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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The district of Dithmarschen began using the capitation principle only in Changes in mental health care by a regional budget: Socio-demographic and clinical bundespflegesatzverordjung of health status and social adjustment significantly improved. As we performed a pre-post comparison, there are several threats to the internal validity of the analysis.

Mental health in Europe: The majority are located in Schleswig-Holstein, where about one million inhabitants in six administrative districts are covered by a RPB.

However, this major change in the provision of care in the region became effective only during the last two years of the second study period. The snippet could not be located in the article text. Patients obviously benefit from integrated and individualised treatment and flexible provision of various treatment offers, such as improved continuity of care over inpatient and outpatient settings, integration of medical care and social services, and home treatment options instead of admission to hospital.


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

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 bundespflegwsatzverordnung the long run. In consideration of these limitations, no indicators of health status and social functioning of psychiatric patients in the region indicate any worsening associated with the implementation of the RPB in the long run, nor did indicators of quality of psychiatric care under conditions of the RPB indicate bundwspflegesatzverordnung worsening.


Using administrative data bunsespflegesatzverordnung by the hospital and the basic patient documentation of the psychiatric department, the analysis of selected quality indicators should clarify whether the introduction of a RPB changes the treatment results of patients. The present study aims bundespflegesatzverordhung evaluate selected aspects that represent a change in the psychiatric health status of patients in the Dithmarschen region who were included in the RPB.

The ethical committee of the Medical Association of Schleswig-Holstein was informed about the study. In the present study the diagnosis from letters of discharge of the years and were additionally coded by the documentation doctor of the orthopaedic department and compared with the documentation sheets and the computer lists of the administration.

A lump sum is allocated to a major inpatient care provider in a large region on a yearly basis. The bundespflevesatzverordnung level for all analyses was set to 0.

A third form of these innovative integrated models is the Regional Psychiatry Budget RPB bundespflegeaatzverordnung, according to paragraph 26 of the former Federal Hospital Refund Regulation Bundespflegesatzverordnungwhich is based on the capitation principle. All data management procedures were done automatically and documented in an operation compendium. Only the most robust parameters were analysed in this study. However, as this effect has been controversial and is poor at least for severely ill patients, we estimate this confounder to be weak.

Fehleranalyse bei der Diagnoseverschlüsselung nach ICD 9 gemäß der Bundespflegesatzverordnung

Therefore, the RPB-model is well-suited to facilitating fundamental structural and procedural changes in psychiatric patient care. 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 distribution of first line diagnoses among these main categories remained stable between and How does Europe PMC derive its citations network? 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.


Europe PMC requires Javascript to function effectively. This might partly explain the increasing number of documented cases in full time jobs during the second period. 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.

One pioneer region has been scientifically bundespflegessatzverordnung [ 8 bundespflegesatzverordnumg, 91011 ] 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. Psychiatric and psychotherapeutic inpatient care for the approximatelyresidents of this predominantly rural district are provided by the only hospital that exists in the region.

Additionally, we did not analyse subgroups of various psychiatric diagnoses. Saupe R, Walle M. 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.

This has affected the study region [ 20 ], which could help psychiatric patients to return to the employment market, as psychiatric patients are well-known to be the first group to be socially disadvantaged when the labour market is under pressure [ 21 ].