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Dr. Christof Veit, Hamburg The Structured Dialog National Quality Benchmarking in Germany

Annual Research Meeting 2006 Seattle. Dr. Christof Veit, Hamburg The Structured Dialog National Quality Benchmarking in Germany. Benchmarking : The Principle. Define good quality in health care, measure and improve it in all hospitals involved nationwide.

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Dr. Christof Veit, Hamburg The Structured Dialog National Quality Benchmarking in Germany

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  1. Annual Research Meeting 2006 Seattle Dr. Christof Veit, Hamburg The Structured Dialog National Quality Benchmarking in Germany

  2. Benchmarking: ThePrinciple. Define good quality in health care, measure and improve it in all hospitalsinvolved nationwide.

  3. Benchmarking: ThePrinciple. The enthusiastic ones: Involve. The neutral ones: Inform. Attract. The critical ones: Use their critique. The refusing ones: Make it unattractive.

  4. Benchmarking: Size of the project. > 2,000 German Hospitals (> 98%) > 5,000 medical departments >3 Mio cases in 2005 > 20% of all hospital cases in Germany > 300,000 Cases in Hamburg in 2005 > 300 Quality indicators in 26 areas of care > 800 experts involved (national and regional)

  5. Benchmarking: The Idea. definestandards (evidence based, public) definelevels of acceptance documentprocesses, risks and results presentvariation startstructured dialog  improveandcheck

  6. National Expert Groups National Data Base data transfer Hospitals (central projects) Structured dialog State Steering Committee State Project Office State Expert Groups State Data Base Hospitals Structureddialog Benchmarking: The Participants. Federal Joint Committee G-BA National Institut BQS national regional

  7. % Project Office Experts

  8. % Struc Dialog Project Office Experts numericaloutliers

  9. SteeringCommittee National Committee and National Experts Structured Report Correct! Check! Project Office Experts % qualitative outliers

  10. Variation! Best practice! Improve! Check! Project Office Experts regional meetings

  11. Benchmarking: Projects. 26 Projects on the National Level e.g. Hip- and Knee Replacement Cholecystectomy Gynaecological Operations Breast Cancer Operations Obstetrics Cardiac Pace Makers Coronary Catheters Heart Surgery Decubital Ulcers Pneumonia .........and others

  12. Benchmarking: Questions. data validity risk adjustment confidentiality public quality report improvement instead of league tables

  13. Benchmarking: Results. Due to upcoming publication only a small part of results can be shown here. Yet on personal request more data can be made available. Thanks for your understanding. c.veit@EQS.de

  14. Benchmarking: Results. Antibiotic Prophylaxes and Wound infection in Hip-Replacement 2001 – 2004 Hamburg Hospitals, 3.500 cases per year

  15. Improvement. Hamburg: Antibiotic Prophylaxes in Hip-Replacement. 2003: 95,6% 2004: 98,5% % Hospitals

  16. Benchmarking: Future. longterm outcome interactive internet with trend analysis problem focus participant cooperation public information

  17. Features for success. • commitment of the big players in health care  fixed framework, flexible machinery, efficient decisions  involvement of existing institutions  methodology,transparency and fairness  commitment to improvement  resist secondary interests

  18. Thanks for your attention. c.veit@EQS.de

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