Disease Management Programmes DMP in Germany

1
Disease Management Programmes (DMP) in Germany

• 2002 Implementation into the German Social Code
  Book V coupling with the risk-structure
  compensation scheme
• Objectives Improvement of
• quality of medical care for patients with
  chronic diseases
• solidarity-based competition among the health
  insurance funds without risk-selection

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Legal framework Features of DMP

• state of the art medical treatment according to
  best available evidence and evidence-based
  clinical guidelines
• quality assurance measures
• procedures for in- and exclusion of patients
• education/training for providers and patients
• documentation
• evaluation of efficiency and costs

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DMP Current Status (Oct. 2006)
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DMP in the Health Care Reform (1)

• currently over 2.3 million patients in DMP
• DMP in the future learning system
• Optimising the existing DMP
• reduction of bureaucracy
• modification of financial incentives in the risk
  structure compensation scheme
• implementation of treatment of multimorbidity

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DMP in the Health Care Reform (2)

• Reduction of bureaucracy, e.g.
• 2008 electronic way of documentation will be
  mandatory
• simplification of in- and exclusion procedures
  for participating physicians and patients
• prolongation of accreditation phase from 3 to a
  maximum of 5 years

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DMP in the Health Care Reform (3)

• modification of financial incentives
• 2009 allowance out of the health fund for each
  member who participates in a DMP
• allowance will compensate average expenditures
  for management costs and for non-medical
  activities of doctors related to the DMP
  (documentation and coordination)

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Further Improvement of DMP

• Implementation of multimorbidity, e.g.
• development of modules for existing DMP
• chronic heart failure (for DMP CHD)
• adiposity
• further development of medical contents by
  Experts from the Federal Joint Committee (G-BA),
  supported by the Institute for Quality and
  Efficiency of Health Care
• Optimisation of DMP-documentation
• Evaluation