Abstract
From a Belgian Nursing minimum dataset to a nursing cost-weight per DRG
Highlights
The Belgian hospital financing system is regarded as one of the systems that are adjusting for nursing care
A very strong relationship exists between the estimated time and the TISS patient classification system regarding intensive care
The main conclusion of the study is that it is possible to weight nursing care based on an appropriate staffing level instead of actual staffing levels
Summary
The Belgian hospital financing system is regarded as one of the systems that are adjusting for nursing care. The actual financing system for nursing activity in Belgium consists of a basic and a supplementary part in budget allocation to nursing wards. The supplementary part of nurse staffing financing is allocated over hospitals based on a 1 to 10 deciles ranking of hospitals. Multidimensional scaling projects every nursing ward on a national 'map' within a dependent – independent care dimension and a basic – intensive care dimension. The cluster in which a nursing ward falls has a unique NMDS weight. This weight is an indicator of the zone specific staffing characteristics, as a combination of a staff qualification index and a staff quantification index (FTE/patient day)
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