caa a22 4500 445811064 CHVBK 20180317145212.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s00415-011-6032-y doi (NATIONALLICENCE)springer-10.1007/s00415-011-6032-y From the stroke unit to the stroke competence center: corresponding beneficial clinical and financial effects [Elektronische Daten] [A. Chatzikonstantinou, A. Förster, M. Hennerici, H. Bäzner] The introduction of the diagnosis related groups (DRG) system in Germany has radically influenced the organization of in-hospital patient treatment. Case-mix-index and duration of treatment in a stroke unit (SU) play a central role. Our SU started in 1998 and was gradually extended to the current "Stroke Competence Center” (SCC), with a total capacity of 29 patients. The SCC combines acute treatment, work-up and post-stroke management by the same specialized team. We aimed primarily at demonstrating the financial effects of this concept. Data from stroke patients treated in our SU/SCC between 2004 and 2009 were analyzed. We analyzed the number of treated stroke patients, number of thrombolytic treatments, the number of cases coded with procedure codes OPS 8-981.x and the ratio of OPS 8-981.0 (24-72h on SU) to the higher remunerated OPS 8-981.1 (>72h on SU). The number of treated patients increased by 118.3% (from 469 in 2004 to 1024 in 2009). The number of thrombolyses per year has more than quadrupled (2004: 46, 2009: 253, i.e. 25% of SU patients). The introduction of the stroke center concept lead to a great increase in the ratio of the higher rewarded OPS 8-981.1 to OPS 8-981.0 (from 1.5 in 2005 to 5.21 in 2009). Our data demonstrates that the SCC concept leads to a greater financial potential, while offering considerable medical advantages concerning more effective stroke treatment and work-up as well as improved flow of information and enhanced individual patient-physician relationship. Springer-Verlag, 2011 Stroke Unit nationallicence Stroke management nationallicence Diagnosis related groups nationallicence Chatzikonstantinou A. Department of Neurology, UniversitäsMedizin Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Förster A. Department of Neurology, UniversitäsMedizin Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Hennerici M. Department of Neurology, UniversitäsMedizin Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Bäzner H. Department of Neurology, UniversitäsMedizin Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Journal of Neurology Springer-Verlag 258/11(2011-11-01), 1929-1932 0340-5354 258:11<1929 2011 258 415 https://doi.org/10.1007/s00415-011-6032-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00415-011-6032-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chatzikonstantinou A. Department of Neurology, UniversitäsMedizin Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 700 1- Förster A. Department of Neurology, UniversitäsMedizin Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 700 1- Hennerici M. Department of Neurology, UniversitäsMedizin Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 700 1- Bäzner H. Department of Neurology, UniversitäsMedizin Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 773 0- Journal of Neurology Springer-Verlag 258/11(2011-11-01), 1929-1932 0340-5354 258:11<1929 2011 258 415 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer