Health Affairs

Health Affairs, 28, no. 2 (2009): w294-w304 (Published online 27 January 2009) doi: 10.1377/hlthaff.28.2.w294 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

This Article Full Text (HTML) Reprint (PDF) Schematic Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Busse, R. Articles by Mansky, T. Search for Related Content PubMed PubMed Citation Articles by Busse, R. Articles by Mansky, T. Related Collections Health Reform Hospitals International Issues Safety-Net Systems Health Spending Related Articles

Web Exclusives

Measuring, Monitoring, And Managing Quality In Germany’s Hospitals

Reinhard Busse, Ulrike Nimptsch and Thomas Mansky

In German hospitals, quality measurement, monitoring, and management have undergone considerable development. This includes an array of mandatory measures, including a nationwide benchmarking exercise based on 194 indicators. Because of better and deeper coding of diagnoses, procedures, and demographic information since the introduction of the diagnosis-related group (DRG) system, two further "generations" of instruments have been developed: quality measurement performed at the provider (hospital) level using administrative data, and long-term performance measurement using administrative data at the payer level. All three approaches have specific pros and cons concerning validity regarding final outcomes and resistance against manipulation.

                      What's this?

Related Articles

• Janet Corrigan and Dwight McNeill
  Building Organizational Capacity: A Cornerstone Of Health System Reform
  Health Affairs, March/April 2009; 28(2): w205-w215.
  [Abstract] [Full Text] [PDF] [From The Editor][Table Of Contents]
   
  
• Charles N. Kahn, III
  Payment Reform Alone Will Not Transform Health Care Delivery
  Health Affairs, March/April 2009; 28(2): w216-w218.
  [Abstract] [Full Text] [PDF]
   
  
• Elliott S. Fisher, Mark B. McClellan, John Bertko, Steven M. Lieberman, Julie J. Lee, Julie L. Lewis, and Jonathan S. Skinner
  Fostering Accountable Health Care: Moving Forward In Medicare
  Health Affairs, March/April 2009; 28(2): w219-w231.
  [Abstract] [Full Text] [PDF]
   
  
• Francis J. Crosson
  Medicare: The Place To Start Delivery System Reform
  Health Affairs, March/April 2009; 28(2): w232-w234.
  [Abstract] [Full Text] [PDF]
   
  
• John Rother
  A Consumer Perspective On Physician Payment Reform
  Health Affairs, March/April 2009; 28(2): w235-w237.
  [Abstract] [Full Text] [PDF]
   
  
• Stuart Guterman, Karen Davis, Stephen Schoenbaum, and Anthony Shih
  Using Medicare Payment Policy To Transform The Health System: A Framework For Improving Performance
  Health Affairs, March/April 2009; 28(2): w238-w250.
  [Abstract] [Full Text] [Figures Only] [PDF]
   
  
• Christopher P. Tompkins, Aparna R. Higgins, and Grant A. Ritter
  Measuring Outcomes And Efficiency In Medicare Value-Based Purchasing
  Health Affairs, March/April 2009; 28(2): w251-w261.
  [Abstract] [Full Text] [PDF]
   
  
• Robert E. Mechanic and Stuart H. Altman
  Payment Reform Options: Episode Payment Is A Good Place To Start
  Health Affairs, March/April 2009; 28(2): w262-w271.
  [Abstract] [Full Text] [PDF]
   
  
• James C. Robinson and Paul B. Ginsburg
  Consumer-Driven Health Care: Promise And Performance
  Health Affairs, March/April 2009; 28(2): w272-w281.
  [Abstract] [Full Text] [PDF]
   
  
• Caroline Lubick Goldzweig, Ali Towfigh, Margaret Maglione, and Paul G. Shekelle
  Costs And Benefits Of Health Information Technology: New Trends From The Literature
  Health Affairs, March/April 2009; 28(2): w282-w293.
  [Abstract] [Full Text] [PDF] [Appendices]