Clinics in Wilhelmshaven and Friesland: Chaos before hospital reform!

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The planned hospital reform in Germany, which is due to come into force in 2025, faces major challenges, especially in the Wilhelmshaven and Friesland region. This reform, known as the hospital provision of improvement law (KHVVVG), is intended to make the decision on the future of clinics in Germany dependent on performance groups specified in the future. But the necessary software to implement this structure is still not available.

At a dialogue forum in Wilhelmshaven, Lower Saxony's Minister of Health Dr. Andreas Philippi (SPD) becomes clear that everyone involved agrees: a reform is necessary. Nevertheless, the preparations are anything but easy. The Bundestag will vote on the KHVVG in the coming week, but there are already 51 amendments that, according to Philippi's assessment, should cause more flexibility at the state level. This flexibility is necessary to take great differences between the different federal states, a point that Dr. Jürgen Peter, CEO of AOK Niedersachsen, and Helge Engelke, Association Director of the Lower Saxony Hospital Society.

important software is missing

A central problem is the outstanding software called "Grouper", which should be available until September 30th. Without this software, the clinics cannot determine their performance groups, the decisive criterion for future hospital planning. Philippi was concerned that the announcement of software availability was placed on the time of the Bundestag vote. "If it is not delivered, I will go to Berlin and pick them up," he announced. This statement publishes more than just a humorous remark, it shows the increasingly urgent need for planning security for the clinics.

The need for this planning security cannot be emphasized enough. The classification of the clinics in various supply levels- from basic and regular care to a focus to maximum suppliers- has a direct impact on the size, the equipment and ultimately the existence of hospitals. In particular, the hospitals in Wilhelmshaven and the Friesland clinics are faced with a special challenge through their desired cooperation: How will the performance group report be carried out in the future if the houses may merge?

cooperation and future prospects

The ambiguity about the message process ensures uncertainty. Norman Schaaf, Managing Director of the Wilhelmshaven Clinic, asked how two merging institutions should report their performance groups at the same time. "Everyone reports for themselves," was the answer. This regulation, although clear, offers space for worries because every clinic has different requirements and needs. But the decision -makers agree that these processes are coordinated with the affected houses to ensure a smooth transition.

The discussion shows how complex and complex the implementation of the hospital reform in Germany. The provisions to be observed and the implementation of the software solution are essential factors that decide whether the plans can be successfully implemented to improve hospital care in Lower Saxony. The feedback from the healthcare actors indicates that improvements are essential to meet the challenges.

Overall, the future of the clinic landscape in Wilhelmshaven and Friesland remains an exciting topic that is characterized by numerous uncertain factors. The next steps in the reform and the ultimate success continue to be on the brink, while all sides hope that the weaknesses can be tackled quickly.

for a detailed view of the case, see the report on www.nwzonline.de .