heather grain ehealth eduction - development of clinical coder skills - an alternative approach
DESCRIPTION
Heather Grain, Associate Professor, eHealth Education presented this at the 5th Annual Clinical Documentation, Coding and Analysis Conference. This event is the only case study led conference in Australia looking solely at clinical documentation, coding and analysis. For more information, please visit http://www.healthcareconferences.com.au/clinicaldocsTRANSCRIPT
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
PREPARED BY: HEATHER GRAIN FEB 2014
Development of Clinical Coder Skills
an alternative approach
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A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Perspec've on clinical coder workforce
‹#› Farkli Acilar -‐ Different Perspec5ves 2011
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
“ The formula-on of the problem is o4en more essen-al than its solu-on”
Albert Einstein
Do we understand the problem?
3 © 2014
The Problem
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
• People do not seek clinical coding as a job.
• Many people who have been trained as HIMs
don’t undertake that role for long.
• Educators not providing courses
• Educators failing to understand the needs of
the industry
• Lack of course resources and material
4 © 2014
The Problem…..s
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
Do they • know it exists? • want to do it? • have a wrong idea of what it is • see it as a career
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Not seeking to be a clinical coder
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
Do they • only want to do part of it • find it too expensive – to learn, to buy books • know the skills needed • see training as an obstacle • takes too long, OR doesn’t give them enough 5me to finish at their own pace
• flexible start and end 5mes
• have support to undertake training • see the training as worth the investment
• know where to get training ‹#›
Not seeking to be a clinical coder
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
• Require student demand
• Require skilled staff • High maintenance educa5on program
• Very few educators with coding skills • Requires highly changeable materials
• Requires prac5cal placement
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Educators not offering courses
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Solu'on must address all issues
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Do they know it exists? oaen no – market the career Do they want to do it? Do they have a wrong idea of what it is? create a posi5ve image Do they see it as a career? show a career pathway
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
9 © 2014
A Career Perspec5ve
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Training obstacles
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• entry point unclear • complete whole series – not competent • not job based – profession oriented • not integrated learning • expense of training • courses with different learning approaches
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
Know all before you do any originates in university programs for HIMs
professional entry not job entry
Assumed learning aaer training or on ‘prac’
• real world record and system skills
11 © 2014
Tradi5onal Approach
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
Build progressive skills providing career structure lower entry level clearer defini5on of levels of skill easier entry – encourage starters greater recogni5on of high level skills recognise prior learning provide mentors flexible methods and 5mes
12 © 2014
Alterna5ve View
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
Real world – job based approach building detail and skill, e.g.: endoscopy centres specialisa5ons such as obstetrics clear defini5on of known scope of competence Establish knowledge of
• coding principles (including coding standards applica5on) • medical language/science taught with coding (reinforcement) • record handling principles • informa5on systems
• process management, EHRs and coding systems • what you do and don’t know how to code • access to mentors • coding issues resolu5on and support • hand wriien and electronic record samples 13
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Skill development
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
• Prac5cal coding skills • Mentored support
• Data management and extrac5on
• Introduc5on to terminologies
• Audit par5cipa5on and contribu5on
14 © 2014
Addi5onal knowledge to consider
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care
• Cer5ficate IV -‐ underselling the skills
• Coding skills require • Evalua5on • Assessment • Significant knowledge applica5on
These are more post graduate diploma Could airact qualified clinical people
15 © 2014
Level of skill
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Future
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H. Grain
What will grow from the oaen harsh ground.
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Australia’s entry and success ……
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H. Grain
Innova5on
new technology
new approaches
Courage to lead the world……
A Mix of hospital cases based on similari5es of diagnoses, treatment and cost to deliver care Future ?
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H. Grain