PRIMARY CARE TRAINING

E-LEARNING FOR PRIMARY CARE

SECONDARY CARE TRAINING

OUTSOURCE AND BACKLOG CODING

CLINICAL CODING AUDITS

CONSULTANCY

HRG ASSURANCE

3M Health Information Systemsdatasheet

coding with confidence

Training Services

3M Training, Coding &Consultancy Services

datasheet

Staffed by highly experienced andqualified personnel, the Training,Coding and Consultancy ServicesDepartment offer an extensiveskill-set for the provision oftraining and related services toboth Primary and Secondary Care.

All services provided to UK NHS clients,conform to NHS Information Authority NationalStandards. Within the team are NHSIAAccredited Clinical Coders (ACCs), TAPApproved Trainers and Approved ClinicalCoding Auditors. Some have managementexperience within a clinical informatics setting,including implementation and development ofclinical and PAS systems.

A range of training and associated services areavailable to include Terminology (Read Version3, Snomed CT), Read Codes Version 2, ICD-10and OPCS4.2, consultancy, clinical audit andcontract coding.

Having established an enviable and innovativereputation in the health care marketplace, 3M’sunrivalled range of services are based on thesimple principle that quality clinical informationis essential in both Primary and SecondaryServices and as such, our training and codingservices guide you every step of the way indeveloping terminology and classificationexpertise within your organisation.

Whether you have new staff to train, personnelto develop, or a particular problem to tackle, weoffer a wide range of coding-relatedprogrammes from beginner to advanced, aswell as specialty-based or tailored courses.

Courses can be delivered on site or at anexternal venue. To ensure quality of training, werecommend no more than 12 delegates persession. Typical courses consist of hands-onexercises, along with PowerPoint presentations.

Primary Care Training Services

Read Code Training CoursesThe current GMS Contract supports the use ofRead Codes for Clinical Governance andNational Service Frameworks. Read trainingcourses assist participants to use Read Codesaccurately and effectively, therefore improvingthe quality of healthcare information within thePractice.

The main objectives of the training sessions areto ensure that participants:

• Use the correct search methods

• Understand the structure of Read Codes

• Are knowledgeable in the use of Read Codesto facilitate data quality

• Deliver consistency of terminology and datacollection uniformity.

Basic CourseThe basic course is designed for both GPs andall practice staff to develop a sound workingknowledge of the Read Code structure,hierarchy and chapters. The course is ‘hands-on’, with participants working through anexercise book of questions, using the NHSInformation Authority Clinical TerminologyBrowser to assist in finding the correct answers.

Advanced CourseDesigned for GPs, Practice Managers and GPInformation Officers to provide a more in-depthunderstanding of Read Codes. Participants areintroduced to the more complex areas of ReadVersion 2, including advanced keying, duplicateterms and non-synonymous synonyms, as wellas understanding the implications of theanomalies of Read Version 2. Participants areintroduced to Clinical Terms (Read Version 3).

Clinical Terms (Read Version 3)Designed for both GPs and all practice staff todevelop a sound working knowledge of clinicalterms structure, hierarchy and chapters. Thecourse is ‘hands-on’, with participants workingthrough an exercise book of questions and withassistance of the NHS Information AuthorityTerminology Browser, finding the correctanswers.

National Service FrameworksDesigned for non-clinical Practice Staff to givethem a better understanding of the contentaround the National Service Frameworks.Developed courses include Diabetes, CoronaryHeart Disease and Mental Health.

Note SummarisingWorking with PCTs to provide a notesummarising course teaching best practicemethods. This course will be tailored to thedemands of the PCT.

E-learning3M’s self-paced E-learning is designed toreinforce our Read Code classroom training. E-learning is a web-based tool that providesusers with a variety of practice exams that areuseful, in preparation for a 3M mentored on-linefinal examination.

Secondary Care Services

Training CoursesCourses include:

• 14 Day NHSIA Foundation Course

• 3 Day NHSIA Clinical Coder RefresherCourse

• 3 Day NHSIA National Clinical CodingQualification

• 3 Day NHSIA Basic Clinical Coding for MentalHealth

• 2 Day NHSIA Obstetric Specialty Workshop

• 2 Day NHSIA Circulatory & Vascular SpecialtyWorkshop

• Read Code Courses for Secondary Care

• 3M can also provide Interactive Workshops inany Specialty and currently offer a developedcourse for Orthopaedics.

Anatomy and Physiology (including medicalterminology)3M courses are aimed at both Primary andSecondary Care non-clinical staff and aredesigned to provide participants with a basicunderstanding of anatomy and physiology inrelation to commonly coded diagnoses andprocedures.

All workshops are interactive and include amixture of presentations, discussions, exercisesand where possible video.

During these workshops, 3M provide a highlevel of information, but maintain an informal,relaxed and stress-free atmosphere in order topromote an excellent learning environment.

coding with confidence

Body systems covered include:

• Nervous System

• Respiratory System

• Cardiovascular System

• Musculoskeletal System

• Digestive System

• Mail and Female Reproductive Systems

• Urinary System

• Endocrine System

• Skin

Back-log Coding

There are times when due to staff sickness,holidays, resignations etc the CodingDepartment can be overwhelmed with a back-log of work. With the introduction of Paymentby Results it is now even more critical thatepisodes of care are coded in a timely fashion.

In these instances 3M’s ACC and experiencedcoding staff can provide temporary codingassistance to reduce your back-log. This workcan be undertaken on site or remotely. Our staffwill work wherever the coding is carried out(e.g. coding offices, wards, departments) andcan cover all specialties.

Many NHS Trusts have already used ourservices and have considerably reduced theircoding back-log without interrupting theworkflow of their own coders.

Clinical Coding Audit Service

3M Training and Coding ACC personnel areexperienced in providing an on-site clinicalcoding audit service within small and large-scalecoding functions throughout the UnitedKingdom. Staff have undertaken and passedthe NHS Information Authority Advanced AuditCourse and are NHSIA Approved Auditors.

The clinical coding audit service is available toNHS Trusts throughout the UK. A typical auditpackage will include a pre-meeting, audit, exitmeeting, followed by a detailed report.

Pre-Clinical Coding Audit MeetingThis meeting is used to discuss objectives ofthe audit, local issues, source documentation,data items to be audited and any comparativeanalysis required.

Clinical Coding AuditThe clinical coding audit is carried out from thesource documentation (e.g. case notes)normally available to the coding department.The clinical coding audit will also assess thequality of source documents. The auditor willtake local coding guidelines and clinical termprotocols into consideration.

Exit MeetingThis may be arranged for immediate feedbackfollowing the clinical coding audit.

Clinical Coding Audit ReportThe clinical coding audit report will provideoverall results, which follow NHSIA coding AuditGuidelines.

3M can provide follow-up training to deal withany recommendations made in the Report. Allfeedback is presented in a constructive manner.

Further follow-up is also available to assist informulating a strategy for improvement of thequality of coding in relation to any areashighlighted by the audit that are not specificallyrelated to clinical coder training.

Consultancy

3M highly qualified and experienced personnelare able to offer a coding and casemix bestpractice consultancy service to NHS Trusts,which will help ensure that Trusts optimiseincoming financial flows under the new casemixbudgeting scheme.

Consultancy will typically involve the review of:

• Staffing levels

• Skill mix

• Information flows

• Source documentation and methodology

• Training needs

• Advice on data quality issues

• Audit review

• Impact of Snomed CT

3M services can be tailored to meet anyparticular requirements. By spending timeworking with coding professionals, 3Mconsultants will review all factors crucial toachieving a first-class coding operation.

Healthcare Resource Group (HRG)Assurance

3M’s HRG Assurance programme is modelledafter 3M’s Diagnostic Related Groups (DRGs)Assurance in the US.

Documentation deficiencies in the US havebeen estimated to account for over $7.5 billionannually in lost hospital reimbursement forservices rendered. Of the documentation errorsthat result in lost reimbursement:

• 43% are documentation errors

• 31% from insufficient documentation

• 12% from lost documentation

• 40% are the result of providing medicallyunnecessary services

• 17% are from coding errors

3M’s DRG Assurance programme has beeninfluential in assisting US hospitals in improvingtheir clinician’s documentation processes sothat reimbursement loss is minimised.

HRG Assurance Objective• Accurate and complete case note

documentation

• Assessment of case note quality

• Education of healthcare personnel andclinicians

• Implementation of a concurrent reviewprogramme

• Obtaining accurate and complete case notedocumentation

• Evaluation and monitoring with frequentfeedback

Benefits Include• Optimal financial flows through the

appropriate HRG assignment

• Improved communication between coders,management and clinicians

• Improved quality of care, care planning,resource utilisation and outcome studies

• Accurate patient Severity-of-Illness (SOI) andRisk-of-Mortality (ROM) profiling for hospitalmanagement and the medical staff

• Compliance with Government rules andregulations

3M HRG Assurance Methodology

• Review random sample of case notes

• Perform coding audit or review recentexternal coding audit

• Reference Hospital’s draft health recordspolicy document

• Interview clinical coding management andcoding team to understand workflow andprocesses

• Interview nurses and clinicians to understandcurrent documentation process

• Train clinicians and coders on best practiceexamples found during assessment

• Provide period monitoring

• Reassess one year later to measure impact

Financial Opportunity from Improved Case Note Documentation1

US – Currency ($) UK – Currency (£)

Sample size (Case Notes Reviewed) 450 450

Potential Financial Impact of Sample $212,298 £119,269

Average Impact Per Case $472 £265

Annual Discharges (3 Hospitals) 28,070 28,070

Subtotal $13,242,677 £7,439,706

Realisation Rate 70% 70%

Total Opportunity $9,269,874 £5,207,795

3M Health Information Systemsdatasheet

To request further details, please FREEPHONE 3M Health Information Systems on0800 626578, or email help.HIS.UK@3M.com quoting GK003.

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Health Information Systems

3M Health Care Limited

3M HouseMorley StreetLoughboroughLeicestershire LE11 1EP

Tel: (01509) 613800Fax: (01509) 613087

3M Ireland

3M HouseAdelphi CentreDun LaoghaireCo. Dublin, Ireland

Tel: (01) 280 3555Fax: (01) 280 3509

3M Training, Coding &Consultancy Services

References1. Data on file, 3M Health Care Limited.