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RNSL102 - IS-H: BPflV 1995 L 1 - Patient Census Statistics of the Hospital

RNSL102 - IS-H: BPflV 1995 L 1 - Patient Census Statistics of the Hospital

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Description

The program creates the L1 - Patient Census Statistics of the Hospital required by the Federal Regulation for Hospitals in Germany (Bundespflegesatzverordnung 1995).

Requirements
Case logging in the L1 statistics is available for the Days not covered by flat rate per case, Days covered by flat rates per case, Admissions and Discharges rows.

If, when the maximum length of stay covered by a flat rate is reached, a discharge from the flat rate area and an admission into the budget area (days not covered by flat rate per case) is to be counted, select Count case when max. LOS reached. Refer to the F1 field documentation.

If the statistical figures are to be output in a separate Actual figures column, select Output figures in separate column. Also refer to the corresponding field documentation.

The billing days in the budget patient area (days not covered by flat rate per case) and the days covered by flat rate per case in the flat rate area are calculated on the basis of service periods and not on the basis of movements. This contrasts with the calculation logic employed by other IS-H statistical evaluations (e.g. midnight census statistics and occupancy statistics of the old BPflV) where billing days are calculated on the basis of movement periods. This excludes any comparison with the billing days of the 'old' statistics.
Days covered by flat rate per case in day patient cases are not calculated before IS-H Release 4.01A. As of IS-H Release 4.01A, days covered by flat rate per case for flat rate cases are output for day hospital cases if the "day hospital" indicator is set for the corresponding admission type.

Output

The output corresponds to the BPflV 1995 - L1 Statistics form in compliance with the Service and Costing Statement (LKA - Germany).

The Agreement for the current nursing charge period column is not filled the first year the program is run. In subsequent years, you must enter the figures from the Agreement column of the LKA of the previous year here.
The figures of the respective rows for the evaluation period or comparison period are output in the Request for the nursing charge period, if you did not select Output figures in separate column. If this option is selected, the figures are output in the Actual figures column.
The Agreement for the nursing charge period column is not filled by the hospital.

The following rows are output:

  • Planned beds w/o intensive care
The planned beds are determined from the entries in the statistical bed capacity figures (Hospital -> Basic data administration -> Hospital structure -> Org. structure -> Statistical beds, Total planned beds field).

  • Planned beds with intensive care
The number of planned beds without intensive care plus the number of intensive care beds is output in this row. An intensive care bed is a planned bed within the statistical bed capacity figures that is assigned to a departmental or nursing organizational unit or to a specialty for which the intensive care indicator is set. (Hospital -> Basic data administration -> Hospital structure -> Org. structure -> Statistical beds, Total planned beds field).

  • Rate of use of planned beds
The rate of use is calculated by dividing the sum of the billing days in the budget patient area and the days covered by flat rate per case in the flat rate area by the product of the planned bed capacity figures with intensive care and of the number of days in the evaluation or comparison period.

Billing days in the budget area + days covered by FR in FR area
----------------------------------------------------------------
Planned beds with intensive care * number of days

  • Days not covered by FR/case (billing days in budget patient area)
Billing days are calculated under §14 sections 2 and 7 BPflV 1995.
Two attributes of a case are relevant for outputting the billing days: the patient's length of stay and service period. The length of stay that is determined using the inpatient movements of a case decides whether billing days are determined for a case. The patient's stay must be completely or partially contained in the evaluation period or comparison period. The actual calculation is made using the service periods in which only services of the charge type general nursing charge (10), departmental per diem charge (12 and 13) and day patient nursing charge (14) are considered. The program only outputs the billing days occurring within the evaluation period or the comparison period.

  • including BD for patients with PS

This column contains the portion of billing days for which a discount on the departmental per diem charge is calculated on the basis of a surgical and general procedures surcharge (charge type 20 and 21).

  • including BD for day patients

This column contains the portion of billing days that was calculated for day patients.

  • Length of stay
The length of stay is calculated by dividing the number of inpatient billing days in the budget patient area by the number of inpatient cases

BD in budget patient area - BD for day patients
------------------------------------------------
(Full) inpatient cases

  • Days covered by flat rates per case
Days covered by flat rate per case are calculated in the same way as the billing days. Here, however, the maximum length of stay pertaining to services of the charge type flat rate per case (30) is used in place of the service period. When the maximum length of stay covered by a flat rate per case is reached, the interval as of this limit in the Days not covered by flat rate per case row is charged for only inasmuch as the interval is covered by a general nursing charge (10), a departmental per diem charge (12 and 13) or a day patient nursing charge (14).

  • Admissions
Admissions include all patients who are admitted for inpatient treatment. If a flat rate patient reaches the maximum length of stay (max. LOS) covered by the flat rate, the evaluation only counts an admission (into the budget patient area) if Count case when max. LOS reached is selected (for more information, refer to the F1 field help). Day patient admissions are not included in this count.

  • Discharges
Discharges include all departures of patients who are transferred into an external facility at the end of an inpatient stay or who are deceased in the hospital. If a flat rate patient reaches the maximum length of stay (max. LOS) covered by the flat rate, the evaluation only counts a discharge (from the flat rate area) if Count case when max. LOS is selected (for more information, refer to the FI field help). Day patient discharges are not included in this count.

  • including transfers to ext. hospitals

The number of discharges to external facilities from the sum total of discharges is output here. These are discharges of the discharge type Discharge into ext. hospital.

  • Cases with pre-adm. treatment only
This is the number of cases that despite pre-admission treatment do not have an inpatient admission. In the IS-H System these are outpatient cases or inpatient cases with planned admission with at least one visit of the visit type pre-admission visit. This row also includes cases whose inpatient admission occurs outside of the statistical evaluation period, but whose pre-admission visit occurs inside the period (e.g. visit in old year, inpatient admission in new year).

  • Inpatient cases w/o flat rate per case
The inpatient cases in the budget patient area are calculated as follows:

Admissions + Discharges
------------------------
2

Admissions and discharges (within the max. LOS) of flat rate patients are not taken into account here. Admissions, which are counted owing to the maximum length of stay (max. LOS) of a flat rate per case patient being reached, are included in this row.

  • including: short-stay patients

Short-stay patients are patients who are hospitalized for up to and including three billing days. Here the relevant billing days are those of the complete stay and not those within the evaluation period or comparison period.

  • including those with pre-adm. treatm.

The number of inpatient cases with pre-admission treatment are output separately here. In the IS-H System, a pre-admission treatment is determined by an inpatient case having at least one visit of the visit type pre-admission treatment.

  • including those with post-dis. treatm.

The number of inpatient cases with post-discharge treatment are output separately here. In the IS-H System, a post-discharge case is determined by an inpatient case having at least a visit of the visit type post-discharge treatment.

  • incld. those with day patient treatm. (5th amendment)

The number of inpatient cases with additional day patient treatment are output separately here. In the IS-H System, an additional day patient treatment is determined by the inpatient case being assigned to a day patient case (case-to-case assignment with internal function 6 (parallel day patient case).

  • Day patient cases w/o FR
The day patient cases are calculated as follows:

Day patient admissions + day patient discharges
------------------------------------------------------
2

Day patient admissions and discharges here also include a day patient stay that extends from one quarter into the next, where the discharge at the end of one quarter (e.g. 06/30) and the admission at the start of the next quarter (07/01) is counted.
Day patient cases that are assigned to an inpatient case using a case-to-case assignment with the internal function 6 (parallel day patient case) are not counted here.

  • Cases with flat rates per case
The number of cases of flat rate patients is calculated as follows:

Admissions + discharges
------------------------
2

Only the admissions and discharges (within the max. LOS) of flat rate patients are taken into account here (patients with a service of the charge type flat rate per case (30)). Discharges that are counted as the result of the maximum length of stay (max. LOS) of a flat rate patient being exceeded are not included in this row.

  • incld. max. length of stay exceeded (5th amendment)

If a patient reaches the maximum length of stay covered by the flat rate a case is counted in this row. As of the day when the max. LOS is reached, the billing days are included in the Days not covered by flat rate per case row. However, there is no additional budget case.






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