Psychiatry Personnel Ordinance
The Psychiatry Personnel Ordinance regulates the staffing of psychiatric hospitals.
| Basic data | |
|---|---|
| Title: | Ordinance on standards and principles for staff requirements in inpatient psychiatry |
| Short title: | Psychiatry Personnel Ordinance |
| Abbreviation: | Psych PV |
| Type: | Federal Ordinance |
| Scope: | Federal Republic of Germany |
| Issued on the basis of: | Section 16 sentence 1, Section 19 subsection 2 KHG |
| Legal matter: | Special administrative law |
| References : | 2126-9-11 |
| Issued on: | December 18, 1990 ( Federal Law Gazette I p. 2930 ) |
| Entry into force on: | January 1, 1991 |
| Last change by: |
Art. 54 G of March 29, 2017 (Federal Law Gazette I p. 626, 637) |
| Effective date of the last change: |
April 5, 2017 ( Art. 183 G of March 29, 2017) |
| Expiry: | January 1, 2020 ( Art. 7, 8 para. 3 G of July 21, 2012; Federal Law Gazette I p. 1613) |
| GESTA : | B082 |
| Please note the note on the applicable legal version. | |
The Psychiatry Personnel Ordinance ( Psych-PV ) groups hospitalized patients into treatment areas and types of treatment . It forms an essential framework for financing treatment in psychiatry and sets minimum standards for patient care. Compulsory care, which also includes involuntary treatment, is also taken into account.
The treatment areas of the Psych-PV are general psychiatry (abbreviation: A), addicts (S), geriatric psychiatry (G) and child and adolescent psychiatry (KJ).
Treatment types in adult psychiatry are standard treatment (abbreviation: 1), intensive treatment (2), rehabilitation treatment (3), long-term treatment of severely and multiply ill patients (4), psychotherapy (5) and day-care treatment (6). Analogously, the types of treatment in child and adolescent psychiatry are child psychiatric standard and intensive treatment (1), adolescent psychiatric standard treatment (2), adolescent psychiatric intensive treatment (3), rehabilitation treatment (4), long-term treatment of critically ill and multiple illnesses (5), parent-child -Treatment (6) and day hospital treatment (7).
Examples: A severely depressed patient is classified as A1, with suicidal syndrome as A2. A patient with severe alcohol withdrawal syndrome is classified as S2. A patient with delirium in dementia: G2. A 12-year-old patient in child and adolescent psychiatry: KJ1.
The Psych-PV grouping was carried out until the end of 2009 in accordance with Section 4 (3) four times a year with reference date surveys. Since Section 17d of the Hospital Financing Act came into force on January 1, 2010, the Psych-PV grouping is carried out when a patient is admitted to the hospital and whenever there is a change in treatment area or type of treatment and transmitted to the responsible health insurance company.
Unlike in hospitals for the care of physical illnesses, in psychiatric, psychosomatic and child and adolescent psychiatric hospitals, bills are not based on diagnosis-related groups using flat rates, but based on treatment and care days with a fixed care rate agreed with the health insurance companies . Since January 1, 2010, or until July 1, 2010, according to Section 17 d of the KHG, operation and procedure codes (OPS) must be transmitted to the responsible health insurance company, which are calculated from a flat-rate service recording.
With the law on the further development of care and remuneration for psychiatric and psychosomatic services (PsychVVG), the remuneration system for psychiatric and psychosomatic services is being realigned. The introduction of fees by means of daily flat rates, which result from the corresponding PEPP fee catalog based on the OPS version and the PEPP definition manual (each with an annual update) is mandatory for all facilities within the scope of § 17d KHG at the latest by the end of 2019.
On September 19, 2019, the Federal Joint Committee adopted a guideline on staffing in psychiatric, psychosomatic and child and youth psychiatric clinics , which will replace the Psychiatry Personnel Ordinance on January 1, 2020 .
Web links
Psychiatry Personnel Ordinance - Psych-PV
Individual evidence
- ↑ PB: PPP guideline. In: Deutsches Ärzteblatt. Volume 116, Issue 51-52, December 23, 2019, p. B 1962.
