Current Projects

COMPANION: Development of a patient-centered, nationally applicable classification of complexity and case-mix of adult palliative care patients, based on needs and resource consumption ­­

Project team

Health economic lead:
Prof. Dr. R. Leidl, Prof. Dr. C. Bausewein

Consortium lead:
Prof. Dr. C. Bausewein

Funding

The project is funded by the Innovation Committee at the Federal Joint Committee with the funding code 01NVF18018.

Consurtium partners

Prof. Dr. C. Bausewein, Klinikum der Universität München,
Prof. Dr. R. Leidl, Helmholtz Zentrum München
Prof. Dr. A.-L. Boulesteix, Ludwig Maximilians Universität München,
Prof. Dr. F. Nauck, Georg-August-Universität Göttingen,
Deutsche Gesellschaft für Palliativmedizin e.V.,
BARMER,
AOK Bayern,
AOK Rheinland/Hamburg

Other co-operation partners:
Siemens Betriebskrankenkasse,

Recruitment centers for specialized palliative care in Germany

Duration

36 months, until 2022/08/31

Description

Based on the complexity of the palliative care situation the required resources and care costs will be detected, in order to develop a patient-oriented, nationally applicable complexity and case-mix classification for palliative care patients.

On the other hand, routine data of statutory health insurances allow a more general statement about the palliative care situation in Germany. By analyzing the data of four German health insurances, the importance of inpatient and outpatient types of specialized palliative care will be captured. On this data basis, possible determinants of the specialized palliative care utilization will be examined.

Objectives

The development of a patient-centered, nationally applicable complexity and case-mix classification for adult palliative care patients, based on the complexity of the palliative patient situation and the associated resource consumption and related costs (staff, medication and diagnostics).

Methods

The target population comprises patients with advanced malignant and non-malignant diseases in specialized palliative care. Palliative settings include: palliative care units, outpatient palliative services in hospitals, and specialized ambulatory palliative care (SAPC).

The project is divided into two sub-projects.

Subproject 1 is based on the primary data collected in study centres for specialized palliative care.

A prospective, multicentre, cross-sectional study is conducted in order to collect data on patient needs and resources. Therefore, information will be collected including the overall organization, overhead costs and utilization data. In result, a patient-related cost calculation will be achieved. In addition, a taxonomy of palliative care structures will be developed. In a final step, a CART analysis of the calculated patient-related costs and the taxonomy will be used to develop a case-mix classification that can be used throughout Germany.

Subproject 2 is based on a secondary analysis of health insurance claims data of patients who received specialized palliative care within the last 12 months of their life.
The following data will be analyzed: Health care utilization in terms of type, frequency, and pattern of the palliative care services, as well as the associated service expenditures.

In a further step, the results of both sub-projects will be related to each other thus linking real care and the complexity and case-mix classification.