to the “ Bundespflegesatzverordnung”E. Nitzschke, M. Wiegand. as a result of national convergence. Current .. ) and the Bundespflegesatzverordnung (Statutory Instrument Con-. 5. Okt. innerhalb der Bundespflegesatzverordnung. .. 2 Ab mit der Durchschnittsbevölkerung auf Grundlage des Zensus berechnet, bis.

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Busse R, Blumel M. Statistical analysis was performed using SPSS Changes in mental health care by a regional budget: Weinmann S, Gaebel W. Chance and opportunity to design psychiatric routine care individually and in the community.

Fehleranalyse bei der Diagnoseverschlüsselung nach ICD 9 gemäß der Bundespflegesatzverordnung

Sociodemographic and clinical indicators of quality of psychiatric care of cases at discharge from hospital or day care before and after implementation of the Regional Psychiatry Budget RPB in the administrative District of Dithmarschen.

The RPB enables healthcare providers to limit expenses. We selected indicators of health status and social situations of the patients in the district as well as quality indicators of psychiatric care provided during hospital or day care stays.

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Thieme E-Journals – Zeitschrift für Orthopädie und ihre Grenzgebiete / Abstract

The RPB provides incentives to deliver equal or higher quality of care with stable cost and to reduce inpatient treatment time.

Gene Ontology Bundeapflegesatzverordnung Terms. The hospital is committed to a social psychiatric treatment concept and provides psychiatric care by avoiding inpatient stays and offering treatment in day care facilities and walk-in clinics; this is combined with home treatment if necessary as well as long-term social support services and continuous therapeutic relationships. A third form of these innovative integrated models is the Regional Psychiatry Budget RPBaccording to paragraph 26 of the former Federal Hospital Refund Regulation Bundespflegesatzverordnungwhich is based on the capitation principle.

Case management is not routinely provided in the German health care system [ 34 ]. Indeed, the hospital began to cooperate with the public medical service that is responsible for initiating compulsory admissions in cases of severe acute mental illness. Therefore, it cannot be estimated whether bundespflegesayzverordnung diagnostic subgroups bundespflegesatzverorenung in their benefits from the RPB.

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How does Europe PMC derive its citations network? Conclusion Under the capitation principle of the RPB, providers were better able to provide flexible and continuous care for psychiatric patients in need of inpatient treatment than was possible under the standard reimbursement model, based on single inpatient cases.

First, the integrated treatment model was applied to all patients seeking inpatient treatment in the district. First, it cannot be estimated whether there are any events or long-term influences that affected the psychiatric population of the district to different extents during the periods before and after the implementation of the RPB.

Finally, the data do not allow for a differentiated evaluation of psychopathological factors in the psychiatric population of the region. Second, as the data were originally generated for administrative purposes, no special study setting, study staff or any special effect of testing procedures could come into effect.

This may be because the snippet appears in a figure legend, contains special characters or spans different sections of the article. Under this model, the provider is free to offer all forms of treatment and to construct individual models of integrated care that specifically suit the region and the needs of community members.

Also, it cannot be excluded that cases are shifted into outpatient care delivered by the Association of Statutory Health Insurance Physicians, that does not belong to the RPB, but is unlikely to accept additional cases due to own limited budget. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.

Inpatient cases that were treated during both periods including the date Dec 31, were artificially assigned to the pre-test period according to their admission dates. Received May 12; Accepted Nov The fraction of cases who responded to treatment and were discharged as improved increased significantly under the RPB. Therefore, the data generated during the observation periods, before and after implementation of the RPB in particular, represented the clinical reality.


The present study aimed to evaluate selected aspects that represent a change in the psychiatric health status of patients in the covered region under the conditions of the RPB.

The analyses were repeated by a second researcher to ensure reliability. We especially thank Mrs. Psychiatric patients have particular difficulties in navigating through various treatment offers and Social Insurance Codes when receiving continuous treatment.

It has also been argued that the short-term reduction of admissions to the RPB would lead to a gradual worsening of the health status of the community bundespflegesatzverrordnung the long run.

One pioneer region has been scientifically studied [ 891011 ] and has shown long-lasting improvement in the health status of the psychiatric patients in its catchment area and a significant reduction in inpatient days.

Strengths of the Study Methods First, the integrated treatment model was applied to all patients seeking inpatient treatment in the district. Nevertheless a documentation with an error rate to such an extend is of no use for a base documentation, and this error rate must be bundespflegesatzverorsnung into consideration in the interpretation of global medical statistics.

Mental health in Europe: Supplementary to this after one year there was carried out an additional coding of the letters by the documentation doctor. First line psychiatric diagnoses according to ICD 10 were organic, including symptomatic, mental disorders F00—F09, 9. The majority are located in Schleswig-Holstein, where about one million inhabitants in six administrative districts are covered by a RPB.

Rates and correlates of employment in people with schizophrenia bundespflegeeatzverordnung the UK, France and Germany.

Sociodemographic and clinical indicators of health status and social adjustment of psychiatric cases at time of admission before and after implementation of the Regional Psychiatry Budget RPB in the administrative District of Dithmarschen.