Surgical Management of Congenital Heart Disease: Contribution of the Aristotle Complexity Score to Planning and Budgeting in the German Diagnosis-Related Groups System
Planning and budgeting for congenital heart surgery depend primarily on how closely reimbursement matches costs and on the number and complexity of the surgical procedures. Aristotle complexity scores for the year 2010 were correlated with hospital costs and with reimbursement according to the Germa...
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| Veröffentlicht in: | Pediatric cardiology 2012, Vol.33 (1), p.36-41 |
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| creator | Sinzobahamvya, Nicodème Photiadis, Joachim Kopp, Thorsten Arenz, Claudia Haun, Christoph Schindler, Ehrenfried Hraska, Viktor Asfour, Boulos |
| description | Planning and budgeting for congenital heart surgery depend primarily on how closely reimbursement matches costs and on the number and complexity of the surgical procedures. Aristotle complexity scores for the year 2010 were correlated with hospital costs and with reimbursement according to the German diagnosis-related groups (DRG) system. Unit surgical performance was estimated as surgical performance (complexity score × hospital survival) times the number of primary procedures. This study investigated how this performance evolved during years 2006 to 2010. Hospital costs and reimbursements correlated highly with Aristotle comprehensive complexity levels (Spearman
r
= 1). Mean costs and reimbursement reached 35,050€ ± 32,665€ and 31,283€ ± 34,732€, respectively, for an underfunding of 10.7%. Basic and comprehensive unit surgical performances were respectively 3036 ± 1009 and 3891 ± 1591 points in 2006. Both performances increased in sigmoid fashion to reach 3883 ± 1344 and 5335 ± 1314 points, respectively, in 2010. Top performances would be achieved in year 2011, and extrapolated costs would comprise about 19,434,094.92€ (95% confidence interval, 11,961,491.22–22,495,764.42€). The current underfunding of congenital heart surgery needs correction. The Aristotle score can help to adjust reimbursement according to complexity of procedures. Unit surgical performance allows accurate budgeting in the current German DRG system. |
| doi_str_mv | 10.1007/s00246-011-0070-1 |
| format | Article |
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r
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r
= 1). Mean costs and reimbursement reached 35,050€ ± 32,665€ and 31,283€ ± 34,732€, respectively, for an underfunding of 10.7%. Basic and comprehensive unit surgical performances were respectively 3036 ± 1009 and 3891 ± 1591 points in 2006. Both performances increased in sigmoid fashion to reach 3883 ± 1344 and 5335 ± 1314 points, respectively, in 2010. Top performances would be achieved in year 2011, and extrapolated costs would comprise about 19,434,094.92€ (95% confidence interval, 11,961,491.22–22,495,764.42€). The current underfunding of congenital heart surgery needs correction. The Aristotle score can help to adjust reimbursement according to complexity of procedures. Unit surgical performance allows accurate budgeting in the current German DRG system.</description><subject>Budgets</subject><subject>Cardiac Surgery</subject><subject>Cardiac Surgical Procedures - classification</subject><subject>Cardiac Surgical Procedures - economics</subject><subject>Cardiac Surgical Procedures - mortality</subject><subject>Cardiology</subject><subject>Congenital heart disease</subject><subject>Diagnosis</subject><subject>Diagnosis-Related Groups</subject><subject>Economic aspects</subject><subject>Genetic disorders</subject><subject>Germany</subject><subject>Heart Defects, Congenital - economics</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Heart diseases</subject><subject>Hospital Costs - statistics & numerical data</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Medical care, Cost of</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Severity of Illness Index</subject><subject>Vascular Surgery</subject><issn>0172-0643</issn><issn>1432-1971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhSMEokPhAdggSyxYpVzb-WU3DGWKVARiYG05znVwldhT25GYJ-pr4pCChISQF9b1-c71tU-WPadwQQHq1wGAFVUOlOaphJw-yDa04CynbU0fZhugNcuhKvhZ9iSEGwBooCkfZ2eMNpBEvsnuDrMfjJIj-SitHHBCG4nTZOfsgNbEJFyh9JG8MwFlwDeLEr3p5micXcj4HcnWmxBdHDGp03HEHyaeyEE5jyQ68nmU1ho7EGl78nbuB4xLZewv7x79JG3qLwfrggn5FxxlxJ7svZuPgRxOIeL0NHuk5Rjw2f1-nn17f_l1d5Vff9p_2G2vc1VQiDlnpW6oZk0DSleaY4edbotaYc2qvmxqZA0H1nLddoWWSa1KKBTvqgKqqi35efZq7Xv07nbGEMVkgsIxPQHdHERLOacN4zSRL1dykCMKY7WLXqqFFtualiXj6aJEXfyDSqvHyShnUZt0_peBrgblXQgetTh6M0l_EhTEkrpYUxcpdbGkLpZRXtwPPXcT9n8cv2NOAFuBkKQUrBc3bvY2feR_uv4EVj64Jg</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Sinzobahamvya, Nicodème</creator><creator>Photiadis, Joachim</creator><creator>Kopp, Thorsten</creator><creator>Arenz, Claudia</creator><creator>Haun, Christoph</creator><creator>Schindler, Ehrenfried</creator><creator>Hraska, Viktor</creator><creator>Asfour, Boulos</creator><general>Springer-Verlag</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Surgical Management of Congenital Heart Disease: Contribution of the Aristotle Complexity Score to Planning and Budgeting in the German Diagnosis-Related Groups System</title><author>Sinzobahamvya, Nicodème ; 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Aristotle complexity scores for the year 2010 were correlated with hospital costs and with reimbursement according to the German diagnosis-related groups (DRG) system. Unit surgical performance was estimated as surgical performance (complexity score × hospital survival) times the number of primary procedures. This study investigated how this performance evolved during years 2006 to 2010. Hospital costs and reimbursements correlated highly with Aristotle comprehensive complexity levels (Spearman
r
= 1). Mean costs and reimbursement reached 35,050€ ± 32,665€ and 31,283€ ± 34,732€, respectively, for an underfunding of 10.7%. Basic and comprehensive unit surgical performances were respectively 3036 ± 1009 and 3891 ± 1591 points in 2006. Both performances increased in sigmoid fashion to reach 3883 ± 1344 and 5335 ± 1314 points, respectively, in 2010. Top performances would be achieved in year 2011, and extrapolated costs would comprise about 19,434,094.92€ (95% confidence interval, 11,961,491.22–22,495,764.42€). The current underfunding of congenital heart surgery needs correction. The Aristotle score can help to adjust reimbursement according to complexity of procedures. Unit surgical performance allows accurate budgeting in the current German DRG system.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>21800173</pmid><doi>10.1007/s00246-011-0070-1</doi><tpages>6</tpages></addata></record> |
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| ispartof | Pediatric cardiology, 2012, Vol.33 (1), p.36-41 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Budgets Cardiac Surgery Cardiac Surgical Procedures - classification Cardiac Surgical Procedures - economics Cardiac Surgical Procedures - mortality Cardiology Congenital heart disease Diagnosis Diagnosis-Related Groups Economic aspects Genetic disorders Germany Heart Defects, Congenital - economics Heart Defects, Congenital - surgery Heart diseases Hospital Costs - statistics & numerical data Hospital Mortality Humans Medical care, Cost of Medicine Medicine & Public Health Original Article Severity of Illness Index Vascular Surgery |
| title | Surgical Management of Congenital Heart Disease: Contribution of the Aristotle Complexity Score to Planning and Budgeting in the German Diagnosis-Related Groups System |
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