Alexander Geissler
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Prof. Dr.
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Geissler
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Alexander
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alexander.geissler@unisg.ch
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+41 71 224 30 17
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  • Publication
    Heterogeneity of European DRG Systems and Potentials for a Common EuroDRG System.
    (Kerman University of Medical Sciences, 2015-03)
    Geissler, Alexander orcid-logo
    ;
    Quentin, Wilm
    ;
    Busse, Reinhard
    Diagnosis-Related Group (DRG) systems across Europe are very heterogeneous, in particular because of different classification variables and algorithms as well as costing methodologies. But, given the challenge of increasing patient mobility within Europe, health systems are forced to incorporate a common patient classification language in order to compare and identify similar patients e.g. for reimbursement purposes. Beside the national adoption of DRGs for a wide range of purposes (measuring hospital activity vs. paying hospitals), a common DRG system can serve as an international communication basis among health administrators and can reduce the national development efforts as it is demonstrated by the NordDRG consortium.
    Type: journal article
    Journal: International Journal of Health Policy and Management
    Volume: 4
    Issue: 5
    URL: http://www.ijhpm.com/article_2979.html
    DOI: 10.15171/ijhpm.2015.53
    URI: https://www.alexandria.unisg.ch/handle/20.500.14171/106707
    Scopus© Citations 13
  • Publication
    Breast cancer surgery and diagnosis-related groups (DRGs): patient classification and hospital reimbursement in 11 European countries
    ( 2013-10)
    Scheller-Kreinsen, David
    ;
    Quentin, Wilm
    ;
    Geissler, Alexander orcid-logo
    ;
    Busse, Reinhard
    Researchers from eleven countries (i.e. Austria, England, Estonia, Finland, France, Germany, Ireland, Netherlands, Poland, Spain, and Sweden) compared how their DRG systems deal with breast cancer surgery patients. DRG algorithms and indicators of resource consumption were assessed for those DRGs that individually contain at least 1% of all breast cancer surgery patients. Six standardised case vignettes were defined and quasi prices according to national DRG-based hospital payment systems were ascertained. European DRG systems classify breast cancer surgery patients according to different sets of classification variables into three to seven DRGs. Quasi prices for an index case treated with partial mastectomy range from €577 in Poland to €5780 in the Netherlands. Countries award their highest payments for very different kinds of patients. Breast cancer specialists and national DRG authorities should consider how other countries' DRG systems classify breast cancer patients in order to identify potential scope for improvement and to ensure fair and appropriate reimbursement.
    Type: journal article
    Journal: The Breast
    Volume: 22
    Issue: 5
    URL: https://www.thebreastonline.com/article/S0960-9776(12)00227-5/fulltext
    DOI: https://doi.org/10.1016/j.breast.2012.11.001
    URI: https://www.alexandria.unisg.ch/handle/20.500.14171/88658
  • Publication
    DRG-Systeme in Europa - Anreize, Ziele und Unterschiede in zwölf Ländern
    (Springer, 2012)
    Geissler, Alexander orcid-logo
    ;
    Scheller-Kreinsen, David
    ;
    Quentin, Wilm
    ;
    Busse, Reinhard
    Type: journal article
    Journal: Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz
    Issue: 55
    URL: https://link.springer.com/article/10.1007/s00103-012-1473-8
    DOI: https://doi.org/10.1007/s00103-012-1473-8
    URI: https://www.alexandria.unisg.ch/handle/20.500.14171/92486
  • Publication
    Appendectomy and diagnosis-related groups (DRGs): patient classification and hospital reimbursement in 11 European countries
    (Springer, 2012-02)
    Quentin, Wilm
    ;
    Scheller-Kreinsen, David
    ;
    Geissler, Alexander orcid-logo
    ;
    Busse, Reinhard
    Background As part of the EuroDRG project, researchers from 11 countries (i.e., Austria, England, Estonia, Finland, France, Germany, Ireland, Netherlands, Poland, Sweden, and Spain) compared how their diagnosis-related groups (DRG) systems deal with appendectomy patients. The study aims to assist surgeons and national authorities to optimize their DRG systems. Methods National or regional databases were used to identify hospital cases with a diagnosis of appendicitis treated with a procedure of appendectomy. DRG classification algorithms and indicators of resource consumption were compared for those DRGs that together comprised at least 97% of cases. Six standardized case vignettes were defined, and quasi prices according to national DRG-based hospital payment systems were ascertained. Results European DRG systems vary widely: they classify appendectomy patients according to different sets of variables (between two and six classification variables) into diverging numbers of DRGs (between two and 11 DRGs). The most complex DRG is valued 5.1 times more resource intensive than an index case in France but only 1.1 times more resource intensive than an index case in Finland. Comparisons of quasi prices for the case vignettes show that hypothetical payments for the most complex case vignette amount to only 1,005€ in Poland but to 12,304€ in France. Conclusions Large variations in the classification of appendectomy patients raise concerns whether all systems rely on the most appropriate classification variables. Surgeons and national DRG authorities should consider how other countries’ DRG systems classify appendectomy patients in order to optimize their DRG system and to ensure fair and appropriate reimbursement.
    Type: journal article
    Journal: Langenbecks Arch Surg.
    Volume: 397
    Issue: 2
    URL: https://link.springer.com/article/10.1007%2Fs00423-011-0877-5
    DOI: 10.1007/s00423-011-0877-5
    URI: https://www.alexandria.unisg.ch/handle/20.500.14171/92026
    Scopus© Citations 30