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[Orthopedic and trauma surgery in the German-DRG-System 2009]
D Franz1, J Windolf, C H Siebert
1Geschäftsbereich Medizinisches Management - Medizincontrolling, DRG-Research-Group, Universitätsklinikum Münster, Münster. dominik.franz@ukmuenster.de
Background:
The German DRG-System was advanced into version 2009. For orthopedic and trauma surgery significant changes concerning coding of diagnoses, medical procedures and concerning the DRG-structure were made.
Methods:
Analysis of relevant diagnoses, medical procedures and G-DRGs in the versions 2008 and 2009 based on the publications of the German DRG-institute (InEK) and the German Institute of Medical Documentation and Information (DIMDI).
Results:
Changes for 2009 focussed on the development of DRG-structure, DRG-validation and codes for medical procedures to be used for very complex cases. The outcome of these changes for German hospitals may vary depending in the range of activities.
Conclusion:
G-DRG-System gained complexity again. High demands are made on correct and complete coding of complex orthopedic and trauma surgery cases. Quality of case-allocation within the G-DRG-System was improved. Nevertheless, further adjustments of the G-DRG-System especially for cases with severe injuries are necessary.
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