The Knowledge of Medical Professionals from Selected Hospitals in the Lubelskie Province about Diagnosis-Related Groups Systems

• Authors: Petre Iltchev , Aleksandra Sierocka , Sebastian Gierczyński , Michał Marczak
• Languages of publication: EN

Abstracts

EN

Health information technology (IT) in hospitals can be approached as a tool to reduce health care costs and improve hospital efficiency and profitability, increase the quality of healthcare services, and make the transition to patient-centered healthcare. A hospital’s efficiency and profitability depends on linking IT with the knowledge and motivation of medical personnel. It is important to design and execute a knowledge management strategy as a part of the implementation of IT in hospital management. A Diagnosis-Related Groups (DRG) system was introduced in Poland in 2008 as a basis for settlements between hospitals and the National Health Fund (NHF). The importance and role of a DRG system in management of healthcare entities was emphasized based on a survey of medical professionals from two hospitals in the Lubelskie province. The goal of a survey is to assess the knowledge of medical professionals about the DRG system and how the medical personnel uses the DRG system in order to achieve the strategic goals of the organization. A newly developed survey was used to assess the medical personnel’s knowledge of DRG, using 12 closed and 5 open questions. The survey was conducted on 160 medical employees from two hospitals in the Lubelskie province. In conclusion, medical personnel’s DRG knowledge unambiguously contributes to reducing hospital costs and increasing profitability. The DRG related knowledge enables personnel to obtain value from data by applying DRG data-driven decisions.

• Publisher: Sciendo
• Journal: Studies in Logic, Grammar and Rhetoric
• Year: 2013
• Volume: 35
• Issue: 1
• Pages: 191-201

Dates

published

2013-12-01

online

2013-12-31

Contributors

author

Petre Iltchev

• Chair of Health Care Policy, Medical University of Lodz, Poland

author

Aleksandra Sierocka

• K. Jonscher Hospital in Lodz, Poland

author

Sebastian Gierczyński

• Chair of Health Care Policy, Medical University of Lodz, Poland

author

Michał Marczak

• Chair of Health Care Policy, Medical University of Lodz, Poland

References

• Busse, R., Geissler, A., Quentin, W., & Wiley, M. (Eds.). (2011). Diagnosis-Related Groups in Europe. Moving towards transparency, effciency and quality in hospitals. Open University Press. World Health Organization 2011 on behalf of the European Observatory on Health Systems and Policies. Retrieved from http://www.euro.who.int/ data/assets/pdf file/0004/162265/e96538.pdf.
• Charlesworth, A., Davies, A., & Dixon, J. (2012). Reforming payment for health care in Europe to achieve better value (Research report). Retrieved from: http://www.kpmg.no/arch/img/9826485.pdf.
• ECRI Institute. (2012). Electronic Health Records: Is your hospital making all the right connections? in: ECRI Institute’s top 10 C-suite watch list. Hospital Technology issues for 2012 (pp. 2-3). Retrieved from: https://www.ecri.org/Forms/Documents/ECRI_Institute_Top_10_C-Suite_Watch_List_Hospital_Technology_Issues_for_2012.pdf.
• HealthLeaders Media. (2010). HealthLeaders Media Breakthroughs. HIT that enables quality, efficiency and value. Retrived from http://www.healthleaders media.com.
• HealthLeaders Media. (2011). HealthLeaders Media Impact Analysis. ICD-10 skating on thin margins. Retrived from http://www.healthleadersmedia.com.
• HOPE - European Hospital and Healthcare Federation. (2006). DRG as a financing tool. Retrieved from http://www.hope.be/05eventsandpublications/docpublications/77_drg_report/77_drg_report_2006.pdf.
• LaValle, S., Hopkins, M., Lesser, E., Shockley, R., & Kruschwitz, N. (2010). Analytics: The new path to value. How the smartest organizations are embedding analytics to transform insights into action. IBM Global Business Services. Business Analytics and Optimization Executive Report. MIT Sloan Management Review. Retrieved from http://public.dhe.ibm.com/common/ssi/ecm/en/gbe03382usen/GBE03382USEN.PDF.
• McKenzie, K., Walker, S., & Lewis, M. (2003). Building the Bridge to E-Coding. In Proceedings Health Information Management Association of Australia Conference 2003, Sydney. Retrived from http://eprints.qut.edu.au/7185/.
• Minich-Pourshadi, K. (2011). ICD-10 Puts revenue at risk. HealthLeaders Media Intelligence. Retrieved from http://content.hcpro.com/pdf/content/268585.pdf.
• Ustawa z dnia 15 kwietnia 2011 r. o działalności leczniczej. (2011). Dz.U. 2011 vol. 112 item 654. Retrived from http://isap.sejm.gov.pl/DetailsServlet?id=WDU20111120654.
• Walker, S., Eynstone-Hinkins, J., & Schmider, A. (2011). Implementation of ICD-11 perspectives from the Australian Bureau of Statistics. In R. Jakob (Ed.), World Health Organization Family of International Classifications Network Meeting, 29 October - 5 November 2011, Southern Sun, Cape Town, South Africa. Retrived from http://eprints.qut.edu.au/46662/.
• Walker, S., & Waller, G.. (2010). Experiences in training ICD-10 trainers. In R. Jakob (Ed.), Proceedings of the WHO-FIC Annual Meeting, Toronto 2010, World Health Organization. Retrieved from http://eprints.qut.edu.au/46664/.
• Wike, M., & Grube, R. (2010). Pharmaco-economic evaluation of antibiotic therapy strategies in DRG-based healthcare systems - a new approach. European Journal of Medical Research, 15, 564-570.[WoS]
• Wike, M., Grube, R., & Bodmann, K. (2011). The use of a standardized PCT-algorithm reduces costs in intensive care in septic patients - A DRG-based simulation model. European Journal of Medical Research, 16, 543-548.

Identifiers

DOI

10.2478/slgr-2013-0044