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Establishing risk-adjusted quality indicators in surgery using administrative data - an example from neurosurgery myDRG Stellenmarkt Gesundheitswesen

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Establishing risk-adjusted quality indicators in surgery using administrative data - an example from neurosurgery

Establishing risk-adjusted quality indicators in surgery using administrative data - an example from neurosurgery (Springer).

The current draft of the German Hospital Structure Law requires remuneration to incorporate quality indicators. For neurosurgery, several quality indicators have been discussed, such as 30-day readmission, reoperation, or mortality...

[...] For neurosurgery, several quality indicators have been discussed, such as 30-day readmission, reoperation, or mortality rates; the rates of infections;
or the length of stay. When comparing neurosurgical departments regarding these indicators, very heterogeneous patient spectrums complicate benchmarking due to the lack of risk adjustment.
[...]
Administrative data alone might not be sufficient for
adequate risk adjustment as they do not reflect the endogenous risk of the
patient and are influenced by certain complications during inpatient stay.
[...]

Quelle: Springer, 26.04.2019

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erschienen am Dienstag, 21.05.2019
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