Ensuring Quality in Interdisciplinary Inpatient Chronic Care

Abstract

Pay for Quality (P4Q) concepts are discussed as solution for ensuring quality in health care in the context of budgetary concerns. However, little is known regarding the application to and effectiveness for complex chronic treatments. This article describes the incentivization approach taken in Germany, where complex codes requiring specific quality criteria were implemented into the Diagnosis Related Groups (DRGs) system. Using two examples (early complex geriatric rehabilitation, multimodal rheumatological complex treatment), we analyze the quality indicators according to the Donabedian Model and contrast the effects regarding compensation to traditional treatments. In total, the approach allows taking into account treatment and financial requirements.

COVID-19 Patient with Severe Comorbidity in Multimodal Acute Care Setting with Non-Invasive Medical Ventilation: A Clinical Outcome Report

“…This investigation contributes by reporting on reasonable options of treatment for specific patients. Further studies on COVID-19 should focus on therapeutic procedures that include both mechanical ventilation and conservative treatment methods, while taking comorbidities and chronic care in the context of a holistic approach into account [ 44 ]. Scientific work should also consider patient experience (quality of life, sensation of pain, physical functions, mental well-being, etc.).…”

The Development of a Public Bathroom Perception Scale

“…As we showed, public bathrooms use is an appropriate topic for people that, related to negative expectations, show reticence to use but do not to avoid the use of them. Through the evaluation of constructed environments with some simple items, designers might improve the quality of the offered products and satisfy a fundamental human need, ensuring a good experience, and also provide an integrative health response to different chronically ill patients [78]. Our proposed scale may enhance the design of public bathrooms to build better environments focusing more on the user's perspective and needs.…”

Patient-Reported Outcomes Following Inpatient Multimodal Treatment Approach in Chronic Pain-Related Rheumatic Diseases

“…This includes all salaries, medicinal products, pharmaceuticals, and the costs of the entire medical and nonmedical infrastructure. 11 This scientific investigation analyses the average hospital compensation, with and without complex treatment, for the medical conditions mentioned above, and the developments.…”

“…10 In addition to effectively treating the ailments, this can contribute to increasing patient satisfaction. 11 Health policy makers should, therefore, aim to develop adequate care concepts that take full account of the needs of pain patients and also financially cover the necessary resources for service providers.…”

“…Multimodal treatments, aimed at effective and efficient care for patients with acutely exacerbated chronic pain, are among the range of available options 12 and are also reported to increase patient satisfaction. 11 Four medical conditions that are treated with multimodal complex treatment are presented below. They were selected because they are associated with pain, impaired physical functions, and worsening quality of life, a combination that covers all aspects requiring complex treatment.…”