Free Newsletter
Register for our Free Newsletters
Newsletter
Zones
Access Control
LeftNav
Alarms
LeftNav
Biometrics
LeftNav
Detection
LeftNav
Deutsche Zone (German Zone)
LeftNav
Education, Training and Professional Services
LeftNav
Government Programmes
LeftNav
Guarding, Equipment and Enforcement
LeftNav
Industrial Computing Security
LeftNav
IT Security
LeftNav
Physical Security
LeftNav
Surveillance
LeftNav
View All
Other Carouselweb publications
Carousel Web
Defense File
New Materials
Pro Health Zone
Pro Manufacturing Zone
Pro Security Zone
Web Lec
 
ProSecurityZone Sponsor
 
ProSecurityZone Sponsor
 
ProSecurityZone Sponsor
 
ProSecurityZone Sponsor
 
ProSecurityZone Sponsor
 
ProSecurityZone Sponsor
 
 
News

Health organisations unprepared for HRG coding

Datanomic : 26 February, 2009  (Technical Article)
Datanomic raises concerns over Healthcare Resource Coding and the care trusts' lack of readiness for it
Acute and Hospital Trusts are putting their financial accounting and reimbursement from local Primary Care Trusts at risk due to inaccurate and missing Healthcare Resource Group (HRG) coding, as well as placing entire areas of care at risk, according to fit for purpose data specialists, Datanomic.

The UK Department of Health's Commissioning for Quality and Innovation (CQUIN) payment framework specifies a proportion of providers' income conditional on quality and innovation - including accuracy of data provision by care providers. This permits the PCT to punitively incentivise care providers to ensure clinical coding accuracy by withholding up to 0.5% of total revenues. This level of withholding could easily equate to £500k for some Hospital Trusts, which could be enough to place whole areas of care at risk.

"Despite the apparent simplicity of allocating a reference code to an episode of treatment, the fact is that numerous hidden inaccuracies have unknowingly slipped into the data systems of many trusts, either at the point of entry or during processing," said Dr Jonathan Pell, CEO of Datanomic. "The knock-on effect of these data blind spots results in either under-or over-payments, which have to be reconciled at a later date. Ensuring fit-for-purpose data for accurate clinical coding throughout the commissioning process is therefore essential for both Acute/Hospital Trusts and Primary Care Trusts."

A recent Audit Commission PbR Assurance Report analysed the accuracy of clinical coding within a sample of Acute Trusts within the UK. The Report indicated that the average HRG error across was 9.4% with results per Trust, ranging from 0.3% to a staggering 52% of all HRG coding being erroneous. The risks arising from inaccurate data are understandably high as the wrong code not only potentially impacts patient care, but also the associated reimbursement under Payment by Results. If the correct codes are not provided, reimbursements for treatment will be incorrect or even withheld, which can have serious budget implications for a Trust.

Described by industry analysts as "arguably the most flexible data quality product", Datanomic's dn:Director provides a single, unified platform that enables both business and IT personnel, such as data stewards, business analysts and owners of data, to identify and rectify compromised data which can place operations at risk. As a single product that encompasses profiling, analysis and transformation, dn:Director enables better understanding, improvement, protection and control of data quality for all types of structured and non-structured, real-time and non-real time information.

Hospitals have highly complex data. The data for a single patient can comprise hundreds of fields and multiple episodes of care. Datanomic's dn:Director quickly provides a clear picture of data quality, provides tools for tracing the causes of errored or missing items, and is used by Trusts to ensure the completeness and quality of clinical coding in order to achieve the appropriate reimbursement. Ensuring fit-for-purpose clinical coding data is a huge priority across the Health Service. From one simple, central application console, Datanomic's dn:Director software helps organisations to discover the problems in data and take action to correct them; across all databases, regardless of supplier.
Bookmark and Share
 
Home I Editor's Blog I News by Zone I News by Date I News by Category I Special Reports I Directory I Events I Advertise I Submit Your News I About Us I Guides
 
   © 2012 ProSecurityZone.com
Netgains Logo