Clinical-Coding-accurate--timely---quality-data-–-.ppt

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1、Clinical Coding:accurate,timely,quality data does it matter?Christine NoonanPrincipal Clinical Classifications AdvisorNHS Classifications ServiceNHS Connecting For HealthMarch 2009Coding MATTERS Coding COUNTS Accurate data for quality information Key to quality information is adherence to standards,

2、training and audit guided by the national resource for clinical coding standards The NHS Classification Service is the definitive source of coding guidance and determines the clinical classification national standards in the NHSNHS Classifications ServiceCross-mapsAudit MethodologyHRGDeveloping clas

3、sificationsIncl ICD-10&OPCS-4DH initiativesProfessional Accreditation and trainingSNOMED-CTInfo GovernanceSUSCare RecordNHS Classificationsstandards guidance&adviceWorking to support the NHSStrengthening NHS Clinical Coding StandardsDeveloping and maintaining standard coding audit methodologyUpdatin

4、g OPCS-4 classificationTraining programmesInformation GovernanceTraining Courses currently available-Chemo/Radiotherapy Workshop-Anatomy&Oncology Workshop-Clinical Coding Audit Workshop-Clinical Coding Foundation Course-Clinical Coding Refresher Course-NCCQ Revision Workshop-Train the Trainer Progra

5、mme-Trainer Refresher-Bespoke Training including PCT AwarenessMain issues identified as cause of clinical coding errors:Quality of documentationCoding arrangementsCo-morbidity recordingLack of clinician involvement Training issues Audit Commission findingsAudit Commission Findings Best PracticeDocum

6、entation clearly highlighting coding requirement for the episodeClose working relationships with ward staff and medical recordsClinician involvementCoding arrangementsSo what are NHS CFH doing about it?Working in partnership with DH and ICContinued working in partnership with the Audit CommissionDev

7、eloping an outline for a National Data Quality programmeWhat you can do about it?Use our national helpdesk for queries as the definitive source of guidance Ensure organisational commitmentMaintain data quality through continuous coding auditUseful ContactsFor clinical coding queries,classification training products,course bookings and enquiries contact:For OPCS requests for change