In the organizational unit (OU) master data, you can store a service (departmental per diem) which the system is to automatically generate for a case if the patient is assigned to this OU.

The system proceeds as follows:

1. It first generates the service that is stored in the master data of the OU to which a case is assigned on a nursing basis.
2. If a service is not stored here, the system generates the service of the OU to which a case is assigned on a departmental basis.
3. If a service is not stored here, the system does not generate a service.

In Germany, you normally bill for departmental per diem charges that are valid for all of the OUs of a department. In such cases, it is useful to store the departmental per diem in the master data of the departmental OU. You do not enter a service in the master data of the nursing OUs.

Should certain departmental per diem charges only be billed for for stays on particular nursing organizational units of a department, you can specify this in the master data of the nursing OU. The system then enters the departmental per diem of the nursing OU rather than that of the departmental OU.

In certain cases, you do not bill for the same departmental per diem for all patients on a nursing OU. This can be true, for example, if external physician services are performed for a number of patients within the nursing OU or a number of patients are assigned to mobile intensive care units.

To be able to model and automatically generate alternative departmental per diem charges for these patients in the system, it is recommended to proceed as follows (the abbreviations in brackets refer to the example below):

You have defined a nursing OU (N11) below the departmental OU (D11) in the organizational hierarchy and assigned departmental per diem 11 to this nursing OU. Create another nursing OU (N1A) that is also below the departmental OU in the organizational hierarchy and assign the alternative departmental per diem (A) to this nursing OU. You then assign patients for whom you want to charge this alternative departmental per diem to this additional OU (N1A).

If you want to be able to model and automatically generate alternative departmental per diem charges for patients in the system, you can also proceed as follows (the abbreviations in brackets refer to the example below):

You create an additional ‘auxiliary organizational unit’ (D1A). You store the alternative departmental per diem in the master data of this OU. You then assign patients for whom you want to charge this service to this OU on a departmental basis.

To ensure that statistics (for example midnight census statistics) are not distorted, you have to subordinate the ‘auxiliary organizational unit’ to the actual departmental OU in the organizational hierarchy. You subordinate the nursing OU to the ‘auxiliary organizational unit’.

You can store the departmental per diem for an OU on the Specialty, indic. tab page.