PMID- 17333062
OWN - NLM
STAT- MEDLINE
DCOM- 20070817
LR  - 20100323
IS  - 0177-5537 (Print)
IS  - 0177-5537 (Linking)
VI  - 110
IP  - 3
DP  - 2007 Mar
TI  - [Orthopedic and trauma surgery in the German DRG System 2007].
PG  - 270-80
AB  - BACKGROUND: The German Diagnosis-Related Groups (DRG) System was further 
      developed into its 2007 version. For orthopedic and trauma surgery, significant 
      changes were made in terms of the coding of diagnoses and medical procedures, as 
      well as in the DRG structure itself. The German Societies for Trauma Surgery and 
      for Orthopedics and Orthopedic Surgery (Deutsch Gesellschaft fur Unfallchirurgie, 
      DGU; and Deutsche Gesellschaft fur Orthopadie und Orthopadische Chirurgie, DGOOC) 
      once again cooperated constructively with the German DRG Institute InEK. RESULTS: 
      Among other innovations, new International Classification of Diseases (ICD) codes 
      for second-degree burns were implemented. Procedure codes for joint operations, 
      endoprosthetic-surgery and spine surgery were restructured. Furthermore, a 
      specific code for septic surgery was introduced in 2007. In addition, the DRG 
      structure was improved. Case allocation of patients with more than one 
      significant operation was established. Further DRG subdivisions were established 
      according to the patients age and the Patient Clinical Complexity Level (PCCL). 
      CONCLUSIONS: DRG developments for 2007 have improved appropriate case allocation, 
      but once again increased the system's complexity. Clinicians need an ever growing 
      amount of specific coding know-how. Still, further adjustments to the German DRG 
      system are required to allow for a correct allocation of cases and funds.
FAU - Franz, D
AU  - Franz D
AD  - Stabsstelle Medizincontrolling, DRG-Research-Group, Universitatsklinikum Munster, 
      Domagkstrasse 20, 48129 Munster, Germany. dominik.franz@smc.uni-muenster.de
FAU - Kaufmann, M
AU  - Kaufmann M
FAU - Siebert, C H
AU  - Siebert CH
FAU - Windolf, J
AU  - Windolf J
FAU - Roeder, N
AU  - Roeder N
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Unfallchirurgie und Orthopadie im G-DRG-System 2007.
PL  - Germany
TA  - Unfallchirurg
JT  - Der Unfallchirurg
JID - 8502736
SB  - IM
MH  - Diagnosis-Related Groups/*classification/economics
MH  - Economics, Medical
MH  - Germany
MH  - Humans
MH  - *International Classification of Diseases
MH  - *National Health Programs/economics
MH  - Orthopedic Procedures/*classification/economics
MH  - Societies, Medical
MH  - Wounds and Injuries/classification/economics/*surgery
EDAT- 2007/03/03 09:00
MHDA- 2007/08/19 09:00
CRDT- 2007/03/03 09:00
PHST- 2007/03/03 09:00 [pubmed]
PHST- 2007/08/19 09:00 [medline]
PHST- 2007/03/03 09:00 [entrez]
AID - 10.1007/s00113-007-1239-1 [doi]
PST - ppublish
SO  - Unfallchirurg. 2007 Mar;110(3):270-80. doi: 10.1007/s00113-007-1239-1.