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
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