Surgical management of congenital heart disease: contribution of the Aristotle complexity score to planning and budgeting in the German diagnosis-related groups system. Pediatr Cardiol 2012 Jan;33(1):36-41
Date
07/30/2011Pubmed ID
21800173DOI
10.1007/s00246-011-0070-1Scopus ID
2-s2.0-84863479774 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
Planning and budgeting for congenital heart surgery depend primarily on how closely reimbursement matches costs and on the number and complexity of the surgical procedures. Aristotle complexity scores for the year 2010 were correlated with hospital costs and with reimbursement according to the German diagnosis-related groups (DRG) system. Unit surgical performance was estimated as surgical performance (complexity score × hospital survival) times the number of primary procedures. This study investigated how this performance evolved during years 2006 to 2010. Hospital costs and reimbursements correlated highly with Aristotle comprehensive complexity levels (Spearman r = 1). Mean costs and reimbursement reached 35,050<euro> ± 32,665<euro> and 31,283<euro> ± 34,732<euro>, respectively, for an underfunding of 10.7%. Basic and comprehensive unit surgical performances were respectively 3036 ± 1009 and 3891 ± 1591 points in 2006. Both performances increased in sigmoid fashion to reach 3883 ± 1344 and 5335 ± 1314 points, respectively, in 2010. Top performances would be achieved in year 2011, and extrapolated costs would comprise about 19,434,094.92<euro> (95% confidence interval, 11,961,491.22-22,495,764.42<euro>). The current underfunding of congenital heart surgery needs correction. The Aristotle score can help to adjust reimbursement according to complexity of procedures. Unit surgical performance allows accurate budgeting in the current German DRG system.
Author List
Sinzobahamvya N, Photiadis J, Kopp T, Arenz C, Haun C, Schindler E, Hraska V, Asfour BMESH terms used to index this publication - Major topics in bold
BudgetsCardiac Surgical Procedures
Diagnosis-Related Groups
Germany
Heart Defects, Congenital
Hospital Costs
Hospital Mortality
Humans
Severity of Illness Index
