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RNSL101 - IS-H: BPflV L 1 - Diagnosis Statistics

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Description

Report RNSL101 creates the statistics L1 - Diagnosis Statistics or statistics L4 - Diagnosis Statistics as required by the Federal Regulation for Hospitals (Germany).

Requirements

If you only want certain diagnoses to be output, enter this here. However, the restriction is only made after the hospital or specialty main diagnosis has been determined. Therefore, this only improves system performance slightly.

Search sequence for diagnosis:

• Diagnosis relevant for statistics

• Diagnosis 1

• Diagnosis 2
  

If you select Evaluation for all catalogs, you can create diagnosis statistics for time periods in which more than one statistics catalog is valid. The catalog is determined when the case is transferred from a department or discharged from the hospital. You must also select these evaluation variants if the changeover from catalog ICD-9 to ICD-10 was within the evaluation period.

If you select Without foreign cases, you can exclude foreign cases from the statistics. Refer to the documentation for this field.

If you start the statistics as hospital-related, then hospital main diagnosis are evaluated, if you start it as specialty-related, then specialty main diagnosis are evaluated.

The statistics require the patients to be divided into different age groups. (Go to Customizing for IS-H, Information Systems -> Statistics Structure -> Define Age Grouping.

Age group classification for statistics

Select Lower-level specialties to view the lower-level specialties (hierarchy maintenance in Customizing for IS-H, under Hospital Basic Data -> Hospital Structure -> Organizational Structure -> Maintain Specialty Hierarchy and select the corresponding option. You can also display the departmental OUs belonging to the selected specialties.

Output

Depending on whether you have started the statistics as hospital or specialty related, either hospital or specialty main diagnosis are outpit.

In the L1 Diagnosis Statistics (RNSL101), movements assigned to intensive care medicine via the departmental organizational unit are assigned to the transferring departmental organizational unit - if available - or the admitting departmental organizational unit - if available. (A movement is always assigned to intensive care medicine if the specialty has an intensive care indicator or, if no specialty is available, the departmental organizational unit has an intensive care indicator.)
In the L4 - Departmental Statistics (RNSL402), you use Display intensive care stays for transferring specialty to control how figures for intensive care are to be evaluated. Do not select this option if you want the figures from the intensive care specialty to be included in the statistics. The figures are then output directly for intensive care. Note that specialties allowing for beds are only counted as one case if the patient is returned to the specialty he/she was in before being transferred to intensive care.

Determining the specialty/department main diagnoses

For every department stay of a case, one diagnosis must be flagged as a department main diagnosis. These diagnoses are evaluated by the statistics.

For specialties and organizational units, the diagnosis which refers to the longest stay in a department is used as the department main diagnosis. If the length of stay of two diagnoses is identical, the one with the later diagnosis date is chosen. If this is also identical, the diagnosis which refers to a later movement is chosen.
If a diagnosis has no creation date (not to be confused with the entry or change date), this is then set to the start of the movement to which the diagnosis refers.

Determining hospital main diagnoses

When entering of the diagnoses of a case, you can enter whether it is a hospital main diagnosis. The corresponding indicator is evaluated by the statistics.

If no diagnosis of a case is characterized as a hospital main diagnosis, this is chosen using the same procedure as for determining the department main diagnoses.

Determining the surgeries or patients who have had surgery

The number of surgeries or patients who have undergone surgery is determined from the surgery specification in diagnosis maintenance. When the program evaluates the complete hospital, it takes into account not only the specification for the hospital main diagnosis itself but also the specification for other diagnoses of the case with the code of the hospital main diagnosis.

The main diagnoses of the patients discharged from the specialty/department or institution are output for each specialty/department or the entire institution, sorted by age groups.

The following is output for each diagnosis:

• The number of cases = number of cases discharged from the department/hospital.

• The average length of stay = patient days / number of cases (L1) or billing days + days covered by flat rate per case / number of patients discharged (L4).

• The number of surgeries related to the diagnosis (L1) or the number of patients operated related to the diagnosis (L4).

Note regarding evaluation for all catalogs: Diagnoses with the same keys from different catalogs are not cumulated. Diagnosis '100' from catalog '01' and '100' from catalog '02' are treated as seperate diagnoses.

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