[Costs and Benefits of Quality Management]

Overview

Journal Urologe A

Specialty Urology

Date 2014 Jan 24

PMID 24452399

Authors

I Schroeder-Printzen

Affiliations

Soon will be listed here.

Abstract

The establishment of quality management (QM) has been mandatory for health care providers of the national health insurance since 2004; however, certification is so far only compulsory for rehabilitation clinics. The costs have so far only been quantified in a few medical studies, while they are widely known in business administration with a basic distinction made between planning, steering, auditing, and declaration costs. Another business economics approach differentiates between prevention, appraisal, and non-conformance costs. The benefits of QM relates to customers, employees, external service providers, and health insurance providers. Also important in our consideration of the patient as a customer is that they should not be considered a customer in the usual business sense because the patient is in an emergency situation and can not freely decide. Improvements in treatment quality and in reducing the rate of adverse events make up the largest portion of the benefits of QM. Furthermore, QM can have a positive influence on motivation and employee recruitment. In addition, the cost savings that result despite costs for QM must not be forgotten.

References

Thomas E, Studdert D, Burstin H, Orav E, Zeena T, Williams E . Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000; 38(3):261-71. DOI: 10.1097/00005650-200003000-00003. View

Simon A . [Patient involvement and information preferences on hospital quality: results of an empirical analysis]. Unfallchirurg. 2010; 114(1):73-8. DOI: 10.1007/s00113-010-1882-9. View

Banduhn C, Schluchtermann J . [Profitability analysis of clinical risk management]. Gesundheitswesen. 2013; 75(5):281-7. DOI: 10.1055/s-0033-1343440. View

Donabedian A . Criteria and standards for quality assessment and monitoring. QRB Qual Rev Bull. 1986; 12(3):99-108. DOI: 10.1016/s0097-5990(16)30021-5. View

Rotter T, Kinsman L, James E, Machotta A, Gothe H, Willis J . Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database Syst Rev. 2010; (3):CD006632. DOI: 10.1002/14651858.CD006632.pub2. View

de Cruppe W, Geraedts M . [How do patients choose a hospital for elective surgery?]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011; 54(8):951-7. DOI: 10.1007/s00103-011-1320-3. View

Zumbe J, Berges R . [Certified prostate centers of the DVPZ : Current status]. Urologe A. 2010; 49(8):916-21. DOI: 10.1007/s00120-010-2320-x. View

Leister J, Stausberg J . Why do patients select a hospital? A conjoint analysis in two German hospitals. J Hosp Mark Public Relations. 2007; 17(2):13-31. DOI: 10.1300/J375v17n02_03. View

Kotter T, Schaefer F, Blozik E, Scherer M . [Developing quality indicators: background, methods and problems]. Z Evid Fortbild Qual Gesundhwes. 2011; 105(1):7-12. DOI: 10.1016/j.zefq.2010.11.002. View

10.

Bergholz W . [Quality management (TQM) in public health-care (PHC): principles for cost-performance calculations and cost reductions with better quality]. Gesundheitswesen. 2008; 70(11):640-3. DOI: 10.1055/s-0028-1100394. View

11.

Weikert S, Baumunk D, Stephan C, Cash H, Jahnke K, Steiner U . [Introduction of interdisciplinary prostate cancer centers based on the recommendations of the German Cancer Society. A cost-benefit analysis 3 years after accreditation]. Urologe A. 2011; 50(9):1083-8. DOI: 10.1007/s00120-011-2629-0. View

12.

Busemann A, Schreiber A, Heidecke C . [Introduction of operating room checklists as a part of clinical risk management: are there hard facts on complication prevention available?]. Urologe A. 2012; 51(11):1541-5. DOI: 10.1007/s00120-012-3020-5. View

13.

Blumenstock G . [Assessing the quality of quality indicators]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011; 54(2):154-9. DOI: 10.1007/s00103-010-1209-6. View

14.

Leape L, Brennan T, Laird N, Lawthers A, Localio A, BARNES B . The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991; 324(6):377-84. DOI: 10.1056/NEJM199102073240605. View

15.

Eberlein-Gonska M . [What is evidence-based concerning quality management? Thoughts about an apparently simple question]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011; 54(2):148-53. DOI: 10.1007/s00103-010-1204-y. View

16.

Busse R, Nimptsch U, Mansky T . Measuring, monitoring, and managing quality in Germany's hospitals. Health Aff (Millwood). 2009; 28(2):w294-304. DOI: 10.1377/hlthaff.28.2.w294. View