More opportunity for quality in care

Quality Contracts: Contracts between health insurers and hospitals, aimed at improving the quality of care.

Binding standards for successful collaboration

  • Conclusion of contracts according to §110a SGB V between SHI funds and hospitals possible since 01.08.2018.
  • Term initially until 2028 at the most, then evaluation by IQTIG as to whether the instrument is to be discontinued.
  • Contracts can be freely designed, e.g. contain monetary incentives.
  • Obligation of SHI: Determination of a minimum amount of € 30 per year per insured person.
  • In some cases, the SHI funds already cooperate closely on quality contracts.
  • Legal possibility for private health insurers to join via combined contract concepts according to § 110a and § 140a SGB V.

Current and new service areas for quality contracts

Current service areas

Endoprosthetics (knee, hip & shoulder)

Prevention of postoperative delirium

Respiratory weaning in long-term ventilators

Care of mental and multiple disabilities

New service areas as of approx. end of 2023

Births / deliveries

Multimodal pain therapy

Diagnostics, therapy and prevention malnutrition

Inpatient treatment tobacco addiction

Quality contract process using the example of endoprosthetics

Idea: Hospitals introduce new care processes/interventions that are intended to improve the quality of care and are rewarded for this by the health insurance fund (e.g. through additional remuneration)

Step 1

Clinic & insurer sign QC

Step 2

"Zero value" phase

Step 3

Intervention is implemented

Step 4

"Intervention" phase

Step 5

Insurer rewards clinic

Comparison

EndoXQ - Practical example from endoprosthetics

Background:

Quality contract that brings additional compensation potential to reward and facilitate investment in quality-oriented technologies.

Objectives:

Excellent quality of care in joint endoprosthetics by introducing a digital treatment pathway in 10-15 selected leading endoprosthetics houses.

Three main components

Added values and success factors of quality contracts

  • Positive effects on quality and profitability
  • Testing of optimized, innovative care approaches
  • Open and constructive dialog among stakeholders

More information

Are you, as a hospital, interested in participating in a quality contract?

On which topic:

  • Endoprosthetic joint care?
  • Prevention of postoperative delirium in the care of elderly patients?
  • Respiratory weaning of long-term ventilated patients?
  • Care of people with mental disabilities or severe multiple disabilities in hospital?
  • Your contractual partners are health insurance funds or associations of health insurance funds and hospital operators.
  • You can obtain information from https://www.gkv-spitzenverband.de/ or the German Hospital Association https://www.dkgev.de/, among others.
  • You are also welcome to contact us with questions in the field of endoprosthetics. Mail to sales@myoncare.com

Are you, as a health insurer, interested in participating in a quality contract?

On which topic:

  • Endoprosthetic joint care?
  • Prevention of postoperative delirium in the care of elderly patients?
  • Respiratory weaning of long-term ventilated patients?
  • Care of people with mental disabilities or severe multiple disabilities in hospital?
  • If you are a statutory health insurer, it is best to contact the GKV-Spitzenverband directly at https://www.gkv-spitzenverband.de/, which will inform you about all current and planned activities.
  • Private health insurers are welcome to contact us with questions in the field of endoprosthetics - we will provide them with further information and contacts. Mail to sales@myoncare.com

As a manufacturer of medical products, are you interested in participating in a quality contract?

  • Please feel free to contact us with any questions - we will provide you with further information and contacts. Mail to sales@myoncare.com

Let ́s get in contact!

Would you like to learn more about us and our software and how you can use it for yourself and your department? Then we look forward to hearing from you. Right here you can send us your request.