Medical controlling

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Under the increasing pressure of the health policy framework, a new field of activity has developed in recent years, which combines hospital-specific and business knowledge with well-founded medical competence.

The field of activity in medical controlling includes the systematic analysis and improvement of medical organizational processes, medical-economic company development and consulting, quality assurance of the service documentation and revenue management in cooperation with cost bearers.

The preparation and support of the annual budget negotiations has a special place in strategic medical controlling.

In addition, communication with the cost bearers and the MDK is currently moving into the foreground of the activities in medical controlling with special consideration of medical law aspects.

The organization chart shows the trained, experienced medical controller in middle management, as a staff position for decision-makers, but also in a managerial position.

In addition to working in hospitals, there is an increasing number of positions to be filled with cost units and industry.

Training courses and seminars by various training providers and also master’s courses at various private universities of applied sciences have established themselves. There is no uniform training course.

Requirement profile

Qualifications

  • Medical college education or nursing education in connection with
  • Additional training in (hospital) business administration (or full-time studies, e.g. in health economics)
  • Good knowledge of hospital law
  • Several years of professional practice in the hospital sector
  • Qualified advanced and advanced training to become a medical controller

Technical and methodological competence

  • Comprehensive and comprehensive knowledge of human medicine, which enables a good orientation in all medical specialties
  • Hospital law and social legislation:
  • Confident mastery of scientific work methodology including statistics
  • Comprehensive knowledge of computer science and IT technology:
    • Applications: databases, encryption systems ( ICD / OPS , FP / SE, DRG grouper ), process management tools, communication, etc.
    • System: HIS , MIS , network, intranet and internet
    • Knowledge management tools
  • Mastery of the methods from the field of process management
    • Process and organizational analysis
    • Process visualization, modeling and simulation
    • Implementation techniques
    • Mastery of the methods from the field of quality management
    • Quality concepts (UQM, TQM, EFQM, KTQ etc.)
  • Confident knowledge of business administration
    • Financial accounting, balance sheet, liquidity, profitability
  • Knowledge of cost accounting procedures
    • Cost and performance accounting
    • Cost unit accounting and process cost accounting
  • Profitability calculation and investment planning
    • Budgeting, contribution margin accounting, target costing
    • (Re) calculation of services (FP / SE, DRG)
    • Profit center method
  • Business controlling
    • Cost and performance planning
    • Collection and processing of information
    • Target / actual comparison and deviation analyzes
    • Control and coordination, cost management, internal budgeting
  • Management techniques
  • Moderation and presentation techniques
  • Labor law in the hospital

Education and job profile

education

Training to become a medical controller has been carried out by numerous training providers since the 1990s; for a number of years there have also been isolated courses. The job description and training are not protected by law.

general tasks

Medical controlling monitors the structure, process and result quality of the medical service production processes in the hospital. Through the consistent implementation of process orientation, the medical controlling ensures cost optimization and thus contributes to higher profitability.

Medical controllers are internal business consultants in the medical field and medical consultants in the administrative field. As an internal consulting body, the medical controlling contributes to increasing the transparency and accelerating the interface processes.

Tasks in the operational area

  • Support of patient management
    • Data transfer (§301 SGB V; § 21 KHEntgG)
    • Implementation of new classifications and catalogs ( ICD-10 , OPS-301 )
    • Logistics of patient-related administrative processes
    • Billing management (FP / SE, DRG)
    • Validation of the data (diagnoses, procedures)
  • Optimization of internal communication between the medical and administrative areas
  • Optimization of medical documentation
    • Quality of coding using the ICD-10 and OPS-301 classifications
    • Progress documentation
  • Use of EDP technology in the medical field
    • Adaptation and implementation of the medical software
    • Electronic data acquisition and provision
    • Encryption software (ICD, OPS, FP / ES, DRG)
    • Medical information systems
  • Function as internal consultant in the medical field
    • Internal budgeting - interpretation of the data
    • Medical documentation - optimization strategies, work techniques
    • Optimization of the process organization
    • Selection of the appropriate form of hospital treatment
    • Performance planning and recording in the medical field
  • Analysis of performance data and provision of evaluations
  • Analysis of service creation processes in the medical field
  • Standardization in the medical field
    • Diagnostic and therapeutic guidelines
    • Evidence Based Medicine
  • Close cooperation with controlling, quality and process management

Tasks in the strategic area

  • Internal consulting
  • Optimization of interdisciplinary cooperation
  • Preparations and introduction of the DRG system
  • Information technology in the hospital
  • Management within the framework of integrated care
  • Participation in the implementation of a process management system
  • Participation in the implementation of the quality management system and the implementation of the legally promoted measures for quality assurance
  • Support of the hospital management in the implementation of legal standards and (new) regulations
  • Carrying out complex analyzes, such as B .:
    • Analysis and optimization of the range of services
    • Analysis of the competitive situation
    • Analysis of the medical development under the cost-benefit aspect
    • Participation in the preparation for the hospital comparison
  • Expansion of communication with external partners
    • Health insurance companies and the medical service of health insurance
    • Doctors in private practice and other hospitals

literature

  • Andreas JW Goldschmidt, Manfred Kalbitzer, Jörg Eckardt (eds.): Practice handbook Medizincontrolling. Economica - Hüthig Jehle Rehm publishing group, Heidelberg et al. 2005, ISBN 3-87081-330-X .
  • Stefan Fenner: The development status of controlling instruments in German hospitals (= Bernd Rolfes & Henner Schierenbeck [Hrsg.]: Series of publications of the zeb . Volume 67 ). Verlag Fritz Knapp GmbH, Frankfurt am Main 2015, ISBN 978-3-8314-0861-0 (dissertation).

See also

Web links

Individual evidence

  1. ^ Medicine controller. In: Monster Career Advice. Retrieved February 14, 2017 .