Structure of Neurological Departments in Germany: Results of the 12th Survey by the German Neurological Society

Abstract

ABSTR AC TThe German Neurological Society has conducted a survey of the struc- Number of beds, total procedures and average procedures per case proceeds (case mix, case mix index) has remained roughly unchanged.However, case numbers increased, and average length of stay robustly decreased within 2 years by 17 % to 5.4 days. Staff structures were heterogeneous and were involved in various dutiesapart from inpatient care covered by the German Diagnosis-Related Groups (DRG) system. Departments did not succeed in differentiating expenditures related to the DRG system from other procedures. Shortage of nursing staff forced 22 % of departments to temporally reduce services, 6 % of departments did so because of a shortage of physicians, and in 2 % of departments, both occurred. Departments were confident of certifications as means of quality management, and a few suggestions were provided for more meaningful parameters for outcome-oriented quality management in the future.

Practicability and Diagnostic Yield of One-Stop Stroke CT with Delayed-Phase Cardiac CT in Detecting Major Cardioembolic Sources of Acute Ischemic Stroke

“…To prevent cardioembolic cerebral vessel occlusion, treatment with anticoagulants is urgently K [18,19]. While the number of stroke cases is continuously increasing, the average length of hospital stay is robustly decreasing [20]. Indeed, a cross-sectional survey on stroke units (SU) revealed a substantial heterogeneity among them concerning diagnostic work-up for detecting paroxysmal AF [21].…”

Auswirkung der DRG-Abrechnung auf die Krankenhausverweildauer bei Patienten mit Epilepsie

“…Für Fälle mit einer Krankenhausverweildauer von > 7 Tagen konnte zwischen 2006 und 2008 ebenfalls ein signifikanter Trendwechsel im Sinne einer Stagnation der zuvor fallenden Fallzahlen nachgewiesen werden. Diese Ergebnisse sind mit einer Veröffentlichung des „Benchmarking & Quality Management“-Komitees der Deutschen Gesellschaft für Neurologie vereinbar, die nach Einführung der DRG-basierten Abrechnung eine Abnahme der Krankenhausverweildauer zwischen 2015 und 2017 um 17 % auf im Mittel 5,4 Tage im Hinblick auf alle neurologischen Fälle aufgezeigt hat [ 19 ]. Hierbei lag die mittlere Verweildauer bei Patienten mit Epilepsie mit 5,6 Tagen im Jahr 2017 leicht über der Krankenhausverweildauer aller neurologischen Fälle.…”