Chris M Ernst

Chris M Ernst
University of Hohenheim · Institute of Health Care and Public Management

About

18
Publications
1,406
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177
Citations
Citations since 2017
0 Research Items
54 Citations
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2017201820192020202120222023024681012
2017201820192020202120222023024681012
2017201820192020202120222023024681012

Publications

Publications (18)
Article
Der steigende ökonomische Druck im Gesundheitssystem ruft Berater auf den Plan. Hiervon ist auch das medizinische Laboratorium nicht ausgenommen. In Deutschland gibt es ca. 30 Unternehmen, die eine Laborberatung anbieten. Ob Berater den Laboratorien tatsächlich einen Mehrwert liefern, wer die Berater sind und welche Qualifikation sie besitzen, ist...
Article
Full-text available
Zusammenfassung Der steigende ökonomische Druck im Gesundheitssystem ruft Berater auf den Plan. Hiervon ist auch das medizinische Laboratorium nicht ausgenommen. In Deutschland gibt es ca. 30 Unternehmen, die eine Laborberatung anbieten. Ob Berater den Laboratorien tatsächlich einen Mehrwert liefern, wer die Berater sind und welche Qualifikation si...
Article
One of the declared objectives of surgical suite management in Germany is to increase operating room (OR) efficiency by reducing tardiness of first case of the day starts. We analyzed whether the introduction of OR management tools by German hospitals in response to increasing economic pressure was successful in achieving this objective. The OR man...
Article
The reduction or ‘optimization’ of turnover times between procedures in the operating room (OR) is often considered an important tool to increase OR efficiency. This contrasts with findings in a recent survey of 257 anesthesiology department heads conducted by the German Society of Anesthesiology and Intensive Care Medicine (DGAI), the Professional...
Article
In most hospitals the operating theatre is one of the most expensive facilities. As a result of the increasing financial restraints associated with the DRG-convergence phase, the demands made on professional and process-orientated management in this area are increasing. The present analysis based on data collected from 256 hospitals provides a rele...
Article
Der vorliegende Beitrag verfolgt das Ziel, informationsökonomische Ergebnisse zu den Anreizwirkungen der seit 1993 bestehenden festen Krankenhausbudgets empirisch zu überprüfen. Auf Basis einer Principal-Agent-Beziehung zwischen Krankenhausleitung und leitendem Arzt werden zunächst zwei empirisch testbare Hypothesen für effizienzsteigernde Speziali...
Article
This article describes U. S. accounting research inspired by the U. S. Medicare system's adoption of a DRG based prospective reimbursement system (PPS) in 1983. This paper describes research questions and insights gained from studying the PPS implementation. Each topic is followed by a brief synopsis of its potential relevance for the German DRG-sy...
Article
It has long been recognized in the health economics literature that increased financial incentives for better-informed health care providers not only lead to desirable efficiency gains and cost savings but may have unintended consequences. Accounting-based cost containment instruments like capped budgets or prospective payment may induce physicians...
Article
Full-text available
On January 1st 2004, Germany introduced a prospective payment system for the reimbursement of almost all inpatient hospital cases. The new system, which is based on Diagnosis Related Groups (DRGs), is now mandatory for all hospitals that treat patients insured under Germany’s statutory health insurance system (GKV). Although most German hospitals a...
Article
In 2003, Germany will be the first country in the world to adopt a fully prospective payment system for the reimbursement of all inpatient hospital services. To face the increasing competition, hospitals can pursue either a specialization or a cost and quality leadership strategy. It stands to reason that organizational and individual learning will...
Article
The theory of the learning curve states that learning effects are of particular importance in industries, where human skills play an important role. Consequently, one would expect to find large learning effects for surgical procedures because the physician's experience is quite important for this type of work. For hospitals, there exists indeed a w...
Chapter
In 2003, Germany will be the first country in the world to adopt a fully prospective payment system for the reimbursement of all inpatient hospital services. To face the increasing competition, hospitals can pursue either a specialization or a cost and quality leadership strategy. It stands to reason that organizationaland individual learning will...
Article
During the last years issues of strategic management accounting have received widespread attention in the accounting literature. Yet the conceptual foundation of most proposals is not clear. This paper presents a theoretical analysis of one of the most prominent approaches of strategic management accounting, i.e. target costing. We analyse three di...
Article
Full-text available
Though more than 49 major health care reform laws have been passed in Germany since 1977, there is a distinct scarcity of empirical research to evaluate its respective results. Using detailed operating room data from a small German hospital compiled over a 14 year period (1989–2002), the present paper seeks to answer the question in what ways Germa...

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