Impact of quality certification of multidisciplinary head and neck tumor centers
Abstract Background Certification of multidisciplinary tumor centers is nowadays seen as the gold standard in modern oncological therapy for optimization and realization of guideline-based therapy and better outcomes. Single cases are reimbursed based on diagnosis-related groups (DRG). We aimed to r...
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doaj-e4f09e0249fa4ca683799e38c56552a02021-04-11T11:18:26ZengBMCCost Effectiveness and Resource Allocation1478-75472021-04-011911710.1186/s12962-021-00273-9Impact of quality certification of multidisciplinary head and neck tumor centersAli Modabber0Daniel Schick1Evgeny Goloborodko2Florian Peters3Marius Heitzer4Anna Bock5Kristian Kniha6Frank Hölzle7Elke M. Schreiber8Stephan Christian Möhlhenrich9Department of Oral, Maxillofacial and Facial Plastic Surgery, Medical Faculty, University Hospital RWTH AachenDepartment of Intensive Care Medicine, Medical Faculty, University Hospital RWTH AachenDepartment of Oral, Maxillofacial and Facial Plastic Surgery, Medical Faculty, University Hospital RWTH AachenDepartment of Oral, Maxillofacial and Facial Plastic Surgery, Medical Faculty, University Hospital RWTH AachenDepartment of Oral, Maxillofacial and Facial Plastic Surgery, Medical Faculty, University Hospital RWTH AachenDepartment of Oral, Maxillofacial and Facial Plastic Surgery, Medical Faculty, University Hospital RWTH AachenDepartment of Oral, Maxillofacial and Facial Plastic Surgery, Medical Faculty, University Hospital RWTH AachenDepartment of Oral, Maxillofacial and Facial Plastic Surgery, Medical Faculty, University Hospital RWTH AachenUniversity Hospital of Johannes Gutenberg University MainzDepartment of Orthodontics, University of Witten/HerdeckeAbstract Background Certification of multidisciplinary tumor centers is nowadays seen as the gold standard in modern oncological therapy for optimization and realization of guideline-based therapy and better outcomes. Single cases are reimbursed based on diagnosis-related groups (DRG). We aimed to review efficiency, cost analysis, and profitability following a certification. Methods Tumor board certification at the university hospital Aachen was implemented in 2013. We compared 1251 cases of oropharyngeal cancer treated from 2008 to 2017 before and after certification. For this purpose, several patient characteristics, surgery, and stay-related constants, as well as expenses and reimbursement heights were analyzed statistically. Results Following certification, the total case and patient number, surgery duration, hours of mechanical ventilation, case mix index points, DRG reimbursements as well as the costs increased significantly, whereas days of intensive care unit, amount of blood transfusions, patient clinical complexity level (PCCL) and the overall stay were significantly lowered. No changes were observed for the patient’s age and gender distribution. Also, the predetermined stay duration stayed constant. Conclusions Certification of head-neck tumor centers causes a concentration of more complex cases requiring higher surgical efforts, which can be processed more efficiently due to a higher level of professionalism. Despite their benefits in cancer care, without compensation, centers may be struggling to cover their expenses in a system, which continuously underestimates them.https://doi.org/10.1186/s12962-021-00273-9DRGCertificationTumor boardCostEfficiencyHead‐Neck |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ali Modabber Daniel Schick Evgeny Goloborodko Florian Peters Marius Heitzer Anna Bock Kristian Kniha Frank Hölzle Elke M. Schreiber Stephan Christian Möhlhenrich |
spellingShingle |
Ali Modabber Daniel Schick Evgeny Goloborodko Florian Peters Marius Heitzer Anna Bock Kristian Kniha Frank Hölzle Elke M. Schreiber Stephan Christian Möhlhenrich Impact of quality certification of multidisciplinary head and neck tumor centers Cost Effectiveness and Resource Allocation DRG Certification Tumor board Cost Efficiency Head‐Neck |
author_facet |
Ali Modabber Daniel Schick Evgeny Goloborodko Florian Peters Marius Heitzer Anna Bock Kristian Kniha Frank Hölzle Elke M. Schreiber Stephan Christian Möhlhenrich |
author_sort |
Ali Modabber |
title |
Impact of quality certification of multidisciplinary head and neck tumor centers |
title_short |
Impact of quality certification of multidisciplinary head and neck tumor centers |
title_full |
Impact of quality certification of multidisciplinary head and neck tumor centers |
title_fullStr |
Impact of quality certification of multidisciplinary head and neck tumor centers |
title_full_unstemmed |
Impact of quality certification of multidisciplinary head and neck tumor centers |
title_sort |
impact of quality certification of multidisciplinary head and neck tumor centers |
publisher |
BMC |
series |
Cost Effectiveness and Resource Allocation |
issn |
1478-7547 |
publishDate |
2021-04-01 |
description |
Abstract Background Certification of multidisciplinary tumor centers is nowadays seen as the gold standard in modern oncological therapy for optimization and realization of guideline-based therapy and better outcomes. Single cases are reimbursed based on diagnosis-related groups (DRG). We aimed to review efficiency, cost analysis, and profitability following a certification. Methods Tumor board certification at the university hospital Aachen was implemented in 2013. We compared 1251 cases of oropharyngeal cancer treated from 2008 to 2017 before and after certification. For this purpose, several patient characteristics, surgery, and stay-related constants, as well as expenses and reimbursement heights were analyzed statistically. Results Following certification, the total case and patient number, surgery duration, hours of mechanical ventilation, case mix index points, DRG reimbursements as well as the costs increased significantly, whereas days of intensive care unit, amount of blood transfusions, patient clinical complexity level (PCCL) and the overall stay were significantly lowered. No changes were observed for the patient’s age and gender distribution. Also, the predetermined stay duration stayed constant. Conclusions Certification of head-neck tumor centers causes a concentration of more complex cases requiring higher surgical efforts, which can be processed more efficiently due to a higher level of professionalism. Despite their benefits in cancer care, without compensation, centers may be struggling to cover their expenses in a system, which continuously underestimates them. |
topic |
DRG Certification Tumor board Cost Efficiency Head‐Neck |
url |
https://doi.org/10.1186/s12962-021-00273-9 |
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