@article{HopfeStuckiBickenbachetal.2018, author = {Hopfe, Maren and Stucki, Gerold and Bickenbach, Jerome E. and Prodinger, Birgit}, title = {Accounting for what matters to patients in the G-DRG System: A stakeholder's perspective on integrating functioning information}, series = {Health Services Insights}, journal = {Health Services Insights}, number = {11}, pages = {1 -- 10}, year = {2018}, abstract = {Functioning information constitutes a relevant component for determining patients' service needs and respective resource use. Diagnosis-Related Group (DRG) systems can be optimized by integrating functioning information. First steps toward accounting for functioning information in the German DRG (G-DRG) system have been made; yet, there is no systematic integration of functioning information. The G-DRG system is part of the health system; it is embedded in and as such dependent on various stakeholders and vested interests. This study explores the stakeholder's perspective on integrating functioning information in the G-DRG system. A qualitative interview study was conducted with national stakeholders in 4 groups of the G-DRG system (health policy, administration, development, and consultations). Interviews were analyzed using inductive thematic analysis. In total, 14 interviews were conducted (4 administration and 10 consultation group). Three main themes were identified: (1) functioning information in the G-DRG system: opportunities and obstacles, (2) general aspects concerning optimizing G-DRG systems by integrating additional information, and (3) ideas and requirements on how to proceed. The study offers insights into the opportunities and obstacles of integrating functioning information in the G-DRG system. The relevance of functioning information was evident. However, the value of functioning information for the G-DRG system was seen critically. Integrating functioning information alone does not seem to be sufficient and a systems approach is needed.}, language = {en} } @article{MaritzScheelSailerSchmittetal.2019, author = {Maritz, Roxanne and Scheel-Sailer, Anke and Schmitt, Klaus and Prodinger, Birgit}, title = {Overview of quality management models for inpatient healthcare settings: A scoping review}, series = {International Journal of Quality in Health Care}, volume = {31}, journal = {International Journal of Quality in Health Care}, number = {6}, editor = {Oxford Jounals,}, pages = {404 -- 410}, year = {2019}, abstract = {This scoping review aimed to generate an overview of existing quality management (QM) models for inpatient healthcare published in peer-reviewed literature. Data sources Peer-reviewed publications published until June 2016 were retrieved from the databases Medline, PubMed, CINAHL and Cochrane Library using search terms related to QM and models. Study selection Publications mentioning a QM model for general application in healthcare or inpatient care in their title or abstract were included. Languages considered were: English, French, German, Italian and Spanish. Data extraction was 3-fold. First, publication characteristics were summarized. Second, the frequency of each identified model was documented and the publications were divided into conceptual and implementation publications. Third, relevant QM models were identified and information regarding the model, including content and relationship with other models, was extracted. Of 925 retrieved publications, 213 were included. The included publications reported on 64 different QM models that were suitable for or used in inpatient care. Seventeen models were identified as being relevant. The 17 models were then categorized into three different levels: conceptual quality improvement models, concrete application models and country specific adaptations. This scoping review provides an overview of 17 existing QM models for inpatient care and their relationships with each other. Various types of models with differing aspects and components exist. In searching for QM models, many different concepts like QM system, accreditation or methodologies appeared. For future investigation, concepts of interest should be clarified.}, language = {en} } @article{ProdingerRastallKalraetal.2018, author = {Prodinger, Birgit and Rastall, Paul and Kalra, Dipak and Wooldridge, Darren and Carpenter, Iain}, title = {Documenting Routinely What Matters to People: Standardized Headings for Health Records of Patients with Chronic Health Conditions}, series = {Applied Clinical Informatics}, volume = {9}, journal = {Applied Clinical Informatics}, number = {2}, editor = {Thieme E-Journals,}, pages = {348 -- 365}, year = {2018}, abstract = {Objective Specifying the content in electronic health records (EHRs) through standardized headings based on international reference classifications will facilitate their semantic interoperability. The objective of this study was to specify potential chapter headings for EHRs aligned with the World Health Organization's (WHO) International Classification of Functioning, Disability, and Health (ICF) based on the perspectives of people living with chronic health conditions, carers, and professionals. Methods A multistage process was established including (1) a patient workshop, (2) an online survey of both patients and carers, and (3) an online consultation with patient and professional bodies. The ICF served as a starting point. Based on the first stage, a first draft of the headings was developed and further refined based on the feedback at each stage. We examined in a fourth step whether items from existing assessment tools support the operationalization of the identified headings. Therefore, we used the WHO Disability Assessment Schedule 2.0 (WHODAS2.0), a patient-reported instrument, and interRAI, a clinician-administered instrument. Results The first workshop was attended by eight people, the survey was completed by 250 persons, and the online consultation received detailed feedback by 18 professional bodies. This study resulted in 16 potential chapter headings for EHRs which capture aspects related to the body, such as emotions, motivation, sleep, and memory or thoughts, to being involved in social life, such as mobility, social activities, and finances, as well as to the care process, such as understanding of health issues and treatment or care priorities and goals. When using the WHODAS2.0 and interRAI together, they capture all except one of the proposed headings. Conclusion The identified headings provide a high level structure for the standardized recording, use, and sharing of information. Once implemented, these headings have the potential to facilitate the delivery of personalized care planning for patients with long-term health problems.}, language = {en} } @article{GimiglianoDeSireGestaldoetal.2019, author = {Gimigliano, Francesca and De Sire, Alessandro and Gestaldo, Marco and Maghini, Irene and Paoletta, Marco and Pasquini, Andrea and Baldrini, Paolo and Selb, Melissa and Prodinger, Birgit and SIMFER Residents Section Group,}, title = {Use of the International Classification of Functioning, Disability and Health Generic-30 Set for the characterization of outpatients: Italian Society of Physical and Rehabilitative Medicine Residents Section Project}, series = {European Journal of Physical and Rehabilitation Medicine}, volume = {55}, journal = {European Journal of Physical and Rehabilitation Medicine}, number = {2}, editor = {Minerva Medica,}, pages = {258 -- 264}, year = {2019}, abstract = {The International Classification of Functioning, Disability and Health (ICF) Generic- 30 Set (previously referred to as Rehabilitation Set) is a minimal set of ICF categories for reporting and assessing functioning and disability in clinical populations with different health conditions along the continuum of care. Recently, the Italian Society of Physical and Rehabilitation Medicine (SIMFER) developed an Italian modification of the simple and intuitive descriptions (SID) of these categories. This study was the first one to implement the use of the SID in practice.1) To implement the use of the ICF in clinical practice and research among Italian Residents in PRM. 2) To verify if the SID made the application of ICF Generic 30 Set more user-friendly than the original descriptions. 3) To examine the prevalence of functioning problems of patients accessing Rehabilitation Services to serve as reference for the development of an ICF-based clinical data collection tool.Multicenter cross-sectional study. Italian Physical Medicine and Rehabilitation (PRM) outpatient rehabilitation services. Patients referring to Italian PRM outpatient rehabilitation services and Italian Residents in PRM.Each School of Specialization involved, randomly, received the ICF Generic-30 Set with the original descriptions or with the SID. Residents collected over a 4-month period (April-July 2016) patients data related to the ICF Generic-30 Set categories. Moreover, the residents self- assessed their difficulty in using the ICF Generic-30 Set with the original descriptions or with the SID, through a Numeric Rating Scale (NRS).Ninety-three residents collected functioning data of 864 patients (mean aged 57.7±19.3) with ICF Generic-30 Set: 304 with the original descriptions and 560 with SID. The difficulty in using the ICF Generic-30 Set with SID was rated as lower than using the original descriptions (NRS = 2.8±2.5 vs 3.5±3.1; p<0.001). The most common disease was the back pain (9.6\%) and the most common altered ICF categories were b280 (76.3\%) and b710 (72.9\%).This multicenter cross-sectional study shown that the ICF Generic-30 Set is a valuable instrument for reporting and assessing functioning and disability in clinical populations with different health conditions and along the continuum of care and that SID facilitate the understanding of the ICF categories and therefore their use in clinical practice. This National survey, improving the knowledge of ICF among Italian PRM residents, represents an important step towards the system-wide implementation of ICF in the healthcare system.}, language = {en} } @article{AdroherProdingerFellinghaueretal.2018, author = {Adroher, N{\´u}ria Duran and Prodinger, Birgit and Fellinghauer, Carolina Saskia and Tennant, Alan}, title = {All metrics are equal, but some metrics are more equal than others: A systematic search and review on the use of the term 'metric'}, series = {PLoS One}, volume = {13}, journal = {PLoS One}, number = {3}, editor = {Public Library of Science,}, pages = {e0193861}, year = {2018}, abstract = {Objective: To examine the use of the term 'metric' in health and social sciences' literature, focusing on the interval scale implication of the term in Modern Test Theory (MTT). Materials and methods: A systematic search and review on MTT studies including 'metric' or 'interval scale' was performed in the health and social sciences literature. The search was restricted to 2001-2005 and 2011-2015. A Text Mining algorithm was employed to operationalize the eligibility criteria and to explore the uses of 'metric'. The paradigm of each included article (Rasch Measurement Theory (RMT), Item Response Theory (IRT) or both), as well as its type (Theoretical, Methodological, Teaching, Application, Miscellaneous) were determined. An inductive thematic analysis on the first three types was performed. Results: 70.6\% of the 1337 included articles were allocated to RMT, and 68.4\% were application papers. Among the number of uses of 'metric', it was predominantly a synonym of 'scale'; as adjective, it referred to measurement or quantification. Three incompatible themes 'only RMT/all MTT/no MTT models can provide interval measures' were identified, but 'interval scale' was considerably more mentioned in RMT than in IRT. Conclusion: 'Metric' is used in many different ways, and there is no consensus on which MTT metric has interval scale properties. Nevertheless, when using the term 'metric', the authors should specify the level of the metric being used (ordinal, ordered, interval, ratio), and justify why according to them the metric is at that level.}, language = {en} } @article{ProdingerTaylor2018, author = {Prodinger, Birgit and Taylor, Paul}, title = {Improving quality of care through patient-reported outcome measures (PROMs): expert interviews using the NHS PROMs Programme and the Swedish quality registers for knee and hip arthroplasty as examples}, series = {BMC Health Services Research}, volume = {18}, journal = {BMC Health Services Research}, publisher = {Springer Nature}, pages = {87}, year = {2018}, abstract = {Background: Patient reported outcome measures (PROMs) have been integrated in national quality registries or specific national monitoring initiatives to inform the improvement of quality of care on a national scale. However there are many unanswered questions, such as: how these systems are set up, whether they lead to improved quality of care, which stakeholders use the information once it is available. The aim of this study was to examine supporting and hindering factors relevant to integrating patient-reported outcome measures (PROMs) in selected health information systems (HIS) tailored toward improving quality of care across the entire health system. Methods: First, a systematic search and review was conducted to outline previously identified factors relevant to the integration of PROMs in the selected HIS. A social network analysis was performed to identify networks of experts in these systems. Second, expert interviews were conducted to discuss and elaborate on the identified factors. Directive content analysis was applied using a HIS Evaluation Framework as the frame of reference. This framework is structured into four components: Organization, Human, Technology, and Net benefits. Results: The literature review revealed 37 papers for the NHS PROMs Programme and 26 papers for the SHPR and SKAR: Five networks of researchers were identified for the NHS PROMs Programme and 1 for the SHPR and SKAR. Seven experts related to the NHS PROMs Programme and 3 experts related to the SKAR and SHPR participated in the study. The main themes which revealed in relation to Organization were Governance and Capacity building; to Human: Reporting and Stakeholder Engagement; to Technology: the Selection and Collection of PROMs and Data linkage. In relation to Net benefits, system-specific considerations are presented. Conclusion: Both examples succeeded in integrating PROMs into HIS on a national scale. The lack of an established standard on what change PROMs should be achieved by an intervention limits their usefulness for monitoring quality of care. Whether the PROMs data collected within these systems can be used in routine clinical practice is considered a challenge in both countries.}, language = {en} } @article{EhrmannProdingerGmuenderetal.2018, author = {Ehrmann, Cristina and Prodinger, Birgit and Gm{\"u}nder, Hans Peter and Hug, Kerstin and Bickenbach, Jerome E. and Stucki, Gerold}, title = {Describing Functioning in People Living With Spinal Cord Injury in Switzerland: A Graphical Modeling Approach}, series = {Archives of Physical Medicine and Rehabilitation}, volume = {99}, journal = {Archives of Physical Medicine and Rehabilitation}, number = {10}, publisher = {Elsevier}, pages = {1965 -- 1981}, year = {2018}, abstract = {Objective: To describe functioning in people living with spinal cord injuries (SCI) in Switzerland. Design: Secondary analysis of cross-sectional survey data. Setting Community, Switzerland. Participants: Individuals (N=1549) 16 years of age or older with a history of traumatic or nontraumatic SCI and permanently residing in Switzerland. Interventions: Not applicable. Main Outcome Measures: Functioning was operationalized through 4 domains: (1) impairments in body functions; (2) impairments in mental functions; (3) independence in performing activities; and (4) performance problems in participation. Results: Univariate analysis indicated a high prevalence of problems in 5 areas: (1) housework; (2) climbing stairs; (3) tiredness; (4) spasticity; and (5) chronic pain. Graphical modeling showed a strong association among the four domains of functioning. Moreover, we found that the differences in the dependence structures were significant between the paraplegia SCI population and the tetraplegia SCI population. Conclusions: This study is a first study in the epidemiology of functioning of people living with SCI in Switzerland. Using univariate and graphical modeling approaches, we proposed an empirical foundation for developing hypotheses on functioning in each domain and category that could inform health systems on people's health needs.}, language = {en} } @article{FellinghauerProdingerTennant2018, author = {Fellinghauer, Carolina Saskia and Prodinger, Birgit and Tennant, Alan}, title = {The Impact of Missing Values and Single Imputation upon Rasch Analysis Outcomes: A Simulation Study}, series = {Journal of Applied Measurement}, volume = {19}, journal = {Journal of Applied Measurement}, number = {1}, publisher = {JAM Press}, pages = {1 -- 25}, year = {2018}, abstract = {Imputation becomes common practice through availability of easy-to-use algorithms and software. This study aims to determine if different imputation strategies are robust to the extent and type of missingness, local item dependencies (LID), differential item functioning (DIF), and misfit when doing a Rasch analysis. Four samples were simulated and represented a sample with good metric properties, a sample with LID, a sample with DIF, and a sample with LID and DIF. Missing values were generated with increasing proportion and were either missing at random or completely at random. Four imputation techniques were applied before Rasch analysis and deviation of the results and the quality of fit compared. Imputation strategies showed good performance with less than 15\% of missingness. The analysis with missing values performed best in recovering statistical estimates. The best strategy, when doing a Rasch analysis, is the analysis with missing values. If for some reason imputation is necessary, we recommend using the expectation-maximization algorithm.}, language = {en} } @article{LampartGemperliBaumbergeretal.2018, author = {Lampart, Patricia and Gemperli, Armin and Baumberger, Michael and Bersch, Ines and Prodinger, Birgit and Schmitt, Klaus and Scheel-Sailer, Anke}, title = {Administration of assessment instruments during the first rehabilitation of patients with spinal cord injury: a retrospective chart analysis.}, series = {Spinal Cord}, volume = {56}, journal = {Spinal Cord}, number = {4}, publisher = {Springer Nature}, pages = {322 -- 331}, year = {2018}, abstract = {Objectives To examine which professionals administered which assessment instruments in which patient in clinical practice during first rehabilitation after newly acquired spinal cord injury (SCI) and the differences in the frequencies of different assessments between patient groups. Setting Specialized SCI acute care and rehabilitation clinic. Methods Patients after SCI, aged 18 years and above, admitted for first rehabilitation between December 2014 and December 2015 were analyzed. Descriptive statistics of 54 selected assessments. p values based on the χ 2 test were calculated for assessments used in both paraplegic and tetraplegic patients. Results One hundred and nineteen patients were screened. Forty-one assessments were administered, of which 10 on average more than once per patient. The most frequently used assessments were Spinal Cord Independence Measure III (7.7 times per patient), Skin Assessment (3.6 times), and Manual Muscle Test (3.2 times for Lower Extremities; 2.5 times for Upper Extremities). The American Spinal Injury Association Impairment Scale was administered on average 1.9 times per patient. More variation in the number of assessments per patient was observed in patients with complete and incomplete lesions compared to patients with paraplegia and tetraplegia. Conclusion Assessments covering neurological functioning, mobility, and self-care are used in clinical practice during first rehabilitation of patients with SCI, while others covering autonomic functioning, pain, participation, or quality of life are still missing. Based on these observations and national and international requirements, a meaningful standard for an assessment toolkit, applicable in general and in specific subgroups, needs to be defined and implemented.}, language = {en} } @book{OPUS4-1187, title = {Mustervertr{\"a}ge f{\"u}r das Krankenhaus—Praxishandbuch der Bayerischen Krankenhausgesellschaft e. V.}, editor = {Schloßer, Philipp}, publisher = {W. Kohlhammer Verlag}, address = {Stuttgart}, publisher = {Technische Hochschule Rosenheim}, year = {2014}, language = {de} } @article{Schlosser2017, author = {Schloßer, Philipp}, title = {Schadensersatzanspr{\"u}che und Regressm{\"o}glichkeiten der Krankenkassen bei Behandlungsfehlern - die Rechtslage in Deutschland}, series = {Soziale Sicherheit}, volume = {2017}, journal = {Soziale Sicherheit}, pages = {365}, year = {2017}, language = {de} } @article{SchlosserHeppekausen2017, author = {Schloßer, Philipp and Heppekausen, Christoph}, title = {Vertr{\"a}ge zur Anwendungsbeobachtungen pr{\"u}fen im Lichte von \S 299a und b StGB}, series = {Pflege- und Krankenhausrecht}, volume = {2017}, journal = {Pflege- und Krankenhausrecht}, number = {3}, pages = {78}, year = {2017}, language = {de} } @article{Schlosser2016, author = {Schloßer, Philipp}, title = {Anmerkung zu BGH, Urt. 14.1.2016 - III ZR 107/15}, series = {Medizinrecht}, journal = {Medizinrecht}, pages = {724}, year = {2016}, language = {de} } @article{Schlosser2014, author = {Schloßer, Philipp}, title = {Das nachtr{\"a}gliche Aufbringen von Anti-Allergiebeschichtungen auf Standardimplantaten als Risiko f{\"u}r das Krankenhaus}, series = {Pflege- und Krankenhausrecht}, volume = {2014}, journal = {Pflege- und Krankenhausrecht}, number = {2}, pages = {41}, year = {2014}, language = {de} } @article{SchlosserHeppekausen2012, author = {Schloßer, Philipp and Heppekausen, Christoph}, title = {Eckpunkte zur Gestaltung von teleradiologischen Kooperationsvertr{\"a}gen}, series = {Pflege- und Krankenhausrecht}, volume = {2012}, journal = {Pflege- und Krankenhausrecht}, number = {1}, pages = {8}, year = {2012}, language = {de} } @article{Schlosser2011, author = {Schloßer, Philipp}, title = {Vorteilsannahme und rechtfertigende Genehmigung nach \S 331 Abs. 3 StGB in der Praxis der Klinikverwaltung}, series = {Medizinrecht}, journal = {Medizinrecht}, pages = {623}, year = {2011}, language = {de} } @article{Schlosser2009, author = {Schloßer, Philipp}, title = {Der gespaltene Krankenhausaufnahmevertrag bei wahl{\"a}rztlichen Leistungen}, series = {Medizinrecht}, journal = {Medizinrecht}, pages = {313}, year = {2009}, language = {de} } @article{Schlosser2009, author = {Schloßer, Philipp}, title = {Gesamtschuldnerausgleich zwischen zwei Krankenh{\"a}usern, Anmerkung zu LG M{\"u}nchen, Urt. 5.3.2008 - 9 O 24390/05}, series = {Medizinrecht}, journal = {Medizinrecht}, pages = {234}, year = {2009}, abstract = {Die Haftungsverteilung im Innenverh{\"a}ltnis zweier an der fehlerhaften Behandlung beteiligten Krankenh{\"a}user erfolgt nicht gem{\"a}ß \S 426 Abs. 1 S. 1 BGB, sondern richtet sich gem{\"a}ß \S 254 BGB nach dem Maß der Verursachung. Maßgeblich ist dabei, mit welchem Grad von Wahrscheinlichkeit die beiderseitigen Verursachungsbeitr{\"a}ge zur Herbeif{\"u}hrung des Schadens jeweils geeignet waren. Die Haftung des einen Ersatzpflichtigen kann dabei so in den Hintergrund treten, dass der andere im Innenverh{\"a}ltnis allein haftet. (Leitsatz des Bearbeiters)}, language = {de} } @incollection{Schlosser2014, author = {Schloßer, Philipp}, title = {Konsignationsvertrag}, series = {Mustervertr{\"a}ge f{\"u}r das Krankenhaus—Praxishandbuch der Bayerischen Krankenhausgesellschaft e. V.}, booktitle = {Mustervertr{\"a}ge f{\"u}r das Krankenhaus—Praxishandbuch der Bayerischen Krankenhausgesellschaft e. V.}, editor = {Schloßer, Philipp}, publisher = {W. Kohlhammer Verlag}, address = {Stuttgart}, publisher = {Technische Hochschule Rosenheim}, year = {2014}, language = {de} } @incollection{SchlosserSigel2014, author = {Schloßer, Philipp and Sigel, Stefan}, title = {Sponsoringvertrag}, series = {Mustervertr{\"a}ge f{\"u}r das Krankenhaus—Praxishandbuch der Bayerischen Krankenhausgesellschaft e. V.}, booktitle = {Mustervertr{\"a}ge f{\"u}r das Krankenhaus—Praxishandbuch der Bayerischen Krankenhausgesellschaft e. V.}, editor = {Schloßer, Philipp}, publisher = {W. Kohlhammer Verlag}, address = {Stuttgart}, publisher = {Technische Hochschule Rosenheim}, year = {2014}, language = {de} } @incollection{SchlosserBienert2014, author = {Schloßer, Philipp and Bienert, Gunter}, title = {Dienstanweisung zum Umgang mit Belohnungen , Geschenken und sonstigen Vorteilen}, series = {Mustervertr{\"a}ge f{\"u}r das Krankenhaus—Praxishandbuch der Bayerischen Krankenhausgesellschaft e. V.}, booktitle = {Mustervertr{\"a}ge f{\"u}r das Krankenhaus—Praxishandbuch der Bayerischen Krankenhausgesellschaft e. V.}, editor = {Schloßer, Philipp}, publisher = {W. Kohlhammer Verlag}, address = {Stuttgart}, publisher = {Technische Hochschule Rosenheim}, year = {2014}, language = {de} }