Aufnahme in den Krankenhausplan eines Landes beantragen

• Approved hospitals: § 108 Fifth Book of the Social Code (SGB V)
• Responsibility for state hospital planning: § 6 Hospital Financing Act (KHG)
• Determination of inclusion or non-inclusion in the hospital plan by means of a notice of assessment: Section 8 (1) sentence 3 of the Hospital Financing Act (KHG)
• Hospital treatment by approved hospitals: Section 39 (1) of the Fifth Book of the Social Code (SGB V)
• Public funding for investments: Section 8 (1) of the Hospital Financing Act (KHG)
• Qualification features for planned hospitals: Section 1 (1) of the Hospital Financing Act (KHG)

Supplementary for the State of Brandenburg: Law on the Development of Hospitals in the State of Brandenburg (Brandenburg Hospital Development Act - BbgKHEG)

Your hospital will receive approval if it is included in the hospital plan of the respective country. You can apply for admission at the competent authority.  

Approved hospitals are all hospitals included in the hospital plan of the respective country. Hospital treatment can only take place in approved hospitals. In addition, only approved hospitals are eligible for financial support and investment from the state.

The federal states are responsible for hospital planning. In this way, they ensure high-quality, patient- and needs-based care for the population. In addition, they ensure that this care is provided by efficient, digitally equipped, high-quality and self-reliant hospitals.

The inclusion or non-inclusion of a hospital in the hospital plan of a country is determined by decision. The care decision can be divided into two decision-making stages:

• In the first stage, all hospitals that meet the qualification criteria established by law are identified. These characteristics are needs-based performance, quality and cost-effectiveness.
• It may happen that more hospitals meet the qualification criteria than are required to meet the identified needs. Then, in a second stage, the hospitals that best meet the objectives of the hospital plan are selected. In doing so, the public interest and the principle of diversity of carriers are taken into account. The qualification characteristics are the decisive selection criteria. In the case of the same quality in the provision of services, the following criteria, among others, are considered:
  • the number of patients cared for,
  • regional accessibility or
  • a wider range of disciplines.

There is no ranking under the above criteria.

After the competent state authorities have drawn up the hospital plan, they make the declaratory decisions. The state authorities decide on the admission, non-admission or removal of a particular hospital from the hospital plan.

• Approved hospitals are all hospitals included in the respective hospital plan of a state (§ 108 No. 2 SGB V). Hospital planning is the responsibility of the federal states (§ 6 paragraph 1 KHG). The preparation of hospital plans serves to achieve the objectives set out in § 1 paragraph 1 KHG: Ensuring high-quality, patient- and needs-based care for the population with high-performance, digitally equipped, high-quality hospitals that operate independently. Inclusion or non-inclusion in the hospital plan of a Land is determined by decision (§ 8 (1) sentence 3 KHG). The care decision can be divided into two decision-making stages: In the first stage, all hospitals that are needs-based, efficient and cost-effective are identified. In this respect, the objectives set out in § 1 (1) KHG have the character of qualification characteristics. If more hospitals meet the qualification criteria (needs, efficiency, quality and cost-effectiveness) than are necessary to meet the identified needs, the hospitals that best meet the objectives of the hospital plan shall be selected at the second stage, taking into account the public interests and the principle of diversity of providers. The objectives set out in § 1 paragraph 1 KHG (needs-based justice, efficiency, quality and cost-effectiveness) form the relevant selection criteria. Among other things, the number of patients cared for, regional accessibility or a wider range of disciplines were recognised as selection criteria – with the same quality in service provision. There is no ranking under the above criteria. The preparation of the hospital plan is followed by the externally effective declaratory decisions to be made by the competent state authorities, which determine the admission, non-admission or removal of a particular hospital into / out of the hospital.

• Written application by the hospital operator for the assumption of a specific care mandate and thus inclusion in the state hospital plan
• Within the application: specification of the subject area, if necessary the sub-discipline, information on the number of planned beds required, information on the time of commencement of the care mandate / time at which the measure is to be carried out / implemented, if applicable, information on the necessary personnel / equipment, etc.
• There are no binding requirements for the application, so details must be clarified with the relevant ministry / authority

• In order for your hospital to be included in the hospital plan, you must meet the following selection criteria:
  • Needs-based justice,
  • Efficiency
  • Quality and
  • Cost-effectiveness.

• Admission as a hospital through inclusion in the hospital plan = fulfilment of the relevant selection criteria by the applicant hospital: needs-based assessment, efficiency, quality and cost-effectiveness

There are no costs.

None

• Hospital applies for inclusion in the country's hospital plan from the hospital planning authority/ministry responsible for hospital planning
• The competent authority / ministry makes the care decision on the basis of the relevant qualification characteristics (needs-based performance, efficiency, quality and cost-effectiveness)
• Making the externally effective declaratory decision by the competent authority / ministry on the inclusion, non-inclusion or exclusion of a particular hospital in / from the respective hospital plan
• Determination of inclusion in the hospital plan = approval of the hospital

• not quantifiable

There is no deadline.

• no deadlines

• Contradiction
• Administrative court action

• Contradiction
• Administrative court action

• Private Hospitals Admission
• Approval of hospitals through inclusion in the state hospital plan
• The Länder are responsible for drawing up hospital plans (planning sovereignty of the Länder)
• Hospital treatment may only be provided in approved hospitals
• only licensed hospitals are eligible for funding from the state
• Inclusion in the state's hospital plan is implemented by means of a declaratory decision
• In the case of selection decisions, the legally defined goals of needs-based justice, performance, quality and cost-effectiveness form the selection criteria
• competent authority: the ministries or authorities responsible for hospitals in the Länder

• Approval of hospitals via inclusion in the state hospital plan in accordance with § 108 SGB V
• The Länder are responsible for drawing up hospital plans (planning sovereignty of the Länder)
• Hospital treatment according to § 39 SGB V may only take place in approved hospitals
• According to Section 8 (1) of the Hospital Financing Act, only licensed hospitals are entitled to funding for investments by the state
• The implementation of the inclusion in the hospital plan of the state is carried out in accordance with § 8 paragraph 1 sentence 3 KHG by means of a declaratory decision
• In the case of selection decisions, the objectives of needs-based justice, performance, quality and cost-effectiveness set out in § 1 (1) KHG form the discretionary selection criteria.
• Competent authority: in the state of Bremen, currently the Senator for Health, Women and Consumer Protection, generally the ministries or authorities responsible for hospitals in the federal states

State of Brandenburg:

Competent authority: in the state of Brandenburg, currently the Ministry of Social Affairs, Health, Integration and Consumer Protection of the State of Brandenburg, generally the ministries or authorities responsible for hospitals in the states

Ministry of Social Affairs, Health, Integration and Consumer Protection (MSGIV), Dept. 4, Ref. 45

None