For over 2 years, the classification of procedures OPS-301 has been uniformly used in all German hospitals. The ICPM in German extension has 5-6 digits and is totally compatible with the OPS-301 restricted to operations. This ICPM is qualified for scientific documentation beyond efficiency control. The OPS-301 needs some better representation and some extensions proposed by medical experts. A program that searches for invalid code numbers and uses the relations of OPS-301 to sex, age, and department in a knowledge base, detects a 10% error rate in manual coding with OPS-301. A coding program reduces them to 1.4%. After mapping the OPS-301 by SNOMED this monohierarchical classification becomes multihierarchical. This is advantageous for coding and retrieval.
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Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
July 2007
Universitätsklinikum Freiburg, Freiburg, BRD.
A working group of the National Board for Classification in Health Care at the Federal Ministry for Health (KKG) concerned itself between 1996 and 2003 with the topic of a possible follow-up procedure classification system for the actually used "Operation and Procedure Coding System" (OPS-301), which was introduced to Germany in the mid 1990's. In the context of a feasibility study the American "Procedure Coding system" (PCS) and the French "Classification commune des actes médicaux "(CCAM) were examined and evaluated as possible follow-up classifications. In this study it could be shown that the CCAM has great advantages over the pure multiaxial PCS.
View Article and Find Full Text PDFJ Dtsch Dermatol Ges
January 2004
Klinik und Poliklinik für Hautkrankheiten, Universitätsklinikum Münster, Germany.
In the year 2004 the obligatory introduction of the new hospital funding system based on a Diagnosis Related Groups (DRG) system will become reality for all German hospitals. After all fundamental items of the new G-DRG version were made generally known, the possible consequences had to be considered. The first mandatory German case-based lump sum catalogue differs importantly from the previous payment models and requires intensive study.
View Article and Find Full Text PDFAnaesthesist
December 2005
Klinik und Poliklinik für Anaesthesiologie und Intensivtherapie, Universitätsklinikum Carl Gustav Carus, Technische Universität, Dresden.
Introduction: Using the surgical procedure OPS 5-604.0 (radical retropubic prostatectomy) as an example, our study identifies revenue-relevant patient characteristics and describes the impact of the perioperative application of thoracic epidural analgesia (TEA).
Methods: Factors affecting duration of stay were determined in 460 patients undergoing OPS 5-604.
Radiologe
August 2005
Institut für Klinische Radiologie, Klinikum Grosshadern der Ludwig-Maximilians-Universität München.
Reimbursement for inpatient services rendered based on comparable daily care rates, case-based flat rates, and special fees as practiced until now has been replaced by the system of diagnosis-related groups. Up until 2004, operation and procedure system (OPS 301) codes could be processed completely automatically by appropriate adaptation of the radiology information system (RIS). Because of further differentiation of OPS codes in the 2005 version, it is no longer possible to unambiguously determine OPS codes automatically.
View Article and Find Full Text PDFMethods Inf Med
April 2005
Institute for Medical Informatics, Biometry and Epidemiology, Medical Faculty, University of Duisburg-Essen, Hufelandstr. 5, 45122 Essen, Germany.
Objectives: During the adaptation of the Australian Refined Diagnosis Related Groups for Germany mapping tables between procedure classifications were needed. The mapping between the German OPS-301 2.0 and the Australian MBS-Extended should transfer the Australian expertise by keeping a well-established terminology system.
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