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Le financement des soins infirmiers à domicile en Belgique - KCE

Le financement des soins infirmiers à domicile en Belgique - KCE

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<strong>KCE</strong> Report 122 Financing of Home Nursing 73<br />

Intrav<strong>en</strong>ous of sub-cutaneous infusion,<br />

par<strong>en</strong>teral nutrition, epidural anesthesia,<br />

intrathecal anesthesia<br />

Installation of a perman<strong>en</strong>t catheter or<br />

material/needle for medication administration<br />

in an implantable medication infusion device.<br />

IV. Nursing care in palliative pati<strong>en</strong>ts<br />

425375 8.934 € 36.91<br />

423113 8.934 € 36.91<br />

Lump sum level A for nursing interv<strong>en</strong>tions in<br />

pati<strong>en</strong>t with palliative status FPA<br />

427055 10.887 € 44.98<br />

Lump sum level B for nursing interv<strong>en</strong>tions in<br />

pati<strong>en</strong>t with palliative status FPB<br />

Lump sum financing level C for nursing<br />

427033 11.750 € 48.54<br />

interv<strong>en</strong>tions in pati<strong>en</strong>t with palliative status<br />

FPC<br />

427011 14.422 € 59.58<br />

Lump sum PP 427173 10.887 € 44.98<br />

V. Supplem<strong>en</strong>t palliative honorarium PN 427070 7.062 € 29.17<br />

VI.<br />

Forfaitary honoraria for nursing interv<strong>en</strong>tions<br />

in diabetic pati<strong>en</strong>ts<br />

Creation of a specific nursing file for a pati<strong>en</strong>t<br />

with diabetes<br />

423135 7.001 € 28.92<br />

Individual education towards self-managem<strong>en</strong>t 423150 21.002 € 86.76<br />

Att<strong>en</strong>dance of a nurse in an education session<br />

towards self-managem<strong>en</strong>t<br />

423172 8.401 € 34.71<br />

Individual education towards insight 423194 7.001 € 28.92<br />

Follow-up visit after an education towards selfmanagem<strong>en</strong>t<br />

423216 2.800 € 11.57<br />

Follow-up of a pati<strong>en</strong>t who did not perform<br />

self-managem<strong>en</strong>t of his diabetes.<br />

423231 0.070 € 0.29<br />

Extra displacem<strong>en</strong>t costs 418913 0.546 € 2.26<br />

The paym<strong>en</strong>ts of basic care provision (first, second and third visit), the forfaitary paym<strong>en</strong>ts and the daylimit<br />

paym<strong>en</strong>t include a reimbursem<strong>en</strong>t of travelling exp<strong>en</strong>ses of 0.224 W. 25% of this reimbursem<strong>en</strong>t is<br />

part of the pati<strong>en</strong>t’s personal contribution.<br />

Comm<strong>en</strong>t : For each care activity, the maximum daily amount of reimbursem<strong>en</strong>t is determined<br />

using its specific W-value. On January 1st, 2009, the value of W equals 4.13113 .

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