capturing and funding the patient journey: an organisation-wide approach
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Capturing and Funding the Patient Journey: an Organisation-Wide Approach. Michelle Stevens Assistant Coding and Casemix Manager Auckland District Health Board New Zealand. Overview. A patient’s journey through the healthcare system New workshop introduced into ADHB - PowerPoint PPT PresentationTRANSCRIPT
Capturing and Funding the Patient Journey: an Organisation-
Wide Approach
Michelle StevensAssistant Coding and Casemix Manager
Auckland District Health Board
New Zealand
Overview
• A patient’s journey through the healthcare system
• New workshop introduced into ADHB Linking the patient journey Understanding and knowledge Benefits
New Zealand
• Population of 4.3 million
• Auckland Population of 1.3 million New Zealand’s largest city Largest Maori population Is the largest Polynesian city
District Health Boards (DHBs)
Auckland District Health Board (ADHB)
• Auckland City Hospital (ACH)
• Greenlane Clinical Centre (GCC)
• Auckland City Hospital (ACH) Provision of specialist services 9,000 staff 130,000 inpatient discharges annually 2 million patient contacts annually
• Greenlane Clinical Centre (GCC) 500,000 outpatients annually
Auckland District Health Board (ADHB)
Health Information Management Service at ADHB
Health Information Management Service at ADHB
Assistant Coding and Casemix Manager
Casemix education
• Data analysis
• Clinician liaison
• Coding
• Clinical forms management
• Medical terminology course
My Role
Capturing and Funding the Patient Journey
Capturing and Funding the Patient Journey
• Unique concept
• Targeted at senior managers
• Understanding the business
• Analogy
Capturing and Funding the Patient Journey
• Control expenditure and optimise revenue
• “Living within our means”
• Big picture perspective
• Key concepts
e.g. Casemix and WIES
• Subject matter experts Finance Payroll Materials management Decision Support Coding and Casemix
Capturing and Funding the Patient Journey
Clinical Coding and Casemix Component
• Snapshot of Clinical Coding
• Clinical documentation
• ICD-10-AM and DRGs
• Variables influencing DRGs
• Casemix and WIES
Interactive exercise
• Group work
• Identify diagnoses and procedures
• “Building the WIES”
• Documentation, DRG and WIES
Clinical Coding and Casemix Component
Data Quality
• Maintaining data quality
• Focus Duplicate National Health Index (NHI)
numbers Ethnicity data collection Demographic details
Clinical Coding and Casemix Component
Duplicate NHIs
• A complex problem
• Implications Clinical risk Administration inefficiencies
Clinical Coding and Casemix Component
Ethnicity data collection
• Funding linked to treatment of specific ethnic groups
Clinical Coding and Casemix Component
Demographic details
• Inter-District Flows (IDFs)
• 50% of ADHBs funding comes from IDFs
• Accurate identification is vital
Clinical Coding and Casemix Component
Concludes with
• Uses of coded data
• Action points for managers
• Resources
Clinical Coding and Casemix Component
Workshop Evaluation
• The content was relevant to my role
• The methods used assisted my learning
• The facilitator created a positive learning environment
Strongly Disagree Strongly Agree
Clinical Coding and Casemix Component
Feedback• Facilitator easy to listen to. Made a complicated
process a lot easier to understand• Easy to understand, relevant, excellent. Very
relevant & good tool to take back to staff who will also now be able to understand importance of documentation
• Good methods and presentation. Very clear
Clinical Coding and Casemix Component
Benefits
• Targeted information direct to services
• Establishes relationships and contacts
• Where to go for information
Clinical Coding and Casemix Component
Coding Service Profile at ADHB• Increased as a result of Capturing and
Funding the Patient Journey
• Increased understanding of the role Clinical Coding plays
• Increased understanding of the role participants play
Conclusion
• Increased understanding of the business
• Rise of the Clinical Coding Service profile
• Increased understanding of the Clinical
Coding Service role
• Influence and educate senior managers
who can affect change
Questions?
Please contact me:
Michelle Stevens
Assistant Coding and Casemix Manager
Auckland District Health Board