Measuring, monitoring, and managing quality in Germany's hospitals

Health Affairs

Volumn 28, Issue 2, 2009, Pages

  Busse, Reinhard ^a   Nimptsch, Ulrike ^b   Mansky, Thomas ^c  

^a TECHNISCHE UNIVERSITÄT BERLIN   (Germany)

^b HELIOS Kliniken GmbH   (Germany)

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DIAGNOSIS RELATED GROUP; GERMANY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH INSURANCE; HOSPITAL CARE; MEDICARE; MORTALITY; PRODUCTIVITY; REIMBURSEMENT; TOTAL QUALITY MANAGEMENT; UNITED STATES;

GERMANY; HOSPITALS; HUMANS; QUALITY ASSURANCE, HEALTH CARE; TOTAL QUALITY MANAGEMENT;

EID: 66149176813     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.28.2.w294     Document Type: Article

References (23)

1. H. Legido-Quigley et al., Assuring the Quality of Health Care in the European Union: A Case for Action (Copenhagen: World Health Organization, on behalf of the European Observatory on Health Systems and Policies, 2008).
2. J. Schreyögg, O. Tiemann, and R. Busse, "Cost Accounting to Determine Prices: How Well Do Prices Reflect Costs in the German DRG-System?" Health Care Management Science 9, no. 3 (2006): 269-279.
3. R. Busse and A. Riesberg, Health Care Systems in Transition: Germany (Copenhagen: WHO Regional Office for Europe, on behalf of the European Observatory, 2004).
4. A schematic of these various actors is available online at http://content.healthaffairs.org/cgi/content/full/hlthaff.28.2.w294/DC2.
5. The BQS indicators are available at Bundesgeschäftsstelle Qualitätssicherung (BQS), "BQS-Qualitätsindikatorendatenbank 2007," http://www.bqs-qualitaetsindikatoren.de (accessed 7 October 2008);
6. results are available at BQS, "BQS-Outcome 2007," http://www.bqs-outcome.de (accessed 7 October 2008).
7. The latest printed report is C. Veit et al., eds., Qualität sichtbar machen. BQS-Qualitätsreport 2007 (Düsseldorf: BQS, 2008).
8. P.S. Romano et al., "A Comparison of Administrative versus Clinical Data: Coronary Artery Bypass Surgery As an Example," Journal of Clinical Epidemiology 47, no. 3 (1994): 249-260;
9. and J. Holcomb, "The Role of Administrative Data in Measurement and Reporting of Quality of Hospital Care," Texas Medicine 96, no. 10 (2000): 48-52.
10. See, for example, L.I. Iezzoni, "Assessing Quality Using Administrative Data," Annals of Internal Medicine 127, no. 8, Part 2 (1997): 666-674.
11. Agency for Healthcare Research and Quality, Guide to Inpatient Quality Indicators, Version 3.1 (Rockville, Md.: AHRQ, 2007).
12. HELIOS is a growing private hospital group, treating both publicly and privately insured patients (as do public, not-for-profit, and most other for-profit hospitals). In 2007 it served 444,096 inpatients (2.6 percent of all German inpatient cases) in thirty-six acute care hospitals.
13. HELIOS Kliniken, Kompetenz in Medizin: Medizinischer Jahresbericht 2005 (Fulda: HELIOS Kliniken, 2006).
14. D. Zahnd, "Erfahrungen bei der Definition nationaler Qualitätsindikatoren für die Schweiz," Deutsche Medizinische Wochenschrift 37, no. 5 Supp. (2008): S152.
15. H.H. Andersen and M. Grabka, "Kassenwechsel in der GKV 1997-2004. Profile - Trends - Perspektiven," in Jahrbuch Risikostrukturausgleich 2006, ed. D. Göpffarth et al. (St. Augustin, Germany: Asgard, 2006).
16. See, for example, H.L. Johansen et al., "Incidence, Comorbidity, Case Fatality, and Readmission of Hospitalized Stroke Patients in Canada," Canadian Journal of Cardiology 22, no. 1 (2006): 65-71.
17. AOK-Bundesverband, Forschungs- und Entwicklungsinstitut für das Sozial- und Gesundheitswesen Sachsen-Anhalt (FEISA), HELIOS Kliniken, and Wissenschaftliches Institut der AOK (WIdO), Qualitätssicherung der stationären Versorgung mit Routinedaten (QSR) - Abschlussbericht (Bonn: WIdO, 2007).
18. Qualitätssicherung der stationären Versorgung mit Routinedaten (QSR) - Abschlussbericht 2007).Ibid.
19. E.L. Hannan et al., "The Decline in Coronary Artery Bypass Graft Surgery Mortality in New York State: The Role of Surgeon Volume," Journal of the American Medical Association 273, no. 3 (1995): 209-213.
20. R. Steinbrook, "Public Report Cards - Cardiac Surgery and Beyond," New England Journal of Medicine 355, no. 18 (2006): 1847-1849.
21. Institute for Healthcare Improvement, "IHI Announces That Hospitals Participating in 100,000 Lives Campaign Have Saved an Estimated 122,300 Lives," Press Release, 14 June 2006, http://www.ihi.org/NR/rdonlyres/ 68B891EE-5624-45DC-B7F6-E213C56EB60E/4426/ UPDATED100kLivesCampaignJune14milestonepressreleas.pdf (accessed 3 December 2008).
22. U.S. Department of Health and Human Services, "New Efforts to Help Improve Medical Products for Patient Safety and Quality of Medical Care," Press Release, 22 May 2008, http://www.hhs.gov/news/press/2008pres/05/20080522a. html (accessed 8 October 2008).
23. Research Data Assistance Center, "Chronic Condition Data Warehouse (CCW) Data Available," 18 September 2008, http://www.resdac.umn.edu/CCW/ data-available.asp (accessed 13 October 2008).