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
    Paradigmenwechsel in der Krankenhausplanung – hin zu Leistungs-, Bedarfs- und Qualitätsorientierung für einen höheren Patientennutzen
    (Springer-Verlag GmbH, 2020)
    Justus Vogel orcid-logo
    ;
    Letzgus, Philipp
    ;
    Geissler, Alexander orcid-logo
    ;
    Klauber, Jürgen
    ;
    Geraedts, Max
    ;
    Friedrich, Jörg
    ;
    Wasem, Jürgen
    ;
    Beivers, Andreas
    In Germany, hospital capacity planning goals are well defined. Hospital capacity planning must be demand driven and is to secure high quality care for patients treated in economically efficient hospitals. The traditional planning method that is currently used in all states in Germany can no longer meet these requirements. This planning method employs medical areas of expertise for the distinction of treatments, it uses an undifferentiated application of the Hill-Burton Formula to forecast future demand and only selectively applies quality requirements for the allocation of licenses for inpatient care. In this article, we develop a new planning method that is based on a detailed system of treatment areas structured in a medically meaningful hierarchy (treatment orientation). This system is used to assess the current care situation and to conduct a sophisticated forecast of future demand with quantitative consideration of relevant influence factors (demand orientation). Finally, a method to develop qual-ity requirements per treatment area is presented (quality orientation). The article concludes with the drafting of a planning process for this new treatment, demand and quality oriented hospital capacity planning method.
    Type: book section
    URL: https://link.springer.com/chapter/10.1007/978-3-662-60487-8_18
    DOI: 10.1007/978-3-662-60487-8_18
    URI: https://www.alexandria.unisg.ch/handle/20.500.14171/113164
  • Publication
    Vergütung von spezialisierten, seltenen und kostenvariablen Fällen außerhalb des DRG-Systems: Erfahrungen aus Deutschland, Dänemark, England, Estland, Frankreich und den USA
    (Springer-Verlag GmbH, 2020)
    Stephani, Victor
    ;
    Geissler, Alexander orcid-logo
    ;
    Quentin, Wilm
    ;
    Klauber, Jürgen
    ;
    Geraedts, Max
    ;
    Friedrich, Jörg
    ;
    Wasem, Jürgen
    ;
    Beivers, Andreas
    The aim of this chapter is to compare hospital payment systems across countries, and to identify what payment mechanisms are used beyond DRG-based payments. The focus is on payment mechanisms that aim to account for highly specialized, variable, or low volume care. The following countries were included in the analysis: Germany, Denmark, England, Estonia, France, USA (Medicare Part A). A questionnaire was developed to collect information about elements excluded from DRG-based payment, why this is the case, and what payments are available. The results were summarised in a model which serves to systematically describe, visualise and compare these payment mechanisms. The results show that all countries have implemented financing mechanisms in addition to DRG-based payment. In most cases, a large number of additional payment mechanisms are applied in order to allow adequate reimburse-ment forcomplex, rareorvariablecases. However, their complexity varies. While countries such as England and Germany use many different additional mechanisms, there are significantly fewer exceptions to DRG-based payment in other systems, such as the Medicare program in the US. Apart from that, care areas excluded from DRG-based payment differ significantly. In Denmark, highly specialised services provided in designated hospitals are excluded from DRG-based payment. In England, designated hospitals receive top-up payments when treating highly specialized patients. In view of the necessary and much discussed concentration of (highly) specialised services in Germany, future reforms of the hospital payment system could be inspired by the Danish (or English) examples and create incentives to support the concentration of highly specialized care.
    Type: book section
    URL: https://link.springer.com/chapter/10.1007/978-3-662-60487-8_4
    DOI: 10.1007/978-3-662-60487-8_4
    URI: https://www.alexandria.unisg.ch/handle/20.500.14171/113132