1 / 26

Capturing and Funding the Patient Journey: an Organisation-Wide Approach

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

larue
Download Presentation

Capturing and Funding the Patient Journey: an Organisation-Wide Approach

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Capturing and Funding the Patient Journey: an Organisation-Wide Approach Michelle Stevens Assistant Coding and Casemix Manager Auckland District Health Board New Zealand

  2. Overview • A patient’s journey through the healthcare system • New workshop introduced into ADHB • Linking the patient journey • Understanding and knowledge • Benefits

  3. 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

  4. District Health Boards (DHBs)

  5. Auckland District Health Board (ADHB) • Auckland City Hospital (ACH) • Greenlane Clinical Centre (GCC)

  6. Auckland District Health Board (ADHB) • 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

  7. Health Information Management Service at ADHB

  8. Health Information Management Service at ADHB

  9. Assistant Coding and Casemix Manager My Role Casemix education • Data analysis • Clinician liaison • Coding • Clinical forms management • Medical terminology course

  10. Capturing and Funding the Patient Journey

  11. Capturing and Funding the Patient Journey • Unique concept • Targeted at senior managers • Understanding the business • Analogy

  12. 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

  13. Capturing and Funding the Patient Journey • Subject matter experts • Finance • Payroll • Materials management • Decision Support • Coding and Casemix

  14. Clinical Coding and Casemix Component • Snapshot of Clinical Coding • Clinical documentation • ICD-10-AM and DRGs • Variables influencing DRGs • Casemix and WIES

  15. Clinical Coding and Casemix Component Interactive exercise • Group work • Identify diagnoses and procedures • “Building the WIES” • Documentation, DRG and WIES

  16. Clinical Coding and Casemix Component Data Quality • Maintaining data quality • Focus • Duplicate National Health Index (NHI) numbers • Ethnicity data collection • Demographic details

  17. Clinical Coding and Casemix Component Duplicate NHIs • A complex problem • Implications • Clinical risk • Administration inefficiencies

  18. Clinical Coding and Casemix Component Ethnicity data collection • Funding linked to treatment of specific ethnic groups

  19. Clinical Coding and Casemix Component Demographic details • Inter-District Flows (IDFs) • 50% of ADHBs funding comes from IDFs • Accurate identification is vital

  20. Clinical Coding and Casemix Component Concludes with • Uses of coded data • Action points for managers • Resources

  21. 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

  22. 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

  23. Clinical Coding and Casemix Component Benefits • Targeted information direct to services • Establishes relationships and contacts • Where to go for information

  24. 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

  25. 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

  26. Questions? Please contact me: Michelle Stevens Assistant Coding and Casemix Manager Auckland District Health Board mstevens@adhb.govt.nz

More Related