Reliability of clinical coding of hip facture surgery: implications for payment by results?

Dalal S; Roy B

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Reliability of clinical coding of hip facture surgery: implications for payment by results?

机译：髋关节骨折手术的临床编码可靠性：通过结果支付的影响？

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In our hospital all operative procedures are coded using the OPCS 4.3 classification and in addition are entered into an independent theatre databases. Using these two databases we identified patients undergoing hip fracture surgery at this hospital between 1st November 2003 and 30th November 2006. We identified 408 cases. No single database identified all 408 cases. A quarter of cases (N=98) were not procedurally coded. Only 43.2% (N=176) of cases were recorded in both the theatre database and procedurally coded at the time of this study. Overall the coding accuracy of these 176 cases was 93.8%. Clinical coding at this hospital was unreliable and inaccurate, which has major implications for national statistics, performance analysis and most importantly Payment by Results. We discuss this further and offer possible solutions to improve the coding process.

机译：在我们的医院中，所有手术程序都是使用OPCS 4.3分类编码的，此外还输入了独立的剧院数据库。使用这两种数据库，我们在2003年11月1日至2006年11月30日至11月30日之间鉴定了在本医院接受髋关节骨折手术的患者。我们确定了408例案件。没有单一数据库确定了所有408个案例。没有程序编码四分之一的病例（n = 98）。在剧院数据库中只记录了43.2％（n = 176）的病例，并在本研究时程序编码。总体而言，这176例的编码准确性为93.8％。本医院的临床编码是不可靠和不准确的，这对国家统计数据，绩效分析以及最重要的是通过成果支付的重大影响。我们进一步讨论这一点，并提供可能的解决方案来改进编码过程。

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《Injury》 |2009年第7期|共4页
作者
Dalal S; Roy B;
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作者单位

Department of Orthopaedics Trafford General Hospital Urmston Greater Manchester United Kingdom. mr.samdalal;

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原文格式 PDF
正文语种 eng
中图分类创伤外科学;
关键词
Surgical aspects; Clinical; Hospitals; payment;

机译：手术方面;临床;医院;付款;

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7. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery—executive summary A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) 1231When citing this document, the American College of Cardiology and the American Heart Association would appreciate the following citation format: Eagle KA, Berger PB, Calkins H, Chaitman BR, Ewy GA, Fleischmann KE, Fleisher LA, Froehlich JB, Gusberg RJ, Leppo JA, Ryan T, Schlant RC, Winters WL, Jr. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). J Am Coll Cardiol 2002;39:542–53.2The ACC/AHA Task Force on Practice Guidelines makes every effort to avoid any actual or potential conflicts of interest that might arise as a result of an outside relationship or personal interest of a member of the writing panel. Specifically, all members of the writing panel are asked to provide disclosure statements of all such relationships that might be perceived as real or potential conflicts of interest. These statements are reviewed by the parent task force, reported orally to all members of the writing panel at the first meeting, and updated as changes occur.3Single reprints of this document are available by calling 800-253-4636 (US only) or writing the American College of Cardiology, Educational Services, 9111 Old Georgetown Road, Bethesda, MD 20814-1699 (product code 71-0220). This document and the companion full-text guidelines (product code 71-0219), are available on the ACC Web site at www.acc.organd the AHA Web site at www.americanheart.org. To purchase additional reprints (specify version): up to 999 copies, call 800-611-6083 (US only) or fax 413-665-2671; 1000 or more copies, call 214-706-1466, fax 214-691-6342; or E-mail pubauth@heart.org [O] . Eagle Kim A, Berger Peter B, Calkins Hugh, 2002

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Reliability of clinical coding of hip facture surgery: implications for payment by results?

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