Patients are eligible if they have: health insurance from one of the participating statutory health insurers, a general medical condition and inpatient treatment needs according to the criteria of the German Appropriate Evaluation Protocol (G-AEP), a diagnosis according to a project-specific ICD-10 code, and a foreseeable uncomplicated course of disease (Patient Clinical Complexity Level(PCCL) 0-2). The subsequent list of ICD-10 codes comprises exemplary diagnoses and is not exhaustive: I10.01 (
Conditions
Interventions
Group 1: Treatment at a STATAMED site, including a pre-admission interview to determine a patient’s eligibility, followed by the formulation of a treatment plan if eligibility is confirmed, multidisci
Sponsors
AOK Rheinland/Hamburg – Die Gesundheitskasse
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients are eligible if they have: health insurance from one of the participating statutory health insurers, a general medical condition and inpatient treatment needs according to the criteria of the German Appropriate Evaluation Protocol (G-AEP), a diagnosis according to a project-specific ICD-10 code, and a foreseeable uncomplicated course of disease (Patient Clinical Complexity Level(PCCL) 0-2). The subsequent list of ICD-10 codes comprises exemplary diagnoses and is not exhaustive: I10.01 (Benign essential hypertension: With mention of hypertensive urgency), I48.1 (Persistent atrial fibrillation), E86 (Volume depletion), K59.09 (Other and unspecified constipation), I50.14 (Left ventricular failure: With symptoms at rest), I20.8 (Other forms of angina pectoris), I48.0 (Paroxysmal atrial fibrillation), R55 (Syncope and collapse), R07.3 (Other chest pain), K29.6 (Other gastritis), N39.0 (Urinary tract infection, site not specified), I50.13 (Left ventricular failure: With symptoms under mild strain), J20.9 (Acute bronchitis, unspecified), J18.9 (Pneumonia, unspecified), I50.01 (Secondary congestive heart failure), K57.32 (Diverticulitis of large intestine without perforation, abscess or bleeding), E11.91(Type 2 diabetes mellitus: Without complications, Uncontrolled), R10.3 (Pain localized to other parts of lower abdomen), A09.9 (Gastroenteritis and colitis of unspecified origin), K29.1 (Other acute gastritis).
Exclusion criteria
Exclusion criteria: Exclusion criteria are: highly technical diagnostic needs, the need for inpatient surgery, or transfers from other hospitals.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Combined primary outcome: hospital re-admission rate (within 30 days post-discharge) and length of hospital stay | — |
Secondary
| Measure | Time frame |
|---|---|
| Utilisation of ambulatory care services Utilisation of ambulatory care emergency services Utilisation of hospital emergency department Cost (ambulatory care, inpatient care, pharmaceuticals, medical and assistive devices, rehabilitation, and prospective actual cost of the intervention) Post-hospital care (especially the location of post-hospital care, such as at home or in a nursing care facility) | — |
Countries
Germany
Outcome results
None listed