Table 3.
Basic mode of functioning of the respective national ICU reimbursement schemes, based on experts’ responses
| Basic modes of functioning ( "++" strongly agree, "+" agree, "0" indifferent or unknown, "-" do not agree, "--"do not agree at all) | ||||||||
|---|---|---|---|---|---|---|---|---|
| Item |
Grading |
|||||||
| |
GER |
IRL |
UK |
NETH |
AUS |
DEN |
FRA |
SPA |
| The reimbursement works per case (e.g., DRG-based). |
++ |
- |
+ |
++ |
++ |
++ |
+ |
+ |
| The reimbursement works per ICU/hospital (e.g., share of reimbursement goes to all units involved). |
-- |
+ |
- |
+ |
+ |
- |
0 |
0 |
| There is separate reimbursement for hotel costs. |
-- |
- |
+ |
-- |
- |
-- |
-- |
0 |
| The following factors are taken into account for coding/reimbursement: |
|
|||||||
| 1. Previous year’s ICU expenditure |
-- |
- |
- |
-- |
- |
+ |
-- |
+ |
| 2. Number of patients |
-- |
- |
+ |
+ |
+ |
0 |
+ |
+ |
| 3. Diagnosis (DRG) |
++ |
+ |
+ |
+ |
+ |
+ |
+ |
+ |
| 4. Nursing workload scores (e.g., TISS-28, NEMS) |
+ |
-- |
+ |
- |
++ |
- |
-- |
0 |
| 5. Severity of illness scores (e.g., SAPS, APACHE) |
++ |
-- |
- |
- |
-- |
- |
+ |
0 |
| 6. Length of stay |
+ |
+ |
+ |
++ |
+ |
++ |
++ |
++ |
| 7. Level of organ support |
+ |
-- |
++ |
++ |
+ |
++ |
++ |
+ |
| Are there any plans for changes of the system in the near future? | + | + | 0 | + | + | -- | 0 | 0 |