Erlaubnis zum Betrieb einer Privatkrankenanstalt

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

By drawing up hospital plans, the state creates the basis for ensuring that you as a citizen can make use of efficient hospitals and that your health insurance pays the necessary treatment costs.

• Approved hospitals are all hospitals included in the respective hospital plan of a federal state (Section 108 No. 2 SGB V). Hospital planning is the responsibility of the federal states (Section 6 (1) KHG). The purpose of drawing up hospital plans is to achieve the objectives set out in Section 1 (1) KHG: Ensuring high-quality, patient- and demand-oriented care for the population with efficient, digitally equipped, high-quality and independently operating hospitals. Inclusion or non-inclusion in the hospital plan of a federal state is determined by decision (Section 8 (1) sentence 3 KHG). The care decision can be divided into two stages: In the first stage, all hospitals that meet demand, are efficient and cost-effective are identified The targets specified in Section 1 (1) KHG have the character of qualification features in this respect. If more hospitals meet the qualification criteria (needs-based, efficient, high-quality and cost-effective) than are required to meet the identified needs, the hospitals that best meet the objectives of the hospital plan are to be selected at the second stage, taking into account the public interests and the principle of diversity of ownership, at the discretion of the hospital operator. The objectives set out in Section 1 (1) KHG (needs-based, efficiency, quality and cost-effectiveness) form the decisive selection criteria. Among other things, the number of patients treated, regional accessibility or a wider range of disciplines were recognized as selection criteria - with the same quality of service provision. There is no ranking among the criteria mentioned. The establishment of the hospital plan is followed by the externally effective determination decisions to be made by the responsible state authorities, which determine the admission, non-admission or even the removal of a particular hospital to/from the hospital.

• Written application by the hospital operator to take on a specific care mandate and thus inclusion in the state hospital plan
• Within the application: Specification of the specialty, if applicable the sub-discipline, information on the timing of the start of the care mandate / time at which the measure is to take place / be 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 responsible ministry/authority

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

There are no fees.

• Hospital applies for inclusion in the state's hospital plan to the authority / ministry responsible for hospital planning
• The competent authority / the competent ministry makes the decision on the provision of care on the basis of the relevant qualification criteria (adequacy, efficiency, quality and cost-effectiveness)
• The competent authority / ministry makes the externally effective decision on the inclusion, non-inclusion or exclusion of a specific hospital in / from the respective hospital plan
• Determination of inclusion in the hospital plan = approval of the hospital

The processing time cannot be quantified.

There are no deadlines to be observed.

• Administrative court action

• Approval of hospitals for inclusion in the state hospital plan in accordance with Section 108 SGB V
• The federal states are responsible for drawing up hospital plans (planning sovereignty of the federal states)
• Hospital treatment in accordance with § 39 SGB V may only be provided in approved hospitals
• Only licensed hospitals are entitled to state funding for investments in accordance with Section 8 (1) of the Hospital Financing Act
• Inclusion in the state's hospital plan is implemented in accordance with Section 8 (1) sentence 3 KHG by means of a determination notice
• When making selection decisions, the objectives of needs-based, efficiency, quality and cost-effectiveness specified in Section 1 (1) KHG form the discretionary selection criteria.
• Responsible authority: in the state of Bremen currently the Senator for Health, Women and Consumer Protection, generally the ministries or authorities responsible for the hospital sector in the federal states

Applications for inclusion in the hospital plan must be submitted to the Hessian Ministry for Social Affairs and Integration.

There are no applications.