Table 3 Criteria for inclusion, exclusion and deletion of a hospital medical service used by the steering committee of the hospital individual services catalogue
Criteria for adoption of a novel, or differentiation of an already existing, hospital medical service | •The service is newly developed or required to reflect medical advances •The service is technically established •Adequate scientific evidence is available •There is a strictly defined medical indication for the service •The service and unit of service is clearly defined and distinguishable from other service items •The service is of economic relevance (cost, frequency) |
Exclusion criteria regarding a potential adoption of a hospital medical service | •Incomplete proposals •Examinations and treatments that are typical and recurring components of various diagnostic or therapeutic medical service •Services that are included in existing case rates •Different surgical techniques for the same medical services •Medications, except in the area of oncology •Service items that contain manufacturer-related drug, device, or other manufacturer-related material claims |
Criteria for deleting (disinvesting from) a hospital medical service | •The service is no longer provided •The service no longer meets current medical standards •The service does not have sufficient evidence •The service is not relevant for any of the topics: billing, observation, planning, control, quality assurance •The service recording is highly incomplete and not valid and the data quality cannot be easily improved |