Intensive care units (ICUs) operate with fixed capacities and face uncertainty such as demand variability, leading to demand-driven, early discharges to free up beds. These discharges can increase readmission rates, negatively impacting patient outcomes and aggravating ICU bottleneck congestion....

Unter Low Value Care werden Leistungen verstanden, die im individuellen Kontext (a) den Patienten wenig oder keinen Nutzen bringen, (b) potenziell Schaden verursachen, (c) unnötige Kosten verursachen und/oder (d) im Vergleich zur Anwendung alternativer Leistungen bzw. der Anwendung bei einer...

Background: Compulsory healthcare insurance in Switzerland entails a deductible system for cost-sharing between insurer and insuree up to a chosen deductible1. No study has so far tested the presence of price sensitivity for healthcare resources consumption after exceeding one's chosen...

Only positive instances of various events, e.g., secondary diagnoses, are actively labeled in hospital administrative data. In line with this, several studies indicate underreporting of adverse events such as sepsis. The gold standard for relabeling of uncoded sepsis cases, medical record...

Die derzeit sich in Entwicklung befindende und stark diskutierte Krankenhausreform in Deutschland soll 2024 in Kraft treten. Vor diesem Hintergrund werden neben der Leistungsgruppensystematik die Qualitätsvorgaben je Leistungsgruppe stark diskutiert. Die Vorgaben aus NRW sollen hier als Vorlage...

Objectives: A clinical dashboard is a data-driven clinical decision support tool visualizing mul-tiple key performance indicators in a single report while minimizing time and effort for data gat-hering. Evidence showed that including patient-reported outcome measures (PROMs) in clinical...

Public investment in hospitals in Germany has been insufficient for decades, making it difficultto finance digitization. Due to dual financing, hospitals could alternatively use their own profitsto pay for digitization efforts. This raises the question of whether there is a relationship...

Die Diskussionen zur Krankenhausreform in Deutschland, die mit den Veröffentlichungen der Regierungskommission Ende 2022 starteten, sind nunmehr durch den eingeläuteten Gesetzgebungsprozess (Krankenhaustransparenzgesetz bzw. Krankenhausversorgungsverbesserungsgesetz) in formale Bahnen gelenkt...

Quality competition among hospitals, induced by patients freely choosing their hospital in a price regulated market, can only be realized if quality differences between hospitals are transparent, understandable, and thus influence patients' hospital choice. We use data from ~145,000 German...

Hospital digitalization is to reduce costs, increase efficiency and productivity, and to improve quality of care. However, the literature lacks clarity on the meaning of "hospital digitalization," how to measure it, and what quality it might affect. We use data from the DigitalRadar project from...