Deutsche Krankenhausgesellschaft (DKG)
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1 Deutsche Krankenhausgesellschaft (DKG) German Hospital Federation Quality of medical treatment
2 Agenda The German Hospital Federation (DKG) DKG and Quality assurance -overview Organ transplantation Premature births Conclusions
3 Agenda German Hospital Federation (DKG) DKG and Quality - overview Organ transplantation Premature births Conclusions
4 Hospitals in Germany 2017 Hospitals public 697 (34,6%) Betten Non-profit 719 (35,6%) Betten private 697 (34,6%) Betten 18,7 M Cases to stay (+18 M. to go) public Non-profit private Quelle: Krankenhausstatistik 2012
5 Agenda German Hospital Federation (DKG) DKG and Quality - overview Organ transplantation Premature births Conclusions
6 This ist, what we do: Minimum standards Minimum treatment numbers Data-based quality assurance Public Reporting Hygiene Benchmark Peer Review Quality management CME Certification Financing (special aspects) Brain-death criteria Organ transplantation
7 Federal Joint Committee 3 neutral members
8 Unilateral German Hospital Federation
9 Bilateral German Hospital Federation National Association of Statutory Health Insurance Funds
10 Trilateral (G-BA) German Hospital Federation Patient representatives National Association of Statutory Health Insurance Funds
11 Quatro-lateral (G-BA) German Hospital Federation ational Association of Statutory Health Insurance Physicians Patient representatives National Association of Statutory Health Insurance Funds
12 Quinto-lateral negotiations German Hospital Federation OPO German Medical Association Sickness funds (private) National Association of Statutory Health Insurance Funds (public)
13 The eye Federal Ministry of Health Beware of the colleagues!
14 Agenda German Hospital Federation (DKG) DKG and Quality assurance - overview Organ transplantation Premature births Conclusions
15 Organ Transplantation (1) 47 Transplantation centers 140 Organ transplantation programs Federal regulation for the transplantation of Heart Lung Kidney Liver Pancreas Small intestine Ca Donor hospitals 38 University clinics 124 hospitals with neurosurgical treatment units Ca other hospitals 876 postmortal donors, decreasing
16 Organ Transplantation (2) 2501 transplanted organs, decreasing 246 hearts (decreasing) 287 lungs (increasing) 1190 kidneys (decreasing) 677 livers (decreasing) 96 pancreata (decreasing) 5 small intestine (steady)
17 DKG-Positionierung
18 Quality assurance in organ Transplantation Inhouse-coordinators in donor hospitals Directive for brain death diagnostics (German Medical Association) Organ Quality form (German Organ Transplantation Foundation, DSO) Procedural requirements for explantation, storage, transport (DSO) Evidence based allocation rules (Eurotransplant) GCP-Standards for reporting of SAE/SAR Minimum numbers (Federal Joint Committee/year) Kidneys: 25 Liver: 20 Central Commission filing unanounced inspections in Transplantation Centers, Donor Hospitals, DSO and Eurotransplant Public reporting of Quality, Hospital-specific
19 Agenda German Hospital Federation (DKG) DKG and Quality assurance - overview Organ transplantation Premature births Conclusions
20 Premature births Approx premature births/year Approx < 1250 g/birth (high risk) Both numbers rising slowly (worldwide trend) Special risks for Brain hemorrhage Infections Breathing insufficiency Retinopathy Cerebral damage Intestinal perforation
21 Quality assurance Pregnancy surveillance Identification of risk pregnancies Data based quality assurance Minimum standards 4 Levels of care (Level 1 Level 4) Minimum Staff numbers Minimum education standards Minimum building standards Minimum technical standards Minimum numbers (14 cases/year < 1250 g for highest level hospitals) Hospital-based public reporting
22 Agenda German Hospital Federation DKG and Quality assurance - overview Organ transplantation Premature births Conclusions
23 Rising Importance! Quality as an important feature of treatment Public reporting Transparency Patient emancipation Patient education Risk reduction Liability Minimization of shortcomings
24 Conclusions Quality becomes a central issue for hospitals Manage and control processes Measure quality Be transparent Take care of your staff it is the most valuable investment you have! Listen to your patients (surveys) Financial resources are crucial
25 Keep going!
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