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RNSL302 - IS-H: BPflV 1995 L 3 - Patient Census Statistics of Departments

RNSL302 - IS-H: BPflV 1995 L 3 - Patient Census Statistics of Departments

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Description

This report creates the L3 statistics (occupancy data of the department or OU-related occupancy statistics) required by the Federal Regulation for Hospitals (Bundespflegesatzverordnung) 1995 in the country version Germany.

Requirements

The case log in the L3 statistics is available for the rows Days not covered by flat rate per case, Days covered by flat rates per case, Admissions, and Discharges. Note that case logging is only possible for the complete figures. For this reason, you must not flag the option Totals sheet when evaluating a single speciality/organizational unit to be able to call the case log for this one specialty/organizational unit.

You can execute the statistics program in three different variants:

  • For specialties (actually L3 statistics according to BPflV 1995 LKA)
The figures are output according to specialty. If you want to execute the evaluation only for particular specialties, specify these accordingly.
  • For departmental OUs
The figures are output according to organizational units assigned on a nursing basis. The figures are additionally extrapolated and output for the higher-level organizational units in the organizational hierarchy. If you want to execute the evaluation only for particular organizational units, specify these accordingly.
  • For nursings OUs
The figures are output according to organizational units assigned on a nursing basis. The figures are additionally extrapolated and output for the higher-level organizational units in the organizational hierarchy. This means that the nursing evaluation contains the figures from the departmental evaluation. If you want to execute the evaluation only for particulare organizational units, specify these accordingly. This also applies for departmental organizational units, if the figures are to be extrapolated for them.

If, when the maximum length of stay is reached, the system is to count a discharge from the flat rate per case area and an admission in the "budget" area, flag the option Count case when maximum LOS reached. Read the documentation on this option.

If you want the program to evaluate only the last departmental stay,or stay in an organizational unit of one day, flag the option Include only last stay of day. Read the documentation on this option.

To optimize the readability of the statistics, you can output the figures for each specialty/organizational unit on a separate page. To do this, flag the option New page on change of specialty/OU.

If you want to output the figures of the specialty-related statistics in the separate column labeled Actual figures, flag the option Output figures in separate column. Read the documentation on this option. This flag is without effect in the OU-related evaluation.

If a totals sheet is to be output at the end of the statistics, flag the option Totals sheet. Read the documentation on this option.

The billing days in the "budget" area and the days covered by flat rate in the flat rate per case area are determined on the basis of the service intervals rather than movements. This information is important since other statistics in IS-H (midnight census and patient census statistics of the old BPflV) determine the billing days on the basis of the movement intervals. This rules out any comparison with the billing days of the "old" statistics.
Days covered by flat rate per case are not determined for day patient cases before IS-H Release 4.01A. As of Release 4.01A, days covered by flat rate per case are output for day hospital cases, if the option Day hospital is flagged in the corresponding admission type.
The program handles the figures of an intensive care specialty or organizational unit as follows:
The figures of intensive care medicine are directly output for the specialty/organizational unit Intensive care medicine. Note that the specialty/organizational unit with beds only counts one case if the patient is transferred back into the same specialty/ organizational unit with beds from which the case was transferred into intensive care medicine.
The figures of intensive care medicine are not transferred to the specialty/organizational unit with beds (see second ordinance for changes to the Federal Regulation for Hospitals, Article 1, Section 1, Point 12c, August 95).

Output

The output from the specialty-related evaluation corresponds to the form of the BPflV 1995 - L3 Statistics according to the Service and Pricing Listing (Leistungs- und Kalkulationsaufstellung (LKA)).

The column Agreement for the current nursing charge period is not filled in the first year. In the subsequent years, you have to enter the figures from the column Agreement of the LKA of the previous year here.
The figures of the rows for the evaluation period or for the comparison period are output in the column Request for the nursing charge period, if you haven't flagged the option Output figures in separate column. If you have flagged this option, the figures are output in the column labeled Actual figures.
The column Agreement for the nursing charge period is not filled by the hospital.

In the OU-related evaluation, the figures are not output in accordance with the LKA form, but without a heading and to the right of the relevant row text.

The following rows are output:

  • Planned beds w/o intensive care
The planned beds are determined from the specifications made for the statistical bed figures (Hospital -> Basic data administration -> Hospital structure -> Organizational structure -> Statistical beds, field Total planned beds. Note here that the bed figures must always be specified for the organizational units located at the lowest level in the hierarchy only. The bed figures are extrapolated for organizational units located higher up in the hierarchy, however only as far as the highest organizational unit that has departmental assignment authority. If you specify bed figures for an organizational unit located higher up in the hierarchy, the figures of the organizational units below it will be ignored completely.

  • 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 figures (Hospital-> Basic data administration -> Hospital structure -> Organizational structure -> Statistical beds, field Total planned beds) that is assigned to a departmental or nursing organizational unit or to a specialty flagged as providing intensive care.

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

BD in budget area + days covered by FR
-------------------------------------------------
Planned beds with intensive care x number of days

  • BD in budget area
Billing days are determined in accordance with §14 Sections 2 and 7 BPflV 1995.
Two attributes of a case are relevant for outputting the billing days: The length of stay in the specialty/organizational unit and the service intervals. The length of stay, which is defined via the inpatient movements of a case, decides whether billing days will be determined for a caes. The stay in a specialty/organizational unit must occur completely or partially within the evaluation period or comparison period. The actual calculation is based on the service intervals, whereby only services of the charge type general nursing charge (10), departmental per diem (12 and 13), and daypatient nursing charge( 14) are considered. Only the billing days that occur within the evaluation period or the comparison period are output.

  • including BD for patients with PS

This row indicates the number of billing days for which a surgical procedures surcharge or a general procedures surcharge (20 and 21) gives rise to a discount on the departmental per diem charge.

  • including BD for day patients

This row indicates the number of billing days that is calculated for day patients.

  • Length of stay
The length of stay results from dividing the inpatient billing days in the budget area by the inpatient case figures.

BD in budget area - BD for day patients
------------------------------------------------
Impatient cases

  • Days covered by flat rate per case
Days covered by flat rate per case are determined in the same manner as billing days with the exception that the maximum length of stay relating to services of the charge type flat rate per case (30) is used instead of the service validity. When the maximum length of stay covered by a flat rate per case is reached, the period as of this date is transferred to the row BD in Budget Area only if the period id covered by a general nursing charge(10), a departmental per diem (12 and 13) or a day-patient nursing charge (14).

  • Admissions
All patients that were admitted for inpatient treatment including internal transfers from other departments/organizaional units are treated as admissions. If a flat rate per case patient reaches the maximum length of stay (MLS), an admission (in the budget area) is only counted if you select the option to include the case if the MLS is reached. Read the field documentation. Day-patient admissions are not counted here.

  • Discharges
All departures of patients discharged after an inpatient stay, transferred to another hospital or to an other department/OU or who die in hospital are considered discharges. If a flat rate per case patient reaches the MLS, a discharge (from the flat rate per case area) is only counted if you select the option to include the case if the MLS is reached. Refer to the field documentation. Day-patient discharges are not counted here.

  • Including: External Transfers

The number of external transfers included as discharges is displayed separately here. This refers to discharges of discharge type Discharge to external hospital.

  • Cases with Pre-Admission Treatment
This refers to the number of cases that were not admitted as inpatients despite pre-admission treatment. In IS-H, this includes outpatient cases or inpatient cases with planned admission and at least one visit or visit type Pre-admission treatment. Cases are also included in this row that were admitted as inpatients following the evaluation period for statistics but with pre-admission visits during this period (e.g. visits at the end of one year and inpatient admission in the new year). The case is added to the specialty/OU to which the visits are assigned.

  • Inpatient Cases in Budget Area
The number of inpatient cases is determined as follows:

Admissions + Discharges + Internal Transfers to/from
-----------------------------------------------------
2

Admissions and discharges (within the MLS) of flat rate per case patients are not taken into account here. Admissions, when a flat rate per case patient reaches the maximum length of stay (MLS), are included in these rows.

  • Including: Short-Stay Patients

Short-stay patients are patients that stay up to and including 3 billing days in the specialty/OU. The billing days within the evaluation period are not relevant here but the billing days of the entire stay in the specialty or OU. Note that each stay in a specialty or OU is counted separately, i.e. several stays in the same specialty or OU are only combined if they are not separated by a stay in another specialty or OU. This is because this row is a sub-total of the Inpatient cases in budget area row, in which several separate stays in one specialty/OU are counted as several internal transfers.

  • Including: With Pre-Admission Treatment

The number of inpatient cases with pre-admission treatment is shown separately here. If a patient is transferred internally, the pre-admission treatment is assigned to the first admitting specialty/OU. In IS-H, pre-admission treatment is defined as an inpatient case with at least one visit with the visit type pre-admission treatment.

  • Including: Post-Discharge Treatment

The number of inpatient cases with post-discharge treatment is shown separately here. If a patient is transferred internally, the post-discharge treatment is assigned to the last discharging specialty/OU. In IS-H, post-discharge treatment is defined as an inpatient case with at least one visit with the visit type post-discharge treatment.

  • Including: Day-Patient Treatment (5th Ammendment)

The number of inpatient cases with additional day-patient treatment is shown separately here. The day-patient treatment is assigned to each stay in a specialty/OU. In IS-H, additional day-patient treatment is defined as an inpatient case with a case to case assignment maintained for a day-patient case with the internal role 6 (parallel day-patient case).

  • Day-Patient Cases in Budget Area
The number of day-patient cases is determined as follows:

Day-patient adm. + day-patient discharge. + internal trans. to/from
--------------------------------------------------------------------
2

Day-patient admission and discharge refers here to a day-patient stay which crosses into a new quarter, where the discharge is counted as the end of the quarter (e.g. 06/30) and the admission as the beginning of the quarter (e.g. 07/01). The number of cases is assigned to the assignment valid at the end of the quarter.
Day-patient cases that are assigned to an inpatient case via a case-to-case assignment with the internal role 6 (parallel day-patient case) are not counted here.

  • Cases with Flat Rates per Case
The number of cases with flat rate per case patients is determined as follows:

Admissions + discharges + internal transfers to/from
-----------------------------------------------------
2

Only admissions, discharges (within the MLS) and transfers of flat rate per case patients are counted here. (Patients with a service with charge type 30 flat rate per case). Discharges when the flat rate per case patient reaches the maximum length of stay are included here.

  • Including: Exceeding MLS (5th Ammendment)

If a patient reaches the maximum length of stay, a case is counted here. From the day of MLS on, the billing days are also counted in the BD in budget area row, but there is no additional budget case.






TXBHW - Original Tax Base Amount in Local Currency   SUBST_MERGE_LIST - merge external lists to one complete list with #if... logic for R3up  
This documentation is copyright by SAP AG.

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