Overall result forecast presentation:	yes
Quantity performed reporting year:	119
Quantity forecast year:	123
Examination by state associations?	yes
Exemption?	yes
Result of the examination by the federal state authorities?	yes
Transitional arrangement?	no

Implementation of resolutions of the Federal Joint Committee on quality assurance (G-BA)

No.	Explanation
CQ25	Measures for quality assurance in the performance of minimally invasive heart valve interventions pursuant to Article 136, para. 1, sentence 1, number 2 for hospitals licensed in accordance with Article 108 of the SGB V
CQ01	Quality assurance measures for inpatient care with the indication abdominal aortic aneurysm

Compliance with staffing requirements

Clarifying chat completed: no
Clarifying chat not completed: no
No participation in clarifying chat: no
Notification of non-fulfilment of nursing care not made: no

Further training
pursuant to Article 136b, para. 1, sentence 1, no. 1 of the SGB

Number	Group
100	Medical specialists (m/f) , psychological psychotherapists (m/f) and child and adolescent psychotherapists (m/f) who are subject to the obligation to undergo further training*
70	Number of medical specialists (m/f) from no. 1 who have completed a five-year period of further training and are therefore subject to the obligation to provide evidence
70	Number of those persons from no. 2 who have provided proof of further training according to Article 3 of the G-BA regulations

* according to the “Provisions of the Joint Federal Committee for the Further Training of Medical Specialists (m/f), Psychological Psychotherapists (m/f) and Child and Adolescent Psychotherapists (m/f) in Hospitals”

General information

Protection concept against (sexual) violence against children and young people

Advice on prevention and intervention in cases of violence and abuse

According to Section 4 (2) of the Quality Management Guideline, facilities must provide for the prevention of and intervention in cases of violence and abuse as part of their internal quality management. The aim is to prevent, recognise and respond appropriately to abuse and violence, particularly against vulnerable patient groups such as children and adolescents or people in need of help, and also to prevent it within the facility. The respective procedure is aligned with the size of the facility, the range of services and the patients in order to define customised solutions for sensitising the teams as well as other suitable preventative and interventional measures. These may include information materials, contact addresses, training/education, codes of conduct, recommendations for action/intervention plans or comprehensive protection concepts.

Is a protection concept in place? Yes
No care for children and young people

Commentary on the protection concept

Gemäß § 4 Absatz 2 in Verbindung mit Teil B Abschnitt I § 1 der Qualitätsmanagement-Richtlinie haben sich Einrichtungen, die Kinder und Jugendliche versorgen, gezielt mit der Prävention von und Intervention bei (sexueller) Gewalt und Missbrauch bei Kindern und Jugendlichen zu befassen (Risiko- und Gefährdungsanalyse) und – der Größe und Organisationsform der Einrichtung entsprechend – konkrete Schritte und Maßnahmen abzuleiten (Schutzkonzept). In diesem Abschnitt geben Krankenhäuser, die Kinder und Jugendliche versorgen, an, ob sie gemäß § 4 Absatz 2 in Verbindung mit Teil B Abschnitt I § 1 der Qualitätsmanagement-Richtlinie ein Schutzkonzept gegen (sexuelle) Gewalt bei Kindern und Jugendlichen aufweisen.

Drug therapy safety

Steering committee

Drug commission

Training of employees on AMTS related topics

Availability of appropriate, topic-specific informational materials for patients on AMTS e.g. for chronic diseases, for high-risk drugs, for children

Electronic support for the admission and anamnesis process (e.g. import of patient master data or medication plans, use of a drug knowledge database, input screen for drugs or anamnesis information)

Process description for an optimal medication process (e.g. drug anamnesis – prescription – patient information – drug delivery – drug application – documentation – therapy monitoring – result evaluation)

VA zur Anordnung und Verabreichung von Medikamenten

31.10.2022

Possibility of electronic prescription i.e. structured entry of active substances (or name of the preparation), form, dose, dose frequency (e.g. in the HIS, in prescription software)

Provision of one or more electronic drug information systems (e.g. Lauer-Taxe®, ifap klinikCenter®, Gelbe Liste®, Fachinfo-Service®)

Concepts for ensuring the error-free preparation of medications

Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
Zubereitung durch pharmazeutisches Personal
Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen

Electronic support for the supply of patients with drugs

Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)

Electronic documentation of the administration of drugs

Measures to minimise medication errors

Maßnahmen zur Vermeidung von Arzneimittelverwechslung
Spezielle AMTS-Visiten (z. B. pharmazeutische Visiten, antibiotic stewardship, Ernährung)
Teilnahme an einem einrichtungsübergreifenden Fehlermeldesystem (siehe Kapitel 12.2.3.2)

Measures to ensure seamless drug therapy after discharge

Aushändigung des Medikationsplans
bei Bedarf Arzneimittel-Mitgabe oder Ausstellung von Entlassrezepten

Instruments and measures

The instruments and measures to promote drug therapy safety are presented with a focus on the typical procedures of the medication process in inpatient patient care. A special feature of the medication process in the inpatient environment is the transition management during admission and discharge. The instruments and measures listed below address structural elements, e.g. special IT equipment and work materials, as well as process aspects, such as work descriptions for particularly risky process steps or concepts for securing typical risk situations . In addition, proven measures to avoid or learn from medication errors can be specified. The hospital presents here which aspects it has already dealt with and which measures it has specifically implemented. The following aspects can be presented, if necessary using free text fields:
- Admission to hospital, including anamnesis
; Instruments and measures are presented for determining the old medication (drug history), the subsequent clinical assessment and the switch to the medication available in the hospital (house list), as well as for documenting both the patient's original medication and that for hospital treatment adapted medication.
- Medication process in the hospital
In this context, the following sub-processes are assumed as examples: drug history - prescription - patient information - drug delivery - drug use - documentation - therapy monitoring - result assessment. Instruments and measures for safe medication prescription can be presented, e.g. B. in terms of readability, clarity and completeness of the documentation, but also in terms of area of application, effectiveness, benefit-risk ratio, tolerability (including potential contraindications, interactions, etc.) and resource considerations. Information can also be provided to support reliable medication ordering, delivery and use or administration.
- Discharge
In particular, the measures taken by hospitals can be presented to ensure that information on drug therapy is structured and passed on to doctors and physicians providing further treatment, as well as the appropriate provision of patients with drug information, medication plans and medications. Drug prescriptions are made.

AMTS is the totality of measures to ensure an optimal medication process with the aim of reducing medication errors and thus avoidable risks for patients during drug therapy. A prerequisite for the successful implementation of these measures is that AMTS is practised as an integral part of daily routine in an interdisciplinary and multi-professional approach.

Special instrument-based equipment

Research & teaching

Job

FL08 - Editors of scientific journals/textbooks

Explanation

u.a. Mitarbeit an Lehrbüchern, regelmäßige Reviews von Artikeln in Fachzeitschriften.

FL04 - Project-related cooperation with colleges and universities

Explanation

FL03 - Student training (clinical traineeship / internship year)

Explanation

Famulaturen sind an den Kliniken in Bad Homburg und Usingen möglich. Studentenausbildungen der JWG-Universität Frankfurt erfolgen in Praktika und durch das praktische Jahr.

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

u.a. Johann Wolfgang Goethe-Universität Frankfurt, Johannes Gutenberg-Universität Mainz und Universitätsklinikum Freiburg

FL09 - Doctoral supervision

Explanation

FL07 - Initiation and management of uni-centric/multi-centric clinical/scientific studies

Explanation

FL05 - Participation in multi-centre Phase I/II studies

Explanation

FL06 - Participation in multi-centre phase III/IV studies

Explanation

Training

Training in other healing professions

HB01 - Nurse and health care worker (m/f)

Comment

Die Ausbildung wird zukünftig durch die generalistische Ausbildung zur/ zum "Pflegefachfrau und Pflegefachmann" abgelöst. Siehe auch: https://www.hochtaunus-kliniken.de/pflege/bildungsinstitut

HB07 - Surgical technical assistant (m/f)

Comment

HB17 - Auxiliary nurse (m/f)

Comment

siehe auch: https://www.hochtaunus-kliniken.de/pflege/bildungsinstitut

HB19 - Nursing professionals

Comment

siehe auch: https://www.hochtaunus-kliniken.de/pflege/bildungsinstitut

Hospital staff
Pharmaceutical personnel
- Number of pharmacists: 1
- Additional staff: 1
- Explanations: Kooperation mit der Schwanen Apotheke Offenbach
- Nursing staff regulation

Service contact persons

Patient advocates

Rosemarie Steinkamp

Patientenfürsprecherin Bad Homburg

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -30-2808
Mail: ed.nekinilksunuathcoh@ofni

Customer feedback management

Ina Demirci

Patientenreferentin

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-1303
Mail: ed.nekinilk-sunuathcoh@icrimed.ani

Ina Demirci

Patientenreferentin

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-1303
Mail: ed.nekinilk-sunuathcoh@icrimed.ani

Quality management

Elke Siller-Dee

Qualitätsmanagement

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-2515
Mail: ed.nekinilk-sunuathcoh@eed-rellis.ekle

Hygiene officer

PD Dr. med. Dr. habil. Sasa-Marcel Maksan

Ärztlicher Direktor; Chefarzt der Gefäßchirurgie und Endovaskulärer Chirurgie

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-2610
Mail: ed.nekinilk-sunuathcoh@naskam.asas

PD Dr. med. Dr. habil. Sasa-Marcel Maksan

Ärztlicher Direktor; Chefarzt der Gefäßchirurgie und Endovaskulärer Chirurgie

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-2610
Mail: ed.nekinilk-sunuathcoh@naskam.asas

Responsible for drug therapy

PD Dr. med. Matthias Klingele

Stellvertretender ärztlicher Direktor, Chefarzt Innere Medizin

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-4465
Mail: ed.nekinilk-sunuathcoh@renssein.nirak

Accessibility Officer

Lutz Trepte

Leiter Technik

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-0
Mail: ed.nekinilk-sunuathcoh@etperT.ztuL

Company

General contact details of the hospital

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172-14-0
Fax: 06172-14-103300
Mail: ed.nekinilk-sunuathcoh@ofni

Nursing service management

Frau Kathrin Seefeldt

Pflegedienstdirektorin

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-3297
Mail: ed.nekinilk-sunuathcoh@tdlefees.nirhtak

Head of administration

Dr. Julia Hefty

Geschäftsführung, Kaufmännische Direktorin

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-3300
Mail: ed.nekinilk-sunuathcoh@ytfeh.ailuj

Responsible for the quality report in the hospital management

Dr. Julia Hefty

Geschäftsführung, Kaufmännische Direktorin

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-3300
Mail: ed.nekinilk-sunuathcoh@ytfeh.ailuj

Medical management

bis 10.2022 Prof. Dr. med. Dominik Denschlag

Ärztlicher Direktor; Chefarzt Gynäkologie und Geburtshilfe

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-2580
Mail: ed.nekinilk-sunuathcoh@galhcsned.kinimod

ab 10.2022 PD Dr. med. Dr. habil. Sasa-Marcel Maksan

Ärztlicher Direktor: Chefarzt Gefäßchirurgie und endovaskuläre Chirurgie

Zeppelinstraße 20
61352 Bad Homburg

Phone: 06172 -14-2610
Mail: ed.nekinilk-sunuathcoh@naskam.lecram-asas

Regional care obligation for psychiatry?

IK number

IK: 260610792

Location number

Location number: 772998000

Old location number: 772998000

Hochtaunus Kliniken gGmbH Bad Homburg - Usingen - Königstein - Bildungsinstitut - DIN EN ISO 9001:2015

Certified until: 01.2025

QM Akutschmerztherapie - Anästhesie, Urologie, Intensivzentrum, Gynäkologie, Gefäßchirurgie, Allgemeinchirurgie, ZNA, Unfallchirurgie & Beleger,

Certified until: 08.2025

Darmkrebszentrum

Certified until: 11.2025

Brustkrebszentrum

Certified until: 10.2025

Gynäkologisches Krebszentrum

Certified until: 10.2025

Gynäkologische Dysplasie Sprechstunde

Certified until: 10.2027

Kompetenzzentrum Prostata

Certified until: 11.2026

Regionale Stroke Unit

Certified until: 06.2026

Kooperationsklinik - QM System für ein Neurovaskuläres Netzwerk Universitätsklinikum Frankfurt

Certified until: 01.2027

Regionales Traumazentrum

Certified until: 04.2025

EndoProthetikZentrum

Certified until: 03.2026

Cardiac Arrest Center

Certified until: 01.2025

Chest Pain Unit

Certified until: 09.2029

HFU Schwerpunktklinik

Certified until: 11.2026

Zusatzqualifikation Spezielle Rhythmologie

Certified until: 02.2029

Wirbelsäulenspezialzentrum

Certified until: 08.2025

Angehörigenfreundliche Intensivstation Standort Usingen

Certified until: 02.2027

Angehörigenfreundliches Intensivzentrum Standort Bad Homburg

Certified until: 02.2027

MVZ Taunus – Strahlentherapie und Radioonkologie DIN EN ISO 9001:2015

Certified until: 04.2027

MVZ Taunus – Radiologie DIN EN ISO 9001:2015

Certified until: 03.2027

Hospital portrait for download