Goals of G-DRG introduction | |||
---|---|---|---|
Improving efficiency | Improving transparency | Author’s recommendation | |
Resource allocation at hospital level | |||
The groundwork | Medium standard/improvements necessary | High standard/small improvements possible | Inclusion of all DRG-relevant costs |
Cost-center accounting | High standard | High standard | - |
Patient-level costing | Medium standard/improvements necessary | High standard/small improvements possible | Improving key cost drivers and further introduction of TDABC |
Tariff calculation at national level | |||
Plausibility checks | High standard/small improvements possible | High standard/small improvements possible | Improving transparency on reasons for calculation errors |
Inlier calculation | Low standard/improvements necessary | High standard | Combining normative derivation with the cost outlier concept |
The “one hospital” approach | Low standard/improvements necessary | Low standard/improvements necessary | Increasing participation by a lower costing standard parallel to the currentstandard, to reduce participation bias |