Reimbursement systems for hospital inpatients - DRG-Statistics and PEPP-Statistics
|Data Source:||Reimbursement systems for hospital inpatients - DRG-Statistics and PEPP-Statistics|
|- Contact Person:||Federal Statistical Office / Statistisches Bundesamt [Destatis] - Central Information Service|
|- Data owner:||Abteilung H, Gruppe H 1, Referat H 11|
|- Street:||Gustav-Stresemann-Ring 11|
|- Post Code/Town:||65189 Wiesbaden|
|- Telephone:||+49 611 75-2405|
|- Contact form:||https://www.destatis.de/kontakt|
|Purpose of Data Collection:||The case-flat-rate hospital statistic (DRG) is an annual full survey. It covers all hospitals billing in compliance with the DRG system and are subject to the scope of Section 1 KHEntgG. This also includes hospitals of the Bundeswehr, insofar as these treat civilian patients and clinics of the employers' liability insurance association , insofar as the treatment costs are not reimbursed by the accident but the health insurance. Excluded criminal and forensic psychiatric hospital and police hospitals.|
Services provided by psychiatric and psychosomatic institutions in accordance with article 17d (1) of the Hospital Finance Act (KHG) are proven within the framework of the PEPP statistics. This includes specialist hospitals and independent, by special doctors leded departments at somatic hospitals for the specialty of psychiatry and psychotherapy, child and adolescent psychiatry and psychotherapy as well as psychosomatic medicine and psychotherapy.
|Legal Base:||The legal basis is article 21 (3) sentence 1 No. 4 Hospital Fees Act (KHEntG) i. V. m. article 28 (4 Hospital Finance Act) and the Federal Statistics Act (BStatG). The text of the national legislation, as amended, can be found at https://www.gesetze-im-internet.de.|
|Data Collector:||Hospitals submit their data to the hospital payment system hnstitute (InEK) on 31 March for the previous calendar year.|
|Reporting Stations:||This survey is a secondary statistic. Pursuant to article 21 of the KHEntgG, hospitals are obliged to provide well-defined hospital-related structural and case-related performance data. Hospitals submit their data to the Hospital Remuneration System Institute (InEK) on 31 March for the previous calendar year. Pursuant to article 21 paragraph 3 KHEntG, the contracting parties at the federal and state level, the state authorities responsible for hospital planning and the Federal Statistical Office receive data from the data pool in accordance with article 21 KHEntG.|
|Object under Review:||In addition to socio-demographic characteristics of patients (e.g. age, gender, postcode), the type of disease is identified in particular after main and secondary diagnoses, surgeries and procedures, length of stay and specialist department, as well as the type and extent of the lump compensation and compounding fees for psychiatry and psychosomatics.|
|Interviewees:||Hospitals in accordance with article 1 KHEntgG and article 17d of the KHG as well as fully hospitalized patients (cases).|
|- Instruments:||The allocation of hospital cases to flat-rate cases and flat-rate charges is made on the basis of data sets by means of a licensed computer program (so-called "grouper") based on diagnoses and procedures as well as additional case-related characteristics (e.g. age and sex of the patients, length of stay, duration of mechanical ventilation, etc.) generated. After the data export, the hospitals transmit the machine-readable and encrypted files with the data in accordance with article 21 KHEntgG to the InEK. The data is transmitted to the Federal Statistical Office every year until 1 July.|
|- First:||Based on the DRG statistics, the data will be available from the reporting year 2005 and on the basis of the PEPP statistics from 2018.|
|- Regular:||In the publication service of the Federal Statistical Office there is a detailed presentation of the flat rate related hospital statistics (DRG statistics) surgeries and procedures of the full inpatient patients in hospitals (4-digits level).|
Results of the surgeries and procedures up to the level of the encodeable endpoints (6-digits level) can be obtained on request at the price of 120 € directly from the specialist department. Special evaluations are also available (depending on the scope and effort, possibly fee required).
Data on among secondary diagnoses of patients as well as surgeries and procedures are available at the Information System for Health Reporting (IS-GBE) and at the GENESIS Online Database.
Access to microdata
The research data centre of the Federal and State Statistical Offices offers statistics in its data offerings.
|Completeness, Sample Proportion and Representativity:||As this is a full survey, only non-sampling errors can occur. For example, errors on the recording basis can arise from the fact that data deliveries of individual hospitals are not transmitted to the InEK on time or only incompletely. In these cases, there would be an under-coverage of both hospitals and patients. Detailed information to what extent it fundamentally can be assumed that all elements of the population are included in the survey are not available to the Federal Statistical Office. However, due to the nature of the data as accounting data of hospitals, it can be assumed that a complete collection is available as far as possible.|
|Comparable Data Sources:||Various characteristics of hospitals and hospital patients are recorded both in the basic data of the hospitals and in the diagnosis data. Some of these have significant deviations (e.g. in the number of cases and length of stay). This is mainly due to the fact that, unlike the basic and diagnostic data of the official hospital statistic, the DRG statistic does not include facilities and patients that are outside the scope of the DRG remuneration system. These are mainly psychiatric and psychosomatic institutions or psychiatric and psychosomatic patients; they are documented within the framework of the PEPP statistics. Insofar, these statistics are only partially comparable and rather to be regarded as a mutual supplementing|
|Last Update:||June 9, 2022|
The Federal Health Monitoring System 4 Dec 2022