Can I do hospital management?


1. Term: Facility in which medical and nursing assistance available at all times is intended to diagnose, heal or alleviate illnesses, ailments or injuries caused by accidental damage or to provide obstetrics and in which the patients to be cared for are accommodated and cared for. The medical-technical equipment must be adapted to the needs of the patient. Hospitals are social security and health care providers.

2. Tasks: In-patient treatments are mainly carried out in hospitals. Since the Health Structure Act (from 1992) and increasingly since the GKV Supply Structure Act (from 2011), hospitals also provide partial, pre- and post-inpatient services as well as outpatient services. The planning and financing of hospitals was last adjusted by the Hospital Structure Act of December 10, 2015 (Federal Law Gazette I p. 2229).

3. Hospital bearer in Germany are primarily public and non-profit institutions. The number of hospitals operated by private providers has increased in the last two decades, but their share of bed capacity is still significantly lower than that of the other types of providers due to their smaller size. Non-profit and public-law organizations sometimes also use a private-sector legal form to operate hospitals.

4. The hospital operators operate their hospitals in accordance with the State hospital planning requirements. This takes place in the individual federal states. Be for the individual hospitals Utility contracts which determine the number of specialist departments and the respective number of beds. The Amount of fees for hospital treatment and a large number of other regulations for specific hospital treatment are also negotiated between the hospital owners and the health insurance companies.

5. The Financing the hospitals takes place in Germany after dual principle, in which investment and operating costs are differentiated. The Investment costs are to be financed by public funds. The ongoing operating cost, i.e. the personnel costs and the use of material resources, are paid by the health insurance companies. Until 2003, billing was usually based on daily care rateswhich from 2004 onwards initially on a budget-neutral basis diagnosis-specific flat rates per case (Diagnosis-related groups, DRG) and, after a convergence phase, from 2010 to nationwide Base case values flowed. This initially excluded psychiatric facilities and the like, where such a change was initiated in 2013 and should be completed by 2020.