Briefing: supporting the implementation of ICD-10
|
|
- Madison Hoover
- 6 years ago
- Views:
Transcription
1 Briefing: supporting the implementation of ICD-10 July 2014
2 Contents Section Page 1 Why ICD-10? 3 2 Industry-wide support 4 3 ICD-9 vs ICD Example: ICD9 vs ICD Planning the transition 7 6 To code or not to code? 8 7 Case Study: HCA International 9 8 Support & tools 10 9 Timescales Frequently asked questions 12 About CCSD
3 1. Why ICD-10? ICD- 9 (the current diagnosis classification) is out of date the NHS updated to ICD-10 over 20 years ago does not accurately represent medical diagnoses associated with healthcare today Absence of accurate diagnosis coding undermines the commissioning, delivery and monitoring of quality healthcare Provides a better understanding of patient needs, complexity, pathways and treatment Improves granularity, specificity and accuracy of clinical documentation Allows the assessment of hospital case mix and management of clinical risk Facilitates comparisons of UK and International healthcare Provides supporting information for claims and care pathways 3
4 2. Industry-wide support The final Competition and Markets Authority report recommended a robust system of diagnostic coding, such as ICD-10 outlining it is essential to allow the production of meaningful information for patients as, without this data, it is not possible to distinguish between consultants and hospitals with poorer outcomes and those with sicker patients. The Private Healthcare Information Network (PHIN) supports the implementation of ICD-10 to facilitate transparency and comparison of private healthcare information The Clinical Coding and Schedule Development (CCSD) Group, who manage procedure coding schedules, support the industry-wide implementation of ICD-10 Healthcode receive and map ICD-10 codes Some providers have implemented ICD-10 4
5 3. ICD-9 vs ICD-10 13,000 ICD-9 codes => potential 68,000 ICD-10 codes (18,000 used in NHS) ICD-10 is more specific and detailed, such as recording location/place of occurrence ICD-9 five character numeric numeric => ICD-10 four character alphanumeric ICD-10 coding structure: Character 1 letter corresponding to chapter in classification Character 2-3 number corresponding to category Character 4 number corresponding to disease site, disease type or individual disease Numerous diagnoses can be recorded against a patient episode Primary diagnosis is the main condition treated or main symptom Secondary diagnosis are secondary conditions or comorbidities, e.g. diabetes Can use dagger and asterisk codes to show where an underlying condition is the cause of the disease 5
6 4. Example: ICD-9 vs ICD-10 ICD-9 ICD-10 Malignant Neoplasm of Oesophagus 150 C15 Cervical part of oesophagus C15.0 Thoracic part of oesophagus C15.1 Abdominal part of oesophagus C15.2 Upper third of oesophagus C15.3 Middle third of oesophagus C15.4 Lower third of oesophagus C15.5 Overlapping lesion of oesophagus C15.8 Oesophagus, unspecified C15.9 6
7 5. Planning the transition Understand your activity Analyse, assess and audit your hospital and patient casemix Review your records Review medical documentation and records to ensure the information required to produce accurate ICD-10 coding is evident Assess systems/processes Understand what system changes need to be required to accommodate ICD-10 codes Utilise mapping tools where possible to limit significant enhancement and costs Use learning and systems, processes and people used for recording NHS coding Plan implementation Develop plan with piloting process to ensure wider implementation is tested and benefits realised Training Train clinical, administrative and coding staff to ensure they have a broad understanding of ICD-10 coding and systems Support potential industry-wide collaborations on training to provide qualified resources 7
8 6. To code or not to code? The NHS employs clinical coders to provide diagnosis and procedure coding Having accredited clinical coders will ensure ICD-10 coding is at it s most accurate Cost and availability of coders would present significant challenges to private healthcare providers support industry-wide training developments to ensure trained resources are available Other factors, i.e. systems and documentation, will cause inaccuracies Analysis of activity, mapping, training, technology and implementing systems could limit coding and costs Utilisation and leverage learning of existing coding networks and systems used for NHS activity should be maximised Coders can focus on complex cases and reviewing/assuring the quality of coding to improve effectiveness and reduce costs Introduce an internal/external audit programme to assure the accuracy of coding 8
9 7: Case Study: HCA International In 2013, HCA International embarked on a project to implement ICD-10 and OPCS coding of private healthcare activity into its London Hospitals. It engaged Capita, a provider of clinical coding services, to assist with the implementation of systems, processes and resources to deliver clinically coded activity. This involved: undertaking an initial assessment of patient complexity and medical documentation to scope need and requirements updating systems to ensure key documentation is recorded and available to code developing coding policies, procedures and query resolution system undertaking coding awareness sessions with hospital and clinical staff use Capita accredited clinical coders to deliver coding centrally at its Marylebone offices regular audits to assess the accuracy of coding develop and implement reporting on activity, performance and outcomes Initially a pilot project was undertaken to develop systems and processes. HCA now code approximately 2500 patient discharges per month using coders centrally located at its Marylebone office. It is benefitting from having this rich, granular level of information to: assess the casemix of its hospitals identify patient comorbidities risk adjust performance and outcome metrics provide information for case identification and review
10 8. Support & tools Various tools are available, e.g. from Healthcode, CHKS etc., to map ICD-9 codes to ICD-10 Healthcode can take ICD-10 codes and map coding to individual insurer contracts Data and coding consultancy organisations, such as CHKS, can provide implementation support, training, audits and clinical coding resource CCSD, working in partnership with healthcare providers, will support the implementation and development of coding in the private healthcare industry and work with the NHS, in particular the Health and Social Care Information Centre, to align and support the development 10
11 9. Timescales Planning the transition needs to be undertaken now a CMA remedy that must be addressed insurer and wider industry support Development, testing and implementation may take up to months but will vary depending outcomes from transition planning, i.e. processes, documentation and system changes required, and overall service model deployed, i.e. deployment of coders, system/process automation, mapping BUT Tools, services and support arrangements are already established to undertake transition Leveraging off NHS systems and people will ease implementation Piloting, testing and training can happen now A phased approach by firstly coding primary diagnosis is achievable relatively quickly 11
12 10. Frequently asked questions Question Why is ICD-10 being implemented? Implementing ICD-10 will be expensive, who will pay? Answer The implementation of ICD-10 is a CMA report remedy and has industry wide support. There are considerable benefits to both providers and insurers. ICD-9 is 30 years out of date. It will allow private healthcare to have an up to date classification of medical diagnoses. It facilitates the identification of comorbidities and complexity of patient care and comparisons to NHS healthcare provision. Both providers and insurers will incur costs during the implementation of ICD-10. Insurers expectations will be no different from the current practice. A correct supporting ICD-10 code for each charge made will need to be submitted as is currently the case with ICD-9. Many hospitals already use ICD-10 for NHS cases. Existing NHS processes and systems can be adapted and updated for use for private healthcare claims. Providers should apply mapping, training of existing staff and utilisation of support tools to limit the impact on costs of implementing ICD-10 coding. Enhanced data accuracy will also probably highlight process and billing improvements. Industry wide support, such as training and development of staff, may be implemented to help share costs. 12
13 10. Frequently asked questions (continued) Question But NHS coding costs much more to do than PMI? What activity do we need to code using ICD-10? What will insurers used ICD-10 for? How often is ICD-10 updated? How do we get the coding resources required to implement ICD-10 when there is limited availability of coders to deliver NHS coding? Answer The NHS requires the coding of diagnosis and procedures using clinical coders which is resource intensive. These codes are the HRG grouper post discharge to determine charges. Insurers are not expecting a similar process in PMI. The CMA was not explicit in this and CCSD have asked for more information from them to clarify this. NHS organisations do not code diagnosis in an outpatient setting. Primary diagnosis could be implemented relatively simply but not implementing secondary diagnosis coding would lose some of the benefits of implementing ICD-10. The same as ICD-9 following the patient journey, ensure that the right care is given to its members and supporting evidence for payment. Amendments to ICD-10 vary and are published when the need arises. Coding requirements need to be firstly assessed and any existing networks used to deliver NHS coding should be used. There are a number of commercial companies who also can provide coding resources. However, most organisations will need to put training and development programmes together to build up the additional coding resources required. CCSD will support the implementation of industry wide training if possible. 13
14 10. Frequently asked questions (continued) Question Do we need to have qualified/accredited Clinical Coders? How long does it take to become an Accredited Clinical Coder? Can t clinicians do all the coding work? Answer No. Having qualified clinical coders is the best route to coding accuracy. However, existing staff who are familiar with anatomy, diagnoses and co-morbidities should be able to support claims submissions with suitable training and support. It is advisable that staff undertaking coding undertake an initial standards course and workshops for relevant specialties. However, it is recommended that coding is regularly reviewed and audited by qualified coders/auditors to provide assurance of its accuracy. 2-3 years. Within 6 months of starting coding, it is advised that a Clinical Coding Standards course is undertaken. This consists of 21 classroom sessions. Coders are then required to have 2 more use experience and undertake coding workshops on specific specialties. They can then take an exam to become an Accredited Clinical Coder. Once accredited, coders are required to have a refresher course every 3 years. They could, but experience shows that they naturally concentrate on patient care. They do need to be aware of clinical coding requirements and what information they need to supply for accurate clinical coding 14
15 10. Frequently asked questions (continued) Question How can I get training for staff, clinicians and clinical coders? What coding systems are available? What s the key to successful implementation? Answer Consultancies and individuals can provide training. CHKS provide training for existing or new staff from clinician awareness sessions to full ICD-10 training and ongoing support, depending on your requirements. For clinical coding training you should look for HSCIC and TAP accredited trainers. CHKS are affiliated to the NHS Cheshire and Merseyside Clinical Coding Academy who develop and deliver clinical coding training for the NHS. Several clinical coding systems are on the market, offering different capabilities and usually designed for the NHS or international markets. Hospitals would need to review their own requirements and seek expert advice about adapting existing system capability. Begin planning for the change from ICD-9 to ICD-10 now. Many insurers are thinking of adopting ICD-10 alongside other system changes. Having a robust plan for process change and including your clinicians in these plans. Clinicians are vital for obtaining the correct diagnoses and co-morbidity details. 15
16 The CCSD Group was formed in It consists of the UK s five major private medical insurers: Aviva, AXA-PPP healthcare, Bupa, PruHealth and Simplyhealth. The CCSD Group s objective is to establish and maintain a common set of procedure codes and narratives that reflect current medical practice within the independent healthcare sector. These are published in the CCSD Schedule. CHKS, part of Capita plc, are the largest provider of healthcare intelligence and quality improvement services in the UK. CHKS currently manage the CCSD Schedule of Procedures on behalf of the CCSD Group. Other services they provide include: clinical coding services, training, audit and mentoring to NHS and private healthcare providers expertise in evaluating systems and processes around data recording and coding unrivalled knowledge of healthcare data and payment systems market leader in coding and data assurance audit programmes industry leading healthcare activity benchmarking systems 16
Clinical Coding Policy
Clinical Coding Policy Document Summary This policy document sets out the Trust s expectations on the management of clinical coding DOCUMENT NUMBER POL/002/093 DATE RATIFIED 9 December 2013 DATE IMPLEMENTED
More informationClinical coding, data quality and financial assurance
Clinical coding, data quality and financial assurance THE LARGEST PRIVATE PROVIDER OF HEALTHCARE CLINICAL CODING, DATA QUALITY AND COST IMPROVEMENT SERVICES IN THE UK. Accurate clinical data and cost information
More informationPain Management HRGs
The NHS Information Centre is England s central, authoritative source of health and social care information The Casemix Service designs and refines classifications that are used by the NHS in England to
More informationThe non-executive director s guide to NHS data Part one: Hospital activity, data sets and performance
Briefing October 2017 The non-executive director s guide to NHS data Part one: Hospital activity, data sets and performance Key points As a non-executive director, it is important to understand how data
More informationPolicy Summary. Policy Title: Policy and Procedure for Clinical Coding
Policy Title: Policy and Procedure for Clinical Coding Reference and Version No: IG7 Version 6 Author and Job Title: Caroline Griffin Clinical Coding Manager Executive Lead - Chief Information and Technology
More informationSNOMED CT. What does SNOMED-CT stand for? What does SNOMED-CT do? How does SNOMED help with improving surgical data?
SNOMED CT What does SNOMED-CT stand for? SNOMED-CT stands for the 'Systematized Nomenclature of Medicine Clinical Terms' and is a common clinical language consisting of sets of clinical phrases or terms,
More informationReference costs 2016/17: highlights, analysis and introduction to the data
Reference s 2016/17: highlights, analysis and introduction to the data November 2017 We support providers to give patients safe, high quality, compassionate care within local health systems that are financially
More informationScottish Hospital Standardised Mortality Ratio (HSMR)
` 2016 Scottish Hospital Standardised Mortality Ratio (HSMR) Methodology & Specification Document Page 1 of 14 Document Control Version 0.1 Date Issued July 2016 Author(s) Quality Indicators Team Comments
More informationChoice of a Case Mix System for Use in Acute Care Activity-Based Funding Options and Considerations
Choice of a Case Mix System for Use in Acute Care Activity-Based Funding Options and Considerations Introduction Recent interest by jurisdictions across Canada in activity-based funding has stimulated
More informationVanguard Programme: Acute Care Collaboration Value Proposition
Vanguard Programme: Acute Care Collaboration Value Proposition 2015-16 November 2015 Version: 1 30 November 2015 ACC Vanguard: Moorfields Eye Hospital Value Proposition 1 Contents Section Page Section
More informationTransfer of Care Initiative. Keith Naylor Head of Implementation Transfer of Care, HSCIC
Transfer of Care Initiative Keith Naylor Head of Implementation Transfer of Care, HSCIC 1 Rising Demands The rising demands on healthcare systems and associated costs require a much more efficient and
More informationNHS WALES INFORMATICS SERVICE DATA QUALITY STATUS REPORT ADMITTED PATIENT CARE DATA SET
NHS WALES INFORMATICS SERVICE DATA QUALITY STATUS REPORT ADMITTED PATIENT CARE DATA SET Version: 1.0 Date: 1 st September 2016 Data Set Title Admitted Patient Care data set (APC ds) Sponsor Welsh Government
More informationGeneral Background of CDI
Clinical Documentation Improvement The Physician Champion ILHIMA 04/30/16 1 General Background of CDI 2 1 CMS Federal Register August 2008 Final Rule (CMS-1533-FC page 208) We do not believe there is anything
More informationUtilisation Management
Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating
More informationPolicy for Patient Access
Policy for Patient Access DOCUMENT CONTROL Revision Date Old Version 10/12/2014 1.0 01/07/2016 1.1 30/04/17 1.2 Amendment General Management Review General Management Review General Management Review Authored
More informationFramework for Cancer CNS Development (Band 7)
Framework for Cancer CNS Development (Band 7) Opening Statement This framework provides a common understanding of the CNS role across the London Cancer Alliance and will be used to support the development
More informationNHS Pathways and Directory of Services
NHS Pathways and Directory of Services Core Narrative Purpose The NHS Pathways and the Directory of Services core narrative has been designed to support NHS communications leads and/or project managers
More informationPreparing for ICD-10: Education and Clinical Documentation
Preparing for ICD-10: Education and Clinical Documentation Agenda Background Road to Readiness Education Clinical Documentation Quick Start Today s presentation and recording will be sent to all attendees
More informationNational Schedule of Reference Costs data: Community Care Services
Guest Editorial National Schedule of Reference Costs data: Community Care Services Adriana Castelli 1 Introduction Much emphasis is devoted to measuring the performance of the NHS as a whole and its different
More informationAppendix 1 MORTALITY GOVERNANCE POLICY
Appendix 1 MORTALITY GOVERNANCE POLICY 1 Policy Title: Executive Summary: Mortality Governance Policy For many people death under the care of the NHS is an inevitable outcome and they experience excellent
More informationTRUST CORPORATE POLICY RESPONDING TO DEATHS
SCOPE OF APPLICATION AND EXEMPTIONS CONSULT ATION COR/POL/224/2017-001 TRUST CORPORATE POLICY RESPONDING TO DEATHS APPROVING COMMITTEE(S) EFFECTIVE FROM DISTRIBUTION RELATED DOCUMENTS STANDARDS OWNER AUTHOR/FURTHER
More informationNHS Bradford Districts CCG Commissioning Intentions 2016/17
NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for
More informationTOPIC 9 - THE SPECIALIST PALLIATIVE CARE TEAM (MDT)
TOPIC 9 - THE SPECIALIST PALLIATIVE CARE TEAM (MDT) Introduction The National Institute for Clinical Excellence has developed Guidance on Supportive and Palliative Care for patients with cancer. The standards
More informationPrevention and control of healthcare-associated infections
Prevention and control of healthcare-associated infections Quality improvement guide Issued: November 2011 NICE public health guidance 36 guidance.nice.org.uk/ph36 NHS Evidence has accredited the process
More informationCasemix Measurement in Irish Hospitals. A Brief Guide
Casemix Measurement in Irish Hospitals A Brief Guide Prepared by: Casemix Unit Department of Health and Children Contact details overleaf: Accurate as of: January 2005 This information is intended for
More informationNHS Vacancy Statistics. England, February 2015 to October 2015 Provisional experimental statistics
NHS Vacancy Statistics England, February 2015 to October 2015 Provisional experimental statistics Published 25 February 2016 We are the trusted national provider of high-quality information, data and IT
More informationLondon Councils: Diabetes Integrated Care Research
London Councils: Diabetes Integrated Care Research SUMMARY REPORT Date: 13 th September 2011 In partnership with Contents 1 Introduction... 4 2 Opportunities within the context of health & social care
More informationMethods: Commissioning through Evaluation
Methods: Commissioning through Evaluation NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Commissioning Strategy
More informationNational Audit of Admitted Patient Information in Irish Acute Hospitals. National Level Report
National Audit of Admitted Patient Information in Irish Acute Hospitals National Level Report September 2016 COPYRIGHT & CONFIDENTIALITY This document may contain confidential information including, but
More informationNHS WALES INFORMATICS SERVICE DATA QUALITY STATUS REPORT ADMITTED PATIENT CARE DATA SET
NHS WALES INFORMATICS SERVICE DATA QUALITY STATUS REPORT ADMITTED PATIENT CARE DATA SET Version: 1.0 Date: 17 th August 2017 Data Set Title Admitted Patient Care data set (APC ds) Sponsor Welsh Government
More informationThe Royal Wolverhampton Hospitals NHS Trust
The Royal Wolverhampton Hospitals NHS Trust Trust Board Report Meeting Date: 24 October 2011 Title: Executive Summary: Action Requested: Report of: Author: Contact Details: Resource Implications: Public
More informationProgram Selection Criteria: Bariatric Surgery
Program Selection Criteria: Bariatric Surgery Released June 2017 Blue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. 2013 Benefit Design Capabilities
More informationJumpstarting population health management
Jumpstarting population health management Issue Brief April 2016 kpmg.com Table of contents Taking small, tangible steps towards PHM for scalable achievements 2 The power of PHM: Five steps 3 Case study
More informationLearning from Deaths Framework Policy
Learning from Deaths Framework Policy Profile Version: 1.0 Author: Dr Nigel Kennea, Associate Medical Director (Mortality) Executive/Divisional sponsor: Medical Director Applies to: All staff Date issued:
More informationBuilding national capacity, skills and knowledge Civil Registration and Vital Statistics (CRVS) Data for Health Initiative
Building national capacity, skills and knowledge Civil Registration and Vital Statistics (CRVS) Data for Health Initiative Course Prospectus August 2016 Civil Registration and Vital Statistics, Data for
More informationUW MEDICINE ICD-10 Program UW MEDICINE ICD-10
UW MEDICINE ICD-10 Program UW MEDICINE ICD-10 There and back again INTEGRATION OF MANDATES ACO Quality Based Reimbursement Meaningful Use, P4P, etc. ICD-10 HIPAA, 5010 2 STRATEGIC OPPORTUNITIES Significant
More informationCommittee is requested to action as follows: Richard Walker. Dylan Williams
BetsiCadwaladrUniversityHealthBoard Committee Paper 17.11.14 Item IG14_60 NameofCommittee: Subject: Summary or IssuesofSignificance StrategicTheme/Priority / Valuesaddressedbythispaper Information Governance
More informationTwenty years of ICPC-2 PLUS
Twenty years of ICPC-2 PLUS the past, present and future of clinical terminologies in Australian general practice Helena Britt Graeme Miller Julie Gordon Who we are Helena Britt - Director,, University
More informationWritten Response by the Welsh Government to the report of the Health, Social Care and Sport Committee entitled Primary Care: Clusters
Written Response by the Welsh Government to the report of the Health, Social Care and Sport Committee entitled Primary Care: Clusters I am grateful to the Committee for its inquiry into primary care. Clusters
More information5/30/2012. ICD 10 Implementation HCCA. Agenda. Understanding ICD 10. June 8, ICD 10 Overview Planning Communication Education Physician Training
ICD 10 Implementation HCCA June 8, 2012 1 Agenda ICD 10 Overview Planning Communication Education Physician Training 2 Understanding ICD 10 The key to accepting any change is understanding Why is this
More informationOperations Director, Specialist Community & Regional Services Clinical Director, Mental Health Director of Nursing
TO Hospital Advisory Committee FROM Operations Director, Specialist Community & Regional Services Clinical Director, Mental Health Director of Nursing DATE 26 August 2014 SUBJECT Mental Health Review MEMORANDUM
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification. 001 Service Commissioner Lead Contracting Lead Provider Lead Period Teledermoscopy Service Dr Nicholas Rayner and Dr Andrew Yager
More informationTRUST BOARD TB(16) 44. Summary of Lord Carter recommendations Operational productivity and performance in English acute hospitals
TRUST BOARD TB(16) 44 Title: Action: Meeting: Summary of Lord Carter recommendations Operational productivity and performance in English acute hospitals FOR NOTING Date of meeting Purpose: The purpose
More informationThe Trainee Doctor. Foundation and specialty, including GP training
Foundation and specialty, including GP training The duties of a doctor registered with the General Medical Council Patients must be able to trust doctors with their lives and health. To justify that trust
More informationSUPPORTING DATA QUALITY NJR STRATEGY 2014/16
SUPPORTING DATA QUALITY NJR STRATEGY 2014/16 CONTENTS Supporting data quality 2 Introduction 2 Aim 3 Governance 3 Overview: NJR-healthcare provider responsibilities 3 Understanding current 4 data quality
More informationProcess analysis on health care episodes by ICPC-2
MEETING OF WHO COLLABORATING CENTRES FOR THE FAMILY OF INTERNATIONAL CLASSIFICATIONS Document Tunis, Tunisia 29 Oct. - 4 Nov. 2006 Shinsuke Fujita 1)2), Takahiro Suzuki 3), Katsuhiko Takabayashi 3). 1)WONCA
More informationThe health coaching experience in NHS Midlands and East
The health coaching experience in NHS Midlands and East Dr Penny Newman, GP, primary care adviser, commissioning development, NHS Midlands and East, NHS Institute NHS Institute for Innovation and Improvement,
More informationHIPE Coding Process. Extraction of information from medical record to summary of the discharge in HIPE record
HIPE Coding Process Extraction of information from medical record to summary of the discharge in HIPE record HIPE Record Summary of admitted episode of care Demography information (from PAS) Administrative
More informationRoyal College of Nursing Response to Care Quality Commission s consultation Our Next Phase of Regulation
General Comments Royal College of Nursing Response to Care Quality Commission s consultation Our Next Phase of Regulation As noted in our response last year to the first part of this consultation exercise,
More informationHIMSS ASIAPAC 11 CONFERENCE & LEADERSHIP SUMMIT SEPTEMBER 2011 MELBOURNE, AUSTRALIA
HIMSS ASIAPAC 11 CONFERENCE & LEADERSHIP SUMMIT 20 23 SEPTEMBER 2011 MELBOURNE, AUSTRALIA INTRODUCTION AND APPLICATION OF A CODING QUALITY TOOL PICQ JOE BERRY OPERATIONS AND PROJECT MANAGER, PAVILION HEALTH
More informationh. HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST LEARNING FROM DEATHS POLICY. Broad Recommendations / Summary
201 2017.473h. HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST LEARNING FROM DEATHS POLICY Broad Recommendations / Summary In-hospital death occurs. Patient 18 years of age or above. Yes Child Death Review
More informationClinical Coding Policy
Clinical Coding Policy Document Author Written By: Clinical Coding Manager Authorised Authorised By: Chief Executive Date: February 2017 Lead Director: Executive Director of Financial and Human Resources
More informationLearning from Deaths Policy. This policy applies Trust wide
Learning from Deaths Policy This policy applies Trust wide Document control page Name of policy Learning from Deaths Policy Names of linked Learning from Deaths Procedure procedures Accountable Medical
More informationClinical Audit Strategy 2015/ /18
Audit Strategy 2015/16 2017/18 Audit Strategy v8 Head of Integrated Governance Oct 2014 1 CLINICAL AUDIT STRATEGY, 2015/16 to 2017/18 Executive East Cheshire NHS Trust sees clinical audit as a cornerstone
More informationAmbulatory emergency care Reimbursement under the national tariff
HFMA briefing Ambulatory emergency care Reimbursement under the national tariff Introduction Ambulatory emergency care is defined as a service that allows a patient to be seen, diagnosed and treated and
More informationSupporting information for appraisal and revalidation: guidance for psychiatry
Supporting information for appraisal and revalidation: guidance for psychiatry Based on the Academy of Medical Royal Colleges and Faculties Core for all doctors. General Introduction The purpose of revalidation
More informationRNOH Clinical Outcomes Strategy February 2012
RNOH Clinical Outcomes Strategy February 2012 Document Control Title RNOH Clinical Outcomes Strategy Version 3.0 Status For Approval by the Trust Board Publication Date February 2012 Author Clinical Outcomes
More informationCollecting Clinical Information in Outpatients
Collecting Clinical Information in Outpatients A pilot study using SNOMED CT Dr S Andrew Spencer Formerly Consultant Paediatrician/Neonatologist at University Hospital of North Staffordshire National Clinical
More informationMandating patient-level costing in the ambulance sector: an impact assessment
Mandating patient-level costing in the ambulance sector: an impact assessment August 2018 We support providers to give patients safe, high quality, compassionate care within local health systems that are
More informationNOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST. PATIENT ACCESS MANAGEMENT POLICY (Previously known as Waiting List Management Policy) Documentation Control
NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST PATIENT ACCESS MANAGEMENT POLICY (Previously known as Waiting List Management Policy) Documentation Control Reference CL/CGP/026 Approving Body Senior Management
More informationNHS GRAMPIAN. Grampian Clinical Strategy - Planned Care
NHS GRAMPIAN Grampian Clinical Strategy - Planned Care Board Meeting 03/08/17 Open Session Item 8 1. Actions Recommended In October 2016 the Grampian NHS Board approved the Grampian Clinical Strategy which
More informationRevalidation Annual Report
Paper 31 14 Revalidation Annual Report 2013-14 Purpose of Document: To provide the Board with a report on the first year s experience with medical revalidation in Public Health Wales. Board/Committee to-
More informationDefinitions/Glossary of Terms
Definitions/Glossary of Terms Submitted by: Evelyn Gallego, MBA EgH Consulting Owner, Health IT Consultant Bethesda, MD Date Posted: 8/30/2010 The following glossary is based on the Health Care Quality
More informationIndependent Healthcare Regulation. Inspection Methodology
Independent Healthcare Regulation Inspection Methodology March 2018 Healthcare Improvement Scotland 2018 Published March 2018 You can copy or reproduce the information in this document for use within NHSScotland
More informationReview of Clinical Coding Velindre NHS Trust. Issued: April 2014 Document reference: 199A2014
Review of Clinical Coding Velindre NHS Trust Issued: April 2014 Document reference: 199A2014 Status of report The Auditor General is independent of government, and is appointed by Her Majesty the Queen.
More informationBurton Hospitals NHS Foundation Trust. On: 30 January Review Date: November Corporate / Directorate. Department Responsible for Review:
POLICY DOCUMENT Burton Hospitals NHS Foundation Trust MANAGEMENT OF EXTERNAL AGENCY VISITS, INSPECTIONS, ACCREDITATION AND RESULTING RECOMMENDATIONS Approved by: Trust Executive Committee On: 30 January
More information#NeuroDis
Each and Every Need A review of the quality of care provided to patients aged 0-25 years old with chronic neurodisability, using the cerebral palsies as examples of chronic neurodisabling conditions Recommendations
More informationCommissioning Policy
Commissioning Policy Consultant to Consultant Referrals Version 6.0 December 2017 Name of Responsible Board / Committee for Ratification: North Staffordshire CCG Stoke on Trent CCG Date Issued: November
More informationReview of Clinical Coding Cardiff and Vale University Health Board. Issued: October 2014 Document reference: 456A2014
Review of Clinical Coding Cardiff and Vale University Health Board Issued: October 2014 Document reference: 456A2014 Status of report This document has been prepared for the internal use of Cardiff and
More informationSee the Time chapter for complete instructions regarding how to code using time as the controlling E/M factor.
2015 EM Survival Guides Chapter 1: Office or Other Outpatient Visit (99201-99215) You should apply 99201-99215 for E/M visits in the office or other outpatient setting. These codes distinguish between
More informationINCENTIVE SCHEMES & SERVICE LEVEL AGREEMENTS
MAY 2007 INCENTIVE SCHEMES & SERVICE LEVEL AGREEMENTS Practice Based Commissioning North and South Essex Local Medical Committees CLARIFYING THE RELATIONSHIP BETWEEN PBC GROUPS AND PCTS AIMS The aim of
More informationFAQ for Coding Encounters in ICD 10 CM
FAQ for Coding Encounters in ICD 10 CM Topics: Encounter for Routine Health Exams Encounter for Vaccines Follow Up Encounters Coding for Injuries Encounter for Suture Removal External Cause Codes Tobacco
More informationYorkshire and Humber Integrated Urgent Care: Service Development and Procurement
Yorkshire and Humber Integrated Urgent Care: Service Development and Procurement NHS Hull Clinical Commissioning Group Governing Body Meeting 23 rd March 2018 1. Purpose Integrated Urgent Care (IUC) is
More informationNHS Business Services Authority Burden Reduction Response
NHS Business Services Authority Burden Reduction Response Document filename: NHS Business Services Authority - Burden Reduction Response Owner: NHS Business Services Authority Version 1.0 Author: Nina
More informationPATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE
NHS Board Meeting Tuesday 16 October 2012 Chief Operating Officer (Acute Services Division) Board Paper No. 12/45 PATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE Recommendation:
More informationSustainable & Accessible Services. Strong Partnerships X X X
SUMMARY REPORT ABM University Health Board Quality and Safety Committee Date of Meeting: 23 rd February 2017 Agenda item: 5.1 Report Title Prepared by Approved and Presented by ABMU Older Persons Assurance
More information3M Health Information Systems. The standard for yesterday, today and tomorrow: 3M All Patient Refined DRGs
3M Health Information Systems The standard for yesterday, today and tomorrow: 3M All Patient Refined DRGs From one patient to one population The 3M APR DRG Classification System set the standard from the
More informationRESPONSE TO RECOMMENDATIONS FROM THE HEALTH & SOCIAL CARE COMMITTEE: INQUIRY INTO ACCESS TO MEDICAL TECHNOLOGIES IN WALES
Recommendations 1, 2, 3 1. That the Minister for Health and Social Services should, as a matter of priority, identify means by which a more strategic, coordinated and streamlined approach to medical technology
More informationMonthly and Quarterly Activity Returns Statistics Consultation
Monthly and Quarterly Activity Returns Statistics Consultation Monthly and Quarterly Activity Returns Statistics Consultation Version number: 1 First published: 08/02/2018 Prepared by: Classification:
More informationICD-10 Scenario Based Testing Analysis, Planning and Testing Driven by a Reference Implementation Model
A Health Data Consulting White Paper 1056 6th Ave S Edmonds, WA 98020-4035 206-478-8227 www.healthdataconsulting.com ICD-10 Scenario Based Testing Analysis, Planning and Testing Driven by a Reference Implementation
More informationLearning from Deaths; Mortality Review Policy
Learning from Deaths; Mortality Review Policy Version: 4.0 New or Replacement: Replacement Policy number: CESC/2012/066 (Version 4) Document author(s): Executive Sponsor: Non-Executive Sponsor: Title of
More informationSame day emergency care: clinical definition, patient selection and metrics
Ambulatory emergency care guide Same day emergency care: clinical definition, patient selection and metrics Published by NHS Improvement and the Ambulatory Emergency Care Network June 2018 Contents 1.
More informationICD Codes health health health
1-10-2017 Encounter for screening for malignant neoplasm of cervix. 2016 2017 2018 Billable/Specific Code Female Dx POA Exempt. Z12.4 is a billable/specific ICD-10. ICD-10 is the 10th revision of the International
More informationWorkforce Development Fund
Workforce Development Fund 2018 19 Partnership application form guidance January 2018 (v1.0) Contents Introduction... 2 The application process and timetable... 2 Qualifications and learning programmes
More information3M Health Information Systems. 3M Clinical Risk Groups: Measuring risk, managing care
3M Health Information Systems 3M Clinical Risk Groups: Measuring risk, managing care 3M Clinical Risk Groups: Measuring risk, managing care Overview The 3M Clinical Risk Groups (CRGs) are a population
More informationConsultation on initial education and training standards for pharmacy technicians. December 2016
Consultation on initial education and training standards for pharmacy technicians December 2016 The text of this document (but not the logo and branding) may be reproduced free of charge in any format
More informationEastbourne, Hailsham and Seaford CCG Item Number: Formal Governing Body meeting Date of meeting: 13 November /13
Eastbourne, Hailsham and Seaford CCG Item Number: Formal Governing Body meeting Date of meeting: 13 November 2013 219/13 Title of report: Dementia: Memory Assessment Service update since October 2013.
More informationUnderstanding Coding in Ophthalmology
Background Information The coding process is the translation of written medical terminology into codes. Medical terminology, as it is written by the clinician to describe a patient s complaint, problem,
More informationClinical Use of Blood The AIM II Trial. Challenges of Near-Live Organisational Blood Use Monitoring
Clinical Use of Blood The AIM II Trial Challenges of Near-Live Organisational Blood Use Monitoring Goals for AIM Assist hospitals in complying with timely metric driven standards Create an inclusive approach
More informationJob Description. Job title: Uro-Oncology Clinical Nurse Specialist Band: 7
Job Description Job title: Uro-Oncology Clinical Nurse Specialist Band: 7 Department: Cancer Services Hours: 37.5 (min 22.5 hrs) Reports to: Lead Nurse for Cancer We are a pioneering research active organisation
More informationPROFESSIONAL MEDICAL CODING AND BILLING WITH APPLIED PCS LEARNING OBJECTIVES
The Professional Medical Coding and Billing with Applied PCS classes have been designed by experts with decades of experience working in and teaching medical coding. This experience has led us to a 3-
More informationBUSINESS CONTINUITY MANAGEMENT POLICY
BUSINESS CONTINUITY MANAGEMENT POLICY UNIQUE REFERENCE NUMBER: AC/XX/068/V1.1 DOCUMENT STATUS: Approved by Audit & Gov Committee - 20 July 2017 DATE ISSUED: August 2017 DATE TO BE REVIEWED: August 2020
More informationImproving Quality in Physiological Services, IQIPS. Delivering quality physiological services. in Healthcare
Improving Quality in Physiological Services, IQIPS Delivering quality physiological services in Healthcare The key to delivering quality physiological services Improving Quality in Physiological Services,
More informationANEURIN BEVAN HEALTH BOARD & CAERPHILLY COUNTY BOROUGH COUNCIL ACTION PLAN
ANEURIN BEVAN HEALTH BOARD & CAERPHILLY COUNTY BOROUGH COUNCIL RESPONSE TO THE REPORT BY HEALTH INSPECTORATE WALES REVIEW IN RESPECT OF: MR H AND THE PROVISION OF MENTAL HEALTH SERVICES, FOLLOWING THE
More informationGUIDANCE ON SUPPORTING INFORMATION FOR REVALIDATION FOR SURGERY
ON SUPPORTING INFORMATION FOR REVALIDATION FOR SURGERY Based on the Academy of Medical Royal Colleges and Faculties Core Guidance for all doctors GENERAL INTRODUCTION JUNE 2012 The purpose of revalidation
More informationEnd of Life Care Strategy PROUD TO MAKE A DIFFERENCE
End of Life Care Strategy 2017-2019 PROUD TO MAKE A DIFFERENCE Background Sheffield Teaching Hospitals NHS Trust is committed to delivering high quality care to patients and those identified as important
More informationNHS SERVICE DELIVERY AND ORGANISATION R&D PROGRAMME
NHS SERVICE DELIVERY AND ORGANISATION R&D PROGRAMME PROGRAMME OF RESEARCH ON ACCESS TO HEALTH CARE A Empirical studies to evaluate innovations to improve access repeat call B Empirical study of priority
More informationHeadline consensus statement
Consensus Statement on Saving Lives and Improving Health and Wellbeing between the Association of Ambulance Chief Executives (AACE) and the Chief Fire Officers Association (CFOA) 17 th March 2016 1. This
More informationICD 10 CM State of Transition
ICD 10 CM State of Transition Tricia A. Twombly, RN, BSN, HCS D, HCS C, COS C, CHCE, AHIMA ICD 10 Trainer, ICE Certified Credentialing Specialist, CEO Board of Medical Coding and Compliance, Senior Director
More informationCase-mix Analysis Across Patient Populations and Boundaries: A Refined Classification System
Case-mix Analysis Across Patient Populations and Boundaries: A Refined Classification System Designed Specifically for International Quality and Performance Use A white paper by: Marc Berlinguet, MD, MPH
More information