von Dercks Nikolaus, Körner Christian, Heyde Christoph-E, Theopold Jan
Stabstelle Medizincontrolling, Universitätsklinikum Leipzig AöR, Liebigstraße 18, Haus B, 04103, Leipzig, Deutschland.
Bereich Finanzen und Controlling, Universitätsklinikum Leipzig AöR, Leipzig, Deutschland.
Orthopade. 2020 Jun;49(6):494-501. doi: 10.1007/s00132-020-03926-4.
The corona pandemic poses enormous financial challenges for hospitals. Using the example of a clinic for orthopaedics and trauma surgery, the performance development of the first 5 weeks in comparison to last year and an evaluation of the compensation measures laid down by law will be evaluated.
Based on the performance figures, a comparison is made between the period 16.03 to 17.04.2019 and the same period in 2020. Changes in the number of cases, case mix, case-mix index and day-mix index, as well as the occupancy days are recorded. The monetary measures from the COVID-19 Hospital Relief Act are applied to these changes, and the adequacy is evaluated.
Compared to last year, there was a decrease in inpatient admissions of n = 307 patients in the observation period. As a result, there was a decrease of 595 points in case mix and 2320 days of occupancy. This results in a decrease in revenue of approximately EUR 1.9 million. The flat rate for empty beds represents the largest monetary compensation for the loss of revenue. It amounts to approximately EUR 1.3 million. Taking into account further support and an adjustment for variable costs, a deficit of EUR 382,069 remains for 5 weeks.
The measures taken by the Government are an important pillar for the economic security of German hospitals. The lack of differentiation of measures by specialty leads to insufficient compensation for orthopaedics and trauma surgery.
新冠疫情给医院带来了巨大的财务挑战。以一家骨科和创伤外科诊所为例，将评估与去年相比前5周的绩效发展情况以及对法定补偿措施的评估。
根据绩效数据，对2019年3月16日至4月17日期间与2020年同期进行比较。记录病例数量、病例组合、病例组合指数和日组合指数的变化以及占用天数。将《2019冠状病毒病医院救助法案》中的货币措施应用于这些变化，并评估其充分性。
与去年相比，观察期内住院患者入院人数减少了n = 307例。结果，病例组合减少了595分，占用天数减少了2320天。这导致收入减少约190万欧元。空床定额补贴是收入损失的最大货币补偿。金额约为130万欧元。考虑到进一步的支持和可变成本的调整，5周内仍有382,069欧元的赤字。
政府采取的措施是德国医院经济安全的重要支柱。措施缺乏按专科区分导致骨科和创伤外科的补偿不足。
