Berlin - At 73 of 1,084 examined hospital locations, the quality was inadequate, measured by the eleven planning-relevant quality indicators. Britta Zander-Jentsch from the Institute for Quality Assurance and Transparency () named this number today at the 10th Quality Assurance Conference of the Federal Joint Committee (G-BA) in Berlin. She pointed out that this result had already been published the day before by the Association of Substitute Funds (vdek). The entire survey on the planning-relevant quality indicators is to be published in October.
The legislature had initiated the planning-relevant quality indicators in 2016 with the Hospital Structure Act (). The aim was to enable the planning authorities of the federal states to take the quality of medical care into account when planning hospitals. This regulation was based on request from the federal states.
In March 2016, the G-BA had the IQTIG with it instructed to name quality indicators that are suitable for use in hospital planning. Eleven indicators from the areas of obstetrics, gynecological operations and breast surgery were selected. In obstetrics, for example, pediatrician should be present in 90 percent of cases or more for premature births.
163 comments received
Since January 2017, the IQTIG has been evaluating data from 1,084 hospital locations. First, it checked the received data for accuracy. Hospitals that were statistically discrepant even after the data validation were given the opportunity to comment. "We expected 163 statements and received 155: 15 in the area of gynecology, 94 in the area of obstetrics and 44 in the area of breast surgery," explained Zander-Jentsch. The hospitals that did not provide statement were automatically rated as hospitals that provided insufficient quality.
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Die Comments were examined by specialist commissions in which at least one doctor participated. The commissions finally assessed that in 73 of the hospitals the quality of the eleven indicators was inadequate.
Five federal states choose opt-out
The IQTIG has sent the results of its investigations to the planning authorities of the federal states, among others. “The planning authorities decide what happens next,” said Zander-Jentsch. According to the KHSG, the quality indicators relevant to planning automatically apply in the federal states. This should prevent each federal state from setting its own indicators.However, the federal states have the option of consciously deciding not to adopt the indicators. With Bavaria, North Rhine-Westphalia, Rhineland-Palatinate, Mecklenburg-Western Pomerania and Baden-Württemberg, five states have so far opted for such an opt-out, explained Zander-Jentsch.