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[University benchmarking. A current status analysis].

M J Raschke¹, C Josten, F Gebhard

¹Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstrasse 1, 48149, Münster. Michael.Raschke@ukmuenster.de

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Summary

This summary is machine-generated.

Business ratios in university hospitals are under pressure. Evaluating seven traumatology departments revealed significant cost calculation differences, highlighting a need for standardized methods for effective hospital benchmarking.

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Area of Science:

Health Economics
Hospital Management
Medical Informatics

Background:

Lump sum reimbursement models increase economic pressure on university hospitals.
Hospitals widely use business ratios to assess departmental financial performance.
Traumatology departments face particular scrutiny due to treatment concentration in maximum care clinics.

Purpose of the Study:

To evaluate the validity and comparability of business ratios in university traumatology departments.
To identify discrepancies in cost calculations and their underlying causes.
To assess the potential for hospital benchmarking using current cost ratios.

Main Methods:

Analysis of structural data from seven university traumatology departments.
Evaluation of cost calculation results across different cost groups.
Comparison of cost data based on the InEK method.

Main Results:

Significant variations were found in business ratios despite using the same cost calculation method (InEK).
Costs for inter-departmental services (radiology, anesthesiology) and infrastructure showed wide discrepancies.
Differences in efficiency alone do not explain the observed variations in cost ratios.

Conclusions:

Lacking standardization in cost calculation methodology is a major cause of discrepancies.
Current business ratios must be critically evaluated.
Standardized cost calculation is essential for reliable hospital benchmarking.