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Allied Health Statistics

Allied Health Statistics. National Allied Health Benchmarking Consortium (NAHBC) 2010. Why Collect Statistics?. Informing decision making and resource allocation Monitoring key processes Improving systems and processes Measuring performance against targets

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Allied Health Statistics

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  1. Allied Health Statistics National Allied Health Benchmarking Consortium (NAHBC) 2010 NAHBC 2010

  2. Why Collect Statistics? • Informing decision making and resource allocation • Monitoring key processes • Improving systems and processes • Measuring performance against targets • Measuring contribution to the health care process • Predicting implications of changes in practise • Quality activities to ensure that services are being delivered in the most efficient way • Benchmarking activities across organisations • Service and contract negotiation NAHBC 2010

  3. Allied Health Activity: • Has been divided into 4 categories by the National Allied Health Casemix Committee (NAHCC) 2001 Allied Health Activity Clinical Care Teaching & Training (TT) Research Clinical Services Management (CSM) Individual Patient Attributable (IPA) Non Individual Patient Attributable (NIPA) NAHBC 2010

  4. Clinical Care: • Activities which provide a service to an individual, community or group to influence health status • Clinical Care is comprised of both: • IPA: Individual Patient Attributable • NIPA: Non-Individual Patient Attributable NAHBC 2010

  5. IPA: Individual Patient Attributable • A clinical care activity that can be assigned to an individual patient (medical record number known) • Examples: • Treatment of a client • Writing a discharge report for a patient • Telephone call about a client to a community agency to arrange home support NAHBC 2010

  6. NIPA: Non - Individual Patient Attributable • Any clinical care activity that can not be assigned to an individual patient • Examples: • Unit meetings/ward rounds/case conferences/handover/caseload allocation. • Group activity eg antenatal (UR unknown) • Patient education material development • Preparation, planning, delivery and evaluation of an education program to group • Health promotion event • Travel associated with clinical care which can not be directly related to a specific patient NAHBC 2010

  7. Teaching & Training: • Formal teaching and training activities which relate to the imparting of knowledge, skills and clinical competency • Undergraduate students and post graduate students • Practitioners in own discipline • Other practitioners • Examples: • Preparation time associated with the delivery of formal Teaching & Training eg. inservices, lectures, seminars • Supervising a student treating a patient • Meeting/consultation/communication on teaching activities • Interaction with training institutions NAHBC 2010

  8. Research: • Activities which are undertaken to advance the knowledge and delivery of care to an individual, group or community. • Research is limited to activities that lead to and follow formal approval of the project by a research committee or equivalent body. NAHBC 2010

  9. Clinical Services Management: • Professional and management activities which support and are essential to clinical care. • Examples: • Staff management • Staff meetings • Quality improvement • Supervision: general matters unrelated to a specific patient or group • Work related to a submission/proposal for a new service/ program • Undertaking professional development • Statistics gathering and reporting • Travel specifically associated with Clinical Services Management (CSM) NAHBC 2010

  10. Statistics Entry Algorithm: Does the activity provide a service to an individual, group or community, to influence health status ? Does the activity relate to formal Teaching and Training activities ? Does the activity relate to a formal research project? (ie leads to and follows formal approval of the project by an ethics committee)? NO NO YES YES Clinical Care Teaching & Training YES NO Can the Clinical Care activity be attributed to a patient(s) ? YES NO Individual Patient Attributable (IPA) Non Individual Patient Attributable (NIPA) Research Clinical Services Management (CSM) NAHBC 2010

  11. Is the meeting about……? • A specific patient (IPA) • An approved program for patients that is currently being designed (NIPA) • A program for patients that you think would be a good idea and want to discuss with others (CSM) • A formal research project that you are collecting data for (Research) • A clinical placement with a training institution (Teaching & Training) NAHBC 2010

  12. Is the telephone call about……? • An individual patient (IPA) • Students (Teaching & Training) • Research (Research) NAHBC 2010

  13. Is the literature review to help..? • Provide optimum treatment to a patient that you are treating (IPA) • Develop a research proposal to submit to the ethics committee (Research) • Prepare a lecture for students or staff (Teaching & Training) NAHBC 2010

  14. How would you code ? • Develop an education package that has been endorsed by management and that is directly related to the clinical care of the patient -> NIPA • Work planning for the day -> CSM • Department student coordinator meets with University staff in relation to student placement program -> Teaching and Training (TT) NAHBC 2010

  15. How would you code ? • Clinician provides training session to a group of nurses as a regular and formal part of their in-serviceprogram Clinician: -> Teaching and Training • Clinician presents a talk to other AH staff in a structured continuing education program Presenter: -> Teaching & Training Audience: -> CSM NAHBC 2010

  16. How would you code ? • Clinician observes a student providing an intervention to a client for supervision purposes only Student: -> IPA Clinician: -> Teaching and Training • Clinician treats a patient. Supervisor observes to perform competency assessment as part of formal department learning program Clinician: -> IPA Supervisor: -> CSM NAHBC 2010

  17. Annual Audit • All NAHBC membership organisations are required each June to undertake the Statistics Coding Audit. • The Statistics Coding Audit will be circulated to all NAHBC membership organisations by the NAHBC Statistics Coding working party just prior to the audit month. NAHBC 2010

  18. Summary • This presentation has been endorsed by the NAHBC membership organisations and should not be altered. • If you have any queries regarding this presentation please contact your NAHBC representative. • Further information at: www.nahcc.org.au NAHBC 2010

  19. Your Hospital’s Business Rules NAHBC 2010

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