TY - GEN A1 - Hogan, Barbara A1 - Rasche, Christoph T1 - Emergency Care in Germany being re-assessed Hybrid Medical Care Model Seen As Potential Answer T2 - Eurasian Journal of emergency medicine Y1 - 2017 U6 - https://doi.org/10.5152/eajem.2017.00001 SN - 2149-5807 SN - 2149-6048 VL - 16 SP - 47 EP - 47 PB - Aves CY - Sisli ER - TY - JOUR A1 - Hogan, Barbara A1 - Rasche, Christoph A1 - Braun von Reinersdorff, Andrea T1 - The First View Concept introduction of industrial flow techniques into emergency medicine organization JF - European journal of emergency medicine : official journal of the European Society for Emergency Medicine N2 - The number of patients seeking treatment in emergency departments is rising, although many governments are seeking to reduce expenditure on health. Emergency departments must achieve more with the same resources or perform the same functions with fewer resources. Patients demand higher emergency clinical care quality, with low waiting times viewed as a key quality criterion by many patients. The objective of this study was to create an improved working system in emergency departments that cuts patient waiting times for first specialty physician contact. Techniques from industrial flow management were applied to the working process of an emergency department and the concept was named 'First View.' A total of 3269 patient contacts using the First View Concept during a treatment month showed statistical significance. Before introduction, a total 3230 patients in a comparative treatment month had a median waiting time before the first doctor contact of 47.6 min, a first quartile waiting time of 36.1 min, and a third quartile waiting time of 62.7 min. After introduction, 3269 patients had a median waiting time before first specialty physician contact of 11.2 min, a first quartile waiting time of 9.1 min, and a third quartile waiting time of 15.2 min. Industrial flow concepts can achieve significant improvements in emergency department workflows in countries in which sufficient numbers of specialty physicians are available. More attention to the organization of emergency department working processes is needed, especially involving lean management. KW - emergency department KW - lean management KW - organization KW - waiting times Y1 - 2012 U6 - https://doi.org/10.1097/MEJ.0b013e32834bbd93 SN - 0969-9546 VL - 19 IS - 3 SP - 136 EP - 139 PB - Lippincott Williams & Wilkins CY - Philadelphia ER - TY - JOUR A1 - Mahnken, A. H. A1 - Bruners, P. A1 - Guenther, R. W. A1 - Rasche, Christoph T1 - Process-oriented cost calculation in interventional radiology JF - Der Radiologe : Zeitschrift für diagnostische und interventionelle Radiologie, Radioonkologie, Nuklearmedizin N2 - Currently used costing methods such as cost centre accounting do not sufficiently reflect the process-based resource utilization in medicine. The goal of this study was to establish a process-oriented cost assessment of percutaneous radiofrequency (RF) ablation of liver and lung metastases. In each of 15 patients a detailed task analysis of the primary process of hepatic and pulmonary RF ablation was performed. Based on these data a dedicated cost calculation model was developed for each primary process. The costs of each process were computed and compared with the revenue for in-patients according to the German diagnosis-related groups (DRG) system 2010. The RF ablation of liver metastases in patients without relevant comorbidities and a low patient complexity level results in a loss of EUR 588.44, whereas the treatment of patients with a higher complexity level yields an acceptable profit. The treatment of pulmonary metastases is profitable even in cases of additional expenses due to complications. Process-oriented costing provides relevant information that is needed for understanding the economic impact of treatment decisions. It is well suited as a starting point for economically driven process optimization and reengineering. Under the terms of the German DRG 2010 system percutaneous RF ablation of lung metastases is economically reasonable, while RF ablation of liver metastases in cases of low patient complexity levels does not cover the costs. KW - Process-oriented costing KW - Radiofrequency ablation KW - Diagnosis-related groups KW - Process optimization KW - Economic Y1 - 2012 U6 - https://doi.org/10.1007/s00117-011-2223-x SN - 0033-832X VL - 52 IS - 1 SP - 74 EP - 80 PB - Springer CY - New York ER - TY - JOUR A1 - Raewer, Henrik A1 - Braun von Reinersdorff, Andrea A1 - Ochotta, T. A1 - Rasche, Christoph T1 - Market and competitive positioning of specialized practices JF - UROLOGE N2 - The provision of outpatient services will be confronted by increased market concentration. Under these circumstances, individual medical practices are predicted to have a minimal chance for survival since by nature the specialized physician can only accommodate the considerably heterogeneous needs of the patients up to justifiable limits. Due to patients’ higher rate of mobility in the elective process, specialty physicians in rural areas are obliged to transform their practices into professional service enterprises. While hospitals are attempting to combat a continuing economization of the health care sector, in part by applying aggressive leadership and management methods, an increasing polarization can be noted in the outpatient setting. Also in the field of urology, patients consider themselves medical treatment clients who are unwilling to be relegated to cases of the often criticized"5-minute medicine.". KW - Market positioning KW - Competitive positioning KW - Specialty practices KW - Outpatient care KW - Patient mobility Y1 - 2011 U6 - https://doi.org/10.1007/s00120-011-2745-x SN - 0340-2592 VL - 50 IS - 12 SP - 1550 EP - 1559 PB - SPRINGER HEIDELBERG CY - HEIDELBERG ER - TY - JOUR A1 - Rasche, Christoph A1 - Herrmann, Konstantin T1 - Freizeit, Medien und Sport JF - Wandel der Jugend in Brandenburg : Lebenslage · Werte · Teilhabe Y1 - 2019 SN - 978-3-658-23709-7 SP - 87 EP - 112 PB - Springer CY - Wiesbaden ER - TY - BOOK A1 - Rasche, Christoph A1 - Rehder, Stephan A. ED - Wagner, Dieter ED - Mülller, Magnus ED - Madani, Roya T1 - Internationales Management T3 - Kohlhammer executive education Y1 - 2017 SN - 978-3-17-033399-4 PB - Kohlhammer CY - Stuttgart ER -