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Reimbursement summary for angioplasty of arteries of lower extremities

This post presents an extract from our reimbursement analysis for angioplasty of arteries lower extremities using plain and drug-coated balloons (DCBs) for peripheral artery disease in England, France and Germany. Plain balloon angioplasty is reimbursement via DRG solely and DCBs are reimbursement via combination of DRG and add-on reimbursement.
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Announcement of same day emergency care model in England

On the 5th of April 2019, NHS Improvement has announced the start of implementation of same day emergency care model (SDEC), which is a provision of same day care for emergency patients who would otherwise be admitted to hospital. Under this care model, patients presenting at hospital with relevant conditions can be rapidly assessed, diagnosed and treated without being admitted to a ward, and if clinically safe to do so, will go home the same day their care is provided.

Headaches, deep vein thrombosis, pulmonary embolus, pneumonia, cellulitis, and diabetes are available for the treatment in a framework of SDEC care model. The types of conditions that can be managed through SDEC will vary depending on the hospital and needs of the local population.

The national SDEC model builds on previous improvement work in ambulatory emergency care (AEC) services across the NHS, with the aim of providing a consistent approach to patient pathways.

Patients can be referred to SDEC treatment through a number of different ways, including:

  • Triage in emergency departments (EDs)
  • Direct referral from GPs
  • Direct transfer from ambulance
  • Direct referral from NHS111

Types of SDEC treatment include:

  • Acute medical SDEC
  • Surgical sdec
  • Acute frailty

See the full information in English here.

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