Impact of quality certification of multidisciplinary head and neck tumor centers
Background Certification of multidisciplinary tumor centers is nowadays seen as the gold standard in modern oncological therapy for optimization and realization of guideline-based therapy and better outcomes. Single cases are reimbursed based on diagnosis-related groups (DRG). We aimed to review eff...
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| creator | Modabber, Ali Schick, Daniel Goloborodko, Evgeny Peters, Florian Heitzer, Marius Bock, Anna Kniha, Kristian Holzle, Frank Schreiber, Elke M. Moehlhenrich, Stephan Christian |
| description | Background Certification of multidisciplinary tumor centers is nowadays seen as the gold standard in modern oncological therapy for optimization and realization of guideline-based therapy and better outcomes. Single cases are reimbursed based on diagnosis-related groups (DRG). We aimed to review efficiency, cost analysis, and profitability following a certification. Methods Tumor board certification at the university hospital Aachen was implemented in 2013. We compared 1251 cases of oropharyngeal cancer treated from 2008 to 2017 before and after certification. For this purpose, several patient characteristics, surgery, and stay-related constants, as well as expenses and reimbursement heights were analyzed statistically. Results Following certification, the total case and patient number, surgery duration, hours of mechanical ventilation, case mix index points, DRG reimbursements as well as the costs increased significantly, whereas days of intensive care unit, amount of blood transfusions, patient clinical complexity level (PCCL) and the overall stay were significantly lowered. No changes were observed for the patient's age and gender distribution. Also, the predetermined stay duration stayed constant. Conclusions Certification of head-neck tumor centers causes a concentration of more complex cases requiring higher surgical efforts, which can be processed more efficiently due to a higher level of professionalism. Despite their benefits in cancer care, without compensation, centers may be struggling to cover their expenses in a system, which continuously underestimates them. |
| doi_str_mv | 10.1186/s12962-021-00273-9 |
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Single cases are reimbursed based on diagnosis-related groups (DRG). We aimed to review efficiency, cost analysis, and profitability following a certification. Methods Tumor board certification at the university hospital Aachen was implemented in 2013. We compared 1251 cases of oropharyngeal cancer treated from 2008 to 2017 before and after certification. For this purpose, several patient characteristics, surgery, and stay-related constants, as well as expenses and reimbursement heights were analyzed statistically. Results Following certification, the total case and patient number, surgery duration, hours of mechanical ventilation, case mix index points, DRG reimbursements as well as the costs increased significantly, whereas days of intensive care unit, amount of blood transfusions, patient clinical complexity level (PCCL) and the overall stay were significantly lowered. No changes were observed for the patient's age and gender distribution. Also, the predetermined stay duration stayed constant. Conclusions Certification of head-neck tumor centers causes a concentration of more complex cases requiring higher surgical efforts, which can be processed more efficiently due to a higher level of professionalism. Despite their benefits in cancer care, without compensation, centers may be struggling to cover their expenses in a system, which continuously underestimates them.</description><identifier>ISSN: 1478-7547</identifier><identifier>EISSN: 1478-7547</identifier><identifier>DOI: 10.1186/s12962-021-00273-9</identifier><identifier>PMID: 33827599</identifier><language>eng</language><publisher>LONDON: Springer Nature</publisher><subject>Blood transfusions ; Cancer ; Cancer therapies ; Care and treatment ; Certification ; Comparative analysis ; Cost ; Costs ; DRG ; Efficiency ; Females ; Head & neck cancer ; Head‐Neck ; Health Care Sciences & Services ; Health Policy & Services ; Hospitals ; Intensive care ; Interdisciplinary aspects ; Length of stay ; Life Sciences & Biomedicine ; Maxillofacial surgery ; Patients ; Quality standards ; Radiation therapy ; Reimbursement ; Science & Technology ; Throat cancer ; Tumor board ; Tumors ; Ventilators</subject><ispartof>Cost effectiveness and resource allocation, 2021-04, Vol.19 (1), p.20-20, Article 20</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>3</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000637766200001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c563t-f663edada98889961844e2fac6b2d272a5f65d175e6188036b5aa1a0374938e53</citedby><cites>FETCH-LOGICAL-c563t-f663edada98889961844e2fac6b2d272a5f65d175e6188036b5aa1a0374938e53</cites><orcidid>0000-0001-8579-2622</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8028776/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8028776/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2103,2115,27929,27930,39262,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33827599$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Modabber, Ali</creatorcontrib><creatorcontrib>Schick, Daniel</creatorcontrib><creatorcontrib>Goloborodko, Evgeny</creatorcontrib><creatorcontrib>Peters, Florian</creatorcontrib><creatorcontrib>Heitzer, Marius</creatorcontrib><creatorcontrib>Bock, Anna</creatorcontrib><creatorcontrib>Kniha, Kristian</creatorcontrib><creatorcontrib>Holzle, Frank</creatorcontrib><creatorcontrib>Schreiber, Elke M.</creatorcontrib><creatorcontrib>Moehlhenrich, Stephan Christian</creatorcontrib><title>Impact of quality certification of multidisciplinary head and neck tumor centers</title><title>Cost effectiveness and resource allocation</title><addtitle>COST EFFECT RESOUR A</addtitle><addtitle>Cost Eff Resour Alloc</addtitle><description>Background Certification of multidisciplinary tumor centers is nowadays seen as the gold standard in modern oncological therapy for optimization and realization of guideline-based therapy and better outcomes. Single cases are reimbursed based on diagnosis-related groups (DRG). We aimed to review efficiency, cost analysis, and profitability following a certification. Methods Tumor board certification at the university hospital Aachen was implemented in 2013. We compared 1251 cases of oropharyngeal cancer treated from 2008 to 2017 before and after certification. For this purpose, several patient characteristics, surgery, and stay-related constants, as well as expenses and reimbursement heights were analyzed statistically. Results Following certification, the total case and patient number, surgery duration, hours of mechanical ventilation, case mix index points, DRG reimbursements as well as the costs increased significantly, whereas days of intensive care unit, amount of blood transfusions, patient clinical complexity level (PCCL) and the overall stay were significantly lowered. No changes were observed for the patient's age and gender distribution. Also, the predetermined stay duration stayed constant. Conclusions Certification of head-neck tumor centers causes a concentration of more complex cases requiring higher surgical efforts, which can be processed more efficiently due to a higher level of professionalism. Despite their benefits in cancer care, without compensation, centers may be struggling to cover their expenses in a system, which continuously underestimates them.</description><subject>Blood transfusions</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Certification</subject><subject>Comparative analysis</subject><subject>Cost</subject><subject>Costs</subject><subject>DRG</subject><subject>Efficiency</subject><subject>Females</subject><subject>Head & neck cancer</subject><subject>Head‐Neck</subject><subject>Health Care Sciences & Services</subject><subject>Health Policy & Services</subject><subject>Hospitals</subject><subject>Intensive care</subject><subject>Interdisciplinary aspects</subject><subject>Length of stay</subject><subject>Life Sciences & Biomedicine</subject><subject>Maxillofacial surgery</subject><subject>Patients</subject><subject>Quality standards</subject><subject>Radiation therapy</subject><subject>Reimbursement</subject><subject>Science & Technology</subject><subject>Throat cancer</subject><subject>Tumor 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Ali</creator><creator>Schick, Daniel</creator><creator>Goloborodko, Evgeny</creator><creator>Peters, Florian</creator><creator>Heitzer, Marius</creator><creator>Bock, Anna</creator><creator>Kniha, Kristian</creator><creator>Holzle, Frank</creator><creator>Schreiber, Elke M.</creator><creator>Moehlhenrich, Stephan Christian</creator><general>Springer Nature</general><general>BioMed Central Ltd</general><general>BioMed 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of quality certification of multidisciplinary head and neck tumor centers</title><author>Modabber, Ali ; Schick, Daniel ; Goloborodko, Evgeny ; Peters, Florian ; Heitzer, Marius ; Bock, Anna ; Kniha, Kristian ; Holzle, Frank ; Schreiber, Elke M. ; Moehlhenrich, Stephan Christian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-f663edada98889961844e2fac6b2d272a5f65d175e6188036b5aa1a0374938e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Blood transfusions</topic><topic>Cancer</topic><topic>Cancer therapies</topic><topic>Care and treatment</topic><topic>Certification</topic><topic>Comparative analysis</topic><topic>Cost</topic><topic>Costs</topic><topic>DRG</topic><topic>Efficiency</topic><topic>Females</topic><topic>Head & neck cancer</topic><topic>Head‐Neck</topic><topic>Health Care Sciences & Services</topic><topic>Health Policy & Services</topic><topic>Hospitals</topic><topic>Intensive care</topic><topic>Interdisciplinary aspects</topic><topic>Length of stay</topic><topic>Life Sciences & Biomedicine</topic><topic>Maxillofacial surgery</topic><topic>Patients</topic><topic>Quality standards</topic><topic>Radiation therapy</topic><topic>Reimbursement</topic><topic>Science & Technology</topic><topic>Throat cancer</topic><topic>Tumor board</topic><topic>Tumors</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Modabber, Ali</creatorcontrib><creatorcontrib>Schick, Daniel</creatorcontrib><creatorcontrib>Goloborodko, Evgeny</creatorcontrib><creatorcontrib>Peters, Florian</creatorcontrib><creatorcontrib>Heitzer, Marius</creatorcontrib><creatorcontrib>Bock, Anna</creatorcontrib><creatorcontrib>Kniha, Kristian</creatorcontrib><creatorcontrib>Holzle, Frank</creatorcontrib><creatorcontrib>Schreiber, Elke M.</creatorcontrib><creatorcontrib>Moehlhenrich, 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resource allocation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Modabber, Ali</au><au>Schick, Daniel</au><au>Goloborodko, Evgeny</au><au>Peters, Florian</au><au>Heitzer, Marius</au><au>Bock, Anna</au><au>Kniha, Kristian</au><au>Holzle, Frank</au><au>Schreiber, Elke M.</au><au>Moehlhenrich, Stephan Christian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of quality certification of multidisciplinary head and neck tumor centers</atitle><jtitle>Cost effectiveness and resource allocation</jtitle><stitle>COST EFFECT RESOUR A</stitle><addtitle>Cost Eff Resour Alloc</addtitle><date>2021-04-07</date><risdate>2021</risdate><volume>19</volume><issue>1</issue><spage>20</spage><epage>20</epage><pages>20-20</pages><artnum>20</artnum><issn>1478-7547</issn><eissn>1478-7547</eissn><abstract>Background Certification of multidisciplinary tumor centers is nowadays seen as the gold standard in modern oncological therapy for optimization and realization of guideline-based therapy and better outcomes. Single cases are reimbursed based on diagnosis-related groups (DRG). We aimed to review efficiency, cost analysis, and profitability following a certification. Methods Tumor board certification at the university hospital Aachen was implemented in 2013. We compared 1251 cases of oropharyngeal cancer treated from 2008 to 2017 before and after certification. For this purpose, several patient characteristics, surgery, and stay-related constants, as well as expenses and reimbursement heights were analyzed statistically. Results Following certification, the total case and patient number, surgery duration, hours of mechanical ventilation, case mix index points, DRG reimbursements as well as the costs increased significantly, whereas days of intensive care unit, amount of blood transfusions, patient clinical complexity level (PCCL) and the overall stay were significantly lowered. No changes were observed for the patient's age and gender distribution. Also, the predetermined stay duration stayed constant. Conclusions Certification of head-neck tumor centers causes a concentration of more complex cases requiring higher surgical efforts, which can be processed more efficiently due to a higher level of professionalism. Despite their benefits in cancer care, without compensation, centers may be struggling to cover their expenses in a system, which continuously underestimates them.</abstract><cop>LONDON</cop><pub>Springer Nature</pub><pmid>33827599</pmid><doi>10.1186/s12962-021-00273-9</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-8579-2622</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Blood transfusions Cancer Cancer therapies Care and treatment Certification Comparative analysis Cost Costs DRG Efficiency Females Head & neck cancer Head‐Neck Health Care Sciences & Services Health Policy & Services Hospitals Intensive care Interdisciplinary aspects Length of stay Life Sciences & Biomedicine Maxillofacial surgery Patients Quality standards Radiation therapy Reimbursement Science & Technology Throat cancer Tumor board Tumors Ventilators |
| title | Impact of quality certification of multidisciplinary head and neck tumor centers |
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