The impact of hospital-acquired infections on the patient-level reimbursement-cost relationship in a DRG-based hospital payment system
The impact of hospital-acquired infections on the patient-level reimbursement-cost relationship in a DRG-based hospital payment system (Springer).
Hospital-acquired infections (HAIs) are a common complication in inpatient care. We investigate the incentives to prevent HAIs under the German DRG-based reimbursement system. We analyze the relationship between resource use and reimbursements for HAI in 188,731
patient records from the University Medical Center Freiburg (2011–2014), comparing cases to appropriate non-HAI controls. Resource use is approximated using national standardized costing system data. Reimbursements are the actual payments to hospitals under the
G-DRG system.
[...]
From the hospital administration’s perspective, it is not the additional costs of HAIs, but
rather the cost-reimbursement relationship which guides decisions. Costs
exceeding reimbursements for HAI may increase infection prevention and control
efforts and can be used to show their cost-effectiveness from the hospital
perspective.
Quelle: Springer, 05.06.2019
