Angaben zum Forschungsprojekt
Rehabilitanden-Management-Kategorien (RMK) - Neue Finanzierungskonzepte für das Rehabilitationssystem auf der Basis von definierten Leistungskorridoren und Qualitätsanforderungen
Ziele und Fragestellungen:
Verbundprojekt / Gefördertes Projekt / Studie
Bundesministerium für Bildung und Forschung (BMBF)
Deutsches Zentrum für Luft- und Raumfahrt e. V. - DLR Projektträger des BMBF
Deutsche Rentenversicherung Bund
Reha-Management-Categories (RMK) - New financing concepts for the Reha system on the basis of defined achievement passages and quality requirements
With the aim of achieving performance-related remuneration, DRG's (Diagnoses Related Groups) have been introduced into the health service of various countries over the past few years - albeit to differing degrees. In Germany, these have been binding in the in-patient treatment of acute cases since 1996. Corresponding approaches in the field of medical rehabilitation are limited to individual solutions or model trials. It is not possible simply to adopt the DRG's for the medical treatment of acute cases due to the particularities of medical rehabilitation. Experience so far shows that DRG's only result in more efficiency and quality within the scope of modern management concepts such as Managed Care and Total Quality Management. In terms of structural policy, pension schemes are responsible for medical rehabilitation, they also mark out the framework for the proposed project on the development and testing of rehabilitation management categories.
The aim of the project is in the first phase the empirical derivative and establishment of consensus among experts on a clinically relevant definition of rehabilitation case groups - initially for orthopaedics and cardiology - in the medical rehabilitation of the pension scheme. Progress-based benefit corridors and quality requirements are to be defined as part of this. The pre-requisites for this were created in medical rehabilitation by the classification of therapeutic services and the quality assurance programme of the pension scheme (progress- and results-based quality documentation in the rehabilitation clinics). The economic assessment of the rehabilitation case groups is limited in phase 1 to an econometric determination of costs. A more far-reaching assessment relating to price calculation is planned for phase 2 - which is not being applied for here.
In phase 1 the benefit of the project is its contribution to the Information, Quality and Network Management in the area of responsibility of the pension scheme to provide rehabilitation.