Best practice in the management of clinical coding services: Insights from a project in the Republic of Ireland, Part 2

Reid, Beth; Ridoutt, Lee; O’Connor, Paul; Murphy, Deirdre J

doi:10.1177/1833358317697470

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…The majority (75%) of CCs were employed at Grade level 4 (Healthcare Pricing Office, 2015). A fuller discussion of grade levels is contained in Part 2 (Reid et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…Part 2 (Reid et al, 2017) will discuss the coding manager background, preparation and style, CC workforce adequacy, pay grades and a career pathway for CCs, and the physical and psychological work environment.…”

Section: Resultsmentioning

confidence: 99%

“…Clearly there was a connection between CC numbers and the volume of work to be done. The work allocation process could be improved, and this topic will be discussed in more detail in the next article (Reid et al, 2017) under the topic of CC workforce adequacy and career pathway. From a perspective of producing high-quality data to support ABF, there is a need to supplement the volume drivers with data quality data drivers.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Best practice in the management of clinical coding services: Insights from a project in the Republic of Ireland, Part 1

Reid¹,

Ridoutt²,

O’Connor³

et al. 2017

HIM J

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Introduction: This article presents some of the results of a year-long project in the Republic of Ireland to review the quality of the hospital inpatient enquiry data for its use in activity-based funding (ABF). This is the first of two papers regarding best practice in the management of clinical coding services. Methods: Four methods were used to address this aspect of the project, namely a literature review, a workshop, an assessment of the coding services in 12 Irish hospitals by structured interviews of the clinical coding managers, and a medical record audit of the clinical codes in 10 hospitals. Results: The results included here are those relating to the quality of the medical records, coding work allocation and supervision processes, data quality control measures, communication with clinicians, and the visibility of clinical coders, their managers, and the coding service. Conclusion: The project found instances of best practice in the study hospitals but also found several areas needing improvement. These included improving the structure and content of the medical record, clinician engagement with the clinical coding teams and the ABF process, and the use of data quality control measures.

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“…The majority (75%) of CCs were employed at Grade level 4 (Healthcare Pricing Office, 2015). A fuller discussion of grade levels is contained in Part 2 (Reid et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Best practice in the management of clinical coding services: Insights from a project in the Republic of Ireland, Part 1

Reid¹,

Ridoutt²,

O’Connor³

et al. 2017

HIM J

Self Cite

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show abstract

“…Throughout the authors' work in data quality assessment and improvement conducted in Australia [4], Ireland [5], [6], Singapore [7], Kingdom of Saudi Arabia [8], and Fiji, a set of common factors were identified that undermine data quality improvement initiatives including poor workforce development, fragmented workforce deployment, ambiguous role definition, poor workforce motivation and deficient strategic direction.…”

Section: Introductionmentioning

confidence: 99%

The Competencies Needed by Health Sector Information Quality Advocates

Ridoutt,

Reid,

O'Connor

2023

APJHM

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Objectives: 1) To introduce to expert colleagues the concept of health sector information quality advocates. 2) To obtain these colleagues opinions on worth of the advocate role and the competencies needed by an advocate. 3) To identify existing courses that matched the needs of the advocacy role. Design: 1) A workshop and pre-workshop survey of participants. 2) An online search of courses targeting a health workforce audience based on key words from the competencies identified by the workshop participants. Setting: The workshop was conducted at the 35th Patient Classification Systems International (PCSI) Conference in Iceland in September 2022. The pre-conference online survey used SurveyMonkey. The online course search used Google Chrome and Google Scholar and the English language. Main outcome measures: 1) Agreement of expert colleagues on the need for an Information quality advocate role. 2) Consensus by the expert colleagues on the important competencies. 3) The identified courses described in terms of mode of course delivery, course cost and duration, the delivering institute and key competencies covered. Each course was assessed and scored on a scale from 0 to 10 based on comprehensiveness and effectiveness. Results: The top five competencies for the information quality advocate in order of importance were data governance principles, quality management, stakeholder engagement, information and system governance, and information culture. The online search results identified many courses for specific technical roles, but most did not have the focus on data validity, reliability and information usefulness that matched the needs of the advocacy role. Conclusions: Focused training is needed to support appropriately skilled information quality advocates for the health sector. The presence of information quality advocates at the point of data collection facilitates the pathway to best practice in data collection.

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“…Rowlands et al (2016) explained that the clinicians who are responsible for the documentation in the medical record that underpins the coded data are not necessarily educated about how to document effectively for good patient care and the production of good data for multiple downstream uses. Reid et al (2017a, 2017b) in their two part article about Best Practice in the Management of Clinical Coding Services: Insights from a Project in the Republic of Ireland also described issues with poor documentation, lack of clinician involvement with data quality and the need to support the clinical coding workforce in a way that makes them feel valued. A series of articles published by Dimitropoulos et al (2019a, 2019b, 2019c) in the Health Information Management Association of Australia’s (HIMAA) profession practice journal, HIM-Interchange , reported on findings from a clinical coding workforce survey conducted by the National Centre for Classification in Health (NCCH) and a workshop conducted by the NCCH at the 35th HIMAA and NCCH National Conference.…”

mentioning

confidence: 99%